IE Medication Events Implementation Guide
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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

: ePG 12 – Electronic Prescription Group: basal-bolus insulin, two medicines - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "hiqa-bundle-epg12-insulin",
  "meta" : {
    "profile" : [
      🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-electronic-prescription-group"
    ]
  },
  "identifier" : {
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000012"
  },
  "type" : "collection",
  "timestamp" : "2026-10-02T11:00:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Patient/hiqa-patient-tomas-quinn",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "hiqa-patient-tomas-quinn",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_hiqa-patient-tomas-quinn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hiqa-patient-tomas-quinn</b></p><a name=\"hiqa-patient-tomas-quinn\"> </a><a name=\"hchiqa-patient-tomas-quinn\"> </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-patient-eprescription.html\">IE MPD Patient (ePrescription/eDispensation)</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical card scheme number/9900001A</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">12 Shannon View Athlone Westmeath N37 XX10 IE (home)</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" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NI",
                  "display" : "National unique individual identifier"
                }
              ]
            },
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi",
            "value" : "999000000000000001"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-pcrs-scheme-type",
                  "code" : "medical-card",
                  "display" : "Medical card scheme number"
                }
              ]
            },
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/gms",
            "value" : "9900001A",
            "assigner" : {
              "display" : "HSE"
            }
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Quinn",
            "given" : [
              "Tomás"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1979-06-21",
        "address" : [
          {
            "use" : "home",
            "line" : [
              "12 Shannon View"
            ],
            "city" : "Athlone",
            "state" : "Westmeath",
            "postalCode" : "N37 XX10",
            "country" : "IE"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/RequestGroup/hiqa-grp-epg12-insulin",
      "resource" : {
        "resourceType" : "RequestGroup",
        "id" : "hiqa-grp-epg12-insulin",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-prescription-group-header"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"RequestGroup_hiqa-grp-epg12-insulin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup hiqa-grp-epg12-insulin</b></p><a name=\"hiqa-grp-epg12-insulin\"> </a><a name=\"hchiqa-grp-epg12-insulin\"> </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-prescription-group-header.html\">IE MPD Prescription Group Header</a></p></div><p><b>identifier</b>: Placer Identifier/9-RX-2026-000012</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-tomas-quinn.html\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</a></p><p><b>authoredOn</b>: 2026-10-02 11:00:00+0100</p><p><b>author</b>: <a href=\"PractitionerRole-hiqa-role-gp-nolan.html\">PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)</a></p><blockquote><p><b>action</b></p><p><b>resource</b>: <a href=\"MedicationRequest-hiqa-rx-epg12-glargine.html\">MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000012-1; status = active; intent = order; medication[x] = -&gt;Medication Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen; authoredOn = 2026-10-02 11:00:00+0100; reasonCode = Type 1 diabetes mellitus; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000012; courseOfTherapyType = Continuous long term therapy</a></p></blockquote><blockquote><p><b>action</b></p><p><b>resource</b>: <a href=\"MedicationRequest-hiqa-rx-epg12-aspart.html\">MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000012-2; status = active; intent = order; medication[x] = -&gt;Medication Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge; authoredOn = 2026-10-02 11:00:00+0100; reasonCode = Type 1 diabetes mellitus; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000012; courseOfTherapyType = Continuous long term therapy</a></p></blockquote></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC",
                  "display" : "Placer Identifier"
                }
              ]
            },
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
            "value" : "9-RX-2026-000012"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-tomas-quinn"
        },
        "authoredOn" : "2026-10-02T11:00:00+01:00",
        "author" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "action" : [
          {
            "resource" : {
              🔗 "reference" : "MedicationRequest/hiqa-rx-epg12-glargine"
            }
          },
          {
            "resource" : {
