<MedicationRequest xmlns="http://hl7.org/fhir"><id value="medrx0317"/><contained><Medication><id value="med0303"/><code><coding><system value="http://www.nlm.nih.gov/research/umls/rxnorm"/><code value="1594660"/><display value="alemtuzumab 10 MG/ML [Lemtrada]"/></coding></code></Medication></contained><identifier><use value="official"/><system value="http://www.bmc.nl/portal/prescriptions"/><value value="12345689"/></identifier><status value="completed"/><intent value="order"/><medication><reference><reference value="#med0303"/></reference></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><reason><concept><coding><system value="http://snomed.info/sct"/><code value="92814006"/><display value="Chronic lymphoid leukemia, disease (disorder)"/></coding></concept></reason><dosageInstruction><renderedInstruction value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, then 10 mg/d, to 30 mg IV over 120 min, 3 times per week on alternate days for up to 12 weeks."/><step><component><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - 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="3"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></component></step><step><component><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - 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="10"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></component></step><step><component><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - 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="30"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></component></step></dosageInstruction></MedicationRequest>