IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft)
IE Medication Events Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
{
"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" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-s3-salbutamol-repeat</b></p><a name=\"hiqa-rx-s3-salbutamol-repeat\"> </a><a name=\"hchiqa-rx-s3-salbutamol-repeat\"> </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>R5: Period over which the medication is to be taken (new)</b>: 2026-09-01 --> 2027-02-28</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-2026-000003-1</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-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-niamh.html\">List for 'Allergies and adverse reactions Document' for '->Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'</a></p><p><b>authoredOn</b>: 2026-09-01 11:05:00+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-2026-000003</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 two puffs when required for breathlessness. 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>2 puffs<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{puff} = '{puff}')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 8 puffs<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{puff} = '{puff}')</span>/24 hours<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeh = 'h')</span></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>MedicationRequest - Prescribed Quantity</b>: 12 inhalers<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{inhaler} = '{inhaler}')</span></p><h3>DispenseIntervals</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>21</td><td>days</td><td><a href=\"http://hl7.org/fhir/uv/xver-r5.r4/0.1.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table><p><b>validityPeriod</b>: 2026-09-01 --> 2027-02-28</p><p><b>numberOfRepeatsAllowed</b>: 5</p><p><b>quantity</b>: 2 inhalers<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code{inhaler} = '{inhaler}')</span></p></blockquote><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" : "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
}
}