<MedicationRequest xmlns="http://hl7.org/fhir"><id value="medrx0326"/><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="746763"/><display value="NDA020503 200 ACTUAT albuterol 0.09 MG/ACTUAT Metered Dose Inhaler [Proventil]"/></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><step><component><text value="Use two sprays twice daily"/><additionalInstruction><text value="Shake Well"/></additionalInstruction><timing><repeat><frequency value="2"/><period value="1"/><periodUnit value="d"/></repeat></timing><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="ea"/><system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/><code value="ORINHL"/></doseQuantity></doseAndRate></component></step></dosageInstruction><dispenseRequest><validityPeriod><start value="2015-01-15"/><end value="2016-01-15"/></validityPeriod><numberOfRepeatsAllowed value="3"/><quantity><value value="30"/><unit value="mL"/><system value="http://unitsofmeasure.org"/><code value="mL"/></quantity><expectedSupplyDuration><value value="30"/><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>