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 15 – Electronic Prescription Group: child under 12, antibiotic and reliever inhaler - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="hiqa-bundle-epg15-paediatric"/>
  <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-2026-000015"/>
  </identifier>
  <type value="collection"/>
  <timestamp value="2026-10-06T09:40:00+01:00"/>
  <entry>
    <fullUrl
             value="http://example.org/fhir/Patient/hiqa-patient-oisin-brady"/>
    <resource>
      <Patient>
        <id value="hiqa-patient-oisin-brady"/>
        <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-oisin-brady"> </a><p class="res-header-id"><b>Generated Narrative: Patient hiqa-patient-oisin-brady</b></p><a name="hiqa-patient-oisin-brady"> </a><a name="hchiqa-patient-oisin-brady"> </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;">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">3 Church Lane Moate Westmeath N37 XX11 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="999000000000000002"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Brady"/>
          <given value="Oisín"/>
        </name>
        <gender value="male"/>
        <birthDate value="2021-03-02"/>
        <address>
          <use value="home"/>
          <line value="3 Church Lane"/>
          <city value="Moate"/>
          <state value="Westmeath"/>
          <postalCode value="N37 XX11"/>
          <country value="IE"/>
        </address>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/RequestGroup/hiqa-grp-epg15-paediatric"/>
    <resource>
      <RequestGroup>
        <id value="hiqa-grp-epg15-paediatric"/>
        <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-epg15-paediatric"> </a><p class="res-header-id"><b>Generated Narrative: RequestGroup hiqa-grp-epg15-paediatric</b></p><a name="hiqa-grp-epg15-paediatric"> </a><a name="hchiqa-grp-epg15-paediatric"> </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-2026-000015</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>subject</b>: <a href="Patient-hiqa-patient-oisin-brady.html">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</a></p><p><b>authoredOn</b>: 2026-10-06 09:40:00+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-epg15-amoxicillin.html">MedicationRequest: extension = No display for Age ; identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000015-1; status = active; intent = order; medication[x] = -&gt;Medication Amoxicillin 250 mg/5 mL powder for oral suspension; authoredOn = 2026-10-06 09:40:00+0100; reasonCode = Acute otitis media; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000015; courseOfTherapyType = Short course (acute) therapy</a></p></blockquote><blockquote><p><b>action</b></p><p><b>resource</b>: <a href="MedicationRequest-hiqa-rx-epg15-salbutamol.html">MedicationRequest: extension = No display for Age ; identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000015-2; status = active; intent = order; medication[x] = -&gt;Medication Salbutamol 100 microgram/actuation pressurised suspension for inhalation; authoredOn = 2026-10-06 09:40:00+0100; reasonCode = Asthma; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000015; 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-2026-000015"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <subject>🔗 
          <reference value="Patient/hiqa-patient-oisin-brady"/>
        </subject>
        <authoredOn value="2026-10-06T09:40:00+01:00"/>
        <author>🔗 
          <reference value="PractitionerRole/hiqa-role-gp-nolan"/>
        </author>
        <action>
          <resource>🔗 
            <reference value="MedicationRequest/hiqa-rx-epg15-amoxicillin"/>
          </resource>
        </action>
        <action>
          <resource>🔗 
            <reference value="MedicationRequest/hiqa-rx-epg15-salbutamol"/>
          </resource>
        </action>
      </RequestGroup>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/MedicationRequest/hiqa-rx-epg15-amoxicillin"/>
    <resource>
      <MedicationRequest>
        <id value="hiqa-rx-epg15-amoxicillin"/>
        <meta>
          <profile
                   value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_hiqa-rx-epg15-amoxicillin"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest hiqa-rx-epg15-amoxicillin</b></p><a name="hiqa-rx-epg15-amoxicillin"> </a><a name="hchiqa-rx-epg15-amoxicillin"> </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>IE MPD Patient Age at Prescribing</b>: 5 years<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><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-2026-000015-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="Medication-hiqa-med-amoxicillin-50mgml-susp.html">Medication Amoxicillin 250 mg/5 mL powder for oral suspension</a></p><p><b>subject</b>: <a href="Patient-hiqa-patient-oisin-brady.html">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</a></p><p><b>supportingInformation</b>: <a href="List-hiqa-allergies-oisin-nilknown.html">List for 'Allergies and adverse reactions Document' for '-&gt;Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)'</a></p><p><b>authoredOn</b>: 2026-10-06 09:40:00+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 3110003}">Acute otitis media</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-2026-000015</p><p><b>courseOfTherapyType</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}">Short course (acute) therapy</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Give 5 mL (250 mg) three times a day for 5 days. Finish the course</p><p><b>additionalInstruction</b>: <span title="Codes:{http://snomed.info/sct 421984009}">Until finished</span></p><p><b>patientInstruction</b>: Shake the bottle well. Use the oral syringe provided.</p><p><b>timing</b>: 3 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>5 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>2026-10-06 --&gt; 2026-11-06</td><td>100 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</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>
