<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0333"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>category</b>: <span>Inpatient</span></p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>encounter</b>: <a>encounter who leads to this prescription. Generated Summary: id: v1451 (OFFICIAL); status: completed; <span>ambulatory</span>; <span>Patient-initiated encounter</span>; <span>Non-urgent cardiological admission</span></a></p><p><b>supportingInformation</b>: <a>Generated Summary: status: completed; <span>Diagnostic procedure</span>; <span>Biopsy of suspected melanoma L) arm</span>; occurrence: 2014-02-03; recorded: 2014-02-03; <span>Left forearm</span>; <span>Ineffective airway clearance</span>; <span>Review in clinic</span>; Standard Biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a>Patrick Pump. Generated Summary: id: 874635264 (OFFICIAL), id: 567IUI51C154 (USUAL); Simone Heps (OFFICIAL); Phone: 020556936, S.M.Heps@bmc.nl, Fax: 0205669283; gender: female; birthDate: 1971-11-07</a></p><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>note</b>: Patient told to take with food</p><h3>DosageInstructions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 30 TAB</p><h3>ExpectedSupplyDurations</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><h3>Substitutions</h3><table><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td><span>formulary policy</span></td></tr></table></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>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="active"/>
    <intent value="order"/>
    <category>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-admin-location"/>
            <code value="inpatient"/>
            <display value="Inpatient"/>
        </coding>
    </category>
    <medication> <!--   Linked to a RESOURCE Medication   -->
    <reference>
           <reference value="#med0310"/>
           </reference>
    </medication> 
    <subject> <!--   Linked to the resource patient who needs the medication   -->
        <reference value="Patient/pat1"/>
        <display value="Donald Duck"/>           
    </subject>
    <encounter> <!--   Linked to a resource Encounter between patient and practitioner  -->
        <reference value="Encounter/f001"/>
        <display value="encounter who leads to this prescription"/>
    </encounter>
    <supportingInformation>
        <reference value="Procedure/biopsy"/>
    </supportingInformation>
    <authoredOn value="2015-01-15"/>
    <requester>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
        
    </requester>
    <reason>
      <concept>
        <coding>
            <system value="http://snomed.info/sct"/>
            <code value="297217002"/>
            <display value="Rib Pain (finding)"/>
        </coding>
      </concept>
    </reason>
    <note>
        <text value="Patient told to take with food"/>
    </note>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="one tablet one time daily in the morning 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>
        <timing>
            <repeat>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
                <when value="MORN"/>
            </repeat>
        </timing>
        <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="1"/>
        <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>
    </dispenseRequest>   
    <substitution>
        <allowedBoolean value="true"/>
        <reason>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
                <code value="FP"/>
                <display value="formulary policy"/>             
            </coding>
        </reason>
    </substitution>
</MedicationRequest>