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

Changes

0.1.0 "Nostalgic IE" (draft)

First release of IE Medication Events, replacing the starter scaffold.

Breaking, compared with the scaffold:

• Package id hl7.fhir.ie.medication-events → nostalgic-ie.fhir.medication-events; canonical https://hl7.eu/fhir/ie/medication-events/fhir → https://hl7-ie.github.io/medication-events/fhir (ADR-001). The hl7.* package prefix is reserved for HL7, and the hl7.eu domain belongs to HL7 Europe.
• The scaffold profiles IEMedicationRequest and IEMedicationObservation, the extension IEEPrescriptionReference, the medication event type terminology and the CapabilityStatement are removed. Administration was modelled as an Observation; it is now a MedicationAdministration.

Added:

• ePrescription and eDispensation profiles aligned with the HIQA draft ePrescription and eDispensation standard (September 2026), copied from IE Core 0.2.0 and renamed IEMpd* (ADR-001): MedicationRequest, MedicationDispense, Medication, the ePrescription Bundle and cross-border Bundle, the allergy statement, the signature Provenance, and the patient, practitioner, organisation and location profiles.
• MedicationAdministration (IE-defined) and MedicationStatement on HL7 Europe Base (ADR-002).
• HIQA EP logical model and traceability matrix (242 elements), data-minimisation guard, NMPC-coded examples (scenarios 1–9), BDD tests, FHIR Validator gate, code verification and the Simplifier bundle.
• Simplifier publishing from CI (manual, approved upload through the Project ZIP API; releases stay manual), and local testing with Docker, docker compose and Kubernetes manifests.
• Health Services Provider Identifier slices HSP-I (Practitioner) and HSP-O (Organization), Health Identifiers Act 2014 s.13–14, on IE Core's identifier systems (OI-030).
• Reference examples (illustrative, ported from IE Core 0.2.0 when IE Core removed ePrescription, IE Core ADR-009): the Cross-Border ePrescription pages (overview, Seán Murphy's patient profile and scenarios, sample payloads) and the Irish ePrescription legislation page; 82 FSH examples (11 cross-border destinations and NePS inbound flows, local scenarios 1–6: full, partial, multi-item, IE→ES, ES→IE, repeat); 22 FHIR and CDA payloads; a Postman collection; and their BDD features (77 scenarios). Conditions and the encounter in these examples use the base FHIR resource. The payloads' broken ie-core-allergy-intolerance profile reference now points to ie-mpd-allergyintolerance.
• Electronic Prescription Group (ePG) (ADR-003): the ePrescription Bundle becomes the ePG, IEMpdElectronicPrescriptionGroup (and IEMpdElectronicPrescriptionGroupCrossBorder): one or more electronic prescriptions (eP, MedicationRequest) issued together as part of the same request, sharing a prescription group identifier, with their eDispensations and provenance, plus a required Prescription Group Header (IEMpdPrescriptionGroupHeader, RequestGroup) carrying HIQA EP 3.1 identifier (with type), 3.2 date of issue, 3.3 prescription status with a reason (IEMpdPrescriptionGroupStatusReason), 3.4 presented form (IEMpdPresentedForm) and the eP as actions. Rules ie-bnd-rx-7 to ie-bnd-rx-14 and ie-grp-status-1 (item consistency informed by the NHS England EPS prescription-order rules; eDispensations authorised by an eP in the same ePG). Scenarios 1, 3, 4 and 5 are full ePGs; scenario 10 is a cancelled prescription. Breaking: profile ids ie-mpd-bundle-eprescription(-crossborder) → ie-mpd-electronic-prescription-group(-crossborder); the header is required.
• Dosage (ADR-004): IEMpdDosage on HL7 Europe MPD Dosage-eu-mpd for prescription, dispense and statement (ie-dos-1 to ie-dos-4), a Dosage guidance page structured like the UK Core medicines guidance, and seven validated dosage examples. Product-based doses in the examples use SNOMED CT units of presentation.
• HIQA EP gaps closed: 2.9 facility address (ie-bnd-rx-11, OI-013 resolved); 1.6 record entry author for allergies (ie-allergy-2), weight and height (performer required); 4.9 characteristics mapped to the IHE MPD characteristic extension. New open issues OI-104 (identifier type value set) and OI-105 (national service interface).
• More Electronic Prescription Groups (ePG 11 to 15): 12 electronic prescriptions in 5 groups (cardiometabolic review with 4 eP and 2 dispensed, basal-bolus insulin, depression and reflux with a brand-specific eP, warfarin loading with lisinopril, paediatric antibiotic and reliever), coded with NMPC VMPs, SNOMED CT and ATC, with SNOMED CT units of presentation (Tablet, Capsule, Actuation, Pen, Cartridge) and UCUM ([iU], mL).
• SNOMED CT Irish Edition: every SNOMED CT coding in the examples declares the Irish Edition (version http://snomed.info/sct/1601000220105; FSH alias $SCTIE); the Allergy Intolerance Set is pinned to it like the Medication Codes. Quantity units cannot carry a version; codings bound to unversioned FHIR value sets stay unversioned. QA baseline 24 (3 more Irish Edition filters, OI-022).
• Fix: an ePrescription could not carry a dose range (HIQA EP 5.2.3.1.2): a redundant dose[x] rule on the MedicationRequest closed the HL7 Europe MPD type slicing. MustSupport now comes from IEMpdDosage.