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

Table of Contents

.. 0 Table of Contents
... 1 Home
... 2 HIQA Alignment
... 3 HIQA Traceability
... 4 Data Minimisation
... 5 Electronic Prescription Group
... 6 Dosage
... 7 Administration and Statements
... 8 Terminology
... 9 Open Issues
... 10 Simplifier Publishing
... 11 Cross-Border ePrescription (reference examples)
.... 11.1 Patient Profile & Scenarios (reference)
.... 11.2 Sample Payloads & Downloads (reference)
... 12 Irish ePrescription Legislation (reference)
... 13 Changes
... 14 Downloads
... 15 Artifacts Summary
.... 15.1 HIQA ePrescription and eDispensation Dataset (draft, Sept 2026)
.... 15.2 IE MPD Allergy Statement at Prescribing
.... 15.3 IE MPD AllergyIntolerance
.... 15.4 IE MPD Body Height
.... 15.5 IE MPD Body Weight
.... 15.6 IE MPD Electronic Prescription Group (ePG)
.... 15.7 IE MPD Electronic Prescription Group (ePG, cross-border)
.... 15.8 IE MPD Location
.... 15.9 IE MPD Medication (ePrescription/eDispensation)
.... 15.10 IE MPD MedicationAdministration
.... 15.11 IE MPD MedicationDispense
.... 15.12 IE MPD MedicationDispense (eDispensation)
.... 15.13 IE MPD MedicationRequest (ePrescription)
.... 15.14 IE MPD MedicationStatement
.... 15.15 IE MPD Organization
.... 15.16 IE MPD Patient
.... 15.17 IE MPD Patient (ePrescription/eDispensation)
.... 15.18 IE MPD Practitioner
.... 15.19 IE MPD PractitionerRole
.... 15.20 IE MPD Prescription Group Header
.... 15.21 IE MPD Provenance
.... 15.22 IE MPD Provenance (ePrescription signature)
.... 15.23 IE MPD RelatedPerson
.... 15.24 IE MPD Vital Signs
.... 15.25 IE MPD Dosage
.... 15.26 IE MPD Country of Affiliation
.... 15.27 IE MPD Dispense Receiver (Related Person)
.... 15.28 IE MPD Do Not Extend
.... 15.29 IE MPD Ethnicity
.... 15.30 IE MPD Exempt Medication Item (Requires Clarification)
.... 15.31 IE MPD Medicinal Product Is Interchangeable
.... 15.32 IE MPD Mother's Former Surname
.... 15.33 IE MPD Number of Instalments
.... 15.34 IE MPD Patient Age at Prescribing
.... 15.35 IE MPD Prescription Group Status Reason
.... 15.36 IE MPD Presented Form
.... 15.37 IE MPD Quantity Prescribed (Words and Figures)
.... 15.38 IE MPD Age Units
.... 15.39 IE MPD Allergy Intolerance Set
.... 15.40 IE MPD Ethnicity
.... 15.41 IE MPD Healthcare Provider Taxonomy
.... 15.42 IE MPD Medication Codes
.... 15.43 IE MPD Misuse of Drugs Schedule (placeholder)
.... 15.44 IE MPD PCRS Scheme Type (placeholder)
.... 15.45 IE MPD Provenance Participant Type
.... 15.46 Ireland Counties
.... 15.47 IE MPD County Codes
.... 15.48 IE MPD Ethnicity Codes (CSO Data Standard for Ethnicity v1.0)
.... 15.49 IE MPD Misuse of Drugs Schedule (placeholder)
.... 15.50 IE MPD PCRS Scheme Type (placeholder)
.... 15.51 IE MPD Provenance Participant Type
.... 15.52 IE MPD Supply Legal Status (placeholder)
.... 15.53 Dental Council of Ireland registration number
.... 15.54 GMS Panel ID
.... 15.55 Health Services Provider Identifier: individual (HSP-I)
.... 15.56 Health Services Provider Identifier: organisation (HSP-O)
.... 15.57 Individual Health Identifier (IHI)
.... 15.58 Irish Medical Council registration number (MCRN)
.... 15.59 National ePrescribing Service (NePS) prescription (group) identifier
.... 15.60 Nursing and Midwifery Board of Ireland registration number
