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 13 – Electronic Prescription Group: depression and reflux, two medicines (one brand-specific) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "hiqa-bundle-epg13-sertraline-omeprazole",
  "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-2026-000013"
  },
  "type" : "collection",
  "timestamp" : "2026-10-03T10:20:00+01:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/Patient/hiqa-patient-niamh-keane",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "hiqa-patient-niamh-keane",
        "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-niamh-keane\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient hiqa-patient-niamh-keane</b></p><a name=\"hiqa-patient-niamh-keane\"> </a><a name=\"hchiqa-patient-niamh-keane\"> </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;\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li><a href=\"tel:+353870000003\">+353 87 000 0003</a></li><li>27 Abbey Road Athlone Westmeath N37 XX12 IE (home)</li></ul></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 female}\">Female</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" : "female",
                      "display" : "Female"
                    }
                  ]
                }
              },
              {
                "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" : "999000000000000003"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Keane",
            "given" : [
              "Niamh"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "+353 87 000 0003",
            "use" : "mobile"
          }
        ],
        "gender" : "female",
        "birthDate" : "1990-11-08",
        "address" : [
          {
            "use" : "home",
            "line" : [
              "27 Abbey Road"
            ],
            "city" : "Athlone",
            "state" : "Westmeath",
            "postalCode" : "N37 XX12",
            "country" : "IE"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/RequestGroup/hiqa-grp-epg13-sertraline-omeprazole",
      "resource" : {
        "resourceType" : "RequestGroup",
        "id" : "hiqa-grp-epg13-sertraline-omeprazole",
        "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-epg13-sertraline-omeprazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: RequestGroup hiqa-grp-epg13-sertraline-omeprazole</b></p><a name=\"hiqa-grp-epg13-sertraline-omeprazole\"> </a><a name=\"hchiqa-grp-epg13-sertraline-omeprazole\"> </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-2026-000013</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>authoredOn</b>: 2026-10-03 10:20:00+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-epg13-sertraline.html\">MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000013-1; status = active; intent = order; medication[x] = -&gt;Medication Sertraline 50 mg oral tablet; authoredOn = 2026-10-03 10:20:00+0100; reasonCode = Depressive disorder; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000013; courseOfTherapyType = Continuous long term therapy</a></p></blockquote><blockquote><p><b>action</b></p><p><b>resource</b>: <a href=\"MedicationRequest-hiqa-rx-epg13-omeprazole.html\">MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000013-2; status = active; intent = order; medication[x] = -&gt;Medication Omeprazole 20 mg gastro-resistant oral capsule; authoredOn = 2026-10-03 10:20:00+0100; reasonCode = Gastroesophageal reflux disease; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000013; 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-2026-000013"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-niamh-keane"
        },
        "authoredOn" : "2026-10-03T10:20:00+01:00",
        "author" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "action" : [
          {
            "resource" : {
              🔗 "reference" : "MedicationRequest/hiqa-rx-epg13-sertraline"
            }
          },
          {
            "resource" : {
              🔗 "reference" : "MedicationRequest/hiqa-rx-epg13-omeprazole"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationRequest/hiqa-rx-epg13-sertraline",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "hiqa-rx-epg13-sertraline",
        "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-epg13-sertraline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg13-sertraline</b></p><a name=\"hiqa-rx-epg13-sertraline\"> </a><a name=\"hchiqa-rx-epg13-sertraline\"> </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-2026-000013-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-ie-medication-sertraline-50.html\">Medication Sertraline 50 mg oral tablet</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-niamh.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'</a></p><p><b>authoredOn</b>: 2026-10-03 10:20:00+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 35489007}\">Depressive disorder</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-2026-000013</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>: Take one tablet in the morning</p><p><b>patientInstruction</b>: Take every morning. Do not stop suddenly; talk to your GP first.</p><p><b>timing</b>: Morning, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral 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>1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732936001 = 'Tablet')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2026-10-03 --&gt; 2027-04-03</p><p><b>numberOfRepeatsAllowed</b>: 5</p><p><b>quantity</b>: 28 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732936001 = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>28</td><td>days</td><td><a href=\"http://hl7.org/fhir/uv/xver-r5.r4/0.1.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td><td><span title=\"Codes:\">Patient stabilised on the current product; prescriber asks that it is not changed</span></td></tr></table></div>"
        },
        "identifier" : [
          {
            "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
            "value" : "9-RX-2026-000013-1"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "medicationReference" : {
          🔗 "reference" : "Medication/ie-medication-sertraline-50"
        },
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-niamh-keane"
        },
        "supportingInformation" : [
          {
            🔗 "reference" : "List/hiqa-allergies-niamh"
          }
        ],
        "authoredOn" : "2026-10-03T10:20:00+01:00",
        "requester" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/1601000220105",
                "code" : "35489007",
                "display" : "Depressive disorder"
              }
            ]
          }
        ],
        "groupIdentifier" : {