              🔗 "reference" : "MedicationRequest/hiqa-rx-epg12-aspart"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationRequest/hiqa-rx-epg12-glargine",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "hiqa-rx-epg12-glargine",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_hiqa-rx-epg12-glargine\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg12-glargine</b></p><a name=\"hiqa-rx-epg12-glargine\"> </a><a name=\"hchiqa-rx-epg12-glargine\"> </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-medicationrequest-eprescription.html\">IE MPD MedicationRequest (ePrescription)</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ie-mpd-ns-neps.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP 3.1: the NePS electronic prescription (group) identifier used throughout the prescription and dispensation life cycle.\">IEMpdNamingSystemNePSPrescription</a>/9-RX-2026-000012-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-ie-medication-insulin-glargine.html\">Medication Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-tomas-quinn.html\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-tomas-nilknown.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)'</a></p><p><b>authoredOn</b>: 2026-10-02 11:00:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-hiqa-role-gp-nolan.html\">PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 46635009}\">Type 1 diabetes mellitus</span></p><p><b>groupIdentifier</b>: <a href=\"NamingSystem-ie-mpd-ns-neps.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP 3.1: the NePS electronic prescription (group) identifier used throughout the prescription and dispensation life cycle.\">IEMpdNamingSystemNePSPrescription</a>/9-RX-2026-000012</p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy continuous}\">Continuous long term therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Inject 20 units under the skin at bedtime</p><p><b>timing</b>: before sleeping, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>20 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-10-02 --&gt; 2027-04-01</td><td>3</td><td>5 Pen<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code733006000 = 'Pen')</span></td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
            "value" : "9-RX-2026-000012-1"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "medicationReference" : {
          🔗 "reference" : "Medication/ie-medication-insulin-glargine"
        },
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-tomas-quinn"
        },
        "supportingInformation" : [
          {
            🔗 "reference" : "List/hiqa-allergies-tomas-nilknown"
          }
        ],
        "authoredOn" : "2026-10-02T11:00:00+01:00",
        "requester" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/1601000220105",
                "code" : "46635009",
                "display" : "Type 1 diabetes mellitus"
              }
            ]
          }
        ],
        "groupIdentifier" : {
          "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
          "value" : "9-RX-2026-000012"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "continuous",
              "display" : "Continuous long term therapy"
            }
          ]
        },
        "dosageInstruction" : [
          {
            "text" : "Inject 20 units under the skin at bedtime",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "HS"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "34206005",
                  "display" : "Subcutaneous route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 20,
                  "unit" : "units",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "[iU]"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "validityPeriod" : {
            "start" : "2026-10-02",
            "end" : "2027-04-01"
          },
          "numberOfRepeatsAllowed" : 3,
          "quantity" : {
            "value" : 5,
            "unit" : "Pen",
            "system" : "http://snomed.info/sct",
            "code" : "733006000"
          }
        },
        "substitution" : {
          "allowedBoolean" : true
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationRequest/hiqa-rx-epg12-aspart",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "hiqa-rx-epg12-aspart",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_hiqa-rx-epg12-aspart\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg12-aspart</b></p><a name=\"hiqa-rx-epg12-aspart\"> </a><a name=\"hchiqa-rx-epg12-aspart\"> </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-medicationrequest-eprescription.html\">IE MPD MedicationRequest (ePrescription)</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ie-mpd-ns-neps.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP 3.1: the NePS electronic prescription (group) identifier used throughout the prescription and dispensation life cycle.\">IEMpdNamingSystemNePSPrescription</a>/9-RX-2026-000012-2</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-ie-medication-insulin-aspart.html\">Medication Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-tomas-quinn.html\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-tomas-nilknown.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)'</a></p><p><b>authoredOn</b>: 2026-10-02 11:00:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-hiqa-role-gp-nolan.html\">PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 46635009}\">Type 1 diabetes mellitus</span></p><p><b>groupIdentifier</b>: <a href=\"NamingSystem-ie-mpd-ns-neps.