<MedicationRequest xmlns="http://hl7.org/fhir"><id value="medrx0307"/><contained><Medication><id value="med0308"/><code><coding><system value="http://hl7.org/fhir/sid/ndc"/><code value="63481-623-70"/><display value="PERCOCET, 100 TABLET in 1 BOTTLE (63481-623-70) (package)"/></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="#med0308"/></reference></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><encounter><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><simple><text value="1 tablet every four hours as needed for 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><timing><repeat><frequency value="1"/><period value="4"/><periodUnit value="h"/></repeat></timing><asNeededFor><coding><system value="http://snomed.info/sct"/><code value="203082005"/><display value="Fibromyalgia (disorder)"/></coding></asNeededFor><route><coding><system value="http://snomed.info/sct"/><code value="26643006"/><display value="Oral Route"/></coding></route><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="TAB"/><system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/><code value="TAB"/></doseQuantity></doseAndRate></simple></dosageInstruction><dispenseRequest><validityPeriod><start value="2015-01-15"/><end value="2016-01-15"/></validityPeriod><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></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>