IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ie-bundle-scenario4-ie-to-es-crossborder"/>
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</meta>
<type value="collection"/>
<timestamp value="2024-07-28T11:45:00+02:00"/>
<entry>
<fullUrl value="urn:uuid:5128c91f-9848-524c-8050-006241d8508b"/>
<resource>
<Patient>
<id value="patient-ciaran-walsh"/>
<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_patient-ciaran-walsh"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-ciaran-walsh</b></p><a name="patient-ciaran-walsh"> </a><a name="hcpatient-ciaran-walsh"> </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;">Ciarán Seamus Walsh (official) Male, DoB: 1968-11-03 ( National unique individual identifier: IEMpdNamingSystemIHI#210000000055667788)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td colspan="3">true</td></tr><tr><td style="background-color: #f3f5da" title="Other Id (see the one above)">Other Id:</td><td colspan="3">Patient's Medicare number/8765432C</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li><a href="tel:+353876543210">+353 87 654 3210</a></li><li>22 Clontarf Road Dublin Dublin D03 YP78 IE (home)</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en}">English</span> (preferred)</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="210000000055667788"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MC"/>
</coding>
</type>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/gms"/>
<value value="8765432C"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Walsh"/>
<given value="Ciarán"/>
<given value="Seamus"/>
<prefix value="Mr."/>
</name>
<telecom>
<system value="phone"/>
<value value="+353 87 654 3210"/>
<use value="mobile"/>
</telecom>
<gender value="male"/>
<birthDate value="1968-11-03"/>
<address>
<use value="home"/>
<line value="22 Clontarf Road"/>
<city value="Dublin"/>
<state value="Dublin"/>
<postalCode value="D03 YP78"/>
<country value="IE"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en"/>
<display value="English"/>
</coding>
</language>
<preferred value="true"/>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:30f2ac6d-a312-55a8-8960-b779170c7460"/>
<resource>
<Practitioner>
<id value="practitioner-sarah-obrien"/>
<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_practitioner-sarah-obrien"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner practitioner-sarah-obrien</b></p><a name="practitioner-sarah-obrien"> </a><a name="hcpractitioner-sarah-obrien"> </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>/IMC-12345</p><p><b>active</b>: true</p><p><b>name</b>: Sarah O'Brien (Official)</p><p><b>address</b>: James's Street Dublin IE (work)</p><p><b>gender</b>: Female</p></div>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/imc"/>
<value value="IMC-12345"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="O'Brien"/>
<given value="Sarah"/>
<prefix value="Dr."/>
</name>
<address>
<use value="work"/>
<line value="James's Street"/>
<city value="Dublin"/>
<country value="IE"/>
</address>
<gender value="female"/>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:047be684-9ddc-56f3-8488-3894438cbecb"/>
<resource>
<Organization>
<id value="org-ie-sjh"/>
<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_org-ie-sjh"> </a><p class="res-header-id"><b>Generated Narrative: Organization org-ie-sjh</b></p><a name="org-ie-sjh"> </a><a name="hcorg-ie-sjh"> </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>active</b>: true</p><p><b>name</b>: St. James's Hospital</p><p><b>address</b>: James's Street Dublin IE (work)</p></div>
</text>
<active value="true"/>
<name value="St. James's Hospital"/>
<address>
<use value="work"/>
<line value="James's Street"/>
<city value="Dublin"/>
<country value="IE"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2fe0f44e-0668-55af-8a5b-c2de75bca61b"/>
<resource>
<Organization>
<id value="org-es-farmacia-america"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_org-es-farmacia-america"> </a><p class="res-header-id"><b>Generated Narrative: Organization org-es-farmacia-america</b></p><a name="org-es-farmacia-america"> </a><a name="hcorg-es-farmacia-america"> </a><p><b>identifier</b>: ES-OF-28-009876</p><p><b>active</b>: true</p><p><b>name</b>: Farmacia Avenida de América</p><p><b>telecom</b>: <a href="tel:+34915553456">+34 91 555 3456</a></p><p><b>address</b>: Avenida de América 34 Madrid 28028 ES (work)</p></div>
</text>
<identifier>
<value value="ES-OF-28-009876"/>
<assigner>
<display value="Issuing authority in Spain (illustrative)"/>
</assigner>
</identifier>
<active value="true"/>
<name value="Farmacia Avenida de América"/>
<telecom>
<system value="phone"/>
<value value="+34 91 555 3456"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<line value="Avenida de América 34"/>
<city value="Madrid"/>
<postalCode value="28028"/>
<country value="ES"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:22f7b54c-f251-52fa-a537-2f210b14bac6"/>
<resource>
<Practitioner>
