{
  "resourceType" : "MedicationRequest",
  "id" : "hiqa-rx-epg15-salbutamol",
  "meta" : {
    "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"]
  },
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-epg15-salbutamol</b></p><a name=\"hiqa-rx-epg15-salbutamol\"> </a><a name=\"hchiqa-rx-epg15-salbutamol\"> </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>IE MPD Patient Age at Prescribing</b>: 5 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p><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-2026-000015-2</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-hiqa-med-salbutamol-inhaler.html\">Medication Salbutamol 100 microgram/actuation pressurised suspension for inhalation</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-oisin-brady.html\">Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-oisin-nilknown.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Oisín Brady (official) Male, DoB: 2021-03-02 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000002)'</a></p><p><b>authoredOn</b>: 2026-10-06 09:40:00+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 195967001}\">Asthma</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-2026-000015</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>: Inhale 1 to 2 puffs through the spacer when needed for wheeze. Maximum 8 puffs in 24 hours</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 447694001}\">Respiratory tract 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>1-2 Actuation</td></tr></table><p><b>maxDosePerPeriod</b>: 8 Actuation<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732981002 = 'Actuation')</span>/24 hours<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></p></blockquote><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2026-10-06 --&gt; 2026-11-06</td><td>200 Actuation<span style=\"background: LightGoldenRodYellow\"> (Details: SNOMED CT  code732981002 = 'Actuation')</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>"
  },
  "extension" : [{
    "url" : "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-patient-age-at-prescribing",
    "valueAge" : {
      "value" : 5,
      "unit" : "years",
      "system" : "http://unitsofmeasure.org",
      "code" : "a"
    }
  }],
  "identifier" : [{
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000015-2"
  }],
  "status" : "active",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "Medication/hiqa-med-salbutamol-inhaler"
  },
  "subject" : {
    "reference" : "Patient/hiqa-patient-oisin-brady"
  },
  "supportingInformation" : [{
    "reference" : "List/hiqa-allergies-oisin-nilknown"
  }],
  "authoredOn" : "2026-10-06T09:40:00+01:00",
  "requester" : {
    "reference" : "PractitionerRole/hiqa-role-gp-nolan"
  },
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "version" : "http://snomed.info/sct/1601000220105",
      "code" : "195967001",
      "display" : "Asthma"
    }]
  }],
  "groupIdentifier" : {
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000015"
  },
  "courseOfTherapyType" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
      "code" : "continuous",
      "display" : "Continuous long term therapy"
    }]
  },
  "dosageInstruction" : [{
    "text" : "Inhale 1 to 2 puffs through the spacer when needed for wheeze. Maximum 8 puffs in 24 hours",
    "asNeededBoolean" : true,
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "version" : "http://snomed.info/sct/1601000220105",
        "code" : "447694001",
        "display" : "Respiratory tract route"
      }]
    },
    "doseAndRate" : [{
      "doseRange" : {
        "low" : {
          "value" : 1,
          "unit" : "Actuation",
          "system" : "http://snomed.info/sct",
          "code" : "732981002"
        },
        "high" : {
          "value" : 2,
          "unit" : "Actuation",
          "system" : "http://snomed.info/sct",
          "code" : "732981002"
        }
      }
    }],
    "maxDosePerPeriod" : {
      "numerator" : {
        "value" : 8,
        "unit" : "Actuation",
        "system" : "http://snomed.info/sct",
        "code" : "732981002"
      },
      "denominator" : {
        "value" : 24,
        "unit" : "hours",
        "system" : "http://unitsofmeasure.org",
        "code" : "h"
      }
    }
  }],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2026-10-06",
      "end" : "2026-11-06"
    },
    "quantity" : {
      "value" : 200,
      "unit" : "Actuation",
      "system" : "http://snomed.info/sct",
      "code" : "732981002"
    }
  },
  "substitution" : {
    "allowedBoolean" : true
  }
}