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
<Bundle xmlns="http://hl7.org/fhir">
<id value="fi-to-ie-neps-dispensation"/>
<type value="collection"/>
<timestamp value="2025-08-01T14:30:00+01:00"/>
<entry>
<fullUrl value="urn:uuid:9c0fc75e-f162-5b77-884e-fcfd665ae2c7"/>
<resource>
<Patient>
<id value="patient-mikko-korhonen"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_patient-mikko-korhonen"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-mikko-korhonen</b></p><a name="patient-mikko-korhonen"> </a><a name="hcpatient-mikko-korhonen"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Mikko Tapani Korhonen (official) Male, DoB: 1982-07-20 ( National unique individual identifier: FI-123456-7890)</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>/FI/IE/123456-7890</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">null Helsinki Helsinki FI (home)</td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 fi}">Finnish</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>
</text>
<extension
url="http://hl7.org/fhir/StructureDefinition/individual-recordedSexOrGender">
<extension url="value">
<valueCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/administrative-gender"/>
<code value="male"/>
<display value="Male"/>
</coding>
</valueCodeableConcept>
</extension>
<extension url="type">
<valueCodeableConcept>
<coding>
<system value="http://loinc.org"/>
<code value="76689-9"/>
<display value="Sex assigned at birth"/>
</coding>
</valueCodeableConcept>
</extension>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NI"/>
<display value="National unique individual identifier"/>
</coding>
</type>
<value value="FI-123456-7890"/>
<assigner>
<display value="Issuing authority in Finland (illustrative)"/>
</assigner>
</identifier>
<identifier>
<system
value="http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier"/>
<value value="FI/IE/123456-7890"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Korhonen"/>
<given value="Mikko"/>
<given value="Tapani"/>
</name>
<gender value="male"/>
<birthDate value="1982-07-20"/>
<address>
<use value="home"/>
<line>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</line>
<city value="Helsinki"/>
<state value="Helsinki"/>
<country value="FI"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="fi"/>
<display value="Finnish"/>
</coding>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:131782fc-52b0-5e90-aff5-0452b4237653"/>
<resource>
<Practitioner>
<id value="org-fi-practitioner"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_org-fi-practitioner"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner org-fi-practitioner</b></p><a name="org-fi-practitioner"> </a><a name="hcorg-fi-practitioner"> </a><p><b>identifier</b>: FI-DR-001234</p><p><b>active</b>: true</p><p><b>name</b>: Erika Virtanen (Official)</p></div>
</text>
<identifier>
<value value="FI-DR-001234"/>
<assigner>
<display value="Issuing authority in Finland (illustrative)"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Virtanen"/>
<given value="Erika"/>
<prefix value="Dr."/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e9a467c2-26d3-565b-b397-b5e1ebab2d80"/>
<resource>
<Organization>
<id value="org-ie-hickeys"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_org-ie-hickeys"> </a><p class="res-header-id"><b>Generated Narrative: Organization org-ie-hickeys</b></p><a name="org-ie-hickeys"> </a><a name="hcorg-ie-hickeys"> </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>: Hickey's Pharmacy</p><p><b>address</b>: O'Connell Street Dublin IE (work)</p></div>
</text>
<active value="true"/>
<name value="Hickey's Pharmacy"/>
<address>
<use value="work"/>
<line value="O'Connell Street"/>
<city value="Dublin"/>
<country value="IE"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ed1c73da-6ab4-5f8f-ae01-a875c2a28c78"/>
<resource>
<MedicationRequest>
<id value="fi-original-rx"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_fi-original-rx"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest fi-original-rx</b></p><a name="fi-original-rx"> </a><a name="hcfi-original-rx"> </a><p><b>identifier</b>: FI-RX-2025-NEPS-001, <code>http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier</code>/FI/IE/123456-7890</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-7d57c2a4-0b49-5200-bb9e-aa4c575fe370">Metformin 500mg tablets (FI → IE mapping via NePS)</a></p><p><b>subject</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-9c0fc75e-f162-5b77-884e-fcfd665ae2c7">Mikko Korhonen</a></p><p><b>authoredOn</b>: 2025-07-25</p><p><b>requester</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-131782fc-52b0-5e90-aff5-0452b4237653">Dr. Erika Virtanen</a></p><p><b>note</b>: </p><blockquote><div><p>Inbound cross-border prescription via MyHealth@EU/NePS. Finnish prescription (FI-RX-2025-NEPS-001) received and mapped to Irish formulary product.</p>
</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>Take one 500mg tablet twice daily with meals</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>2025-07-25 --> 2025-10-25</td><td>60 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>
</text>
<identifier>
<value value="FI-RX-2025-NEPS-001"/>
<assigner>
<display value="Issuing authority in Finland (illustrative)"/>
</assigner>
</identifier>
<identifier>
<system
value="http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier"/>
<value value="FI/IE/123456-7890"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<medicationReference>
<reference value="urn:uuid:7d57c2a4-0b49-5200-bb9e-aa4c575fe370"/>
<display
value="Metformin 500mg tablets (FI → IE mapping via NePS)"/>
</medicationReference>
<subject>
<reference value="urn:uuid:9c0fc75e-f162-5b77-884e-fcfd665ae2c7"/>
<display value="Mikko Korhonen"/>
</subject>
<authoredOn value="2025-07-25"/>
<requester>
<reference value="urn:uuid:131782fc-52b0-5e90-aff5-0452b4237653"/>
<display value="Dr. Erika Virtanen"/>
</requester>
<note>
<text
value="Inbound cross-border prescription via MyHealth@EU/NePS. Finnish prescription (FI-RX-2025-NEPS-001) received and mapped to Irish formulary product."/>
</note>
<dosageInstruction>