<id value="practitioner-es-pharmacist-vega"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_practitioner-es-pharmacist-vega"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner practitioner-es-pharmacist-vega</b></p><a name="practitioner-es-pharmacist-vega"> </a><a name="hcpractitioner-es-pharmacist-vega"> </a><p><b>identifier</b>: ES-CF-28-005678</p><p><b>active</b>: true</p><p><b>name</b>: Carmen Vega Soto (Official)</p><p><b>address</b>: Avenida de América 34 Madrid ES (work)</p><p><b>gender</b>: Female</p></div>
</text>
<identifier>
<value value="ES-CF-28-005678"/>
<assigner>
<display value="Issuing authority in Spain (illustrative)"/>
</assigner>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="Vega Soto"/>
<given value="Carmen"/>
<prefix value="Dra."/>
</name>
<address>
<use value="work"/>
<line value="Avenida de América 34"/>
<city value="Madrid"/>
<country value="ES"/>
</address>
<gender value="female"/>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:163dc720-e227-50da-9071-5caed63e9759"/>
<resource>
<Medication>
<id value="medication-amlodipine-5"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Medication_medication-amlodipine-5"> </a><p class="res-header-id"><b>Generated Narrative: Medication medication-amlodipine-5</b></p><a name="medication-amlodipine-5"> </a><a name="hcmedication-amlodipine-5"> </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 386864001}">Amlodipine 5mg tablets</span></p><p><b>form</b>: <span title="Codes:{http://snomed.info/sct 385055001}">Tablet</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 386864001}">Amlodipine</span></td><td>true</td><td>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span>/1 tablet<span style="background: LightGoldenRodYellow"> (Details: UCUM code{tablet} = '{tablet}')</span></td></tr></table></div>
</text>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="386864001"/>
<display value="Amlodipine"/>
</coding>
<text value="Amlodipine 5mg tablets"/>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="386864001"/>
<display value="Amlodipine"/>
</coding>
</itemCodeableConcept>
<isActive value="true"/>
<strength>
<numerator>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</numerator>
<denominator>
<value value="1"/>
<unit value="tablet"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tablet}"/>
</denominator>
</strength>
</ingredient>
</Medication>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9922954c-8e42-596b-92fc-429233948c71"/>
<resource>
<MedicationRequest>
<id value="prescription-ie-to-es"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationRequest_prescription-ie-to-es"> </a><p class="res-header-id"><b>Generated Narrative: MedicationRequest prescription-ie-to-es</b></p><a name="prescription-ie-to-es"> </a><a name="hcprescription-ie-to-es"> </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>/PCRS-RX-2024-004001, <code>urn:oid:2.16.840.1.113883.19.1.4.1</code>/IE-EHIC-XB-2024-004001</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}">Community</span></p><p><b>medication</b>: <a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-163dc720-e227-50da-9071-5caed63e9759">Medication Amlodipine</a></p><p><b>subject</b>: <a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-5128c91f-9848-524c-8050-006241d8508b">Ciarán Walsh</a></p><p><b>authoredOn</b>: 2024-07-10</p><p><b>requester</b>: <a href="Bundle-ie-bundle-scenario1-full-dispense.html#urn-uuid-30f2ac6d-a312-55a8-8960-b779170c7460">Dr. Sarah O'Brien</a></p><p><b>reasonCode</b>: <span title="Codes:{http://snomed.info/sct 38341003}">Hypertensive disorder</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: Take one 5mg tablet once daily</p><p><b>timing</b>: 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>5 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemg = 'mg')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2024-07-10 --> 2024-10-10</p><p><b>numberOfRepeatsAllowed</b>: 2</p><p><b>quantity</b>: 30 tablets<span style="background: LightGoldenRodYellow"> (Details: UCUM code{tablet} = '{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>30</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>
</text>
<identifier>
<system
value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
<value value="PCRS-RX-2024-004001"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.19.1.4.1"/>
<value value="IE-EHIC-XB-2024-004001"/>
</identifier>
<status value="active"/>
<intent value="order"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
<code value="community"/>
<display value="Community"/>
</coding>
</category>
<medicationReference>
<reference value="urn:uuid:163dc720-e227-50da-9071-5caed63e9759"/>
</medicationReference>
<subject>
<reference value="urn:uuid:5128c91f-9848-524c-8050-006241d8508b"/>
<display value="Ciarán Walsh"/>
</subject>
<authoredOn value="2024-07-10"/>
<requester>
<reference value="urn:uuid:30f2ac6d-a312-55a8-8960-b779170c7460"/>
<display value="Dr. Sarah O'Brien"/>
</requester>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="38341003"/>
<display value="Hypertensive disorder"/>
</coding>
</reasonCode>
