IE Medication Events Implementation Guide
0.1.0 - Nostalgic IE (draft) Ireland flag

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

: Scenario 3 – Repeat prescription: salbutamol inhaler (5 repeats) - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/MedicationRequest/hiqa-rx-s3-salbutamol-repeat> a fhir:MedicationRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "hiqa-rx-s3-salbutamol-repeat"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription" ;
       fhir:index 0 ;
       fhir:link <https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationrequest-eprescription>
     ]
  ] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest hiqa-rx-s3-salbutamol-repeat</b></p><a name=\"hiqa-rx-s3-salbutamol-repeat\"> </a><a name=\"hchiqa-rx-s3-salbutamol-repeat\"> </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>R5: Period over which the medication is to be taken (new)</b>: 2026-09-01 --&gt; 2027-02-28</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-2026-000003-1</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <a href=\"Medication-hiqa-med-salbutamol-inhaler.html\">Medication Salbutamol 100 microgram/actuation pressurised suspension for inhalation</a></p><p><b>subject</b>: <a href=\"Patient-hiqa-patient-niamh-keane.html\">Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)</a></p><p><b>supportingInformation</b>: <a href=\"List-hiqa-allergies-niamh.html\">List for 'Allergies and adverse reactions Document' for '-&gt;Niamh Keane (official) Female, DoB: 1990-11-08 ( National unique individual identifier: IEMpdNamingSystemIHI#999000000000000003)'</a></p><p><b>authoredOn</b>: 2026-09-01 11:05:00+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 195967001}\">Asthma</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-2026-000003</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>: Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours</p><p><b>asNeeded</b>: true</p><p><b>route</b>: <span title=\"Codes:{http://snomed.info/sct 447694001}\">Respiratory tract 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>2 puffs<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{puff} = '{puff}')</span></td></tr></table><p><b>maxDosePerPeriod</b>: 8 puffs<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{puff} = '{puff}')</span>/24 hours<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codeh = 'h')</span></p></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>MedicationRequest - Prescribed Quantity</b>: 12 inhalers<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{inhaler} = '{inhaler}')</span></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>21</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>: 2026-09-01 --&gt; 2027-02-28</p><p><b>numberOfRepeatsAllowed</b>: 5</p><p><b>quantity</b>: 2 inhalers<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  code{inhaler} = '{inhaler}')</span></p></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>true</td></tr></table></div>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index 0 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod" ] ;
     fhir:Extension.valuePeriod [
       fhir:Period.start [ fhir:value "2026-09-01"^^xsd:date ] ;
       fhir:Period.end [ fhir:value "2027-02-28"^^xsd:date ]
     ]
  ] ;
  fhir:MedicationRequest.identifier [
     fhir:index 0 ;
     fhir:Identifier.system [ fhir:value "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps" ] ;
     fhir:Identifier.value [ fhir:value "9-RX-2026-000003-1" ]
  ] ;
  fhir:MedicationRequest.status [ fhir:value "active"] ;
  fhir:MedicationRequest.intent [ fhir:value "order"] ;
  fhir:MedicationRequest.medicationReference [
     fhir:link <http://hl7.org/fhir/Medication/hiqa-med-salbutamol-inhaler> ;
     fhir:Reference.reference [ fhir:value "Medication/hiqa-med-salbutamol-inhaler" ]
  ] ;
  fhir:MedicationRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/hiqa-patient-niamh-keane> ;
     fhir:Reference.reference [ fhir:value "Patient/hiqa-patient-niamh-keane" ]
  ] ;
  fhir:MedicationRequest.supportingInformation [
     fhir:index 0 ;
     fhir:link <http://hl7.org/fhir/List/hiqa-allergies-niamh> ;
