<?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>