<dosageInstruction>
<text value="Take one 5mg tablet once daily"/>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral route"/>
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="5"/>
<unit value="mg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mg"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
<dispenseRequest>
<validityPeriod>
<start value="2024-07-10"/>
<end value="2024-10-10"/>
</validityPeriod>
<numberOfRepeatsAllowed value="2"/>
<quantity>
<value value="30"/>
<unit value="tablets"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tablet}"/>
</quantity>
<expectedSupplyDuration>
<value value="30"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
<substitution>
<allowedBoolean value="true"/>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7376a65d-9562-58b7-a3b6-a82ecd112d81"/>
<resource>
<MedicationDispense>
<id value="dispense-es-pharmacy"/>
<meta>
<profile
value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationdispense-edispensation"/>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_dispense-es-pharmacy"> </a><p class="res-header-id"><b>Generated Narrative: MedicationDispense dispense-es-pharmacy</b></p><a name="dispense-es-pharmacy"> </a><a name="hcdispense-es-pharmacy"> </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-medicationdispense-edispensation.html">IE MPD MedicationDispense (eDispensation)</a></p></div><p><b>R5: When the recording of the dispense started (new)</b>: 2024-07-28 11:45:00+0200</p><p><b>identifier</b>: ES-DISP-2024-XB-004001</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-163dc720-e227-50da-9071-5caed63e9759">Medication Amlodipine</a></p><p><b>subject</b>: <a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-5128c91f-9848-524c-8050-006241d8508b">Ciarán Walsh</a></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-22f7b54c-f251-52fa-a537-2f210b14bac6">Dra. Carmen Vega Soto</a></td></tr></table><p><b>authorizingPrescription</b>: <a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-9922954c-8e42-596b-92fc-429233948c71">PCRS-RX-2024-004001</a></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DF}">Daily Fill</span></p><p><b>quantity</b>: 30 tablets<span style="background: LightGoldenRodYellow"> (Details: UCUM code{tablet} = '{tablet}')</span></p><p><b>daysSupply</b>: 30 days<span style="background: LightGoldenRodYellow"> (Details: UCUM coded = 'd')</span></p><p><b>whenPrepared</b>: 2024-07-28 11:30:00+0200</p><p><b>whenHandedOver</b>: 2024-07-28 11:45:00+0200</p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>Tomar un comprimido de 5mg una vez al día (Take one 5mg tablet once daily)</td></tr></table><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td><td><b>ResponsibleParty</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution G}">Generic composition</span></td><td><span title="Codes:{http://snomed.info/sct 373873005}">Pharmaceutical / biologic product</span></td><td><a href="Bundle-ie-bundle-scenario4-ie-to-es-crossborder.html#urn-uuid-22f7b54c-f251-52fa-a537-2f210b14bac6">Dra. Carmen Vega Soto</a></td></tr></table></div>
</text>
<extension
url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded">
<valueDateTime value="2024-07-28T11:45:00+02:00"/>
</extension>
<identifier>
<value value="ES-DISP-2024-XB-004001"/>
<assigner>
<display value="Issuing authority in Spain (illustrative)"/>
</assigner>
</identifier>
<status value="completed"/>
<medicationReference>
<reference value="urn:uuid:163dc720-e227-50da-9071-5caed63e9759"/>
</medicationReference>
<subject>
<reference value="urn:uuid:5128c91f-9848-524c-8050-006241d8508b"/>
<display value="Ciarán Walsh"/>
</subject>
<performer>
<actor>
<reference value="urn:uuid:22f7b54c-f251-52fa-a537-2f210b14bac6"/>
<display value="Dra. Carmen Vega Soto"/>
</actor>
</performer>
<authorizingPrescription>
<reference value="urn:uuid:9922954c-8e42-596b-92fc-429233948c71"/>
<display value="PCRS-RX-2024-004001"/>
</authorizingPrescription>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="DF"/>
<display value="Daily Fill"/>
</coding>
</type>
<quantity>
<value value="30"/>
<unit value="tablets"/>
<system value="http://unitsofmeasure.org"/>
<code value="{tablet}"/>
</quantity>
<daysSupply>
<value value="30"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</daysSupply>
<whenPrepared value="2024-07-28T11:30:00+02:00"/>
<whenHandedOver value="2024-07-28T11:45:00+02:00"/>
<dosageInstruction>
<text
value="Tomar un comprimido de 5mg una vez al día (Take one 5mg tablet once daily)"/>
</dosageInstruction>
<substitution>
<wasSubstituted value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
<code value="G"/>
<display value="Generic composition"/>
</coding>
</type>
<reason>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373873005"/>
<display value="Pharmaceutical / biologic product"/>
</coding>
</reason>
<responsibleParty>
<reference value="urn:uuid:22f7b54c-f251-52fa-a537-2f210b14bac6"/>
<display value="Dra. Carmen Vega Soto"/>
</responsibleParty>
</substitution>
</MedicationDispense>
</resource>
</entry>
</Bundle>