<?xml version="1.0" encoding="UTF-8"?>

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0301"/>
  <contained>
    <Medication>
      <id value="med0310"/>
      <code>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="430127000"/>
          <display value="Oxycodone-containing product in oral dose form"/>
        </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-category"/>
      <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>
    <simple>
      <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>
    </simple>
  </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>