     fhir:Reference.reference [ fhir:value "List/hiqa-allergies-niamh" ]
  ] ;
  fhir:MedicationRequest.authoredOn [ fhir:value "2026-09-01T11:05:00+01:00"^^xsd:dateTime] ;
  fhir:MedicationRequest.requester [
     fhir:link <http://hl7.org/fhir/PractitionerRole/hiqa-role-gp-nolan> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/hiqa-role-gp-nolan" ]
  ] ;
  fhir:MedicationRequest.reasonCode [
     fhir:index 0 ;
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       a sct:195967001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "195967001" ] ;
       fhir:Coding.display [ fhir:value "Asthma" ]
     ]
  ] ;
  fhir:MedicationRequest.groupIdentifier [
     fhir:Identifier.system [ fhir:value "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps" ] ;
     fhir:Identifier.value [ fhir:value "9-RX-2026-000003" ]
  ] ;
  fhir:MedicationRequest.courseOfTherapyType [
     fhir:CodeableConcept.coding [
       fhir:index 0 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy" ] ;
       fhir:Coding.code [ fhir:value "continuous" ] ;
       fhir:Coding.display [ fhir:value "Continuous long term therapy" ]
     ]
  ] ;
  fhir:MedicationRequest.dosageInstruction [
     fhir:index 0 ;
     fhir:Dosage.text [ fhir:value "Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours" ] ;
     fhir:Dosage.asNeededBoolean [ fhir:value "true"^^xsd:boolean ] ;
     fhir:Dosage.route [
       fhir:CodeableConcept.coding [
         fhir:index 0 ;
         a sct:447694001 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.code [ fhir:value "447694001" ] ;
         fhir:Coding.display [ fhir:value "Respiratory tract route" ]
       ]
     ] ;
     fhir:Dosage.doseAndRate [
       fhir:index 0 ;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "puffs" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "{puff}" ]
       ]
     ] ;
     fhir:Dosage.maxDosePerPeriod [
       fhir:Ratio.numerator [
         fhir:Quantity.value [ fhir:value "8"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "puffs" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "{puff}" ]
       ] ;
       fhir:Ratio.denominator [
         fhir:Quantity.value [ fhir:value "24"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "hours" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "h" ]
       ]
     ]
  ] ;
  fhir:MedicationRequest.dispenseRequest [
     fhir:Element.extension [
       fhir:index 0 ;
       fhir:Extension.url [ fhir:value "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity" ] ;
       fhir:Extension.valueQuantity [
         fhir:Quantity.value [ fhir:value "12"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "inhalers" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "{inhaler}" ]
       ]
     ] ;
     fhir:MedicationRequest.dispenseRequest.dispenseInterval [
       fhir:Quantity.value [ fhir:value "21"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "days" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "d" ]
     ] ;
     fhir:MedicationRequest.dispenseRequest.validityPeriod [
       fhir:Period.start [ fhir:value "2026-09-01"^^xsd:date ] ;
       fhir:Period.end [ fhir:value "2027-02-28"^^xsd:date ]
     ] ;
     fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ fhir:value "5"^^xsd:nonNegativeInteger ] ;
     fhir:MedicationRequest.dispenseRequest.quantity [
       fhir:Quantity.value [ fhir:value "2"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "inhalers" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "{inhaler}" ]
     ]
  ] ;
  fhir:MedicationRequest.substitution [
     fhir:MedicationRequest.substitution.allowedBoolean [ fhir:value "true"^^xsd:boolean ]
  ] .

<http://hl7.org/fhir/Medication/hiqa-med-salbutamol-inhaler> a fhir:Medication .

<http://hl7.org/fhir/Patient/hiqa-patient-niamh-keane> a fhir:Patient .

<http://hl7.org/fhir/List/hiqa-allergies-niamh> a fhir:List .

<http://hl7.org/fhir/PractitionerRole/hiqa-role-gp-nolan> a fhir:PractitionerRole .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/MedicationRequest/hiqa-rx-s3-salbutamol-repeat.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/MedicationRequest/hiqa-rx-s3-salbutamol-repeat.ttl> .