{ "resourceType" : "Bundle", "id" : "ie-bundle-to-de-eprescription", "meta" : { "profile" : ["http://hl7.org/fhir/StructureDefinition/Bundle"] }, "type" : "collection", "timestamp" : "2025-01-20T10:00:00+01:00", "entry" : [{ "fullUrl" : "urn:uuid:80858291-1d72-5f01-b5bf-3a1427320ba9", "resource" : { "resourceType" : "Patient", "id" : "patient-sean-murphy", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-eprescription"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-sean-murphy

Profile: IE MPD Patient (ePrescription/eDispensation)

Seán Patrick Murphy (official) Male, DoB: 1975-03-15 ( National unique individual identifier: IEMpdNamingSystemIHI#210000000099887766)

Active:true
Other Ids:
  • Jurisdictional health number/1234567T
  • National unique individual identifier/IE/DE/1234567T
Contact Detail
Language:English (preferred)
Person Recorded Sex Or Gender:
  • value: Male
  • type: Sex assigned at birth
" }, "extension" : [{ "extension" : [{ "url" : "value", "valueCodeableConcept" : { "coding" : [{ "system" : "http://hl7.org/fhir/administrative-gender", "code" : "male", "display" : "Male" }] } }, { "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" : "210000000099887766" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "JHN" }] }, "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/pps", "value" : "1234567T" }, { "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "NI", "display" : "National unique individual identifier" }] }, "system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier", "value" : "IE/DE/1234567T", "_value" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/rendered-value", "valueString" : "eIDAS cross-border patient identifier (Ireland → Germany)" }] } }], "active" : true, "name" : [{ "use" : "official", "family" : "Murphy", "given" : ["Seán", "Patrick"], "prefix" : ["Mr."] }], "telecom" : [{ "system" : "phone", "value" : "+353 87 900 1234", "use" : "mobile" }], "gender" : "male", "birthDate" : "1975-03-15", "address" : [{ "use" : "home", "type" : "physical", "line" : ["14 Grafton Street"], "city" : "Dublin 2", "state" : "Dublin", "postalCode" : "D02 XY45", "country" : "IE" }], "communication" : [{ "language" : { "coding" : [{ "system" : "urn:ietf:bcp:47", "code" : "en", "display" : "English" }] }, "preferred" : true }] } }, { "fullUrl" : "urn:uuid:f6ae4c82-db5b-5024-b472-a1582886e3ce", "resource" : { "resourceType" : "Practitioner", "id" : "practitioner-aoife-obrien", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-practitioner"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Practitioner practitioner-aoife-obrien

Profile: IE MPD Practitioner

identifier: Medical License number/GP-IE-12345

active: true

name: Aoife O'Brien (Official)

telecom: +353 1 677 1234

address: 14 Grafton Street Dublin 2 D02 XY45 IE (work)

gender: Female

Qualifications

-Code
*General practitioner
" }, "identifier" : [{ "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MD", "display" : "Medical License number" }] }, "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/imc", "value" : "GP-IE-12345" }], "active" : true, "name" : [{ "use" : "official", "family" : "O'Brien", "given" : ["Aoife"], "prefix" : ["Dr."] }], "telecom" : [{ "system" : "phone", "value" : "+353 1 677 1234", "use" : "work" }], "address" : [{ "use" : "work", "line" : ["14 Grafton Street"], "city" : "Dublin 2", "postalCode" : "D02 XY45", "country" : "IE" }], "gender" : "female", "qualification" : [{ "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "62247001", "display" : "General practitioner" }] } }] } }, { "fullUrl" : "urn:uuid:ff72d437-b173-500c-9baf-4e2e1a3e6ce5", "resource" : { "resourceType" : "Organization", "id" : "org-grafton-medical", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-organization"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization org-grafton-medical

Profile: IE MPD Organization

active: true

type: Healthcare Provider

name: Grafton Street Medical Practice

address: 14 Grafton Street Dublin 2 D02 XY45 IE (work)

