<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0321"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="medrx0321"> </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;medrx0321&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name="med0307"> </a><blockquote><p/><p><a name="med0307"> </a></p><p><b>code</b>: Novolog 100u/ml <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a>#0169-7501-11)</span></p><p><b>doseForm</b>: Injection solution (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385219001)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Insulin Aspart (substance) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#325072002)</span></td></tr></table><p><b>strength</b>: 100 U<span style="background: LightGoldenRodYellow"> (Details: UCUM code U = 'U')</span>/1 mL<span style="background: LightGoldenRodYellow"> (Details: UCUM code mL = 'mL')</span></p></blockquote><h3>Batches</h3><table class="grid"><tr><td>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>12345</td><td>2019-10-31</td></tr></table></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>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><h3>Reasons</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diabetes mellitus type 2 (disorder) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#44054006)</span></td></tr></table><p><b>note</b>: Check blood sugar levels before taking insulin</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: inject 10 units subcut 10 minutes before breakfast</p><p><b>timing</b>: 10min , before breakfast</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: 15 units before lunch</p><p><b>additionalInstruction</b>: Before Lunch <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>timing</b>: Once per 1 days</p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 20 units before dinner</p><p><b>additionalInstruction</b>: Before Dinner <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>timing</b>: Once per 1 days</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>: 3</p><p><b>quantity</b>: 10 ml<span style="background: LightGoldenRodYellow"> (Details: UCUM code ml = 'ml')</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>30</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></blockquote></div></text><contained>
    <Medication>
      <id value="med0307"/>
      <code>
        <coding>
          <system value="http://hl7.org/fhir/sid/ndc"/>
          <code value="0169-7501-11"/>
          <display value="Novolog 100u/ml"/>
        </coding>
      </code>
      <doseForm>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385219001"/>
          <display value="Injection solution (qualifier value)"/>
        </coding>
      </doseForm>
      <ingredient>
        <item>
          <concept>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="325072002"/>
            <display value="Insulin Aspart (substance)"/>
          </coding>
          </concept>
        </item>
        <strengthRatio>
          <numerator>
            <value value="100"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="U"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </denominator>
        </strengthRatio>
      </ingredient>
      <batch>
        <lotNumber value="12345"/>
        <expirationDate value="2019-10-31"/>
      </batch>
    </Medication>
  </contained>
  <identifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/portal/prescriptions"/>
    <value value="12345689"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <medication>
  <reference>
    <reference value="#med0307"/>
    <display value="Novolog 100u/ml"/>
    </reference>
  </medication>
  <subject>
        <!--   Linked to the resource patient who needs the medication   -->
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/>
  </subject>
  <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="44054006"/>
        <display value="Diabetes mellitus type 2 (disorder)"/>
      </coding>
    </concept>
  </reason>
  <note>
    <text value="Check blood sugar levels before taking insulin"/>
  </note>
  
  <dosageInstruction>
    <sequence value="2"/>
    <text value="inject 10 units subcut 10 minutes before breakfast"/>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
        <when value="ACM"/>
        <offset value="10"/>
      </repeat>
    </timing>
    <doseAndRate>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
          <display value="Ordered"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="10"/>
        <unit value="U"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="U"/>
      </doseQuantity>
    </doseAndRate>
    
  </dosageInstruction>
  <dosageInstruction>
    <sequence value="2"/>
    <text value="15 units before lunch"/>
    <additionalInstruction>
      <text value="Before Lunch"/>
    </additionalInstruction>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <doseAndRate>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
          <display value="Ordered"/>
        </coding>
      </type>
      <doseQuantity>
        <value value="15"/>
        <unit value="U"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="U"/>
      </doseQuantity>
    </doseAndRate>
    
  </dosageInstruction>
  <dosageInstruction>
    <sequence value="1"/>
    <text value="20 units before dinner"/>
    <additionalInstruction>
      <text value="Before Dinner"/>
    </additionalInstruction>
    <timing>
      <repeat>
        <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
    <doseAndRate>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
          <code value="ordered"/>
          <display value="Ordered"/>
        </coding>
      </type><doseQuantity>
        <value value="20"/>
        <unit value="U"/>
        <system value="http://unitsofmeasure.org"/>
        <code value="U"/>
      </doseQuantity>
    </doseAndRate>
    
  </dosageInstruction>
  
  <dispenseRequest>
    <validityPeriod>
      <start value="2015-01-15"/>
      <end value="2016-01-15"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="3"/>
    <quantity>
      <value value="10"/>
      <unit value="ml"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="ml"/>
    </quantity>
    <expectedSupplyDuration>
      <value value="30"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </expectedSupplyDuration>
  </dispenseRequest>
</MedicationRequest>