          "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
          "value" : "9-RX-2026-000013"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "continuous",
              "display" : "Continuous long term therapy"
            }
          ]
        },
        "dosageInstruction" : [
          {
            "text" : "Take one tablet in the morning",
            "patientInstruction" : "Take every morning. Do not stop suddenly; talk to your GP first.",
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "MORN"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "26643006",
                  "display" : "Oral route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Tablet",
                  "system" : "http://snomed.info/sct",
                  "code" : "732936001"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "validityPeriod" : {
            "start" : "2026-10-03",
            "end" : "2027-04-03"
          },
          "numberOfRepeatsAllowed" : 5,
          "quantity" : {
            "value" : 28,
            "unit" : "Tablet",
            "system" : "http://snomed.info/sct",
            "code" : "732936001"
          },
          "expectedSupplyDuration" : {
            "value" : 28,
            "unit" : "days",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        },
        "substitution" : {
          "allowedBoolean" : false,
          "reason" : {
            "text" : "Patient stabilised on the current product; prescriber asks that it is not changed"
          }
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/MedicationRequest/hiqa-rx-epg13-omeprazole",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "hiqa-rx-epg13-omeprazole",
        "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-epg13-omeprazole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg13-omeprazole</b></p><a name=\"hiqa-rx-epg13-omeprazole\"> </a><a name=\"hchiqa-rx-epg13-omeprazole\"> </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-2026-000013-2</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-ie-medication-omeprazole-20.html\">Medication Omeprazole 20 mg gastro-resistant oral capsule</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-niamh.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'</a></p><p><b>authoredOn</b>: 2026-10-03 10:20:00+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 235595009}\">Gastroesophageal reflux disease</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-2026-000013</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>: Take one capsule once a day before breakfast</p><p><b>additionalInstruction</b>: <span title=\"Codes:{http://snomed.info/sct 311501008}\">Half to one hour before food</span></p><p><b>timing</b>: before breakfast, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral 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>1 Capsule<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732937005 = 'Capsule')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2026-10-03 --&gt; 2027-04-03</p><p><b>numberOfRepeatsAllowed</b>: 5</p><p><b>quantity</b>: 28 Capsule<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732937005 = 'Capsule')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>28</td><td>days</td><td><a href=\"http://hl7.org/fhir/uv/xver-r5.r4/0.1.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote><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-2026-000013-2"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "medicationReference" : {
          🔗 "reference" : "Medication/ie-medication-omeprazole-20"
        },
        "subject" : {
          🔗 "reference" : "Patient/hiqa-patient-niamh-keane"
        },
        "supportingInformation" : [
          {
            🔗 "reference" : "List/hiqa-allergies-niamh"
          }
        ],
        "authoredOn" : "2026-10-03T10:20:00+01:00",
        "requester" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "version" : "http://snomed.info/sct/1601000220105",
                "code" : "235595009",
                "display" : "Gastroesophageal reflux disease"
              }
            ]
          }
        ],
        "groupIdentifier" : {
          "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
          "value" : "9-RX-2026-000013"
        },
        "courseOfTherapyType" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
              "code" : "continuous",
              "display" : "Continuous long term therapy"
            }
          ]
        },
        "dosageInstruction" : [
          {
            "text" : "Take one capsule once a day before breakfast",
            "additionalInstruction" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "version" : "http://snomed.info/sct/1601000220105",
                    "code" : "311501008",
                    "display" : "Half to one hour before food"
                  }
                ]
              }
            ],
            "timing" : {
              "repeat" : {
                "frequency" : 1,
                "period" : 1,
                "periodUnit" : "d",
                "when" : [
                  "ACM"
                ]
              }
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "version" : "http://snomed.info/sct/1601000220105",
                  "code" : "26643006",
                  "display" : "Oral route"
                }
              ]
            },
            "doseAndRate" : [
              {
                "doseQuantity" : {
                  "value" : 1,
                  "unit" : "Capsule",
                  "system" : "http://snomed.info/sct",
                  "code" : "732937005"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "validityPeriod" : {
            "start" : "2026-10-03",
            "end" : "2027-04-03"
          },
          "numberOfRepeatsAllowed" : 5,
          "quantity" : {
            "value" : 28,
            "unit" : "Capsule",
            "system" : "http://snomed.info/sct",
            "code" : "732937005"
          },
          "expectedSupplyDuration" : {
            "value" : 28,
            "unit" : "days",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        },
        "substitution" : {
          "allowedBoolean" : true
        }
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/List/hiqa-allergies-niamh",
      "resource" : {
        "resourceType" : "List",
        "id" : "hiqa-allergies-niamh",
        "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-niamh\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List hiqa-allergies-niamh</b></p><a name=\"hiqa-allergies-niamh\"> </a><a name=\"hchiqa-allergies-niamh\"> </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: 2026-09-01 11:00:00+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-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"AllergyIntolerance-hiqa-allergy-niamh-penicillin.html\">AllergyIntolerance Allergy to penicillin</a></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-niamh-keane"