.... 15.61 PCRS Drugs Payment Scheme (DPS) number
.... 15.62 PCRS Health (Amendment) Act (HAA) card number
.... 15.63 PCRS Long-Term Illness (LTI) scheme number
.... 15.64 PCRS medical card (GMS) number
.... 15.65 Personal Public Service Number (PPSN)
.... 15.66 Pharmaceutical Society of Ireland registration number
.... 15.67 PSI Retail Pharmacy Business registration number
.... 15.68 AllergyIntolerance – Penicillin/Amoxicillin Anaphylaxis (Seán Murphy)
.... 15.69 be-to-ie-neps-dispensation
.... 15.70 Condition – Essential Hypertension (Seán Murphy)
.... 15.71 Condition – Hypercholesterolaemia (Seán Murphy)
.... 15.72 Condition – Type 2 Diabetes Mellitus (Seán Murphy)
.... 15.73 de-patient-to-ie-neps
.... 15.74 Dosage – as needed, a dose range and a maximum dose: salbutamol inhaler
.... 15.75 Dosage – concurrent schemes (same sequence): insulin aspart with meals
.... 15.76 Dosage – frequency with time bounds and an additional instruction: amoxicillin for 5 days
.... 15.77 Dosage – linked to an event: omeprazole before breakfast
.... 15.78 Dosage – once a week on a named day: methotrexate
.... 15.79 Dosage – sequential schemes (sequence 1 then 2): warfarin loading then maintenance
.... 15.80 Dosage – twice a day with food: metformin
.... 15.81 ePG 11 – eDispensation of eP 1
.... 15.82 ePG 11 – eDispensation of eP 4
.... 15.83 ePG 11 – Electronic Prescription Group: cardiovascular and diabetes review, four medicines
.... 15.84 ePG 11 – eP 1: amlodipine 5 mg once a day
.... 15.85 ePG 11 – eP 2: ramipril 5 mg once a day
.... 15.86 ePG 11 – eP 3: atorvastatin 20 mg at night
.... 15.87 ePG 11 – eP 4: metformin 500 mg twice a day with food
.... 15.88 ePG 11 – Prescription group header: cardiovascular and diabetes review, four medicines
.... 15.89 ePG 12 – Electronic Prescription Group: basal-bolus insulin, two medicines
.... 15.90 ePG 12 – eP 1: insulin glargine 20 units at bedtime
.... 15.91 ePG 12 – eP 2: insulin aspart with meals
.... 15.92 ePG 12 – Prescription group header: basal-bolus insulin, two medicines
.... 15.93 ePG 13 – Electronic Prescription Group: depression and reflux, two medicines (one brand-specific)
.... 15.94 ePG 13 – eP 1: sertraline 50 mg in the morning, do not substitute
.... 15.95 ePG 13 – eP 2: omeprazole 20 mg before breakfast
.... 15.96 ePG 13 – Prescription group header: depression and reflux, two medicines (one brand-specific)
.... 15.97 ePG 14 – Electronic Prescription Group: atrial fibrillation and hypertension, loading dose then maintenance
.... 15.98 ePG 14 – eP 1: warfarin 5 mg, loading then maintenance
.... 15.99 ePG 14 – eP 2: lisinopril 10 mg once a day
.... 15.100 ePG 14 – Prescription group header: atrial fibrillation and hypertension, loading dose then maintenance
.... 15.101 ePG 15 – Electronic Prescription Group: child under 12, antibiotic and reliever inhaler
.... 15.102 ePG 15 – eP 1: amoxicillin 250 mg/5 mL, 5 mL three times a day for 5 days
.... 15.103 ePG 15 – eP 2: salbutamol inhaler, 1 to 2 puffs when needed
.... 15.104 ePG 15 – Prescription group header: child under 12, antibiotic and reliever inhaler
.... 15.105 fi-to-ie-neps-dispensation
.... 15.106 HIQA scenarios – Allergy statement listing penicillin allergy (Niamh Keane)
.... 15.107 HIQA scenarios – Allergy statement: no known allergies (Declan Walsh)
