<?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: MedicationRequest</b><a name="medrx0301"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest &quot;medrx0301&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>statusReason</b>: Try another treatment first <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-medicationrequest-status-reason.html">MedicationRequest Status Reason Codes</a>#altchoice)</span></p><p><b>intent</b>: order</p><p><b>category</b>: Inpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-medicationrequest-admin-location.html">Medication request  administration  location  codes</a>#inpatient)</span></p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title="  Linked to a RESOURCE Medication  "><a name="med0310"> </a></span><blockquote><p/><p><a name="med0310"> </a></p><p><b>code</b>: Oral Form Oxycodone (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#430127000)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a href="encounter-example-f201-20130404.html">Encounter/f201: encounter who leads to this prescription</a></p><p><b>supportingInformation</b>: <a href="procedure-example-biopsy.html">Procedure/biopsy</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><p><b>performerType</b>: Public Health Nurse <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#26369006)</span></p><p><b>performer</b>: <a href="practitioner-example-f204-ce.html">Practitioner/f204: Carla Espinosa</a> &quot;Carla Espinosa&quot;</p><h3>Reasons</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#297217002)</span></td></tr></table><p><b>insurance</b>: <a href="coverage-example.html">Coverage/9876B1</a></p><p><b>note</b>: Patient told to take with food</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: one to two tablets every 4-6 hours as needed for rib pain</p><p><b>additionalInstruction</b>: Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#418914006)</span></p><p><b>patientInstruction</b>: Take one to two tablets every four to six hours as needed for rib pain</p><p><b>timing</b>: Once per 4-6 hours</p><p><b>asNeededFor</b>: Rib Pain (finding) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#297217002)</span></p><p><b>route</b>: Oral Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#26643006)</span></p><p><b>method</b>: Swallow - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#421521009)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>validityPeriod</b>: 2015-01-15 --&gt; 2016-01-15</p><p><b>numberOfRepeatsAllowed</b>: 0</p><p><b>quantity</b>: 30 TAB<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>10</td><td>days</td><td><a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ucum.html">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>dispenser</b>: <a href="organization-example-good-health-care.html">Organization/2.16.840.1.113883.19.5</a> &quot;Good Health Clinic&quot;</p></blockquote><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>Allowed[x]</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>true</td><td>formulary policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html">ActReason</a>#FP)</span></td></tr></table><p><b>eventHistory</b>: <a name="signature"> </a></p><blockquote><p/><p><a name="signature"> </a></p><p><b>target</b>: <a href="servicerequest-example2.html">ServiceRequest/physiotherapy</a></p><p><b>recorded</b>: 2 Feb 2017, 4:23:07 am</p><h3>Agents</h3><table class="grid"><tr><td>-</td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>author (originator) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a>#AUT)</span></td><td><a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td></tr></table><h3>Signatures</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>TargetFormat</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'Author's Signature')</td><td>2 Feb 2017, 4:23:07 am</td><td><a href="practitioner-example.html">Practitioner/example: Dr Adam Careful</a> &quot;Adam CAREFUL&quot;</td><td>application/fhir+xml</td><td>application/signature+xml</td><td>dGhpcyBibG9iIGlzIHNuaXBwZWQ=</td></tr></table></blockquote></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'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="completed"/><statusReason><coding><system value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/><code value="altchoice"/><display value="Try another treatment first"/></coding></statusReason><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/f201"/><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><performerType><coding><system value="http://snomed.info/sct"/><code value="26369006"/><display value="Public Health Nurse"/></coding></performerType><performer><reference value="Practitioner/f204"/><display value="Carla Espinosa"/></performer><reason><concept><coding><system value="http://snomed.info/sct"/><code value="297217002"/><display value="Rib Pain (finding)"/></coding></concept></reason><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><asNeededFor><coding><system value="http://snomed.info/sct"/><code value="297217002"/><display value="Rib Pain (finding)"/></coding></asNeededFor><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><dispenser><reference value="Organization/2.16.840.1.113883.19.5"/></dispenser></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><eventHistory><reference value="#signature"/><display value="Author's Signature"/></eventHistory></MedicationRequest>