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP 3.1: the NePS electronic prescription (group) identifier used throughout the prescription and dispensation life cycle.\">IEMpdNamingSystemNePSPrescription</a>/9-RX-2026-000012</p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy continuous}\">Continuous long term therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 6 units before breakfast</p><p><b>timing</b>: before breakfast, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>6 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 4 units before lunch</p><p><b>timing</b>: before lunch, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>4 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 8 units before the evening meal</p><p><b>timing</b>: before dinner, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>8 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-10-02 --&gt; 2027-04-01</td><td>3</td><td>10 Cartridge<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732988008 = 'Cartridge')</span></td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
            "value" : "9-RX-2026-000012-2"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "medicationReference" : {
          🔗 "reference" : "Medication/ie-medication-insulin-aspart"
        },
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-tomas-quinn"
        },
        "supportingInformation" : [
          {
            🔗 "reference" : "List/hiqa-allergies-tomas-nilknown"
          }
        ],
        "authoredOn" : "2026-10-02T11:00:00+01:00",
        "requester" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/1601000220105",
                "code" : "46635009",
                "display" : "Type 1 diabetes mellitus"
              }
            ]
          }
        ],
        "groupIdentifier" : {
          "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
          "value" : "9-RX-2026-000012"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "continuous",
              "display" : "Continuous long term therapy"
            }
          ]
        },
        "dosageInstruction" : [
          {
            "sequence" : 1,
            "text" : "Inject 6 units before breakfast",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "ACM"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "34206005",
                  "display" : "Subcutaneous route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 6,
                  "unit" : "units",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "[iU]"
                }
              }
            ]
          },
          {
            "sequence" : 1,
            "text" : "Inject 4 units before lunch",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "ACD"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "34206005",
                  "display" : "Subcutaneous route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 4,
                  "unit" : "units",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "[iU]"
                }
              }
            ]
          },
          {
            "sequence" : 1,
            "text" : "Inject 8 units before the evening meal",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "ACV"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "34206005",
                  "display" : "Subcutaneous route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 8,
                  "unit" : "units",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "[iU]"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "validityPeriod" : {
            "start" : "2026-10-02",
            "end" : "2027-04-01"
          },
          "numberOfRepeatsAllowed" : 3,
          "quantity" : {
            "value" : 10,
            "unit" : "Cartridge",
            "system" : "http://snomed.info/sct",
            "code" : "732988008"
          }
        },
        "substitution" : {
          "allowedBoolean" : true
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/List/hiqa-allergies-tomas-nilknown",
      "resource" : {
        "resourceType" : "List",
        "id" : "hiqa-allergies-tomas-nilknown",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-list-allergies-at-prescribing"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_hiqa-allergies-tomas-nilknown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List hiqa-allergies-tomas-nilknown</b></p><a name=\"hiqa-allergies-tomas-nilknown\"> </a><a name=\"hchiqa-allergies-tomas-nilknown\"> </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-list-allergies-at-prescribing.html\">IE MPD Allergy Statement at Prescribing</a></p></div><table class=\"clstu\"><tr><td>Date: 2026-09-21 09:40:00+0100 </td><td>Mode: Snapshot List </td><td>Status: Current </td><td>Code: Allergies and adverse reactions Document </td></tr><tr><td>Subject: <a href=\"Patient-hiqa-patient-tomas-quinn.html\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr></table></div>"
        },
        "status" : "current",
        "mode" : "snapshot",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "48765-2",
              "display" : "Allergies and adverse reactions Document"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-tomas-quinn"
        },
        "date" : "2026-09-21T09:40:00+01:00",
        "source" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "emptyReason" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
              "code" : "nilknown",
              "display" : "Nil Known"
            }
          ]
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/PractitionerRole/hiqa-role-gp-nolan",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "hiqa-role-gp-nolan",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_hiqa-role-gp-nolan\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole hiqa-role-gp-nolan</b></p><a name=\"hiqa-role-gp-nolan\"> </a><a name=\"hchiqa-role-gp-nolan\"> </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-practitionerrole.html\">IE MPD PractitionerRole</a></p></div><p><b>active</b>: true</p><p><b>practitioner</b>: <a href=\"Practitioner-hiqa-prac-gp-nolan.html\">Dr Clodagh Nolan</a></p><p><b>organization</b>: <a href=\"Organization-hiqa-org-gp-practice.html\">Riverside Family Practice</a></p><p><b>telecom</b>: <a href=\"tel:+353900000001\">+353 90 000 0001</a>, <a href=\"mailto:clodagh.nolan@riverside-practice.example.org\">clodagh.nolan@riverside-practice.example.org</a></p></div>"
        },
        "active" : true,
        "practitioner" : {
          🔗 "reference" : "Practitioner/hiqa-prac-gp-nolan",
          "display" : "Dr Clodagh Nolan"
        },
        "organization" : {
          🔗 "reference" : "Organization/hiqa-org-gp-practice",
          "display" : "Riverside Family Practice"
        },
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+353 90 000 0001",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "clodagh.nolan@riverside-practice.example.org",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Practitioner/hiqa-prac-gp-nolan",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "hiqa-prac-gp-nolan",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_hiqa-prac-gp-nolan\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner hiqa-prac-gp-nolan</b></p><a name=\"hiqa-prac-gp-nolan\"> </a><a name=\"hchiqa-prac-gp-nolan\"> </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-practitioner.html\">IE MPD Practitioner</a></p></div><p><b>identifier</b>: <a href=\"NamingSystem-ie-mpd-ns-imc.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP/PS 2.6.2.\">IEMpdNamingSystemIMC</a>/999001</p><p><b>active</b>: true</p><p><b>name</b>: Clodagh Nolan (Official)</p><p><b>telecom</b>: <a href=\"tel:+353900000001\">+353 90 000 0001</a></p></div>"
        },
        "identifier" : [
          {
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/imc",
            "value" : "999001"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Nolan",
            "given" : [
              "Clodagh"
            ],
            "prefix" : [
              "Dr"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+353 90 000 0001",
            "use" : "work"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Organization/hiqa-org-gp-practice",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "hiqa-org-gp-practice",
        "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_hiqa-org-gp-practice\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization hiqa-org-gp-practice</b></p><a name=\"hiqa-org-gp-practice\"> </a><a name=\"hchiqa-org-gp-practice\"> </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>identifier</b>: <a href=\"NamingSystem-ie-mpd-ns-gms-panel.html\" title=\"PLACEHOLDER URI, pending a URI published by the issuing authority (Requires Clarification, IE Core OI-003). HIQA EP/PS 2.12.\">IEMpdNamingSystemGMSPanel</a>/99001</p><p><b>active</b>: true</p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/organization-type prov}\">Healthcare Provider</span></p><p><b>name</b>: Riverside Family Practice</p><p><b>telecom</b>: <a href=\"tel:+353900000000\">+353 90 000 0000</a>, <a href=\"mailto:prescriptions@riverside-practice.example.org\">prescriptions@riverside-practice.example.org</a></p><p><b>address</b>: 1 River Road Athlone Westmeath N37 XX01 IE (work)</p></div>"
        },
        "identifier" : [
          {
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/gms-panel",
            "value" : "99001"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "Riverside Family Practice",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+353 90 000 0000",
            "use" : "work"
          },
          {
            "system" : "email",
            "value" : "prescriptions@riverside-practice.example.org",
            "use" : "work"
          }
        ],
        "address" : [
          {
            "use" : "work",
            "type" : "physical",
            "line" : [
              "1 River Road"
            ],
            "city" : "Athlone",
            "state" : "Westmeath",
            "postalCode" : "N37 XX01",
            "country" : "IE"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Medication/ie-medication-insulin-glargine",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "ie-medication-insulin-glargine",
        "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_ie-medication-insulin-glargine\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ie-medication-insulin-glargine</b></p><a name=\"ie-medication-insulin-glargine\"> </a><a name=\"hcie-medication-insulin-glargine\"> </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 529881000220106}, {http://snomed.info/sct 411529005}, {http://www.whocc.no/atc A10AE04}\">Insulin glargine 100 units/mL solution for injection 3 mL pre-filled pen</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385219001}\">Solution for injection</span></p><p><b>amount</b>: 5 pre-filled pens<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{pen} = '{pen}')</span>/1 pack<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{pack} = '{pack}')</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><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 411529005}\">Insulin glargine</span></td><td>true</td><td>100 units/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU/mL = 'U/mL')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "529881000220106",
              "display" : "Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen"
            },
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "411529005",
              "display" : "Insulin glargine"
            },
            {
              "system" : "http://www.whocc.no/atc",
              "code" : "A10AE04",
              "display" : "Insulin glargine"
            }
          ],
          "text" : "Insulin glargine 100 units/mL solution for injection 3 mL pre-filled pen"
        },
        "form" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "385219001",
              "display" : "Solution for injection"
            }
          ]
        },
        "amount" : {
          "numerator" : {
            "value" : 5,
            "unit" : "pre-filled pens",
            "system" : "http://unitsofmeasure.org",
            "code" : "{pen}"
          },
          "denominator" : {
            "value" : 1,
            "unit" : "pack",
            "system" : "http://unitsofmeasure.org",
            "code" : "{pack}"
          }
        },
        "ingredient" : [
          {
            "itemCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "411529005",
                  "display" : "Insulin glargine"
                }
              ]
            },
            "isActive" : true,
            "strength" : {
              "numerator" : {
                "value" : 100,
                "unit" : "units/mL",
                "system" : "http://unitsofmeasure.org",
                "code" : "U/mL"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "mL",
                "system" : "http://unitsofmeasure.org",
                "code" : "mL"
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Medication/ie-medication-insulin-aspart",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "ie-medication-insulin-aspart",
        "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_ie-medication-insulin-aspart\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ie-medication-insulin-aspart</b></p><a name=\"ie-medication-insulin-aspart\"> </a><a name=\"hcie-medication-insulin-aspart\"> </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 525351000220105}, {http://snomed.info/sct 325072002}, {http://www.whocc.no/atc A10AB05}\">Insulin aspart 100 units/mL solution for injection 3 mL cartridge</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385219001}\">Solution for injection</span></p><p><b>amount</b>: 5 cartridges<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{cartridge} = '{cartridge}')</span>/1 pack<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{pack} = '{pack}')</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><td><b>Strength</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 325072002}\">Insulin aspart</span></td><td>true</td><td>100 units/mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeU/mL = 'U/mL')</span>/1 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "525351000220105",
              "display" : "Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge"
            },
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "325072002",
              "display" : "Insulin aspart"
            },
            {
              "system" : "http://www.whocc.no/atc",
              "code" : "A10AB05",
              "display" : "Insulin aspart"
            }
          ],
          "text" : "Insulin aspart 100 units/mL solution for injection 3 mL cartridge"
        },
        "form" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "385219001",
              "display" : "Solution for injection"
            }
          ]
        },
        "amount" : {
          "numerator" : {
            "value" : 5,
            "unit" : "cartridges",
            "system" : "http://unitsofmeasure.org",
            "code" : "{cartridge}"
          },
          "denominator" : {
            "value" : 1,
            "unit" : "pack",
            "system" : "http://unitsofmeasure.org",
            "code" : "{pack}"
          }
        },
        "ingredient" : [
          {
            "itemCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "325072002",
                  "display" : "Insulin aspart"
                }
              ]
            },
            "isActive" : true,
            "strength" : {
              "numerator" : {
                "value" : 100,
                "unit" : "units/mL",
                "system" : "http://unitsofmeasure.org",
                "code" : "U/mL"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "mL",
                "system" : "http://unitsofmeasure.org",
                "code" : "mL"
              }
            }
          }
        ]
      }
    }
  ]
}