<text value="Take one 500mg tablet twice daily with meals"/>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2025-07-25"/>
<end value="2025-10-25"/>
</validityPeriod>
<quantity>
<value value="60"/>
<unit value="tablets"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tablet}"/>
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="false"/>
<reason>
<text value="Reason not stated in the source example"/>
</reason>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:00c30b90-728b-5f50-8ddb-823161bc605c"/>
<resource>
<MedicationDispense>
<id value="ie-dispense-fi-rx"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationdispense-edispensation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_ie-dispense-fi-rx"> </a><p class="res-header-id"><b>Generated Narrative: MedicationDispense ie-dispense-fi-rx</b></p><a name="ie-dispense-fi-rx"> </a><a name="hcie-dispense-fi-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>: 2025-08-01 14:00:00+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
This 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:
Note 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.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:e4ab1574-b3d5-539e-b57f-38b598a60419, FI-RX-2025-NEPS-001</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-c8ecad95-cec8-56b9-82ed-2292c322b017">Metformin 500mg tablets</a></p><p><b>subject</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-9c0fc75e-f162-5b77-884e-fcfd665ae2c7">Mikko Korhonen</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-fi-to-ie-neps-dispensation.html#urn-uuid-e9a467c2-26d3-565b-b397-b5e1ebab2d80">Hickey's Pharmacy</a></td></tr></table><p><b>authorizingPrescription</b>: <a href="Bundle-fi-to-ie-neps-dispensation.html#urn-uuid-ed1c73da-6ab4-5f8f-ae01-a875c2a28c78">FI-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>: 60 tablets<span style="background: LightGoldenRodYellow"> (Details: UCUM code{tablet} = '{tablet}')</span></p><p><b>daysSupply</b>: 30 days<span style="background: LightGoldenRodYellow"> (Details: UCUM coded = 'd')</span></p><p><b>whenHandedOver</b>: 2025-08-01 14:00:00+0100</p><p><b>note</b>: </p><blockquote><div><p>NePS routed dispensation — Finnish prescription mapped to HPRA product. Dispensed as per original Finnish prescription requirements.</p>
</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>Take one 500mg tablet twice daily with meals</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>
</text>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded">
<valueDateTime value="2025-08-01T14:00:00+01:00"/>
</extension>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:e4ab1574-b3d5-539e-b57f-38b598a60419"/>
</identifier>
<identifier>
<value value="FI-RX-2025-NEPS-001"/>
<assigner>
<display value="Issuing authority in Finland (illustrative)"/>
</assigner>
</identifier>
<status value="completed"/>
<medicationReference>
<reference value="urn:uuid:c8ecad95-cec8-56b9-82ed-2292c322b017"/>
<display value="Metformin 500mg tablets"/>
</medicationReference>
<subject>
<reference value="urn:uuid:9c0fc75e-f162-5b77-884e-fcfd665ae2c7"/>
<display value="Mikko Korhonen"/>
</subject>
<performer>
<actor>
<reference value="urn:uuid:e9a467c2-26d3-565b-b397-b5e1ebab2d80"/>
<display value="Hickey's Pharmacy"/>
</actor>
</performer>
<authorizingPrescription>
<reference value="urn:uuid:ed1c73da-6ab4-5f8f-ae01-a875c2a28c78"/>
<display value="FI-RX-2025-NEPS-001"/>
</authorizingPrescription>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="DF"/>
<display value="Daily Fill"/>
</coding>
</type>
<quantity>
<value value="60"/>
<unit value="tablets"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tablet}"/>
</quantity>
<daysSupply>
<value value="30"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</daysSupply>
<whenHandedOver value="2025-08-01T14:00:00+01:00"/>
<note>
<text
value="NePS routed dispensation — Finnish prescription mapped to HPRA product. Dispensed as per original Finnish prescription requirements."/>
</note>
<dosageInstruction>
<text value="Take one 500mg tablet twice daily with meals"/>
</dosageInstruction>
<substitution>
<wasSubstituted value="false"/>
</substitution>
</MedicationDispense>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c8ecad95-cec8-56b9-82ed-2292c322b017"/>
<resource>
<Medication>
<id value="med-ie-dispense-fi-rx"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_med-ie-dispense-fi-rx"> </a><p class="res-header-id"><b>Generated Narrative: Medication med-ie-dispense-fi-rx</b></p><a name="med-ie-dispense-fi-rx"> </a><a name="hcmed-ie-dispense-fi-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 372567009}">Metformin 500mg 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 372567009}">Metformin</span></td><td>true</td></tr></table></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372567009"/>
<display value="Metformin"/>
</coding>
<text value="Metformin 500mg tablets"/>
</code>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372567009"/>
<display value="Metformin"/>
</coding>
</itemCodeableConcept>
<isActive value="true"/>
</ingredient>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7d57c2a4-0b49-5200-bb9e-aa4c575fe370"/>
<resource>
<Medication>
<id value="med-fi-original-rx"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_med-fi-original-rx"> </a><p class="res-header-id"><b>Generated Narrative: Medication med-fi-original-rx</b></p><a name="med-fi-original-rx"> </a><a name="hcmed-fi-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 372567009}, {http://www.whocc.no/atc A10BA02}">Metformin 500mg tablets (FI → 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 372567009}">Metformin</span></td><td>true</td></tr></table></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372567009"/>
<display value="Metformin"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="A10BA02"/>
<display value="Metformin"/>
</coding>
<text value="Metformin 500mg tablets (FI → IE mapping via NePS)"/>
</code>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="372567009"/>
<display value="Metformin"/>
</coding>
</itemCodeableConcept>
<isActive value="true"/>
</ingredient>
</Medication>
</resource>
</entry>
</Bundle>