<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0301"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: medrx0301</p><p><b>contained</b>: , </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span>(Details : {http://terminology.hl7.org/CodeSystem/medication-request-category code &#39;inpatient&#39; = &#39;Inpatient&#39;, given as &#39;Inpatient&#39;})</span></p><p><b>medication</b>: id: med0310; Oral Form Oxycodone (product) <span>(Details : {SNOMED CT code &#39;430127000&#39; = &#39;Oral form oxycodone&#39;, given as &#39;Oral Form Oxycodone (product)&#39;})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>context</b>: <a>encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a>Procedure/biopsy</a></p><p><b>authoredOn</b>: 15/01/2015</p><p><b>requester</b>: <a>Patrick Pump</a></p><p><b>performer</b>: <a>Carla Espinosa</a></p><p><b>performerType</b>: Public Health Nurse <span>(Details : {SNOMED CT code &#39;26369006&#39; = &#39;26369006&#39;, given as &#39;Public Health Nurse&#39;})</span></p><p><b>reasonCode</b>: Rib Pain (finding) <span>(Details : {SNOMED CT code &#39;297217002&#39; = &#39;Rib pain&#39;, given as &#39;Rib Pain (finding)&#39;})</span></p><p><b>statusReason</b>: Try another treatment first <span>(Details : {http://terminology.hl7.org/CodeSystem/med-request-status-reason code &#39;altchoice&#39; = &#39;Try another treatment first&#39;, given as &#39;Try another treatment first&#39;})</span></p><p><b>insurance</b>: <a>Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><p><b>dosageInstruction</b>: </p><h3>DispenseRequests</h3><table><tr><td>-</td><td><b>ValidityPeriod</b></td><td><b>NumberOfRepeatsAllowed</b></td><td><b>Quantity</b></td><td><b>ExpectedSupplyDuration</b></td><td><b>Performer</b></td></tr><tr><td>*</td><td>15/01/2015 --&gt; 15/01/2016</td><td>0</td><td>30 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = &#39;Tablet&#39;)</span></td><td>10 days<span> (Details: UCUM code d = &#39;d&#39;)</span></td><td><a>Practitioner/f001</a></td></tr></table><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code &#39;FP&#39; = &#39;formulary policy&#39;, given as &#39;formulary policy&#39;})</span></td></tr></table><p><b>detectedIssue</b>: <a>DetectedIssue/allergy</a></p><p><b>eventHistory</b>: Author&#39;s Signature. Generated Summary: id: signature; recorded: 01/02/2017 5:23:07 PM; </p></div></text><contained>
      <Medication>
          <id value="med0310"/>
          <code>
              <coding>
                  <system value="http://snomed.info/sct"/>
                  <code value="430127000"/>
                  <display value="Oral Form Oxycodone (product)"/>
              </coding>
          </code>
      </Medication>
  </contained>
    <contained>
        <Provenance>
            <id value="signature"/>
            <target>
                <reference value="ServiceRequest/physiotherapy"/>
            </target>
            <recorded value="2017-02-01T17:23:07Z"/>
            <agent>
                <role>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                        <code value="AUT"/>
                    </coding>
                </role>
                <who>
                    <reference value="Practitioner/example"/>
                    <display value="Dr Adam Careful"/>
                </who>
            </agent>
            <signature>
                <type>
                    <system value="urn:iso-astm:E1762-95:2013"/>
                    <code value="1.2.840.10065.1.12.1.1"/>
                    <display value="Author&#39;s Signature"/>
                </type>
                <when value="2017-02-01T17:23:07Z"/>
				<who>
                    <reference value="Practitioner/example"/>
                    <display value="Dr Adam Careful"/>
				</who>
                <targetFormat value="application/fhir+xml"/>
				<sigFormat value="application/signature+xml"/>
                <data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>
            </signature>
        </Provenance>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <intent value="order">
    </intent>
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medication-request-category"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
        </coding>
    </category>
    <medicationReference> <!--   Linked to a RESOURCE Medication   -->
           <reference value="#med0310"/>
    </medicationReference> 
    <subject> <!--   Linked to the resource patient who needs the medication   -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>           
    </subject>
    <context> <!--   Linked to a resource Encounter between patient and practitioner  -->
        <reference value="Encounter/f201"/>
        <display value="encounter who leads to this prescription"/>
    </context>
    <supportingInformation>
        <reference value="Procedure/biopsy"/>
    </supportingInformation>
    <authoredOn value="2015-01-15"/>
    <requester>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>
    <performer>
        <reference value="Practitioner/f204"/>
        <display value="Carla Espinosa"/>
    </performer>
    <performerType>
        <coding>
            <system value="http://snomed.info.sct"/>
            <code value="26369006"/>
            <display value="Public Health Nurse"/>
        </coding>
    </performerType>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="297217002"/>
            <display value="Rib Pain (finding)"/>
        </coding>
    </reasonCode>
    <statusReason>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/med-request-status-reason"/>
            <code value="altchoice"/>
            <display value="Try another treatment first"/>
        </coding>
    </statusReason>
    <insurance>
        <reference value="Coverage/9876B1"/>
    </insurance>
    <note>
        <text value="Patient told to take with food"/>
    </note>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="one to two tablets every 4-6 hours as needed for rib pain"/>
        <additionalInstruction>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="418914006"/>
                <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"/>
            </coding>
        </additionalInstruction>
        <patientInstruction value="Take one to two tablets every four to six hours as needed for rib pain"/>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="4"/>
                <periodMax value="6"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <asNeededCodeableConcept>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="297217002"/>
                <display value="Rib Pain (finding)"/>
            </coding>
        </asNeededCodeableConcept>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="26643006"/>
                <display value="Oral Route"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="421521009"/>
                <display value="Swallow - dosing instruction imperative (qualifier value)"/>
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                    <code value="ordered"/>
                    <display value="Ordered"/>
                </coding>
            </type>
            <doseRange>
                <low>
                    <value value="1"/>
                    <unit value="TAB"/>
                    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
                    <code value="TAB"/> 
                </low>
                <high>
                    <value value="2"/>
                    <unit value="TAB"/>
                    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
                    <code value="TAB"/> 
                </high>
            </doseRange>
        </doseAndRate>
        
    </dosageInstruction>
    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/>
        </validityPeriod>
        <numberOfRepeatsAllowed value="0"/>
        <quantity>
            <value value="30"/>
            <unit value="TAB"/>
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="TAB"/> 
        </quantity>
        <expectedSupplyDuration>
            <value value="10"/>
            <unit value="days"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/> 
        </expectedSupplyDuration>
        <performer>
            <reference value="Practitioner/f001"/>
        </performer>
    </dispenseRequest>   
    <substitution>
        <allowed value="true"/>
        <reason>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                <code value="FP"/>
                <display value="formulary policy"/>             
            </coding>
        </reason>
    </substitution>
    <detectedIssue>
        <reference value="DetectedIssue/allergy"/>
    </detectedIssue>
    <eventHistory>
        <reference value="#signature"/>
        <display value="Author&#39;s Signature"/>
    </eventHistory>
</MedicationRequest>