<?xml version=“1.0” encoding=“UTF-8”?> <MedicationRequest xmlns=“hl7.org/fhir”>

  <id value="medrx0303"/>
  <meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<contained>
    <Medication>
        <id value="med0311"/>
        <code>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="373994007"/>
                <display value="Prednisone 5mg tablet (Product)"/>
            </coding>
        </code>
    </Medication>
</contained>
  <identifier>
      <use value="official"/>
      <system value="http://www.bmc.nl/portal/prescriptions"/>
      <value value="12345689"/>
  </identifier>
  <status value="active"/>
  <intent value="order"/>
  <medicationReference> <!--   Linked to a RESOURCE Medication   -->
         <reference value="#med0311"/>
  </medicationReference> 
  <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>
  <basedOn>
      <reference value="CarePlan/gpvisit"/>
  </basedOn>
  <groupIdentifier>
      <use value="official"/>
      <system value="http://www.bmc.nl/portal/prescriptions"/>
      <value value="983939393"/>
  </groupIdentifier>
  <note>
      <text value="Patient told to take with food"/>
  </note>
  <dosageInstruction>
      <sequence value="1"/>
      <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>
      <timing>
          <repeat>
              <boundsPeriod>
                  <start value="2015-01-16"/>
                  <end value="2015-01-20"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
          </repeat>
      </timing>
      <route>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Route"/>
          </coding>
      </route>
      <method>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="421521009"/>
              <display value="Swallow - 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>
          <doseQuantity>
              <value value="4"/>
              <unit value="TAB"/>
              <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
              <code value="TAB"/> 
          </doseQuantity>
      </doseAndRate>

  </dosageInstruction>
  <dosageInstruction>
      <sequence value="2"/>
      <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>
      <timing>
          <repeat>
              <boundsPeriod>
                  <start value="2015-01-23"/>
                  <end value="2015-01-30"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
          </repeat>
      </timing>
      <route>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Route"/>
          </coding>
      </route>
      <method>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="421521009"/>
              <display value="Swallow - 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>
          <doseQuantity>
              <value value="2"/>
              <unit value="TAB"/>
              <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
              <code value="TAB"/> 
          </doseQuantity>
      </doseAndRate>

  </dosageInstruction>
  <dosageInstruction>
      <sequence value="3"/>
      <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/>
      <timing>
          <repeat>
              <boundsPeriod>
                  <start value="2015-01-31"/>
                  <end value="2015-02-06"/>
              </boundsPeriod>
              <frequency value="1"/>
              <period value="1"/>
              <periodUnit value="d"/>
          </repeat>
      </timing>
      <route>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral Route"/>
          </coding>
      </route>
      <method>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="421521009"/>
              <display value="Swallow - 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>
          <doseQuantity>
              <value value="1"/>
              <unit value="TAB"/>
              <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
              <code value="TAB"/> 
          </doseQuantity>
      </doseAndRate>

  </dosageInstruction>
  <dispenseRequest>
      <validityPeriod>
          <start value="2015-01-15"/>
          <end value="2016-01-15"/>
      </validityPeriod>
      <numberOfRepeatsAllowed value="1"/>
      <quantity>
          <value value="51"/>
          <unit value="TAB"/>
          <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
          <code value="TAB"/> 
      </quantity>
      <expectedSupplyDuration>
          <value value="21"/>
          <unit value="days"/>
          <system value="http://unitsofmeasure.org"/>
          <code value="d"/> 
      </expectedSupplyDuration>
      <performer>
          <reference value="Organization/f001"/>
      </performer>
  </dispenseRequest>   
  <substitution>
      <allowedCodeableConcept>
          <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
              <code value="TB"/>
              <display value="Therapeutic Brand"/>
          </coding>
      </allowedCodeableConcept>
      <reason>
          <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
              <code value="FP"/>
              <display value="formulary policy"/>             
          </coding>
      </reason>
  </substitution>

</MedicationRequest>