<MedicationRequest xmlns="http://hl7.org/fhir"><id value="medrx0334"/><identifier><use value="official"/><system value="http://www.bmc.nl/portal/prescriptions"/><value value="12345689"/></identifier><status value="on-hold"/><intent value="order"/><medication><concept><coding><system value="http://www.nlm.nih.gov/research/umls/rxnorm"/><code value="884308"/><display value="nystatin 100 UNT/MG Topical Ointment"/></coding></concept></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><authoredOn value="2015-01-15"/><requester><reference value="Practitioner/f007"/><display value="Patrick Pump"/></requester><dosageInstruction/><dispenseRequest><validityPeriod><start value="2015-01-15"/><end value="2016-01-15"/></validityPeriod><numberOfRepeatsAllowed value="3"/><quantity><value value="30"/><unit value="g"/><system value="http://unitsofmeasure.org"/><code value="g"/></quantity><expectedSupplyDuration><value value="10"/><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="FP"/><display value="formulary policy"/></coding></reason></substitution></MedicationRequest>