IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"resourceType" : "Bundle",
"id" : "be-to-ie-neps-dispensation",
"type" : "collection",
"timestamp" : "2025-08-05T12:00:00+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:fdb2d4c0-4270-591e-a2ae-9b660da7854d",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-lars-janssen",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_patient-lars-janssen\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-lars-janssen</b></p><a name=\"patient-lars-janssen\"> </a><a name=\"hcpatient-lars-janssen\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Lars Janssen (official) Male, DoB: 1970-05-10 ( BE-12345678901)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\"><code>http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier</code>/BE/IE/12345678901</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">null Brussels Brussels BE (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 nl}\">Dutch</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Recorded sex or gender (RSG) information includes the various sex and gender concepts that are often used in existing systems but are known NOT to represent a gender identity, sex parameter for clinical use, or attributes related to sexuality, such as sexual orientation, sexual activity, or sexual attraction. Examples of recorded sex or gender concepts include administrative gender, administrative sex, and sex assigned at birth. When exchanging this concept, refer to the guidance in the [Gender Harmony Implementation Guide](http://hl7.org/xprod/ig/uv/gender-harmony/).\">Person Recorded Sex Or Gender:</td><td colspan=\"3\"><ul><li>value: <span title=\"Codes:{http://hl7.org/fhir/administrative-gender male}\">Male</span></li><li>type: <span title=\"Codes:{http://loinc.org 76689-9}\">Sex assigned at birth</span></li></ul></td></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "value",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/administrative-gender",
"code" : "male",
"display" : "Male"
}
]
}
},
{
"url" : "type",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "76689-9",
"display" : "Sex assigned at birth"
}
]
}
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender"
}
],
"identifier" : [
{
"value" : "BE-12345678901",
"assigner" : {
"display" : "Issuing authority in Belgium (illustrative)"
}
},
{
"system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier",
"value" : "BE/IE/12345678901"
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Janssen",
"given" : [
"Lars"
],
"prefix" : [
"Mr."
]
}
],
"gender" : "male",
"birthDate" : "1970-05-10",
"address" : [
{
"use" : "home",
"_line" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
}
],
"city" : "Brussels",
"state" : "Brussels",
"country" : "BE"
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "nl",
"display" : "Dutch"
}
]
},
"preferred" : true
}
]
}
},
{
"fullUrl" : "urn:uuid:b8a3bea0-84cc-5b3c-87e4-4336c58cc6c5",
"resource" : {
"resourceType" : "Practitioner",
"id" : "org-be-practitioner",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_org-be-practitioner\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner org-be-practitioner</b></p><a name=\"org-be-practitioner\"> </a><a name=\"hcorg-be-practitioner\"> </a><p><b>identifier</b>: BE-DR-01234567</p><p><b>active</b>: true</p><p><b>name</b>: Sophie Dubois (Official)</p></div>"
},
"identifier" : [
{
"value" : "BE-DR-01234567",
"assigner" : {
"display" : "Issuing authority in Belgium (illustrative)"
}
}
],
"active" : true,
"name" : [
{
"use" : "official",
"family" : "Dubois",
"given" : [
"Sophie"
],
"prefix" : [
"Dr."