" }, "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov", "display" : "Healthcare Provider" }] }], "name" : "Grafton Street Medical Practice", "address" : [{ "use" : "work", "line" : ["14 Grafton Street"], "city" : "Dublin 2", "postalCode" : "D02 XY45", "country" : "IE" }] } }, { "fullUrl" : "urn:uuid:3ab51105-7364-58f5-a3d6-f9bc50690c12", "resource" : { "resourceType" : "AllergyIntolerance", "id" : "allergy-penicillin", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-allergyintolerance"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: AllergyIntolerance allergy-penicillin

Profile: IE MPD AllergyIntolerance

clinicalStatus: Active

verificationStatus: Confirmed

type: Allergy

category: Medication

criticality: High Risk

code: Penicillin / Amoxicillin — ALL penicillin-class antibiotics

patient: Seán Patrick Murphy (official) Male, DoB: 1975-03-15 ( https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/ihi#IEMpdNamingSystemIHI#210000000099887766)

onset: 1995-01-01

Reactions

-SubstanceManifestationDescriptionSeverity
*AmoxicillinAnaphylaxis⚠️ CRITICAL: Anaphylaxis. Do NOT dispense penicillin-class antibiotics.Severe
" }, "clinicalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code" : "active" }] }, "verificationStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code" : "confirmed" }] }, "type" : "allergy", "category" : ["medication"], "criticality" : "high", "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "372687004", "display" : "Amoxicillin" }], "text" : "Penicillin / Amoxicillin — ALL penicillin-class antibiotics" }, "patient" : { "reference" : "urn:uuid:80858291-1d72-5f01-b5bf-3a1427320ba9" }, "onsetDateTime" : "1995-01-01", "reaction" : [{ "substance" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "372687004", "display" : "Amoxicillin" }] }, "manifestation" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "39579001", "display" : "Anaphylaxis" }] }], "description" : "⚠️ CRITICAL: Anaphylaxis. Do NOT dispense penicillin-class antibiotics.", "severity" : "severe" }] } }, { "fullUrl" : "urn:uuid:d33355f3-e1b4-5bcb-8f00-4c3864063ae1", "resource" : { "resourceType" : "Organization", "id" : "org-de-apotheke-brandenburger", "text" : { "status" : "generated", "div" : "

Generated Narrative: Organization org-de-apotheke-brandenburger

identifier: DE-APO-10117-001

active: true

type: Healthcare Provider

name: Apotheke am Brandenburger Tor

telecom: +49 30 202 64 14

address: Pariser Platz 1 Berlin 10117 DE (work)

" }, "identifier" : [{ "value" : "DE-APO-10117-001", "assigner" : { "display" : "Issuing authority in Germany (illustrative)" } }], "active" : true, "type" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/organization-type", "code" : "prov" }] }], "name" : "Apotheke am Brandenburger Tor", "telecom" : [{ "system" : "phone", "value" : "+49 30 202 64 14", "use" : "work" }], "address" : [{ "use" : "work", "line" : ["Pariser Platz 1"], "city" : "Berlin", "postalCode" : "10117", "country" : "DE" }] } }, { "fullUrl" : "urn:uuid:f0eb8add-fd90-5f1a-97ef-782f7817db63", "resource" : { "resourceType" : "Medication", "id" : "medication-metformin-500", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication medication-metformin-500

Profile: IE MPD Medication (ePrescription/eDispensation)

code: Metformin 500mg tablets

form: Tablet

Ingredients

-Item[x]IsActiveStrength
*Metformintrue500 mg (Details: UCUM codemg = 'mg')/1 tablet (Details: UCUM code{tablet} = '{tablet}')
" }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "372567009", "display" : "Metformin" }, { "system" : "http://www.whocc.no/atc", "code" : "A10BA02", "display" : "Metformin" }], "text" : "Metformin 500mg tablets" }, "form" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385055001", "display" : "Tablet" }] }, "ingredient" : [{ "itemCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "372567009", "display" : "Metformin" }] }, "isActive" : true, "strength" : { "numerator" : { "value" : 500, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "tablet", "system" : "http://unitsofmeasure.org", "code" : "{tablet}" } } }] } }, { "fullUrl" : "urn:uuid:90e30fe4-70a2-569d-927b-4666c2cc7866", "resource" : { "resourceType" : "Medication", "id" : "medication-lisinopril-10", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medication-eprescription"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: Medication medication-lisinopril-10