        <extension
                   url="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing">
          <valueAge>
            <value value="5"/>
            <unit value="years"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
          </valueAge>
        </extension>
        <identifier>
          <system
                  value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
          <value value="9-RX-2026-000015-1"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <medicationReference>🔗 
          <reference value="Medication/hiqa-med-amoxicillin-50mgml-susp"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/hiqa-patient-oisin-brady"/>
        </subject>
        <supportingInformation>🔗 
          <reference value="List/hiqa-allergies-oisin-nilknown"/>
        </supportingInformation>
        <authoredOn value="2026-10-06T09:40:00+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="3110003"/>
            <display value="Acute otitis media"/>
          </coding>
        </reasonCode>
        <groupIdentifier>
          <system
                  value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
          <value value="9-RX-2026-000015"/>
        </groupIdentifier>
        <courseOfTherapyType>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
            <code value="acute"/>
            <display value="Short course (acute) therapy"/>
          </coding>
        </courseOfTherapyType>
        <dosageInstruction>
          <text
                value="Give 5 mL (250 mg) three times a day for 5 days. Finish the course"/>
          <additionalInstruction>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/1601000220105"/>
              <code value="421984009"/>
              <display value="Until finished"/>
            </coding>
          </additionalInstruction>
          <patientInstruction
                              value="Shake the bottle well. Use the oral syringe provided."/>
          <timing>
            <repeat>
              <boundsDuration>
                <value value="5"/>
                <unit value="days"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="d"/>
              </boundsDuration>
              <frequency value="3"/>
              <period value="1"/>
              <periodUnit value="d"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/1601000220105"/>
              <code value="26643006"/>
              <display value="Oral route"/>
            </coding>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="5"/>
              <unit value="mL"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mL"/>
            </doseQuantity>
          </doseAndRate>
        </dosageInstruction>
        <dispenseRequest>
          <validityPeriod>
            <start value="2026-10-06"/>
            <end value="2026-11-06"/>
          </validityPeriod>
          <quantity>
            <value value="100"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </quantity>
        </dispenseRequest>
        <substitution>
          <allowedBoolean value="true"/>
        </substitution>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/MedicationRequest/hiqa-rx-epg15-salbutamol"/>
    <resource>
      <MedicationRequest>
        <id value="hiqa-rx-epg15-salbutamol"/>
        <meta>
          <profile
                   value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_hiqa-rx-epg15-salbutamol"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest hiqa-rx-epg15-salbutamol</b></p><a name="hiqa-rx-epg15-salbutamol"> </a><a name="hchiqa-rx-epg15-salbutamol"> </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>IE MPD Patient Age at Prescribing</b>: 5 years<span style="background: LightGoldenRodYellow"> (Details: UCUM  codea = 'a')</span></p><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-2026-000015-2</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href="Medication-hiqa-med-salbutamol-inhaler.html">Medication Salbutamol 100 microgram/actuation pressurised suspension for inhalation</a></p><p><b>subject</b>: <a href="Patient-hiqa-patient-oisin-brady.html">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</a></p><p><b>supportingInformation</b>: <a href="List-hiqa-allergies-oisin-nilknown.html">List for 'Allergies and adverse reactions Document' for '-&gt;Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)'</a></p><p><b>authoredOn</b>: 2026-10-06 09:40:00+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 195967001}">Asthma</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-2026-000015</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>: Inhale 1 to 2 puffs through the spacer when needed for wheeze. Maximum 8 puffs in 24 hours</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 447694001}">Respiratory tract 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>1-2 Actuation</td></tr></table><p><b>maxDosePerPeriod</b>: 8 Actuation<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732981002 = 'Actuation')</span>/24 hours<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeh = 'h')</span></p></blockquote><h3>DispenseRequests</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style="display: none">*</td><td>2026-10-06 --&gt; 2026-11-06</td><td>200 Actuation<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732981002 = 'Actuation')</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>