        },
        "date" : "2026-09-01T11:00:00+01:00",
        "source" : {
          🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
        },
        "entry" : [
          {
            "item" : {
              🔗 "reference" : "AllergyIntolerance/hiqa-allergy-niamh-penicillin"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/AllergyIntolerance/hiqa-allergy-niamh-penicillin",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "hiqa-allergy-niamh-penicillin",
        "meta" : {
          "profile" : [
            🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-allergyintolerance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_hiqa-allergy-niamh-penicillin\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance hiqa-allergy-niamh-penicillin</b></p><a name=\"hiqa-allergy-niamh-penicillin\"> </a><a name=\"hchiqa-allergy-niamh-penicillin\"> </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-allergyintolerance.html\">IE MPD AllergyIntolerance</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>type</b>: Allergy</p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 91936005}\">Allergy to penicillin</span></p><p><b>patient</b>: <a href=\"Patient-hiqa-patient-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>recordedDate</b>: 2015-04-10</p><p><b>recorder</b>: <a href=\"Practitioner-hiqa-prac-gp-nolan.html\">Practitioner Clodagh Nolan (official)</a></p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 39579001}\">Anaphylaxis</span></td><td>Severe</td></tr></table></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "type" : "allergy",
        "category" : [
          "medication"
        ],
        "criticality" : "high",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "91936005",
              "display" : "Allergy to penicillin"
            }
          ]
        },
        "patient" : {
          🔗 "reference" : "Patient/hiqa-patient-niamh-keane"
        },
        "recordedDate" : "2015-04-10",
        "recorder" : {
          🔗 "reference" : "Practitioner/hiqa-prac-gp-nolan"
        },
        "reaction" : [
          {
            "manifestation" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "version" : "http://snomed.info/sct/1601000220105",
                    "code" : "39579001",
                    "display" : "Anaphylaxis"
                  }
                ]
              }
            ],
            "severity" : "severe"
          }
        ]
      }
    },
    {
      "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-sertraline-50",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "ie-medication-sertraline-50",
        "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-sertraline-50\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ie-medication-sertraline-50</b></p><a name=\"ie-medication-sertraline-50\"> </a><a name=\"hcie-medication-sertraline-50\"> </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 268301000220104}, {http://snomed.info/sct 372594008}, {http://www.whocc.no/atc N06AB06}\">Sertraline 50mg tablets</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385055001}\">Tablet</span></p><p><b>amount</b>: 28 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732936001 = 'Tablet')</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 372594008}\">Sertraline</span></td><td>true</td><td>50 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 Tablet<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732936001 = 'Tablet')</span></td></tr></table></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "268301000220104",
              "display" : "Sertraline 50 mg oral tablet"
            },
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "372594008",
              "display" : "Sertraline"
            },
            {
              "system" : "http://www.whocc.no/atc",
              "code" : "N06AB06",
              "display" : "Sertraline"
            }
          ],
          "text" : "Sertraline 50mg tablets"
        },
        "form" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "385055001",
              "display" : "Tablet"
            }
          ]
        },
        "amount" : {
          "numerator" : {
            "value" : 28,
            "unit" : "Tablet",
            "system" : "http://snomed.info/sct",
            "code" : "732936001"
          },
          "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" : "372594008",
                  "display" : "Sertraline"
                }
              ]
            },
            "isActive" : true,
            "strength" : {
              "numerator" : {
                "value" : 50,
                "unit" : "mg",
                "system" : "http://unitsofmeasure.org",
                "code" : "mg"
              },
              "denominator" : {
                "value" : 1,
                "unit" : "Tablet",
                "system" : "http://snomed.info/sct",
                "code" : "732936001"
              }
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Medication/ie-medication-omeprazole-20",
      "resource" : {
        "resourceType" : "Medication",
        "id" : "ie-medication-omeprazole-20",
        "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-omeprazole-20\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Medication ie-medication-omeprazole-20</b></p><a name=\"ie-medication-omeprazole-20\"> </a><a name=\"hcie-medication-omeprazole-20\"> </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 313941000220100}, {http://snomed.info/sct 317291008}, {http://www.whocc.no/atc A02BC01}\">Omeprazole 20mg gastro-resistant capsules</span></p><p><b>form</b>: <span title=\"Codes:{http://snomed.info/sct 385049006}\">Capsule</span></p><p><b>amount</b>: 28 Capsule<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732937005 = 'Capsule')</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 387137007}\">Omeprazole</span></td><td>true</td><td>20 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codemg = 'mg')</span>/1 Capsule<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732937005 = 'Capsule')</span></td></tr></table></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "313941000220100",
              "display" : "Omeprazole 20 mg gastro-resistant oral capsule"
            },
            {
              "system" : "http://snomed.info/sct",
              "version" : "http://snomed.info/sct/1601000220105",
              "code" : "317291008",
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