]
}
]
}
},
{
"fullUrl" : "urn:uuid:2e34452a-2d63-5809-82d0-9aa744dad53e",
"resource" : {
"resourceType" : "Organization",
"id" : "org-ie-mccauleys",
"meta" : {
"profile" : [
🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_org-ie-mccauleys\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization org-ie-mccauleys</b></p><a name=\"org-ie-mccauleys\"> </a><a name=\"hcorg-ie-mccauleys\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ie-mpd-organization.html\">IE MPD Organization</a></p></div><p><b>active</b>: true</p><p><b>name</b>: McCauley's Pharmacy</p><p><b>address</b>: Grafton Street Dublin 2 IE (work)</p></div>"
},
"active" : true,
"name" : "McCauley's Pharmacy",
"address" : [
{
"use" : "work",
"line" : [
"Grafton Street"
],
"city" : "Dublin 2",
"country" : "IE"
}
]
}
},
{
"fullUrl" : "urn:uuid:6e6ebcb4-5746-5133-baad-b2c38a6a0f26",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "be-original-rx",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_be-original-rx\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest be-original-rx</b></p><a name=\"be-original-rx\"> </a><a name=\"hcbe-original-rx\"> </a><p><b>identifier</b>: BE-RX-2025-NEPS-001, <code>http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier</code>/BE/IE/12345678901</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-0b9dd103-15ba-548e-8b09-84e43106e602\">Atorvastatin 40mg tablets (BE → IE mapping via NePS)</a></p><p><b>subject</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-fdb2d4c0-4270-591e-a2ae-9b660da7854d\">Lars Janssen</a></p><p><b>authoredOn</b>: 2025-07-30</p><p><b>requester</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-b8a3bea0-84cc-5b3c-87e4-4336c58cc6c5\">Dr. Sophie Dubois</a></p><p><b>note</b>: </p><blockquote><div><p>Inbound cross-border prescription via MyHealth@EU/NePS. Belgian prescription (BE-RX-2025-NEPS-001) received and mapped to HPRA product.</p>\n</div></blockquote><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>Neem één tablet van 40mg eenmaal daags 's avonds (Take one 40mg tablet once daily at night)</td></tr></table><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2025-07-30 --> 2025-10-30</td><td>28 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{tablet} = '{tablet}')</span></td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td><td><span title=\"Codes:\">Reason not stated in the source example</span></td></tr></table></div>"
},
"identifier" : [
{
"value" : "BE-RX-2025-NEPS-001",
"assigner" : {
"display" : "Issuing authority in Belgium (illustrative)"
}
},
{
"system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier",
"value" : "BE/IE/12345678901"
}
],
"status" : "active",
"intent" : "order",
"medicationReference" : {
"reference" : "urn:uuid:0b9dd103-15ba-548e-8b09-84e43106e602",
"display" : "Atorvastatin 40mg tablets (BE → IE mapping via NePS)"
},
"subject" : {
"reference" : "urn:uuid:fdb2d4c0-4270-591e-a2ae-9b660da7854d",
"display" : "Lars Janssen"
},
"authoredOn" : "2025-07-30",
"requester" : {
"reference" : "urn:uuid:b8a3bea0-84cc-5b3c-87e4-4336c58cc6c5",
"display" : "Dr. Sophie Dubois"
},
"note" : [
{
"text" : "Inbound cross-border prescription via MyHealth@EU/NePS. Belgian prescription (BE-RX-2025-NEPS-001) received and mapped to HPRA product."
}
],
"dosageInstruction" : [
{
"text" : "Neem één tablet van 40mg eenmaal daags 's avonds (Take one 40mg tablet once daily at night)"
}
],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2025-07-30",
"end" : "2025-10-30"
},
"quantity" : {
"value" : 28,
"unit" : "tablets",
"system" : "http://unitsofmeasure.org",
"code" : "{tablet}"
}
},
"substitution" : {
"allowedBoolean" : false,
"reason" : {
"text" : "Reason not stated in the source example"
}
}
}
},
{
"fullUrl" : "urn:uuid:a007e3d7-b3bd-59eb-9a41-5cb6ed5d8e03",
"resource" : {
"resourceType" : "MedicationDispense",
"id" : "ie-dispense-be-rx",
"meta" : {
"profile" : [
🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationdispense-edispensation"
]
},
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationDispense_ie-dispense-be-rx\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense ie-dispense-be-rx</b></p><a name=\"ie-dispense-be-rx\"> </a><a name=\"hcie-dispense-be-rx\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ie-mpd-medicationdispense-edispensation.html\">IE MPD MedicationDispense (eDispensation)</a></p></div><p><b>R5: When the recording of the dispense started (new)</b>: 2025-08-05 11:30:00+0100</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:6ce5eb70-dd06-593c-bd48-92dd71b31d3a, BE-RX-2025-NEPS-001</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-5d2447d5-cff1-527b-b3ec-5dbfd08b51c9\">Atorvastatin 40mg