<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0311"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="medrx0311"> </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;medrx0311&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><span title="  Linked to a RESOURCE Medication  "><a name="med0316"> </a></span><blockquote><p/><p><a name="med0316"> </a></p><p><b>code</b>: Chlorthalidone 50mg tablet (product) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#317935006)</span></p><p><b>doseForm</b>: Tablet dose form (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385055001)</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><h3>Reasons</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a href="condition-example-f201-fever.html">Condition/f201: condition for prescribing this medication</a></td></tr></table><p><b>note</b>: Chlorthalidone increases urniation so take it in the morning</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: One tablet daily</p><p><b>additionalInstruction</b>: With or after food <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#311504000)</span></p><p><b>timing</b>: Code: QD</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>: 1</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>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><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>continuing therapy <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>#CT)</span></td></tr></table></div></text><contained>
    <Medication>
      <id value="med0316"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="317935006"/>
          <display value="Chlorthalidone 50mg tablet (product)"/>
        </coding>
      </code>
      <doseForm>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385055001"/>
          <display value="Tablet dose form (qualifier value)"/>
        </coding>
      </doseForm>
    </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>
        <!--   Linked to a RESOURCE Medication   -->
    <reference>
    <reference value="#med0316"/>
    </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>
  <reason>
    <reference>
      <reference value="Condition/f201"/>
      <display value="condition for prescribing this medication"/>
    </reference>
  </reason>
  <note>
    <text value="Chlorthalidone increases urniation so take it in the morning"/>
  </note>

  <dosageInstruction>
    <sequence value="1"/>
    <text value="One tablet daily"/>
    <additionalInstruction>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="311504000"/>
        <display value="With or after food"/>
      </coding>
    </additionalInstruction>
    <timing>
      <code>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-GTSAbbreviation"/>
          <code value="QD"/>
          <display value="QD"/>
        </coding>
      </code>
    </timing>
    <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>
      <doseQuantity>
        <value value="1"/>
        <unit value="TAB"/>
        <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
        <code value="TAB"/>
      </doseQuantity>
    </doseAndRate>
    
  </dosageInstruction>

  <dispenseRequest>
    <validityPeriod>
      <start value="2015-01-15"/>
      <end value="2016-01-15"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="1"/>
    <quantity>
      <value value="30"/>
      <unit value="TAB"/>
      <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
      <code value="TAB"/>
    </quantity>
    <expectedSupplyDuration>
      <value value="30"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </expectedSupplyDuration>
  </dispenseRequest>
  <substitution>
    <allowedBoolean value="true"/>
    <reason>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="CT"/>
        <display value="continuing therapy"/>
      </coding>
    </reason>
  </substitution>
</MedicationRequest>