{
  "resourceType" : "MedicationRequest",
  "id" : "hiqa-rx-s4-oxycodone",
  "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-s4-oxycodone</b></p><a name=\"hiqa-rx-s4-oxycodone\"> </a><a name=\"hchiqa-rx-s4-oxycodone\"> </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 Quantity Prescribed (Words and Figures)</b>: Twenty-eight (28) tablets</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-2026-000004-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-hiqa-med-oxycodone-10-pr.html\">Medication Oxycodone hydrochloride 10 mg prolonged-release oral tablet</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-declan-walsh.html\">Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-declan-nilknown.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Declan Walsh (official) Male, DoB: 1961-11-30 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000004)'</a></p><p><b>authoredOn</b>: 2026-09-15 15:10:00+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 82423001}\">Chronic pain</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-2026-000004</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>: Take one tablet every 12 hours. Swallow whole; do not crush or chew</p><p><b>timing</b>: Once per 12 hours</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 26643006}\">Oral 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 tablet<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>MedicationRequest - Prescribed Quantity</b>: 28 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></p><p><b>IE MPD Number of Instalments</b>: 2</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>7</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>: 2026-09-15 --&gt; 2026-09-29</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 14 tablets<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{tablet} = '{tablet}')</span></p></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td><td><span title=\"Codes:\">Prolonged-release opioid: keep the same brand to avoid differences in release profile</span></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-quantity-in-words-and-figures",
    "valueString" : "Twenty-eight (28) tablets"
  }],
  "identifier" : [{
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000004-1"
  }],
  "status" : "active",
  "intent" : "order",
  "medicationReference" : {
    "reference" : "Medication/hiqa-med-oxycodone-10-pr"
  },
  "subject" : {
    "reference" : "Patient/hiqa-patient-declan-walsh"
  },
  "supportingInformation" : [{
    "reference" : "List/hiqa-allergies-declan-nilknown"
  }],
  "authoredOn" : "2026-09-15T15:10:00+01:00",
  "requester" : {
    "reference" : "PractitionerRole/hiqa-role-gp-nolan"
  },
  "reasonCode" : [{
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "82423001",
      "display" : "Chronic pain"
    }]
  }],
  "groupIdentifier" : {
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "9-RX-2026-000004"
  },
  "courseOfTherapyType" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
      "code" : "continuous",
      "display" : "Continuous long term therapy"
    }]
  },
  "dosageInstruction" : [{
    "text" : "Take one tablet every 12 hours. Swallow whole; do not crush or chew",
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 12,
        "periodUnit" : "h"
      }
    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "26643006",
        "display" : "Oral route"
      }]
    },
    "doseAndRate" : [{
      "doseQuantity" : {
        "value" : 1,
        "unit" : "tablet",
        "system" : "http://unitsofmeasure.org",
        "code" : "{tablet}"
      }
    }]
  }],
  "dispenseRequest" : {
    "extension" : [{
      "url" : "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity",
      "valueQuantity" : {
        "value" : 28,
        "unit" : "tablets",
        "system" : "http://unitsofmeasure.org",
        "code" : "{tablet}"
      }
    },
    {
      "url" : "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-number-of-instalments",
      "valuePositiveInt" : 2
    }],
    "dispenseInterval" : {
      "value" : 7,
      "unit" : "days",
      "system" : "http://unitsofmeasure.org",
      "code" : "d"
    },
    "validityPeriod" : {
      "start" : "2026-09-15",
      "end" : "2026-09-29"
    },
    "numberOfRepeatsAllowed" : 0,
    "quantity" : {
      "value" : 14,
      "unit" : "tablets",
      "system" : "http://unitsofmeasure.org",
      "code" : "{tablet}"
    }
  },
  "substitution" : {
    "allowedBoolean" : false,
    "reason" : {
      "text" : "Prolonged-release opioid: keep the same brand to avoid differences in release profile"
    }
  }
}