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Source1

{
  "resourceType": "MedicationRequest",
  "id": "hiqa-rx-s3-salbutamol-repeat",
  "meta": {
    "profile": [
      "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationrequest-eprescription"
    ]
  },
  "intent": "order",
  "extension": [
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationRequest.effectiveDosePeriod",
      "valuePeriod": {
        "start": "2026-09-01",
        "end": "2027-02-28"
      }
    }
  ],
  "dispenseRequest": {
    "extension": [
      {
        "url": "https://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity",
        "valueQuantity": {
          "value": 12,
          "code": "{inhaler}",
          "system": "http://unitsofmeasure.org",
          "unit": "inhalers"
        }
      }
    ],
    "quantity": {
      "value": 2,
      "code": "{inhaler}",
      "system": "http://unitsofmeasure.org",
      "unit": "inhalers"
    },
    "numberOfRepeatsAllowed": 5,
    "dispenseInterval": {
      "value": 21,
      "code": "d",
      "system": "http://unitsofmeasure.org",
      "unit": "days"
    },
    "validityPeriod": {
      "start": "2026-09-01",
      "end": "2027-02-28"
    }
  },
  "identifier": [
    {
      "system": "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
      "value": "9-RX-2026-000003-1"
    }
  ],
  "groupIdentifier": {
    "system": "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
    "value": "9-RX-2026-000003"
  },
  "status": "active",
  "courseOfTherapyType": {
    "coding": [
      {
        "code": "continuous",
        "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
        "display": "Continuous long term therapy"
      }
    ]
  },
  "medicationReference": {
    "reference": "Medication/hiqa-med-salbutamol-inhaler"
  },
  "subject": {
    "reference": "Patient/hiqa-patient-niamh-keane"
  },
  "supportingInformation": [
    {
      "reference": "List/hiqa-allergies-niamh"
    }
  ],
  "authoredOn": "2026-09-01T11:05:00+01:00",
  "requester": {
    "reference": "PractitionerRole/hiqa-role-gp-nolan"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "code": "195967001",
          "system": "http://snomed.info/sct",
          "display": "Asthma"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "text": "Inhale two puffs when required for breathlessness. Maximum 8 puffs in 24 hours",
      "asNeededBoolean": true,
      "route": {
        "coding": [
          {
            "code": "447694001",
            "system": "http://snomed.info/sct",
            "display": "Respiratory tract route"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 2,
            "code": "{puff}",
            "system": "http://unitsofmeasure.org",
            "unit": "puffs"
          }
        }
      ],
      "maxDosePerPeriod": {
        "numerator": {
          "value": 8,
          "code": "{puff}",
          "system": "http://unitsofmeasure.org",
          "unit": "puffs"
        },
        "denominator": {
          "value": 24,
          "code": "h",
          "system": "http://unitsofmeasure.org",
          "unit": "hours"
        }
      }
    }
  ],
  "substitution": {
    "allowedBoolean": true
  }
}