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Source1

{
  "resourceType": "MedicationRequest",
  "id": "ie-rx-sean-dk-warfarin",
  "meta": {
    "profile": [
      "https://hl7-ie.github.io/ie-core/fhir/ie/core/StructureDefinition/ie-core-medicationrequest-eprescription"
    ]
  },
  "intent": "order",
  "identifier": [
    {
      "system": "https://hl7-ie.github.io/ie-core/fhir/ie/core/sid/neps",
      "value": "PCRS-RX-2025-IE-DK-001"
    },
    {
      "system": "http://eidas.europa.eu/attributes/naturalperson/PersonIdentifier",
      "value": "IE/DK/1234567T"
    }
  ],
  "status": "active",
  "category": [
    {
      "coding": [
        {
          "code": "community",
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "display": "Community"
        }
      ]
    }
  ],
  "medicationReference": {
    "reference": "Medication/ie-medication-warfarin-5"
  },
  "subject": {
    "reference": "Patient/ie-core-patient-sean-murphy",
    "display": "Seán Murphy"
  },
  "requester": {
    "reference": "Practitioner/ie-core-practitioner-aoife-obrien",
    "display": "Dr. Aoife O'Brien"
  },
  "authoredOn": "2025-06-25",
  "reasonCode": [
    {
      "coding": [
        {
          "code": "49436004",
          "system": "http://snomed.info/sct",
          "display": "Atrial fibrillation"
        }
      ]
    }
  ],
  "dosageInstruction": [
    {
      "text": "Take one 5mg tablet once daily. INR target 2.0-3.0. Requires INR monitoring — contact local anticoagulation service.",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "code": "26643006",
            "system": "http://snomed.info/sct",
            "display": "Oral route"
          }
        ]
      },
      "patientInstruction": "⚠️ Requires regular INR blood tests. Target INR 2.0–3.0. Consult local anticoagulation clinic."
    }
  ],
  "dispenseRequest": {
    "validityPeriod": {
      "start": "2025-06-25",
      "end": "2025-09-25"
    },
    "quantity": {
      "value": 28,
      "code": "{tablet}",
      "system": "http://unitsofmeasure.org",
      "unit": "tablets"
    }
  },
  "substitution": {
    "allowedBoolean": false,
    "reason": {
      "text": "Narrow therapeutic index: product continuity required to keep INR stable."
    }
  }
}