IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft) Ireland flag

IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Scenario 5 – Electronic Prescription Group (ePG): prescription later declined

Bundle hiqa-bundle-s5-non-dispensation of type collection


Entry 1 - fullUrl = http://example.org/fhir/Patient/hiqa-patient-niamh-keane

Resource Patient:

Generated Narrative: Patient hiqa-patient-niamh-keane

Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)


Contact Detail
Person Recorded Sex Or Gender:
  • value: Female
  • type: Sex assigned at birth

Entry 2 - fullUrl = http://example.org/fhir/RequestGroup/hiqa-grp-s5-non-dispensation

Resource RequestGroup:

Generated Narrative: RequestGroup hiqa-grp-s5-non-dispensation

identifier: Placer Identifier/9-RX-2026-000005

status: Active

intent: Order

subject: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)

authoredOn: 2026-09-22 09:30:00+0100

author: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)

Actions

-Resource
*MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000005-1; status = active; intent = order; medication[x] = ->Medication Amoxicillin 500 mg oral capsule; authoredOn = 2026-09-22 09:30:00+0100; reasonCode = Acute sinusitis; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000005; courseOfTherapyType = Short course (acute) therapy

Entry 3 - fullUrl = http://example.org/fhir/MedicationRequest/hiqa-rx-s5-amoxicillin

Resource MedicationRequest:

Generated Narrative: MedicationRequest hiqa-rx-s5-amoxicillin

identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000005-1

status: Active

intent: Order

medication: Medication Amoxicillin 500 mg oral capsule

subject: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)

supportingInformation: List for 'Allergies and adverse reactions Document' for '->Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'

authoredOn: 2026-09-22 09:30:00+0100

requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)

reasonCode: Acute sinusitis

groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000005

courseOfTherapyType: Short course (acute) therapy

dosageInstruction

text: Take one capsule three times a day for 7 days

timing: 3 per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*1 Capsule (Details: SNOMED CT code732937005 = 'Capsule')

DispenseRequests

-ValidityPeriodQuantity
*2026-09-22 --> 2026-10-2221 Capsule (Details: SNOMED CT code732937005 = 'Capsule')

Substitutions

-Allowed[x]
*true

Entry 4 - fullUrl = http://example.org/fhir/List/hiqa-allergies-niamh

Resource List:

Generated Narrative: List hiqa-allergies-niamh

Date: 2026-09-01 11:00:00+0100 Mode: Snapshot List Status: Current Code: Allergies and adverse reactions Document
Subject: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)Source:
Items
AllergyIntolerance Allergy to penicillin

Entry 5 - fullUrl = http://example.org/fhir/AllergyIntolerance/hiqa-allergy-niamh-penicillin

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance hiqa-allergy-niamh-penicillin

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Allergy to penicillin

patient: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)

recordedDate: 2015-04-10

recorder: Practitioner Clodagh Nolan (official)

Reactions

-ManifestationSeverity
*AnaphylaxisSevere

Entry 6 - fullUrl = http://example.org/fhir/PractitionerRole/hiqa-role-gp-nolan

Resource PractitionerRole:

Generated Narrative: PractitionerRole hiqa-role-gp-nolan

active: true

practitioner: Dr Clodagh Nolan

organization: Riverside Family Practice

telecom: +353 90 000 0001, clodagh.nolan@riverside-practice.example.org


Entry 7 - fullUrl = http://example.org/fhir/Practitioner/hiqa-prac-gp-nolan

Resource Practitioner:

Generated Narrative: Practitioner hiqa-prac-gp-nolan

identifier: IEMpdNamingSystemIMC/999001

active: true

name: Clodagh Nolan (Official)

telecom: +353 90 000 0001


Entry 8 - fullUrl = http://example.org/fhir/Organization/hiqa-org-gp-practice

Resource Organization:

Generated Narrative: Organization hiqa-org-gp-practice

identifier: IEMpdNamingSystemGMSPanel/99001

active: true

type: Healthcare Provider

name: Riverside Family Practice

telecom: +353 90 000 0000, prescriptions@riverside-practice.example.org

address: 1 River Road Athlone Westmeath N37 XX01 IE (work)


Entry 9 - fullUrl = http://example.org/fhir/Medication/hiqa-med-amoxicillin-500-caps

Resource Medication:

Generated Narrative: Medication hiqa-med-amoxicillin-500-caps

Medication - Classification: amoxicillin

Medication - Classification: Prescription only medicine

code: Amoxicillin 500 mg capsules

form: Capsule

Ingredients

-Item[x]IsActiveStrength
*Amoxicillintrue500 mg (Details: UCUM codemg = 'mg')/1 Capsule (Details: SNOMED CT code732937005 = 'Capsule')

Entry 10 - fullUrl = http://example.org/fhir/MedicationDispense/hiqa-md-s5-declined

Resource MedicationDispense:

Generated Narrative: MedicationDispense hiqa-md-s5-declined

R5: When the recording of the dispense started (new): 2026-09-22 12:10:00+0100

identifier: Uniform Resource Identifier (URI)/urn:uuid:2df5c229-1bc6-55d4-aa2e-7fa0b6ae1adf

status: Declined

statusReason: Not dispensed: the patient has a confirmed penicillin allergy (anaphylaxis). Prescriber contacted to cancel and review.

medication: Medication Amoxicillin 500 mg oral capsule

subject: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)

Performers

-Actor
*Practitioner Eoin Farrell (official)

authorizingPrescription: MedicationRequest: identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000005-1; status = active; intent = order; medication[x] = ->Medication Amoxicillin 500 mg oral capsule; authoredOn = 2026-09-22 09:30:00+0100; reasonCode = Acute sinusitis; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000005; courseOfTherapyType = Short course (acute) therapy

quantity: 0 Capsule (Details: SNOMED CT code732937005 = 'Capsule')


Entry 11 - fullUrl = http://example.org/fhir/Practitioner/hiqa-prac-pharmacist-farrell

Resource Practitioner:

Generated Narrative: Practitioner hiqa-prac-pharmacist-farrell

identifier: IEMpdNamingSystemPSI/99901

active: true

name: Eoin Farrell (Official)

telecom: +353 90 000 0100


Entry 12 - fullUrl = http://example.org/fhir/Organization/hiqa-org-pharmacy

Resource Organization:

Generated Narrative: Organization hiqa-org-pharmacy

identifier: IEMpdNamingSystemPSIRPB/9991

active: true

type: Healthcare Provider

name: Bridge Street Pharmacy

telecom: +353 90 000 0100

address: 5 Bridge Street Athlone Westmeath N37 XX02 IE (work)