ePG 11 – Electronic Prescription Group: cardiovascular and diabetes review, four medicines - IE Medication Events Implementation Guide v0.1.0

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

Example Bundle: ePG 11 – Electronic Prescription Group: cardiovascular and diabetes review, four medicines

Profile: IE MPD Electronic Prescription Group (ePG)

Bundle hiqa-bundle-epg11-cardiometabolic of type collection

Entry 1 - fullUrl = http://example.org/fhir/Patient/hiqa-patient-declan-walsh

Resource Patient:

Generated Narrative: Patient hiqa-patient-declan-walsh

Profile: IE MPD Patient (ePrescription/eDispensation)
Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
Contact Detail 8 Mill Street Athlone Westmeath N37 XX13 IE (home)
Person Recorded Sex Or Gender:
value: Male
type: Sex assigned at birth

Entry 2 - fullUrl = http://example.org/fhir/RequestGroup/hiqa-grp-epg11-cardiometabolic

Resource RequestGroup:

Generated Narrative: RequestGroup hiqa-grp-epg11-cardiometabolic

Profile: IE MPD Prescription Group Header
identifier: Placer Identifier/9-RX-2026-000011
status: Active
intent: Order
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
authoredOn: 2026-10-01 09:30:00+0100
author: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)
action
resource: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-1; status = active; intent = order; medication[x] = ->Medication Amlodipine 5 mg oral tablet; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Essential hypertension; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy
action
resource: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-2; status = active; intent = order; medication[x] = ->Medication Ramipril 5 mg oral capsule; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Essential hypertension; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy
action
resource: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-3; status = active; intent = order; medication[x] = ->Medication Atorvastatin 20 mg oral tablet; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Hypercholesterolemia; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy
action
resource: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-4; status = active; intent = order; medication[x] = ->Medication Metformin hydrochloride 500 mg oral tablet; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Type 2 diabetes mellitus; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy

Entry 3 - fullUrl = http://example.org/fhir/MedicationRequest/hiqa-rx-epg11-amlodipine

Resource MedicationRequest:

Generated Narrative: MedicationRequest hiqa-rx-epg11-amlodipine

Profile: IE MPD MedicationRequest (ePrescription)
identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011-1
status: Active
intent: Order
medication: Medication Amlodipine 5 mg oral tablet
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
supportingInformation: List for 'Allergies and adverse reactions Document' for '->Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)'
authoredOn: 2026-10-01 09:30:00+0100
requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)
reasonCode: Essential hypertension
groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011
courseOfTherapyType: Continuous long term therapy
dosageInstruction
text: Take one tablet once a day
timing: Once per 1 day
route: Oral route
DoseAndRates
- Dose[x]
* 1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
dispenseRequest
validityPeriod: 2026-10-01 --> 2027-03-31
numberOfRepeatsAllowed: 5
quantity: 28 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
ExpectedSupplyDurations
- Value Unit System Code
* 28 days http://unitsofmeasure.org d
Substitutions
- Allowed[x]
* true

Entry 4 - fullUrl = http://example.org/fhir/MedicationRequest/hiqa-rx-epg11-ramipril

Resource MedicationRequest:

Generated Narrative: MedicationRequest hiqa-rx-epg11-ramipril

Profile: IE MPD MedicationRequest (ePrescription)
identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011-2
status: Active
intent: Order
medication: Medication Ramipril 5 mg oral capsule
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
supportingInformation: List for 'Allergies and adverse reactions Document' for '->Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)'
authoredOn: 2026-10-01 09:30:00+0100
requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)
reasonCode: Essential hypertension
groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011
courseOfTherapyType: Continuous long term therapy
dosageInstruction
text: Take one capsule once a day
timing: Once per 1 day
route: Oral route
DoseAndRates
- Dose[x]
* 1 Capsule (Details: SNOMED CT code732937005 = 'Capsule')
dispenseRequest
validityPeriod: 2026-10-01 --> 2027-03-31
numberOfRepeatsAllowed: 5
quantity: 28 Capsule (Details: SNOMED CT code732937005 = 'Capsule')
ExpectedSupplyDurations
- Value Unit System Code
* 28 days http://unitsofmeasure.org d
Substitutions
- Allowed[x]
* true

Entry 5 - fullUrl = http://example.org/fhir/MedicationRequest/hiqa-rx-epg11-atorvastatin

Resource MedicationRequest:

