<MedicationRequest xmlns="http://hl7.org/fhir"><id value="medrx0330"/><contained><Medication><id value="med0305"/><code><coding><system value="http://hl7.org/fhir/sid/ndc"/><code value="24208-813-10"/><display value="Timoptic, 1 BOTTLE, DISPENSING in 1 CARTON (24208-813-10) &gt; 10 mL in 1 BOTTLE, DISPENSING (package)"/></coding><text value="Timoptic 5mg/ml solution"/></code></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="#med0305"/></reference></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><encounter><reference value="Encounter/f002"/><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><simple><text value="Instil one drop in each eye twice daily"/><timing><repeat><frequency value="2"/><period value="1"/><periodUnit value="d"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="54485002"/><display value="Ophthalmic route (qualifier value)"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="421538008"/><display value="Instill - 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="OPDROP"/><system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/><code value="OPDROP"/></doseQuantity></doseAndRate></simple></dosageInstruction><dispenseRequest><validityPeriod><start value="2015-01-15"/><end value="2016-01-15"/></validityPeriod><numberOfRepeatsAllowed value="1"/><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><substitution><allowedBoolean value="false"/><reason><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/><code value="FP"/><display value="formulary policy"/></coding></reason></substitution></MedicationRequest>