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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0339"/>
  <contained>
    <Medication>
      <id value="med0322"/>
      <code>
        <coding>
          <system value="http://hl7.org/fhir/sid/ndc"/>
          <code value="0067-2091-03"/>
          <display value="Vagistat-3, 1 KIT in 1 CARTON (0067-2091-03) * 3 SUPPOSITORY in 1 BLISTER PACK * 1 TUBE in 1 CARTON &gt; 9 g in 1 TUBE (package)"/>
        </coding>
        <text value="Vagistat-3"/>
      </code>
    </Medication>
  </contained>
  <identifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/portal/prescriptions"/>
    <value value="12345689"/>
  </identifier>
  <basedOn>
    <reference value="CarePlan/gpvisit"/>
  </basedOn>
  <groupIdentifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/portal/prescriptions"/>
    <value value="983939393"/>
  </groupIdentifier>
  <status value="active"/>
  <intent value="order"/>
  <medication>
    <!--  Linked to a RESOURCE Medication  -->
    <reference>
      <reference value="#med0322"/>
    </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>
  <dosageInstruction>
    <renderedInstruction value="Insert one suppository into the vagina daily at bedtime and apply cream to vaginal area topically once daily for 3 days."/>
    <step>
      <component>
        <text value="Insert one suppository into the vagina daily at bedtime"/>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2015-01-16"/>
              <end value="2015-01-18"/>
            </boundsPeriod>
            <frequency value="1"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
        </timing>
        <route>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="16857009"/>
            <display value="Vaginal Route"/>
          </coding>
        </route>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="421257003"/>
            <display value="Insert"/>
          </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="VAGTAB"/>
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="VAGTAB"/>
          </doseQuantity>
        </doseAndRate>
      </component>
      <component>
        <text value="Apply to vaginal area topically once daily"/>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2015-01-16"/>
              <end value="2015-01-18"/>
            </boundsPeriod>
            <frequency value="1"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
        </timing>
        <route>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="6064005"/>
            <display value="Topical Route"/>
          </coding>
        </route>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="417924000"/>
            <display value="Apply - 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>
        </doseAndRate>
      </component>
    </step>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2015-01-15"/>
      <end value="2016-01-15"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="1"/>
    <quantity>
      <value value="1"/>
    </quantity>
    <expectedSupplyDuration>
      <value value="3"/>
      <unit value="days"/>
      <system value="http://unitsofmeasure.org"/>
      <code value="d"/>
    </expectedSupplyDuration>
    <dispenser>
      <reference value="Organization/f001"/>
    </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>
</MedicationRequest>