Generated Narrative: MedicationRequest hiqa-rx-epg11-atorvastatin

Profile: IE MPD MedicationRequest (ePrescription)
identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011-3
status: Active
intent: Order
medication: Medication Atorvastatin 20 mg oral tablet
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
supportingInformation: List for 'Allergies and adverse reactions Document' for '->Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)'
authoredOn: 2026-10-01 09:30:00+0100
requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)
reasonCode: Hypercholesterolemia
groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011
courseOfTherapyType: Continuous long term therapy
dosageInstruction
text: Take one tablet at night
timing: before sleeping, Once per 1 day
route: Oral route
DoseAndRates
- Dose[x]
* 1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
dispenseRequest
validityPeriod: 2026-10-01 --> 2027-03-31
numberOfRepeatsAllowed: 5
quantity: 28 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
ExpectedSupplyDurations
- Value Unit System Code
* 28 days http://unitsofmeasure.org d
Substitutions
- Allowed[x]
* true

Entry 6 - fullUrl = http://example.org/fhir/MedicationRequest/hiqa-rx-epg11-metformin

Resource MedicationRequest:

Generated Narrative: MedicationRequest hiqa-rx-epg11-metformin

Profile: IE MPD MedicationRequest (ePrescription)
identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011-4
status: Active
intent: Order
medication: Medication Metformin hydrochloride 500 mg oral tablet
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
supportingInformation: List for 'Allergies and adverse reactions Document' for '->Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)'
authoredOn: 2026-10-01 09:30:00+0100
requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)
reasonCode: Type 2 diabetes mellitus
groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000011
courseOfTherapyType: Continuous long term therapy
dosageInstruction
text: Take one tablet twice a day with or after food
additionalInstruction: With or after food
timing: 2 per 1 day
route: Oral route
DoseAndRates
- Dose[x]
* 1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
dispenseRequest
validityPeriod: 2026-10-01 --> 2027-03-31
numberOfRepeatsAllowed: 5
quantity: 56 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
ExpectedSupplyDurations
- Value Unit System Code
* 28 days http://unitsofmeasure.org d
Substitutions
- Allowed[x]
* true

Entry 7 - fullUrl = http://example.org/fhir/List/hiqa-allergies-declan-nilknown

Resource List:

Generated Narrative: List hiqa-allergies-declan-nilknown

Profile: IE MPD Allergy Statement at Prescribing
Date: 2026-09-15 15:00:00+0100 Mode: Snapshot List Status: Current Code: Allergies and adverse reactions Document
Subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)Source:
Items

Entry 8 - fullUrl = http://example.org/fhir/PractitionerRole/hiqa-role-gp-nolan

Resource PractitionerRole:

Generated Narrative: PractitionerRole hiqa-role-gp-nolan

Profile: IE MPD PractitionerRole
active: true
practitioner: Dr Clodagh Nolan
organization: Riverside Family Practice
telecom: +353 90 000 0001, clodagh.nolan@riverside-practice.example.org

Entry 9 - fullUrl = http://example.org/fhir/Practitioner/hiqa-prac-gp-nolan

Resource Practitioner:

Generated Narrative: Practitioner hiqa-prac-gp-nolan

Profile: IE MPD Practitioner
identifier: IEMpdNamingSystemIMC/999001
active: true
name: Clodagh Nolan (Official)
telecom: +353 90 000 0001

Entry 10 - fullUrl = http://example.org/fhir/Organization/hiqa-org-gp-practice

Resource Organization:

Generated Narrative: Organization hiqa-org-gp-practice

Profile: IE MPD Organization
identifier: IEMpdNamingSystemGMSPanel/99001
active: true
type: Healthcare Provider
name: Riverside Family Practice
telecom: +353 90 000 0000, prescriptions@riverside-practice.example.org
address: 1 River Road Athlone Westmeath N37 XX01 IE (work)

Entry 11 - fullUrl = http://example.org/fhir/Medication/ie-mpd-medication-amlodipine-5

Resource Medication:

Generated Narrative: Medication ie-mpd-medication-amlodipine-5

Profile: IE MPD Medication (ePrescription/eDispensation)
code: Amlodipine 5mg tablets
form: Tablet
amount: 30 Tablet (Details: SNOMED CT code732936001 = 'Tablet')/1 pack (Details: UCUM code{pack} = '{pack}')
Ingredients
- Item[x] IsActive Strength
* Amlodipine true 5 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')

Entry 12 - fullUrl = http://example.org/fhir/Medication/ie-mpd-medication-ramipril-5

Resource Medication:

Generated Narrative: Medication ie-mpd-medication-ramipril-5

Profile: IE MPD Medication (ePrescription/eDispensation)
code: Ramipril 5mg capsules
form: Capsule
amount: 28 Capsule (Details: SNOMED CT code732937005 = 'Capsule')/1 pack (Details: UCUM code{pack} = '{pack}')
Ingredients
- Item[x] IsActive Strength
* Ramipril true 5 mg (Details: UCUM codemg = 'mg')/1 Capsule (Details: SNOMED CT code732937005 = 'Capsule')