        <extension
                   url="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing">
          <valueAge>
            <value value="5"/>
            <unit value="years"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="a"/>
          </valueAge>
        </extension>
        <identifier>
          <system
                  value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
          <value value="9-RX-2026-000015-2"/>
        </identifier>
        <status value="active"/>
        <intent value="order"/>
        <medicationReference>🔗 
          <reference value="Medication/hiqa-med-salbutamol-inhaler"/>
        </medicationReference>
        <subject>🔗 
          <reference value="Patient/hiqa-patient-oisin-brady"/>
        </subject>
        <supportingInformation>🔗 
          <reference value="List/hiqa-allergies-oisin-nilknown"/>
        </supportingInformation>
        <authoredOn value="2026-10-06T09:40:00+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="195967001"/>
            <display value="Asthma"/>
          </coding>
        </reasonCode>
        <groupIdentifier>
          <system
                  value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
          <value value="9-RX-2026-000015"/>
        </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="Inhale 1 to 2 puffs through the spacer when needed for wheeze. Maximum 8 puffs in 24 hours"/>
          <asNeededBoolean value="true"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/1601000220105"/>
              <code value="447694001"/>
              <display value="Respiratory tract route"/>
            </coding>
          </route>
          <doseAndRate>
            <doseRange>
              <low>
                <value value="1"/>
                <unit value="Actuation"/>
                <system value="http://snomed.info/sct"/>
                <code value="732981002"/>
              </low>
              <high>
                <value value="2"/>
                <unit value="Actuation"/>
                <system value="http://snomed.info/sct"/>
                <code value="732981002"/>
              </high>
            </doseRange>
          </doseAndRate>
          <maxDosePerPeriod>
            <numerator>
              <value value="8"/>
              <unit value="Actuation"/>
              <system value="http://snomed.info/sct"/>
              <code value="732981002"/>
            </numerator>
            <denominator>
              <value value="24"/>
              <unit value="hours"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="h"/>
            </denominator>
          </maxDosePerPeriod>
        </dosageInstruction>
        <dispenseRequest>
          <validityPeriod>
            <start value="2026-10-06"/>
            <end value="2026-11-06"/>
          </validityPeriod>
          <quantity>
            <value value="200"/>
            <unit value="Actuation"/>
            <system value="http://snomed.info/sct"/>
            <code value="732981002"/>
          </quantity>
        </dispenseRequest>
        <substitution>
          <allowedBoolean value="true"/>
        </substitution>
      </MedicationRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://example.org/fhir/List/hiqa-allergies-oisin-nilknown"/>
    <resource>
      <List>
        <id value="hiqa-allergies-oisin-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-oisin-nilknown"> </a><p class="res-header-id"><b>Generated Narrative: List hiqa-allergies-oisin-nilknown</b></p><a name="hiqa-allergies-oisin-nilknown"> </a><a name="hchiqa-allergies-oisin-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: 2026-09-20 10:05:00+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-oisin-brady.html">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</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-oisin-brady"/>
        </subject>
        <date value="2026-09-20T10:05:00+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/hiqa-med-amoxicillin-50mgml-susp"/>
    <resource>
      <Medication>
        <id value="hiqa-med-amoxicillin-50mgml-susp"/>
        <meta>
          <profile
                   value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_hiqa-med-amoxicillin-50mgml-susp"> </a><p class="res-header-id"><b>Generated Narrative: Medication hiqa-med-amoxicillin-50mgml-susp</b></p><a name="hiqa-med-amoxicillin-50mgml-susp"> </a><a name="hchiqa-med-amoxicillin-50mgml-susp"> </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>Medication - Classification</b>: <span title="Codes:{http://www.whocc.no/atc J01CA04}">amoxicillin</span></p><p><b>Medication - Classification</b>: <span title="Codes:{https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-supply-legal-status prescription-only}">Prescription only medicine</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 462991000220107}">Amoxicillin 250 mg/5 mL oral suspension</span></p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385024007}">Oral suspension</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 372687004}">Amoxicillin</span></td><td>true</td><td>50 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemg = 'mg')</span>/1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM  codemL = 'mL')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification">