Profile: IE MPD Medication (ePrescription/eDispensation)

code: Lisinopril 10mg tablets

form: Tablet

Ingredients

-Item[x]IsActiveStrength
*Lisinopriltrue10 mg (Details: UCUM codemg = 'mg')/1 tablet (Details: UCUM code{tablet} = '{tablet}')
" }, "code" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "386873009", "display" : "Lisinopril" }, { "system" : "http://www.whocc.no/atc", "code" : "C09AA03", "display" : "Lisinopril" }], "text" : "Lisinopril 10mg tablets" }, "form" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "385055001", "display" : "Tablet" }] }, "ingredient" : [{ "itemCodeableConcept" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "386873009", "display" : "Lisinopril" }] }, "isActive" : true, "strength" : { "numerator" : { "value" : 10, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" }, "denominator" : { "value" : 1, "unit" : "tablet", "system" : "http://unitsofmeasure.org", "code" : "{tablet}" } } }] } }, { "fullUrl" : "urn:uuid:6e19310f-cfab-58d7-b5e0-f633adb8dd4e", "resource" : { "resourceType" : "MedicationRequest", "id" : "rx-ie-de-metformin", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest rx-ie-de-metformin

Profile: IE MPD MedicationRequest (ePrescription)

identifier: IEMpdNamingSystemNePSPrescription/PCRS-RX-2025-IE-DE-001, http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier/IE/DE/1234567T

status: Active

intent: Order

category: Community

medication: Medication Metformin

subject: Seán Murphy

authoredOn: 2025-01-15

requester: Dr. Aoife O'Brien

reasonCode: Diabetes mellitus type 2

groupIdentifier: IEMpdNamingSystemNePSPrescription/IE-GP-RX-GROUP-20250120-DE

note:

Cross-border ePrescription transmitted via MyHealth@EU. Valid for 90 days from date of issue (Arzneimittelgesetz §48).

\n

dosageInstruction

text: Take one 500mg tablet twice daily with meals

timing: 2 per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*500 mg (Details: UCUM codemg = 'mg')

dispenseRequest

validityPeriod: 2025-01-15 --> 2025-04-15

numberOfRepeatsAllowed: 0

quantity: 60 tablets (Details: UCUM code{tablet} = '{tablet}')

ExpectedSupplyDurations

-ValueUnitSystemCode
*30dayshttp://unitsofmeasure.orgd

Substitutions

-Allowed[x]
*true
" }, "identifier" : [{ "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "PCRS-RX-2025-IE-DE-001" }, { "system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier", "value" : "IE/DE/1234567T" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "community", "display" : "Community" }] }], "medicationReference" : { "reference" : "urn:uuid:f0eb8add-fd90-5f1a-97ef-782f7817db63" }, "subject" : { "reference" : "urn:uuid:80858291-1d72-5f01-b5bf-3a1427320ba9", "display" : "Seán Murphy" }, "authoredOn" : "2025-01-15", "requester" : { "reference" : "urn:uuid:f6ae4c82-db5b-5024-b472-a1582886e3ce", "display" : "Dr. Aoife O'Brien" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "44054006", "display" : "Diabetes mellitus type 2" }, { "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "E11", "display" : "Type 2 diabetes mellitus" }] }], "groupIdentifier" : { "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "IE-GP-RX-GROUP-20250120-DE" }, "note" : [{ "text" : "Cross-border ePrescription transmitted via MyHealth@EU. Valid for 90 days from date of issue (Arzneimittelgesetz §48)." }], "dosageInstruction" : [{ "text" : "Take one 500mg tablet twice daily with meals", "timing" : { "repeat" : { "frequency" : 2, "period" : 1, "periodUnit" : "d" } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 500, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }], "dispenseRequest" : { "validityPeriod" : { "start" : "2025-01-15", "end" : "2025-04-15" }, "numberOfRepeatsAllowed" : 0, "quantity" : { "value" : 60, "unit" : "tablets", "system" : "http://unitsofmeasure.org", "code" : "{tablet}" }, "expectedSupplyDuration" : { "value" : 30, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" } }, "substitution" : { "allowedBoolean" : true } } }, { "fullUrl" : "urn:uuid:abc0b5d5-799f-54d3-b6db-fc8d0b01f5dc", "resource" : { "resourceType" : "MedicationRequest", "id" : "rx-ie-de-lisinopril", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"] }, "text" : { "status" : "generated", "div" : "

