IE Medication Events Implementation Guide
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: ePG 12 – eP 1: insulin glargine 20 units at bedtime - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "hiqa-rx-epg12-glargine",
  "meta" : {
    "profile" : [
      🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg12-glargine</b></p><a name=\"hiqa-rx-epg12-glargine\"> </a><a name=\"hchiqa-rx-epg12-glargine\"> </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>/9-RX-2026-000012-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-ie-medication-insulin-glargine.html\">Medication Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-tomas-quinn.html\">Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-tomas-nilknown.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Tomás Quinn (official) Male, DoB: 1979-06-21 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000001)'</a></p><p><b>authoredOn</b>: 2026-10-02 11:00:00+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 46635009}\">Type 1 diabetes mellitus</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-2026-000012</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>: Inject 20 units under the skin at bedtime</p><p><b>timing</b>: before sleeping, Once per 1 day</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous 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>20 units<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-10-02 --&gt; 2027-04-01</td><td>3</td><td>5 Pen<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code733006000 = 'Pen')</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>"
  },
  "identifier" : [
    {
      "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
      "value" : "9-RX-2026-000012-1"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "medicationReference" : {
    🔗 "reference" : "Medication/ie-medication-insulin-glargine"
  },
  "subject" : {
    🔗 "reference" : "Patient/hiqa-patient-tomas-quinn"
  },
  "supportingInformation" : [
    {
      🔗 "reference" : "List/hiqa-allergies-tomas-nilknown"
    }
  ],
  "authoredOn" : "2026-10-02T11:00:00+01:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/hiqa-role-gp-nolan"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/1601000220105",
          "code" : "46635009",
          "display" : "Type 1 diabetes mellitus"
        }
      ]
    }
  ],
  "groupIdentifier" : {
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000012"
  },
  "courseOfTherapyType" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
        "code" : "continuous",
        "display" : "Continuous long term therapy"
      }
    ]
  },
  "dosageInstruction" : [
    {
      "text" : "Inject 20 units under the skin at bedtime",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d",
          "when" : [
            "HS"
          ]
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/1601000220105",
            "code" : "34206005",
            "display" : "Subcutaneous route"
          }
        ]
      },
      "doseAndRate" : [
        {
          "doseQuantity" : {
            "value" : 20,
            "unit" : "units",
            "system" : "http://unitsofmeasure.org",
            "code" : "[iU]"
          }
        }
      ]
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2026-10-02",
      "end" : "2027-04-01"
    },
    "numberOfRepeatsAllowed" : 3,
    "quantity" : {
      "value" : 5,
      "unit" : "Pen",
      "system" : "http://snomed.info/sct",
      "code" : "733006000"
    }
  },
  "substitution" : {
    "allowedBoolean" : true
  }
}