Request using Medication Code for Rectal Suppository - Acetaminophen - completed with reasonCode, dispenseRequest and substitution (id = "medrx0324")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0324"/> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="12345689"/> 
  </identifier> 
  <status value="completed"/> 
  <intent value="order"/> 
  <medication> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="322254008"/> 
        <display value="Acetaminophen 240 mg rectal suppository"/> 
      </coding> 
    </concept> 
  </medication> 
  <subject> 
    <!--   Linked to the resource patient who needs the medication   -->
    <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="30242009"/> 
        <display value="Scarlet Fever (disorder)"/> 
      </coding> 
    </concept> 
  </reason> 
  <dosageInstruction> 
    <simple> 
      <text value="Insert one suppository rectally twice daily as needed for fever to a maximim of
       3 per day"/> 
      <additionalInstruction> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="418637003"/> 
          <display value="Do not take with any other paracetamol products (qualifier value)"/> 
        </coding> 
      </additionalInstruction> 
      <timing> 
        <repeat> 
          <frequency value="2"/> 
          <period value="1"/> 
          <periodUnit value="d"/> 
        </repeat> 
      </timing> 
      <asNeededFor> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="386661006"/> 
          <display value="Fever (finding)"/> 
        </coding> 
      </asNeededFor> 
      <doseAndRate> 
        <type> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> 
            <code value="ordered"/> 
            <display value="Ordered"/> 
          </coding> 
        </type> 
        <doseQuantity> 
          <value value="240"/> 
          <unit value="mg"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="mg"/> 
        </doseQuantity> 
      </doseAndRate> 
      <safety> 
        <doseLimit> 
          <valueQuantity> 
            <value value="720"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/> 
          </valueQuantity> 
          <scope value="period"/> 
          <period> 
            <value value="1"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="d"/> 
          </period> 
        </doseLimit> 
      </safety> 
    </simple> 
  </dosageInstruction> 
  <dispenseRequest> 
    <validityPeriod> 
      <start value="2015-01-15"/> 
      <end value="2016-01-15"/> 
    </validityPeriod> 
    <numberOfRepeatsAllowed value="3"/> 
    <quantity> 
      <value value="30"/> 
      <unit value="RECSUPP"/> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
      <code value="RECSUPP"/> 
    </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>