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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="ie-rx-sean-se-insulin-glargine"/>
  <meta>
    <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription"/>
  </meta>
  <text>
    <status value="generated"/><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>
  </text>
  <identifier>
    <system value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
    <value value="PCRS-RX-2025-IE-SE-001"/>
  </identifier>
  <identifier>
    <system value="http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier"/>
    <value value="IE/SE/1234567T"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
      <code value="community"/>
      <display value="Community"/>
    </coding>
  </category>
  <medicationReference>
    <reference value="Medication/ie-medication-insulin-glargine"/>
  </medicationReference>
  <subject>
    <reference value="Patient/ie-mpd-patient-sean-murphy"/>
    <display value="Seán Murphy"/>
  </subject>
  <authoredOn value="2025-07-05"/>
  <requester>
    <reference value="Practitioner/ie-mpd-practitioner-aoife-obrien"/>
    <display value="Dr. Aoife O'Brien"/>
  </requester>
  <reasonCode>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/1601000220105"/>
      <code value="44054006"/>
      <display value="Type 2 diabetes mellitus"/>
    </coding>
  </reasonCode>
  <groupIdentifier>
    <system value="https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps"/>
    <value value="IE-GP-RX-GROUP-20250710-SE"/>
  </groupIdentifier>
  <dosageInstruction>
    <text value="Inject 20 units subcutaneously once daily at bedtime"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
        <when value="HS"/>
      </repeat>
    </timing>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <version value="http://snomed.info/sct/1601000220105"/>
        <code value="34206005"/>
        <display value="Subcutaneous route"/>
      </coding>
    </route>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2025-07-05"/>
      <end value="2025-10-05"/>
    </validityPeriod>
    <quantity>
      <value value="5"/>
      <unit value="cartridges"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="{cartridge}"/>
    </quantity>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="false"/>
    <reason>
      <text value="Biological medicine: excluded from the HPRA List of Interchangeable Medicines (HIQA EP 3.5.10)."/>
    </reason>
  </substitution>
</MedicationRequest>