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
<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 --> 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>
</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>