{ "resourceType" : "MedicationRequest", "id" : "hiqa-rx-s3-salbutamol-repeat", "meta" : { "profile" : ["https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"] }, "text" : { "status" : "extensions", "div" : "

Generated Narrative: MedicationRequest hiqa-rx-s3-salbutamol-repeat

Profile: IE MPD MedicationRequest (ePrescription)

R5: Period over which the medication is to be taken (new): 2026-09-01 --> 2027-02-28

identifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000003-1

status: Active

intent: Order

medication: Medication Salbutamol 100 microgram/actuation pressurised suspension for inhalation

subject: Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)

supportingInformation: List for 'Allergies and adverse reactions Document' for '->Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'

authoredOn: 2026-09-01 11:05:00+0100

requester: PractitionerRole: telecom = ph: +353 90 000 0001(Work),clodagh.nolan@riverside-practice.example.org(Work)

reasonCode: Asthma

groupIdentifier: IEMpdNamingSystemNePSPrescription/9-RX-2026-000003

courseOfTherapyType: Continuous long term therapy

dosageInstruction

text: Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours

asNeeded: true

route: Respiratory tract route

DoseAndRates

-Dose[x]
*2 puffs (Details: UCUM code{puff} = '{puff}')

maxDosePerPeriod: 8 puffs (Details: UCUM code{puff} = '{puff}')/24 hours (Details: UCUM codeh = 'h')

dispenseRequest

MedicationRequest - Prescribed Quantity: 12 inhalers (Details: UCUM code{inhaler} = '{inhaler}')

DispenseIntervals

-ValueUnitSystemCode
*21dayshttp://unitsofmeasure.orgd

validityPeriod: 2026-09-01 --> 2027-02-28

numberOfRepeatsAllowed: 5

quantity: 2 inhalers (Details: UCUM code{inhaler} = '{inhaler}')

Substitutions

-Allowed[x]
*true
" }, "extension" : [{ "url" : "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod", "valuePeriod" : { "start" : "2026-09-01", "end" : "2027-02-28" } }], "identifier" : [{ "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "9-RX-2026-000003-1" }], "status" : "active", "intent" : "order", "medicationReference" : { "reference" : "Medication/hiqa-med-salbutamol-inhaler" }, "subject" : { "reference" : "Patient/hiqa-patient-niamh-keane" }, "supportingInformation" : [{ "reference" : "List/hiqa-allergies-niamh" }], "authoredOn" : "2026-09-01T11:05:00+01:00", "requester" : { "reference" : "PractitionerRole/hiqa-role-gp-nolan" }, "reasonCode" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "195967001", "display" : "Asthma" }] }], "groupIdentifier" : { "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps", "value" : "9-RX-2026-000003" }, "courseOfTherapyType" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy", "code" : "continuous", "display" : "Continuous long term therapy" }] }, "dosageInstruction" : [{ "text" : "Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours", "asNeededBoolean" : true, "route" : { "coding" : [{ "system" : "http://snomed.info/sct", "code" : "447694001", "display" : "Respiratory tract route" }] }, "doseAndRate" : [{ "doseQuantity" : { "value" : 2, "unit" : "puffs", "system" : "http://unitsofmeasure.org", "code" : "{puff}" } }], "maxDosePerPeriod" : { "numerator" : { "value" : 8, "unit" : "puffs", "system" : "http://unitsofmeasure.org", "code" : "{puff}" }, "denominator" : { "value" : 24, "unit" : "hours", "system" : "http://unitsofmeasure.org", "code" : "h" } } }], "dispenseRequest" : { "extension" : [{ "url" : "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity", "valueQuantity" : { "value" : 12, "unit" : "inhalers", "system" : "http://unitsofmeasure.org", "code" : "{inhaler}" } }], "dispenseInterval" : { "value" : 21, "unit" : "days", "system" : "http://unitsofmeasure.org", "code" : "d" }, "validityPeriod" : { "start" : "2026-09-01", "end" : "2027-02-28" }, "numberOfRepeatsAllowed" : 5, "quantity" : { "value" : 2, "unit" : "inhalers", "system" : "http://unitsofmeasure.org", "code" : "{inhaler}" } }, "substitution" : { "allowedBoolean" : true } }