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

  <id value="medrx0301"/>
  <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="med0310"/>
        <code>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="430127000"/>
                <display value="Oral Form Oxycodone (product)"/>
            </coding>
        </code>
    </Medication>
</contained>
  <contained>
      <Provenance>
          <id value="signature"/>
          <target>
              <reference value="ServiceRequest/physiotherapy"/>
          </target>
          <recorded value="2017-02-01T17:23:07Z"/>
          <agent>
              <role>
                  <coding>
                      <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
                      <code value="AUT"/>
                  </coding>
              </role>
              <who>
                  <reference value="Practitioner/example"/>
                  <display value="Dr Adam Careful"/>
              </who>
          </agent>
          <signature>
              <type>
                  <system value="urn:iso-astm:E1762-95:2013"/>
                  <code value="1.2.840.10065.1.12.1.1"/>
                  <display value="Author's Signature"/>
              </type>
              <when value="2017-02-01T17:23:07Z"/>
                              <who>
                  <reference value="Practitioner/example"/>
                  <display value="Dr Adam Careful"/>
                              </who>
              <targetFormat value="application/fhir+xml"/>
                              <sigFormat value="application/signature+xml"/>
              <data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/>
          </signature>
      </Provenance>
  </contained>
  <identifier>
      <use value="official"/>
      <system value="http://www.bmc.nl/portal/prescriptions"/>
      <value value="12345689"/>
  </identifier>
  <status value="completed"/>
  <statusReason>
      <coding>
          <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-status-reason"/>
          <code value="altchoice"/>
          <display value="Try another treatment first"/>
      </coding>
  </statusReason>
  <intent value="order"/>
  <category>
      <coding>
          <system value="http://terminology.hl7.org/CodeSystem/medicationrequest-category"/>
          <code value="inpatient"/>
          <display value="Inpatient"/>
      </coding>
  </category>
  <medicationReference> <!--   Linked to a RESOURCE Medication   -->
         <reference value="#med0310"/>
  </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/f201"/>
      <display value="encounter who leads to this prescription"/>
  </encounter>
  <supportingInformation>
      <reference value="Procedure/biopsy"/>
  </supportingInformation>
  <authoredOn value="2015-01-15"/>
  <requester>
      <reference value="Practitioner/f007"/>
      <display value="Patrick Pump"/>
  </requester>
  <performer>
      <reference value="Practitioner/f204"/>
      <display value="Carla Espinosa"/>
  </performer>
  <performerType>
      <coding>
          <system value="http://snomed.info/sct"/>
          <code value="26369006"/>
          <display value="Public Health Nurse"/>
      </coding>
  </performerType>
  <reasonCode>
      <coding>
          <system value="http://snomed.info/sct"/>
          <code value="297217002"/>
          <display value="Rib Pain (finding)"/>
      </coding>
  </reasonCode>
  <insurance>
      <reference value="Coverage/9876B1"/>
  </insurance>
  <note>
      <text value="Patient told to take with food"/>
  </note>
  <dosageInstruction>
      <sequence value="1"/>
      <text value="one to two tablets every 4-6 hours as needed for rib 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>
      <patientInstruction value="Take one to two tablets every four to six hours as needed for rib pain"/>
      <timing>
          <repeat>
              <frequency value="1"/>
              <period value="4"/>
              <periodMax value="6"/>
              <periodUnit value="h"/>
          </repeat>
      </timing>
      <asNeededCodeableConcept>
          <coding>
              <system value="http://snomed.info/sct"/>
              <code value="297217002"/>
              <display value="Rib Pain (finding)"/>
          </coding>
      </asNeededCodeableConcept>
      <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>
          <doseRange>
              <low>
                  <value value="1"/>
                  <unit value="TAB"/>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
                  <code value="TAB"/> 
              </low>
              <high>
                  <value value="2"/>
                  <unit value="TAB"/>
                  <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
                  <code value="TAB"/> 
              </high>
          </doseRange>
      </doseAndRate>

  </dosageInstruction>
  <dispenseRequest>
      <validityPeriod>
          <start value="2015-01-15"/>
          <end value="2016-01-15"/>
      </validityPeriod>
      <numberOfRepeatsAllowed value="0"/>
      <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>
      <performer>
          <reference value="Organization/f001"/>
      </performer>
  </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>
  <detectedIssue>
      <reference value="DetectedIssue/allergy"/>
  </detectedIssue>
  <eventHistory>
      <reference value="#signature"/>
      <display value="Author's Signature"/>
  </eventHistory>

</MedicationRequest>