Generated Narrative: MedicationRequest rx-ie-de-lisinopril

Profile: IE MPD MedicationRequest (ePrescription)

identifier: IEMpdNamingSystemNePSPrescription/PCRS-RX-2025-IE-DE-002, http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier/IE/DE/1234567T

status: Active

intent: Order

category: Community

medication: Medication Lisinopril

subject: Seán Murphy

authoredOn: 2025-01-15

requester: Dr. Aoife O'Brien

reasonCode: Hypertensive disorder

groupIdentifier: IEMpdNamingSystemNePSPrescription/IE-GP-RX-GROUP-20250120-DE

note:

Cross-border ePrescription transmitted via MyHealth@EU. Valid for 90 days (Arzneimittelgesetz §48).

\n

dosageInstruction

text: Take one 10mg tablet once daily in the morning

timing: Morning, Once per 1 day

route: Oral route

DoseAndRates

-Dose[x]
*10 mg (Details: UCUM codemg = 'mg')

dispenseRequest

validityPeriod: 2025-01-15 --> 2025-04-15

numberOfRepeatsAllowed: 0

quantity: 28 tablets (Details: UCUM code{tablet} = '{tablet}')

ExpectedSupplyDurations

-ValueUnitSystemCode
*28dayshttp://unitsofmeasure.orgd

Substitutions

-Allowed[x]
*true
" }, "identifier" : [{ "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "PCRS-RX-2025-IE-DE-002" }, { "system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier", "value" : "IE/DE/1234567T" }], "status" : "active", "intent" : "order", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category", "code" : "community", "display" : "Community" }] }], "medicationReference" : { "reference" : "urn:uuid:90e30fe4-70a2-569d-927b-4666c2cc7866" }, "subject" : { "reference" : "urn:uuid:80858291-1d72-5f01-b5bf-3a1427320ba9", "display" : "Seán Murphy" }, "authoredOn" : "2025-01-15", "requester" : { "reference" : "urn:uuid:f6ae4c82-db5b-5024-b472-a1582886e3ce", "display" : "Dr. Aoife O'Brien" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "38341003", "display" : "Hypertensive disorder" }, { "system" : "http://hl7.org/fhir/sid/icd-10", "code" : "I10", "display" : "Essential (primary) hypertension" }] }], "groupIdentifier" : { "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "IE-GP-RX-GROUP-20250120-DE" }, "note" : [{ "text" : "Cross-border ePrescription transmitted via MyHealth@EU. Valid for 90 days (Arzneimittelgesetz §48)." }], "dosageInstruction" : [{ "text" : "Take one 10mg tablet once daily in the morning", "timing" : { "repeat" : { "frequency" : 1, "period" : 1, "periodUnit" : "d", "when" : ["MORN"] } }, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "26643006", "display" : "Oral route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 10, "unit" : "mg", "system" : "http://unitsofmeasure.org", "code" : "mg" } }] }], "dispenseRequest" : { "validityPeriod" : { "start" : "2025-01-15", "end" : "2025-04-15" }, "numberOfRepeatsAllowed" : 0, "quantity" : { "value" : 28, "unit" : "tablets", "system" : "http://unitsofmeasure.org", "code" : "{tablet}" }, "expectedSupplyDuration" : { "value" : 28, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" } }, "substitution" : { "allowedBoolean" : true } } }] }