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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="ChemotherapyMedicationRequestExample"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-chemotherapy-medication-request"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p>Doxorubicin 60 mg/m² IV short infusion, day 1 of cycle 1 for breast cancer (AC regimen)</p></div>
  </text>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension">
    <valueInteger value="1"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension">
    <valueInteger value="1"/>
  </extension>
  <extension url="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension">
    <valueCode value="CHEMOTHERAPY"/>
  </extension>
  <identifier>
    <system value="https://nshr-uat.sha.go.ke/fhir/med-request-id"/>
    <value value="MR-2026-00301"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
      <code value="inpatient"/>
      <display value="Inpatient"/>
    </coding>
  </category>
  <medicationCodeableConcept>
    <coding>
      <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/generic-products-cs"/>
      <code value="DOXORUBICIN"/>
      <display value="Doxorubicin"/>
    </coding>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/example-patient"/>
  </subject>
  <authoredOn value="2026-01-10"/>
  <requester>
    <reference value="Practitioner/example-practitioner"/>
  </requester>
  <reasonReference>
    <reference value="Condition/example-condition"/>
  </reasonReference>
  <basedOn>
    <reference value="CarePlan/example-careplan"/>
  </basedOn>
  <dosageInstruction>
    <route>
      <coding>
        <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/route-of-administration-cs"/>
        <code value="RT10036"/>
        <display value="Intravenous"/>
      </coding>
    </route>
    <doseAndRate>
      <doseQuantity>
        <value value="60"/>
        <unit value="mg/m2"/>
        <system value="https://nshr-uat.sha.go.ke/fhir/CodeSystem/unit-of-measure-cs"/>
        <code value="MG-PER-M2"/>
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
</MedicationRequest>