.... 15.108 HIQA scenarios – Allergy statement: no known allergies (Oisín Brady)
.... 15.109 HIQA scenarios – Allergy statement: no known allergies (Tomás Quinn)
.... 15.110 HIQA scenarios – Allergy to penicillin (Niamh Keane)
.... 15.111 HIQA scenarios – Amoxicillin 50 mg/mL oral suspension
.... 15.112 HIQA scenarios – Amoxicillin 500 mg oral capsule
.... 15.113 HIQA scenarios – Bridge Street Pharmacy (fictional)
.... 15.114 HIQA scenarios – Declan Walsh (adult, fictional)
.... 15.115 HIQA scenarios – Dr Clodagh Nolan (GP, fictional)
.... 15.116 HIQA scenarios – Dr Clodagh Nolan at Riverside Family Practice
.... 15.117 HIQA scenarios – Eoin Farrell (pharmacist, fictional)
.... 15.118 HIQA scenarios – Niamh Keane (adult with asthma and penicillin allergy, fictional)
.... 15.119 HIQA scenarios – Oisín Brady (5 years old, fictional)
.... 15.120 HIQA scenarios – Oxycodone hydrochloride 10 mg prolonged-release tablet (Schedule 2)
.... 15.121 HIQA scenarios – Riverside Family Practice (fictional)
.... 15.122 HIQA scenarios – Salbutamol 100 micrograms/actuation pressurised inhaler
.... 15.123 HIQA scenarios – Tomás Quinn (adult, fictional)
.... 15.124 IE MPD Encounter Example
.... 15.125 IE MPD Location Example
.... 15.126 IE MPD Organization Example
.... 15.127 IE MPD Patient Example
.... 15.128 IE MPD Practitioner Example
.... 15.129 IE MPD Practitioner – Pharmacist Niamh Brennan
.... 15.130 ie-bundle-de-edispensation-response
.... 15.131 ie-bundle-scenario1-full-dispense
.... 15.132 ie-bundle-scenario2-partial-dispense
.... 15.133 ie-bundle-scenario3-multiple-prescriptions
.... 15.134 ie-bundle-scenario4-ie-to-es-crossborder
.... 15.135 ie-bundle-scenario5-es-to-ie-crossborder
.... 15.136 ie-bundle-scenario6-repeat-prescription
.... 15.137 ie-bundle-to-at-eprescription
.... 15.138 ie-bundle-to-de-eprescription
.... 15.139 ie-bundle-to-dk-eprescription
.... 15.140 ie-bundle-to-es-eprescription
.... 15.141 ie-bundle-to-fr-eprescription
.... 15.142 ie-bundle-to-lv-eprescription
.... 15.143 ie-bundle-to-nl-eprescription
.... 15.144 ie-bundle-to-pt-eprescription
.... 15.145 ie-bundle-to-se-eprescription
.... 15.146 Irish Patient – Ciarán Walsh (traveling in Spain)
.... 15.147 Irish Pharmacy – Boots Pharmacy Grafton Street
.... 15.148 lv-edispensation-response
.... 15.149 Medication – Amlodipine 5mg Tablets
.... 15.150 Medication – Atorvastatin 20mg Tablets
.... 15.151 Medication – Atorvastatin 40mg tablets
.... 15.152 Medication – Atorvastatin 40mg tablets (as dispensed)
.... 15.153 Medication – Atorvastatin 80mg Tablets (ATC: C10AA05)
.... 15.154 Medication – Insulin Aspart 100u/ml Injection (ATC: A10AB05)
.... 15.155 Medication – Insulin Glargine 100u/ml Injection (ATC: A10AE04)
.... 15.156 Medication – Lisinopril 10mg Tablets (ATC: C09AA03)
.... 15.157 Medication – Lisinopril 10mg Tabletten (Hexal) (as dispensed)
.... 15.158 Medication – Metformin 500mg Filmtabletten (Ratiopharm) (as dispensed)
.... 15.159 Medication – Metformin 500mg Tablets
.... 15.160 Medication – Metformin 500mg tablets (as dispensed)
.... 15.161 Medication – Metformins 500mg tabletes (as dispensed)
.... 15.162 Medication – Omeprazole 20mg Capsules (ATC: A02BC01)
.... 15.163 Medication – Ramipril 10mg Capsules (ATC: C09AA05)
.... 15.164 Medication – Ramipril 5mg Capsules