          <valueCodeableConcept>
            <coding>
              <system value="http://www.whocc.no/atc"/>
              <code value="J01CA04"/>
              <display value="amoxicillin"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <extension
                   url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification">
          <valueCodeableConcept>
            <coding>
              <system
                      value="https://hl7-ie.github.io/medication-events/fhir/CodeSystem/ie-mpd-supply-legal-status"/>
              <code value="prescription-only"/>
              <display value="Prescription only medicine"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/1601000220105"/>
            <code value="462991000220107"/>
            <display
                     value="Amoxicillin 250 mg/5 mL powder for oral suspension"/>
          </coding>
          <text value="Amoxicillin 250 mg/5 mL oral suspension"/>
        </code>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/1601000220105"/>
            <code value="385024007"/>
            <display value="Oral suspension"/>
          </coding>
        </form>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/1601000220105"/>
              <code value="372687004"/>
              <display value="Amoxicillin"/>
            </coding>
          </itemCodeableConcept>
          <isActive value="true"/>
          <strength>
            <numerator>
              <value value="50"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </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/hiqa-med-salbutamol-inhaler"/>
    <resource>
      <Medication>
        <id value="hiqa-med-salbutamol-inhaler"/>
        <meta>
          <profile
                   value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"/>
        </meta>
        <text>
          <status value="extensions"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_hiqa-med-salbutamol-inhaler"> </a><p class="res-header-id"><b>Generated Narrative: Medication hiqa-med-salbutamol-inhaler</b></p><a name="hiqa-med-salbutamol-inhaler"> </a><a name="hchiqa-med-salbutamol-inhaler"> </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>Medication - Classification</b>: <span title="Codes:{http://www.whocc.no/atc R03AC02}">salbutamol</span></p><p><b>code</b>: <span title="Codes:{http://snomed.info/sct 363291000220101}">Salbutamol 100 micrograms/dose pressurised inhalation suspension</span></p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385205001}">Pressurized suspension for inhalation</span></p><p><b>amount</b>: 200 Actuation<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732981002 = 'Actuation')</span>/1 inhaler<span style="background: LightGoldenRodYellow"> (Details: UCUM  code{inhaler} = '{inhaler}')</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 372897005}">Albuterol</span></td><td>true</td><td>100 microgram<span style="background: LightGoldenRodYellow"> (Details: UCUM  codeug = 'ug')</span>/1 Actuation<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732981002 = 'Actuation')</span></td></tr></table></div>
        </text>
        <extension
                   url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medication-classification">
          <valueCodeableConcept>
            <coding>
              <system value="http://www.whocc.no/atc"/>
              <code value="R03AC02"/>
              <display value="salbutamol"/>
            </coding>
          </valueCodeableConcept>
        </extension>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/1601000220105"/>
            <code value="363291000220101"/>
            <display
                     value="Salbutamol 100 microgram/actuation pressurised suspension for inhalation"/>
          </coding>
          <text
                value="Salbutamol 100 micrograms/dose pressurised inhalation suspension"/>
        </code>
        <form>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/1601000220105"/>
            <code value="385205001"/>
            <display value="Pressurized suspension for inhalation"/>
          </coding>
        </form>
        <amount>
          <numerator>
            <value value="200"/>
            <unit value="Actuation"/>
            <system value="http://snomed.info/sct"/>
            <code value="732981002"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <unit value="inhaler"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="{inhaler}"/>
          </denominator>
        </amount>
        <ingredient>
          <itemCodeableConcept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/1601000220105"/>
              <code value="372897005"/>
              <display value="Albuterol"/>
            </coding>
          </itemCodeableConcept>
          <isActive value="true"/>
          <strength>
            <numerator>
              <value value="100"/>
              <unit value="microgram"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="ug"/>
            </numerator>
            <denominator>
              <value value="1"/>
              <unit value="Actuation"/>
              <system value="http://snomed.info/sct"/>
              <code value="732981002"/>
            </denominator>
          </strength>
        </ingredient>
      </Medication>
    </resource>
  </entry>
</Bundle>