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

<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="ie-mpd-dosage-ex-concurrent-insulin"/>
  <meta>
    <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationstatement"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationStatement ie-mpd-dosage-ex-concurrent-insulin</b></p><a name="ie-mpd-dosage-ex-concurrent-insulin"> </a><a name="hcie-mpd-dosage-ex-concurrent-insulin"> </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-medicationstatement.html">IE MPD MedicationStatement</a></p></div><p><b>status</b>: Active</p><p><b>medication</b>: <span title="Codes:{http://snomed.info/sct 525351000220105}">Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge</span></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>effective</b>: 2026-08-01 --&gt; (ongoing)</p><p><b>informationSource</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><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 6 units before breakfast</p><p><b>timing</b>: before breakfast, Once per 1 day</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 34206005}">Subcutaneous 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>6 units<span style="background: LightGoldenRodYellow"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 4 units before lunch</p><p><b>timing</b>: before lunch, Once per 1 day</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 34206005}">Subcutaneous 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>4 units<span style="background: LightGoldenRodYellow"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Inject 8 units before the evening meal</p><p><b>timing</b>: before dinner, Once per 1 day</p><p><b>route</b>: <span title="Codes:{http://snomed.info/sct 34206005}">Subcutaneous 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>8 units<span style="background: LightGoldenRodYellow"> (Details: UCUM  code[iU] = '[iU]')</span></td></tr></table></blockquote></div>
  </text>
  <status value="active"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <version value="http://snomed.info/sct/1601000220105"/>
      <code value="525351000220105"/>
      <display value="Insulin aspart 100 units/1 mL solution for injection 3 mL cartridge"/>
    </coding>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/hiqa-patient-declan-walsh"/>
  </subject>
  <effectivePeriod>
    <start value="2026-08-01"/>
  </effectivePeriod>
  <informationSource>
    <reference value="PractitionerRole/hiqa-role-gp-nolan"/>
  </informationSource>
  <dosage>
    <sequence value="1"/>
    <text value="Inject 6 units before breakfast"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
        <when value="ACM"/>
      </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>
    <doseAndRate>
      <doseQuantity>
        <value value="6"/>
        <unit value="units"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="[iU]"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
  <dosage>
    <sequence value="1"/>
    <text value="Inject 4 units before lunch"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
        <when value="ACD"/>
      </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>
    <doseAndRate>
      <doseQuantity>
        <value value="4"/>
        <unit value="units"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="[iU]"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
  <dosage>
    <sequence value="1"/>
    <text value="Inject 8 units before the evening meal"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
        <when value="ACV"/>
      </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>
    <doseAndRate>
      <doseQuantity>
        <value value="8"/>
        <unit value="units"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="[iU]"/>
      </doseQuantity>
    </doseAndRate>
  </dosage>
</MedicationStatement>