{
  "resourceType" : "MedicationDispense",
  "id" : "hiqa-md-s4-instalment-1",
  "meta" : {
    "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationdispense-edispensation"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationDispense hiqa-md-s4-instalment-1</b></p><a name=\"hiqa-md-s4-instalment-1\"> </a><a name=\"hchiqa-md-s4-instalment-1\"> </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>: 2026-09-15 17:30:00+0100</p><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.3.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:d8cf455d-96e1-501f-bc6e-c77571385620</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href=\"Medication-hiqa-med-oxycodone-10-pr.html\">Medication Oxycodone hydrochloride 10 mg prolonged-release oral tablet</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-declan-walsh.html\">Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)</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=\"Practitioner-hiqa-prac-pharmacist-farrell.html\">Practitioner Eoin Farrell (official)</a></td></tr></table><p><b>authorizingPrescription</b>: <a href=\"MedicationRequest-hiqa-rx-s4-oxycodone.html\">MedicationRequest: extension = Twenty-eight (28) tablets; identifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000004-1; status = active; intent = order; medication[x] = -&gt;Medication Oxycodone hydrochloride 10 mg prolonged-release oral tablet; authoredOn = 2026-09-15 15:10:00+0100; reasonCode = Chronic pain; groupIdentifier = https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps#IEMpdNamingSystemNePSPrescription#9-RX-2026-000004; courseOfTherapyType = Continuous long term therapy</a></p><p><b>type</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode FFP}\">First Fill - Part Fill</span></p><p><b>quantity</b>: 14 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></p><p><b>whenHandedOver</b>: 2026-09-15 17:25:00+0100</p><p><b>note</b>: </p><blockquote><div><p>Instalment 1 of 2. Next instalment due on or after 22/09/2026.</p>\n</div></blockquote><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>Take one tablet every 12 hours. Swallow whole; do not crush or chew</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>WasSubstituted</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td></tr></table></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded",
    "valueDateTime" : "2026-09-15T17:30:00+01:00"
  }],
  "identifier" : [{
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:d8cf455d-96e1-501f-bc6e-c77571385620"
  }],
  "status" : "completed",
  "medicationReference" : {
    "reference" : "Medication/hiqa-med-oxycodone-10-pr"
  },
  "subject" : {
    "reference" : "Patient/hiqa-patient-declan-walsh"
  },
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/hiqa-prac-pharmacist-farrell"
    }
  }],
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/hiqa-rx-s4-oxycodone"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "FFP",
      "display" : "First Fill - Part Fill"
    }]
  },
  "quantity" : {
    "value" : 14,
    "unit" : "tablets",
    "system" : "http://unitsofmeasure.org",
    "code" : "{tablet}"
  },
  "whenHandedOver" : "2026-09-15T17:25:00+01:00",
  "note" : [{
    "text" : "Instalment 1 of 2. Next instalment due on or after 22/09/2026."
  }],
  "dosageInstruction" : [{
    "text" : "Take one tablet every 12 hours. Swallow whole; do not crush or chew"
  }],
  "substitution" : {
    "wasSubstituted" : false
  }
}