<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="medrx0339"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="medrx0339"> </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;medrx0339&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>basedOn</b>: <a href="careplan-example-GPVisit.html">CarePlan/gpvisit</a></p><p><b>groupIdentifier</b>: id: 983939393 (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><span title="  Linked to a RESOURCE Medication  "><a name="med0322"> </a></span><blockquote><p/><p><a name="med0322"> </a></p><p><b>code</b>: Vagistat-3 <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>#0067-2091-03)</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-f001-heart.html">Encounter/f001: encounter who leads to this prescription</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><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Insert one suppository into the vagina daily at bedtime</p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-18</p><p><b>route</b>: Vaginal Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#16857009)</span></p><p><b>method</b>: Insert <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#421257003)</span></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>: Apply to vaginal area topically once daily</p><p><b>timing</b>: Starting 2015-01-16, Once per 1 days, Until 2015-01-18</p><p><b>route</b>: Topical Route <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#6064005)</span></p><p><b>method</b>: Apply - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#417924000)</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>: 1</p><p><b>quantity</b>: 1</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>3</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-f001-burgers.html">Organization/f001</a> &quot;Burgers University Medical Center&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></div></text><contained>
      <Medication>
          <id value="med0322"/>
          <code>
              <coding>
                  <system value="http://hl7.org/fhir/sid/ndc"/>
                  <code value="0067-2091-03"/>
                  <display value="Vagistat-3"/>
              </coding>
          </code>
      </Medication>
  </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <basedOn>
        <reference value="CarePlan/gpvisit"/>
    </basedOn>
    <groupIdentifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="983939393"/>
    </groupIdentifier>
    <status value="active"/>
    <intent value="order"/>
    <medication>     <!--   Linked to a RESOURCE Medication   -->
    <reference>
           <reference value="#med0322"/>
    </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>
    <authoredOn value="2015-01-15"/>
    <requester>
        <reference value="Practitioner/f007"/>
        <display value="Patrick Pump"/>
    </requester>


    <dosageInstruction>
        <sequence value="1"/>
        <text value="Insert one suppository into the vagina daily at bedtime"/>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-16"/>
                    <end value="2015-01-18"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="16857009"/>
                <display value="Vaginal Route"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="421257003"/>
                <display value="Insert"/>
            </coding>
        </method>
        <doseAndRate>
            <type>
                <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
                    <code value="ordered"/>
                    <display value="Ordered"/>
                </coding>
            </type>
            <doseQuantity>
                <value value="1"/>
                <unit value="VAGTAB"/>
                <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
                <code value="VAGTAB"/> 
            </doseQuantity>
        </doseAndRate>
    </dosageInstruction>
    <dosageInstruction>
        <sequence value="1"/>
        <text value="Apply to vaginal area topically once daily"/>
        <timing>
            <repeat>
                <boundsPeriod>
                    <start value="2015-01-16"/>
                    <end value="2015-01-18"/>
                </boundsPeriod>
                <frequency value="1"/>
                <period value="1"/>
                <periodUnit value="d"/>
            </repeat>
        </timing>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="6064005"/>
                <display value="Topical Route"/>
            </coding>
        </route>
        <method>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="417924000"/>
                <display value="Apply - 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>
        </doseAndRate>
    </dosageInstruction>

    <dispenseRequest>
        <validityPeriod>
            <start value="2015-01-15"/>
            <end value="2016-01-15"/>
        </validityPeriod>
        <numberOfRepeatsAllowed value="1"/>
        <quantity>
            <value value="1"/>
        </quantity>
        <expectedSupplyDuration>
            <value value="3"/>
            <unit value="days"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="d"/> 
        </expectedSupplyDuration>
        <dispenser>
            <reference value="Organization/f001"/>
        </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>
</MedicationRequest>