<class name="NHS.WebTeam.PandemicFluDistribution.Order, NHS.WebTeam.PandemicFluDistribution" table="[Order]" lazy="false" optimistic-lock="version" where="Deleted=0" >
    <id name="ID" type="Int32" column="OrderID" unsaved-value="0">
      <generator class="hilo">
        <param name="table">NHibernateHiLo</param>
        <param name="column">NextValue</param>
        <param name="max_lo">100</param>
      </generator>
    </id>

    <version column="version" name="Version"/>
    <property name="Deleted" column="Deleted" />

    <property name="DateEntered"></property>
    <property name="RequiredDeliveryDate"></property>

    <many-to-one name="Practice" column="PracticeID"></many-to-one>

    <set name="OrderProductAmounts" access="field.camelcase-underscore" inverse="true" cascade="all-delete-orphan" lazy="true">
      <key column="OrderID"></key>
      <one-to-many class="NHS.WebTeam.PandemicFluDistribution.OrderProductAmount, PandemicFluDistribution" />
    </set>

  </class>

  <class name="NHS.WebTeam.PandemicFluDistribution.OrderProductAmount, NHS.WebTeam.PandemicFluDistribution" table="OrderProductAmount" lazy="false" optimistic-lock="version" where="Deleted=0" >
    <id name="ID" type="Int32" column="OrderProductAmountID" unsaved-value="0">
      <generator class="hilo">
        <param name="table">NHibernateHiLo</param>
        <param name="column">NextValue</param>
        <param name="max_lo">100</param>
      </generator>
    </id>

    <version column="version" name="Version"/>
    <property name="Deleted" column="Deleted" />

    <many-to-one name="Order" column="OrderID"></many-to-one>
    <many-to-one name="ProductAmount" column="ProductAmountID"></many-to-one>
    <many-to-one name="Despatch" column="DespatchID" cascade="none" not-null="false"></many-to-one>
  </class>

  <class name="NHS.WebTeam.PandemicFluDistribution.Despatch, NHS.WebTeam.PandemicFluDistribution" table="Despatch" lazy="false" optimistic-lock="version" where="Deleted=0" >
    <id name="ID" type="Int32" column="DespatchID" unsaved-value="0">
      <generator class="hilo">
        <param name="table">NHibernateHiLo</param>
        <param name="column">NextValue</param>
        <param name="max_lo">100</param>
      </generator>
    </id>

    <version column="version" name="Version"/>
    <property name="Deleted" column="Deleted" />

    <property name="DateDespatched"></property>
    <property name="RequiredDeliveryDate"></property>

    <many-to-one name="Practice" column="PracticeID"></many-to-one>

    <set name="OrderProductAmounts" access="field.camelcase-underscore" inverse="true" cascade="none" lazy="true">
      <key column="DespatchID"></key>
      <one-to-many class="NHS.WebTeam.PandemicFluDistribution.OrderProductAmount, PandemicFluDistribution" />
    </set>

  </class>

Dim practice = ... get relevant Practice ...
Dim productAmount = ... get relevant ProductAmount ...
Dim newOrder as Order = new Order(practice)
newOrder.AddProductAmount(new OrderProductAmount(newOrder, productAmount)
OrderDAO.Save(newOrder)

<many-to-one name="Order" column="OrderID" cascade="all"></many-to-one>