.... 15.165 Medication – Sertralina 50mg Comprimidos (as dispensed)
.... 15.166 Medication – Sertraline 50mg Tablets (ATC: N06AB06)
.... 15.167 Medication – Warfarin 5mg Tablets (ATC: B01AA03)
.... 15.168 Organization – Grafton Street Medical Practice
.... 15.169 Patient – Lars Janssen (Belgian citizen visiting Ireland)
.... 15.170 Patient – Mikko Korhonen (Finnish citizen visiting Ireland)
.... 15.171 Patient – Seán Patrick Murphy (Irish, cross-border scenarios)
.... 15.172 Pharmacy – Apoteket Hjärtat, Stockholm (SE)
.... 15.173 Pharmacy – Apoteket, Copenhagen (DK)
.... 15.174 Pharmacy – Apotheke am Brandenburger Tor, Berlin (DE)
.... 15.175 Pharmacy – Apotheke zur goldenen Kugel, Vienna (AT)
.... 15.176 Pharmacy – Farmácia Central, Lisbon (PT)
.... 15.177 Pharmacy – Hickey's Pharmacy, O'Connell Street, Dublin
.... 15.178 Pharmacy – McCauley's Pharmacy, Grafton Street, Dublin
.... 15.179 Pharmacy – Mēs atdot Aptieka, Riga (LV)
.... 15.180 Practitioner – Dr. Aoife O'Brien (GP, Dublin)
.... 15.181 pt-edispensation-response
.... 15.182 Scenario 1 (IE→DE) – German Dispensation: Lisinopril (PZN 03990693)
.... 15.183 Scenario 1 (IE→DE) – German Dispensation: Metformin (PZN 04823246)
.... 15.184 Scenario 1 (IE→DE) – Prescription: Lisinopril 10mg for Germany
.... 15.185 Scenario 1 (IE→DE) – Prescription: Metformin 500mg for Germany
.... 15.186 Scenario 1 – Acute prescription: amoxicillin 500 mg for acute sinusitis
.... 15.187 Scenario 1 – Dispense: amoxicillin 500 mg, completed
.... 15.188 Scenario 1 – Dispensing provenance
.... 15.189 Scenario 1 – Electronic Prescription Group (ePG): acute adult prescription
.... 15.190 Scenario 1 – IE Local Dispense: Metformin Full Dispensation
.... 15.191 Scenario 1 – IE Local Prescription: Metformin (Full Dispense)
.... 15.192 Scenario 1 – Prescription group header: acute adult prescription
.... 15.193 Scenario 10 (FI→IE via NePS) – Finnish Prescription: Metformin 500mg
.... 15.194 Scenario 10 (FI→IE via NePS) – Irish Dispensation for Finnish Patient
.... 15.195 Scenario 10 – Electronic Prescription Group (ePG): cancelled prescription
.... 15.196 Scenario 10 – Prescription group header: cancelled (revoked) prescription
.... 15.197 Scenario 10 – Prescription item cancelled
.... 15.198 Scenario 11 (BE→IE via NePS) – Belgian Prescription: Atorvastatin 40mg
.... 15.199 Scenario 11 (BE→IE via NePS) – Irish Dispensation for Belgian Patient
.... 15.200 Scenario 2 – Body weight 19 kg (Oisín Brady)
.... 15.201 Scenario 2 – Electronic Prescription Group (ePG): paediatric prescription (under 12)
.... 15.202 Scenario 2 – IE Local Prescription: Atorvastatin (Partial Dispense)
.... 15.203 Scenario 2 – Paediatric prescription: amoxicillin suspension for acute otitis media
.... 15.204 Scenario 2 – Partial Dispense 1 of 3: Atorvastatin 30 tabs (Month 1)
.... 15.205 Scenario 2 – Partial Dispense 2 of 3: Atorvastatin 30 tabs (Month 2)
.... 15.206 Scenario 2 – Partial Dispense 3 of 3: Atorvastatin 30 tabs (Month 3 – Final)
.... 15.207 Scenario 2 – Prescription group header: paediatric prescription
.... 15.208 Scenario 3 – Dispense 1: part fill (1 of 2 inhalers)
.... 15.209 Scenario 3 – Dispense 2: balance of the first supply
.... 15.210 Scenario 3 – Dispense 3: first repeat
.... 15.211 Scenario 3 – Electronic Prescription Group (ePG): repeat prescription
