<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="hiqa-rx-s3-salbutamol-repeat"/>
  <meta>
    <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
  </meta>
  <text>
    <status value="extensions"/><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 --&gt; 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 '-&gt;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 --&gt; 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>
  </text>
  <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod">
    <valuePeriod>
      <start value="2026-09-01"/>
      <end value="2027-02-28"/>
    </valuePeriod>
  </extension>
  <identifier>
    <system value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
    <value value="9-RX-2026-000003-1"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <medicationReference>
    <reference value="Medication/hiqa-med-salbutamol-inhaler"/>
  </medicationReference>
  <subject>
    <reference value="Patient/hiqa-patient-niamh-keane"/>
  </subject>
  <supportingInformation>
    <reference value="List/hiqa-allergies-niamh"/>
  </supportingInformation>
  <authoredOn value="2026-09-01T11:05:00+01:00"/>
  <requester>
    <reference value="PractitionerRole/hiqa-role-gp-nolan"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="195967001"/>
      <display value="Asthma"/>
    </coding>
  </reasonCode>
  <groupIdentifier>
    <system value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
    <value value="9-RX-2026-000003"/>
  </groupIdentifier>
  <courseOfTherapyType>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy"/>
      <code value="continuous"/>
      <display value="Continuous long term therapy"/>
    </coding>
  </courseOfTherapyType>
  <dosageInstruction>
    <text value="Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours"/>
    <asNeededBoolean value="true"/>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="447694001"/>
        <display value="Respiratory tract route"/>
      </coding>
    </route>
    <doseAndRate>
      <doseQuantity>
        <value value="2"/>
        <unit value="puffs"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="{puff}"/>
      </doseQuantity>
    </doseAndRate>
    <maxDosePerPeriod>
      <numerator>
        <value value="8"/>
        <unit value="puffs"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="{puff}"/>
      </numerator>
      <denominator>
        <value value="24"/>
        <unit value="hours"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="h"/>
      </denominator>
    </maxDosePerPeriod>
  </dosageInstruction>
  <dispenseRequest>
    <extension url="https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity">
      <valueQuantity>
        <value value="12"/>
        <unit value="inhalers"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="{inhaler}"/>
      </valueQuantity>
    </extension>
    <dispenseInterval>
      <value value="21"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </dispenseInterval>
    <validityPeriod>
      <start value="2026-09-01"/>
      <end value="2027-02-28"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="5"/>
    <quantity>
      <value value="2"/>
      <unit value="inhalers"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{inhaler}"/>
    </quantity>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
  </substitution>
</MedicationRequest>