Entry 13 - fullUrl = http://example.org/fhir/Medication/ie-mpd-medication-atorvastatin-20

Resource Medication:

Generated Narrative: Medication ie-mpd-medication-atorvastatin-20

Profile: IE MPD Medication (ePrescription/eDispensation)
code: Atorvastatin 20mg tablets
form: Tablet
amount: 30 Tablet (Details: SNOMED CT code732936001 = 'Tablet')/1 pack (Details: UCUM code{pack} = '{pack}')
Ingredients
- Item[x] IsActive Strength
* Atorvastatin true 20 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')

Entry 14 - fullUrl = http://example.org/fhir/Medication/ie-mpd-medication-metformin-500

Resource Medication:

Generated Narrative: Medication ie-mpd-medication-metformin-500

Profile: IE MPD Medication (ePrescription/eDispensation)
code: Metformin 500mg tablets
form: Tablet
amount: 60 Tablet (Details: SNOMED CT code732936001 = 'Tablet')/1 pack (Details: UCUM code{pack} = '{pack}')
Ingredients
- Item[x] IsActive Strength
* Metformin true 500 mg (Details: UCUM codemg = 'mg')/1 Tablet (Details: SNOMED CT code732936001 = 'Tablet')

Entry 15 - fullUrl = http://example.org/fhir/MedicationDispense/hiqa-md-epg11-amlodipine

Resource MedicationDispense:

Generated Narrative: MedicationDispense hiqa-md-epg11-amlodipine

Profile: IE MPD MedicationDispense (eDispensation)
R5: When the recording of the dispense started (new): 2026-10-01 15:05:00+0100
identifier: Uniform Resource Identifier (URI)/urn:uuid:57f1db7f-bba2-55d9-81dd-2c3cf2c0c478
status: Completed
medication: Medication Amlodipine 5 mg oral tablet
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
performer
actor: Practitioner Eoin Farrell (official)
performer
actor: Organization Bridge Street Pharmacy
authorizingPrescription: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-1; status = active; intent = order; medication[x] = ->Medication Amlodipine 5 mg oral tablet; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Essential hypertension; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy
type: First Fill
quantity: 28 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
whenHandedOver: 2026-10-01 15:05:00+0100
receiver: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
DosageInstructions
- Text
* Take one tablet once a day
Substitutions
- WasSubstituted
* false

Entry 16 - fullUrl = http://example.org/fhir/MedicationDispense/hiqa-md-epg11-metformin

Resource MedicationDispense:

Generated Narrative: MedicationDispense hiqa-md-epg11-metformin

Profile: IE MPD MedicationDispense (eDispensation)
R5: When the recording of the dispense started (new): 2026-10-01 15:05:00+0100
identifier: Uniform Resource Identifier (URI)/urn:uuid:bee01e93-1051-5dc4-b5e8-9c35d8a8cf37
status: Completed
medication: Medication Metformin hydrochloride 500 mg oral tablet
subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
performer
actor: Practitioner Eoin Farrell (official)
performer
actor: Organization Bridge Street Pharmacy
authorizingPrescription: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011-4; status = active; intent = order; medication[x] = ->Medication Metformin hydrochloride 500 mg oral tablet; authoredOn = 2026-10-01 09:30:00+0100; reasonCode = Type 2 diabetes mellitus; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000011; courseOfTherapyType = Continuous long term therapy
type: First Fill
quantity: 56 Tablet (Details: SNOMED CT code732936001 = 'Tablet')
whenHandedOver: 2026-10-01 15:05:00+0100
receiver: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)
DosageInstructions
- Text
* Take one tablet twice a day with or after food
Substitutions
- WasSubstituted
* false

Entry 17 - fullUrl = http://example.org/fhir/Practitioner/hiqa-prac-pharmacist-farrell

Resource Practitioner:

Generated Narrative: Practitioner hiqa-prac-pharmacist-farrell

Profile: IE MPD Practitioner
identifier: IEMpdNamingSystemPSI/99901
active: true
name: Eoin Farrell (Official)
telecom: +353 90 000 0100

Entry 18 - fullUrl = http://example.org/fhir/Organization/hiqa-org-pharmacy

Resource Organization:

Generated Narrative: Organization hiqa-org-pharmacy

Profile: IE MPD Organization
identifier: IEMpdNamingSystemPSIRPB/9991
active: true
type: Healthcare Provider
name: Bridge Street Pharmacy
telecom: +353 90 000 0100
address: 5 Bridge Street Athlone Westmeath N37 XX02 IE (work)

Date: 2026-09-15 15:00:00+0100	Mode: Snapshot List	Status: Current	Code: Allergies and adverse reactions Document
Subject: Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)Source: