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="hiqa-bundle-epg12-insulin"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-electronic-prescription-group"/>
</meta>
<identifier>
<system value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012"/>
</identifier>
<type value="collection"/>
<timestamp value="2026-10-02T11:00:00+01:00"/>
<entry>
<fullUrl
value="http://example.org/fhir/Patient/hiqa-patient-tomas-quinn"/>
<resource>
<Patient>
<id value="hiqa-patient-tomas-quinn"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription"/>
</meta>
<text>
<status value="generated"/>
<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>
</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>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi"/>
<value value="999000000000000001"/>
</identifier>
<identifier>
<type>
<coding>
<system
value="https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-pcrs-scheme-type"/>
<code value="medical-card"/>
<display value="Medical card scheme number"/>
</coding>
</type>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/gms"/>
<value value="9900001A"/>
<assigner>
<display value="HSE"/>
</assigner>
</identifier>
<name>
<use value="official"/>
<family value="Quinn"/>
<given value="Tomás"/>
</name>
<gender value="male"/>
<birthDate value="1979-06-21"/>
<address>
<use value="home"/>
<line value="12 Shannon View"/>
<city value="Athlone"/>
<state value="Westmeath"/>
<postalCode value="N37 XX10"/>
<country value="IE"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/RequestGroup/hiqa-grp-epg12-insulin"/>
<resource>
<RequestGroup>
<id value="hiqa-grp-epg12-insulin"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-prescription-group-header"/>
</meta>
<text>
<status value="generated"/>
<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] = ->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] = ->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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
<display value="Placer Identifier"/>
</coding>
</type>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<subject>🔗
<reference value="Patient/hiqa-patient-tomas-quinn"/>
</subject>
<authoredOn value="2026-10-02T11:00:00+01:00"/>
<author>🔗
<reference value="PractitionerRole/hiqa-role-gp-nolan"/>
</author>
<action>
<resource>🔗
<reference value="MedicationRequest/hiqa-rx-epg12-glargine"/>
</resource>
</action>
<action>
<resource>🔗
<reference value="MedicationRequest/hiqa-rx-epg12-aspart"/>
</resource>
</action>
</RequestGroup>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/hiqa-rx-epg12-glargine"/>
<resource>
<MedicationRequest>
<id value="hiqa-rx-epg12-glargine"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
</meta>
<text>
<status value="generated"/>
<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 '->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 --> 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>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012-1"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<medicationReference>🔗
<reference value="Medication/ie-medication-insulin-glargine"/>
</medicationReference>
<subject>🔗
<reference value="Patient/hiqa-patient-tomas-quinn"/>
</subject>
<supportingInformation>🔗
<reference value="List/hiqa-allergies-tomas-nilknown"/>
</supportingInformation>
<authoredOn value="2026-10-02T11:00:00+01:00"/>
<requester>🔗
<reference value="PractitionerRole/hiqa-role-gp-nolan"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="46635009"/>
<display value="Type 1 diabetes mellitus"/>
</coding>
</reasonCode>
<groupIdentifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012"/>
</groupIdentifier>
<courseOfTherapyType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
<code value="continuous"/>
<display value="Continuous long term therapy"/>
</coding>
</courseOfTherapyType>
<dosageInstruction>
<text value="Inject 20 units under the skin at bedtime"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="HS"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="34206005"/>
<display value="Subcutaneous route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="20"/>
<unit value="units"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2026-10-02"/>
<end value="2027-04-01"/>
</validityPeriod>
<numberOfRepeatsAllowed value="3"/>
<quantity>
<value value="5"/>
<unit value="Pen"/>
<system value="http://snomed.info/sct"/>
<code value="733006000"/>
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/MedicationRequest/hiqa-rx-epg12-aspart"/>
<resource>
<MedicationRequest>
<id value="hiqa-rx-epg12-aspart"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
</meta>
<text>
<status value="generated"/>
<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 '->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 --> 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>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012-2"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<medicationReference>🔗
<reference value="Medication/ie-medication-insulin-aspart"/>
</medicationReference>
<subject>🔗
<reference value="Patient/hiqa-patient-tomas-quinn"/>
</subject>
<supportingInformation>🔗
<reference value="List/hiqa-allergies-tomas-nilknown"/>
</supportingInformation>
<authoredOn value="2026-10-02T11:00:00+01:00"/>
<requester>🔗
<reference value="PractitionerRole/hiqa-role-gp-nolan"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="46635009"/>
<display value="Type 1 diabetes mellitus"/>
</coding>
</reasonCode>
<groupIdentifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="9-RX-2026-000012"/>
</groupIdentifier>
<courseOfTherapyType>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
<code value="continuous"/>
<display value="Continuous long term therapy"/>
</coding>
</courseOfTherapyType>
<dosageInstruction>
<sequence value="1"/>
<text value="Inject 6 units before breakfast"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="ACM"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="34206005"/>
<display value="Subcutaneous route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="6"/>
<unit value="units"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="Inject 4 units before lunch"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="ACD"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="34206005"/>
<display value="Subcutaneous route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="4"/>
<unit value="units"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dosageInstruction>
<sequence value="1"/>
<text value="Inject 8 units before the evening meal"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
<when value="ACV"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="34206005"/>
<display value="Subcutaneous route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="8"/>
<unit value="units"/>
<system value="http://unitsofmeasure.org"/>
<code value="[iU]"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2026-10-02"/>
<end value="2027-04-01"/>
</validityPeriod>
<numberOfRepeatsAllowed value="3"/>
<quantity>
<value value="10"/>
<unit value="Cartridge"/>
<system value="http://snomed.info/sct"/>
<code value="732988008"/>
</quantity>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/List/hiqa-allergies-tomas-nilknown"/>
<resource>
<List>
<id value="hiqa-allergies-tomas-nilknown"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-list-allergies-at-prescribing"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display value="Allergies and adverse reactions Document"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/hiqa-patient-tomas-quinn"/>
</subject>
<date value="2026-09-21T09:40:00+01:00"/>
<source>🔗
<reference value="PractitionerRole/hiqa-role-gp-nolan"/>
</source>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="nilknown"/>
<display value="Nil Known"/>
</coding>
</emptyReason>
</List>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/PractitionerRole/hiqa-role-gp-nolan"/>
<resource>
<PractitionerRole>
<id value="hiqa-role-gp-nolan"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitionerrole"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<active value="true"/>
<practitioner>🔗
<reference value="Practitioner/hiqa-prac-gp-nolan"/>
<display value="Dr Clodagh Nolan"/>
</practitioner>
<organization>🔗
<reference value="Organization/hiqa-org-gp-practice"/>
<display value="Riverside Family Practice"/>
</organization>
<telecom>
<system value="phone"/>
<value value="+353 90 000 0001"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="clodagh.nolan@riverside-practice.example.org"/>
<use value="work"/>
</telecom>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Practitioner/hiqa-prac-gp-nolan"/>
<resource>
<Practitioner>
<id value="hiqa-prac-gp-nolan"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/imc"/>
<value value="999001"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Nolan"/>
<given value="Clodagh"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="phone"/>
<value value="+353 90 000 0001"/>
<use value="work"/>
</telecom>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Organization/hiqa-org-gp-practice"/>
<resource>
<Organization>
<id value="hiqa-org-gp-practice"/>
<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_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>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/gms-panel"/>
<value value="99001"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Riverside Family Practice"/>
<telecom>
<system value="phone"/>
<value value="+353 90 000 0000"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="prescriptions@riverside-practice.example.org"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<type value="physical"/>
<line value="1 River Road"/>
<city value="Athlone"/>
<state value="Westmeath"/>
<postalCode value="N37 XX01"/>
<country value="IE"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Medication/ie-medication-insulin-glargine"/>
<resource>
<Medication>
<id value="ie-medication-insulin-glargine"/>
<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_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>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="529881000220106"/>
<display
value="Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="411529005"/>
<display value="Insulin glargine"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="A10AE04"/>
<display value="Insulin glargine"/>
</coding>
<text
value="Insulin glargine 100 units/mL solution for injection 3 mL pre-filled pen"/>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="385219001"/>
<display value="Solution for injection"/>
</coding>
</form>
<amount>
<numerator>
<value value="5"/>
<unit value="pre-filled pens"/>
<system value="http://unitsofmeasure.org"/>
<code value="{pen}"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="pack"/>
<system value="http://unitsofmeasure.org"/>
<code value="{pack}"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="411529005"/>
<display value="Insulin glargine"/>
</coding>
</itemCodeableConcept>
<isActive value="true"/>
<strength>
<numerator>
<value value="100"/>
<unit value="units/mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/mL"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Medication/ie-medication-insulin-aspart"/>
<resource>
<Medication>
<id value="ie-medication-insulin-aspart"/>
<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_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>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="525351000220105"/>
<display
value="Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="325072002"/>
<display value="Insulin aspart"/>
</coding>
<coding>
<system value="http://www.whocc.no/atc"/>
<code value="A10AB05"/>
<display value="Insulin aspart"/>
</coding>
<text
value="Insulin aspart 100 units/mL solution for injection 3 mL cartridge"/>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="385219001"/>
<display value="Solution for injection"/>
</coding>
</form>
<amount>
<numerator>
<value value="5"/>
<unit value="cartridges"/>
<system value="http://unitsofmeasure.org"/>
<code value="{cartridge}"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="pack"/>
<system value="http://unitsofmeasure.org"/>
<code value="{pack}"/>
</denominator>
</amount>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<version value="http://snomed.info/sct/1601000220105"/>
<code value="325072002"/>
<display value="Insulin aspart"/>
</coding>
</itemCodeableConcept>
<isActive value="true"/>
<strength>
<numerator>
<value value="100"/>
<unit value="units/mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="U/mL"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
</Bundle>