.... 15.212 Scenario 3 – Multi-Rx Bundle Dispense: Atorvastatin
.... 15.213 Scenario 3 – Multi-Rx Bundle Dispense: Metformin
.... 15.214 Scenario 3 – Multi-Rx Bundle Dispense: Ramipril
.... 15.215 Scenario 3 – Multi-Rx Bundle: Atorvastatin 20mg
.... 15.216 Scenario 3 – Multi-Rx Bundle: Metformin 500mg
.... 15.217 Scenario 3 – Multi-Rx Bundle: Ramipril 5mg
.... 15.218 Scenario 3 – Prescription group header: repeat prescription
.... 15.219 Scenario 3 – Repeat prescription: salbutamol inhaler (5 repeats)
.... 15.220 Scenario 4 – Controlled drug: oxycodone 10 mg prolonged-release (Schedule 2)
.... 15.221 Scenario 4 – Cross-border IE→ES: Amlodipine Repeat Prescription
.... 15.222 Scenario 4 – Cross-border IE→ES: Spanish Dispensation of Irish Prescription
.... 15.223 Scenario 4 – Dispense: instalment 1 of 2 (14 tablets)
.... 15.224 Scenario 4 – Electronic Prescription Group (ePG): controlled drug
.... 15.225 Scenario 4 – Prescription group header: Schedule 2 controlled drug
.... 15.226 Scenario 5 (IE→LV) – Latvian Dispensation: Metformin (ZRA-00098432)
.... 15.227 Scenario 5 (IE→LV) – Prescription: Metformin 500mg for Latvia
.... 15.228 Scenario 5 – Cross-border ES→IE: Irish Dispensation of Spanish Prescription
.... 15.229 Scenario 5 – Cross-border ES→IE: Spanish Prescription for Amlodipine
.... 15.230 Scenario 5 – Electronic Prescription Group (ePG): prescription later declined
.... 15.231 Scenario 5 – Non-dispensation: declined because of a recorded penicillin allergy
.... 15.232 Scenario 5 – Prescription group header: prescription later declined at the pharmacy
.... 15.233 Scenario 5 – Prescription the pharmacist declines: amoxicillin for a patient with penicillin allergy
.... 15.234 Scenario 6 (IE→PT) – Portuguese Dispensation: Sertraline (INF-00012345)
.... 15.235 Scenario 6 (IE→PT) – Prescription: Sertraline 50mg for Portugal
.... 15.236 Scenario 6 – Cross-border Electronic Prescription Group (ePG, IE → EU) with signature
.... 15.237 Scenario 6 – Cross-border item 1: metformin 500 mg
.... 15.238 Scenario 6 – Cross-border item 2: atorvastatin 20 mg
.... 15.239 Scenario 6 – Prescriber signature over both items
.... 15.240 Scenario 6 – Prescription group header: cross-border prescription with two items
.... 15.241 Scenario 6 – Repeat Dispense Month 1: Metformin January 2024
.... 15.242 Scenario 6 – Repeat Dispense Month 2: Metformin February 2024
.... 15.243 Scenario 6 – Repeat Dispense Month 3: Metformin March 2024
.... 15.244 Scenario 6 – Repeat Prescription: Metformin 500mg (6-month GMS)
.... 15.245 Scenario 7 (IE→DK) – Prescription: Warfarin 5mg for Denmark
.... 15.246 Scenario 7 – Administration: salbutamol inhaler given in the GP practice
.... 15.247 Scenario 8 (IE→SE) – Prescription: Insulin Glargine for Sweden
.... 15.248 Scenario 8 – Administration not given: patient declined the dose
.... 15.249 Scenario 9 (IE→AT) – Prescription: Atorvastatin 80mg for Austria
.... 15.250 Scenario 9 – Medication statement: salbutamol inhaler when needed
.... 15.251 Spanish Health Centre – Centro de Salud Las Águilas, Madrid
.... 15.252 Spanish Patient – María García López (visiting Ireland)
.... 15.253 Spanish Pharmacist – Dra. Carmen Vega Soto
.... 15.254 Spanish Pharmacy – Farmacia Avenida de América, Madrid
.... 15.255 Spanish Practitioner – Dr. Alejandro Martínez Ruiz