<?xml version="1.0" encoding="UTF-8"?><MedicationUsage xmlns="http://hl7.org/fhir">
  <id value="example004"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>partOf</b>: <a>Generated Summary: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281; <span>Vital Signs</span>; <span>Blood pressure systolic &amp; diastolic</span>; effective: 2012-09-17; <span>Below low normal</span>; <span>Right arm</span></a></p><p><b>status</b>: completed</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>effective</b>: 2014-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><h3>Dosages</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>adherence</b>: <span>Not Taking</span></p></div></text><partOf>
    <reference value="Observation/blood-pressure"/>
  </partOf>
  <status value="completed"/>
  <medication>
    <concept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="27658006"/>
      <display value="Amoxicillin (product)"/>
    </coding>
    </concept>
  </medication>
  <subject>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/> 
  </subject>
  <effectiveDateTime value="2014-01-23"/>
  <dateAsserted value="2015-02-22"/>
  <informationSource>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/> 
  </informationSource>


  <reason>
    <concept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="65363002"/>
        <display value="Otitis Media"/>
      </coding>
    </concept>
  </reason>

  <note>
    <text value="Patient indicates they miss the occasional dose"/>
  </note>
  <dosage>
    <text value="one capsule three times daily"/>
    <timing>
      <repeat>
        <frequency value="3"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <asNeededBoolean value="false"/>
    <route>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="260548002"/>
        <display value="Oral"/>
      </coding>
    </route>
    <maxDosePerPeriod>
      <numerator>
        <value value="3"/>
        <unit value="capsules"/>
        <system value="http://snomed.info/sct"/>
        <code value="385055001"/>
      </numerator>
      <denominator>
        <value value="1"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="d"/>
      </denominator>
    </maxDosePerPeriod>
  </dosage>
	<adherence>
		<coding>
			<system value="http://hl7.org/fhir/CodeSystem/medication-usage-adherence"/>
			<code value="not-taking"/>
		</coding>
	</adherence>
</MedicationUsage>