IE Medication Events Implementation Guide
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: Scenario 8 (IE→SE) – Prescription: Insulin Glargine for Sweden - JSON Representation

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{
  "resourceType" : "MedicationRequest",
  "id" : "ie-rx-sean-se-insulin-glargine",
  "meta" : {
    "profile" : [
      🔗 "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest ie-rx-sean-se-insulin-glargine</b></p><a name=\"ie-rx-sean-se-insulin-glargine\"> </a><a name=\"hcie-rx-sean-se-insulin-glargine\"> </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>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>/PCRS-RX-2025-IE-SE-001, <code>http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier</code>/IE/SE/1234567T</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-category community}\">Community</span></p><p><b>medication</b>: <a href=\"Medication-ie-medication-insulin-glargine.html\">Medication Insulin glargine 100 units/1 mL solution for injection 3 mL pre-filled pen</a></p><p><b>subject</b>: <a href=\"Patient-ie-mpd-patient-sean-murphy.html\">Seán Murphy</a></p><p><b>authoredOn</b>: 2025-07-05</p><p><b>requester</b>: <a href=\"Practitioner-ie-mpd-practitioner-aoife-obrien.html\">Dr. Aoife O'Brien</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 44054006}\">Type 2 diabetes mellitus</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>/IE-GP-RX-GROUP-20250710-SE</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td><td><b>Timing</b></td><td><b>Route</b></td></tr><tr><td style=\"display: none\">*</td><td>Inject 20 units subcutaneously once daily at bedtime</td><td>before sleeping, Once per 1 day</td><td><span title=\"Codes:{http://snomed.info/sct 34206005}\">Subcutaneous route</span></td></tr></table><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2025-07-05 --&gt; 2025-10-05</td><td>5 cartridges<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{cartridge} = '{cartridge}')</span></td></tr></table><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:\">Biological medicine: excluded from the HPRA List of Interchangeable Medicines (HIQA EP 3.5.10).</span></td></tr></table></div>"
  },
  "identifier" : [
    {
      "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
      "value" : "PCRS-RX-2025-IE-SE-001"
    },
    {
      "system" : "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier",
      "value" : "IE/SE/1234567T"
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code" : "community",
          "display" : "Community"
        }
      ]
    }
  ],
  "medicationReference" : {
    🔗 "reference" : "Medication/ie-medication-insulin-glargine"
  },
  "subject" : {
    🔗 "reference" : "Patient/ie-mpd-patient-sean-murphy",
    "display" : "Seán Murphy"
  },
  "authoredOn" : "2025-07-05",
  "requester" : {
    🔗 "reference" : "Practitioner/ie-mpd-practitioner-aoife-obrien",
    "display" : "Dr. Aoife O'Brien"
  },
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "version" : "http://snomed.info/sct/1601000220105",
          "code" : "44054006",
          "display" : "Type 2 diabetes mellitus"
        }
      ]
    }
  ],
  "groupIdentifier" : {
    "system" : "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value" : "IE-GP-RX-GROUP-20250710-SE"
  },
  "dosageInstruction" : [
    {
      "text" : "Inject 20 units subcutaneously once daily at bedtime",
      "timing" : {
        "repeat" : {
          "frequency" : 1,
          "period" : 1,
          "periodUnit" : "d",
          "when" : [
            "HS"
          ]
        }
      },
      "route" : {
        "coding" : [
          {
            "system" : "http://snomed.info/sct",
            "version" : "http://snomed.info/sct/1601000220105",
            "code" : "34206005",
            "display" : "Subcutaneous route"
          }
        ]
      }
    }
  ],
  "dispenseRequest" : {
    "validityPeriod" : {
      "start" : "2025-07-05",
      "end" : "2025-10-05"
    },
    "quantity" : {
      "value" : 5,
      "unit" : "cartridges",
      "system" : "http://unitsofmeasure.org",
      "code" : "{cartridge}"
    }
  },
  "substitution" : {
    "allowedBoolean" : false,
    "reason" : {
      "text" : "Biological medicine: excluded from the HPRA List of Interchangeable Medicines (HIQA EP 3.5.10)."
    }
  }
}