tablets</a></p><p><b>subject</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-fdb2d4c0-4270-591e-a2ae-9b660da7854d\">Lars Janssen</a></p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-2e34452a-2d63-5809-82d0-9aa744dad53e\">McCauley's Pharmacy</a></td></tr></table><p><b>authorizingPrescription</b>: <a href=\"Bundle-be-to-ie-neps-dispensation.html#urn-uuid-6e6ebcb4-5746-5133-baad-b2c38a6a0f26\">BE-RX-2025-NEPS-001</a></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DF}\">Daily Fill</span></p><p><b>quantity</b>: 28 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{tablet} = '{tablet}')</span></p><p><b>daysSupply</b>: 28 days<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM coded = 'd')</span></p><p><b>whenHandedOver</b>: 2025-08-05 11:30:00+0100</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>Take one 40mg tablet once daily at night</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>WasSubstituted</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded",
"valueDateTime" : "2025-08-05T11:30:00+01:00"
}
],
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:uuid:6ce5eb70-dd06-593c-bd48-92dd71b31d3a"
},
{
"value" : "BE-RX-2025-NEPS-001",
"assigner" : {
"display" : "Issuing authority in Belgium (illustrative)"
}
}
],
"status" : "completed",
"medicationReference" : {
"reference" : "urn:uuid:5d2447d5-cff1-527b-b3ec-5dbfd08b51c9",
"display" : "Atorvastatin 40mg tablets"
},
"subject" : {
"reference" : "urn:uuid:fdb2d4c0-4270-591e-a2ae-9b660da7854d",
"display" : "Lars Janssen"
},
"performer" : [
{
"actor" : {
"reference" : "urn:uuid:2e34452a-2d63-5809-82d0-9aa744dad53e",
"display" : "McCauley's Pharmacy"
}
}
],
"authorizingPrescription" : [
{
"reference" : "urn:uuid:6e6ebcb4-5746-5133-baad-b2c38a6a0f26",
"display" : "BE-RX-2025-NEPS-001"
}
],
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "DF",
"display" : "Daily Fill"
}
]
},
"quantity" : {
"value" : 28,
"unit" : "tablets",
"system" : "http://unitsofmeasure.org",
"code" : "{tablet}"
},
"daysSupply" : {
"value" : 28,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"whenHandedOver" : "2025-08-05T11:30:00+01:00",
"dosageInstruction" : [
{
"text" : "Take one 40mg tablet once daily at night"
}
],
"substitution" : {
"wasSubstituted" : false
}
}
},
{
"fullUrl" : "urn:uuid:5d2447d5-cff1-527b-b3ec-5dbfd08b51c9",
"resource" : {
"resourceType" : "Medication",
"id" : "med-ie-dispense-be-rx",
"meta" : {
"profile" : [
🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_med-ie-dispense-be-rx\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication med-ie-dispense-be-rx</b></p><a name=\"med-ie-dispense-be-rx\"> </a><a name=\"hcmed-ie-dispense-be-rx\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ie-mpd-medication-eprescription.html\">IE MPD Medication (ePrescription/eDispensation)</a></p></div><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 373444002}\">Atorvastatin 40mg tablets</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>IsActive</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 373444002}\">Atorvastatin</span></td><td>true</td></tr></table></div>"
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373444002",
"display" : "Atorvastatin"
}
],
"text" : "Atorvastatin 40mg tablets"
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373444002",
"display" : "Atorvastatin"
}
]
},
"isActive" : true
}
]
}
},
{
"fullUrl" : "urn:uuid:0b9dd103-15ba-548e-8b09-84e43106e602",
"resource" : {
"resourceType" : "Medication",
"id" : "med-be-original-rx",
"meta" : {
"profile" : [
🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Medication_med-be-original-rx\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication med-be-original-rx</b></p><a name=\"med-be-original-rx\"> </a><a name=\"hcmed-be-original-rx\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ie-mpd-medication-eprescription.html\">IE MPD Medication (ePrescription/eDispensation)</a></p></div><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 373444002}, {http://www.whocc.no/atc C10AA05}\">Atorvastatin 40mg tablets (BE → IE mapping via NePS)</span></p><h3>Ingredients</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Item[x]</b></td><td><b>IsActive</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 373444002}\">Atorvastatin</span></td><td>true</td></tr></table></div>"
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373444002",
"display" : "Atorvastatin"
},
{
"system" : "http://www.whocc.no/atc",
"code" : "C10AA05",
"display" : "Atorvastatin"
}
],
"text" : "Atorvastatin 40mg tablets (BE → IE mapping via NePS)"
},
"ingredient" : [
{
"itemCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "373444002",
"display" : "Atorvastatin"
}
]
},
"isActive" : true
}
]
}
}
]
}