<?xml version="1.0" encoding="UTF-8"?><MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0323"/>
    <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationRequest</b><a name="medrx0323"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationRequest &quot;medrx0323&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><h3>Medications</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><span title="  Linked to a RESOURCE Medication  "><a name="med0318"> </a></span><blockquote><p/><p><a name="med0318"> </a></p><p><b>doseForm</b>: Injection emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#385221006)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td>CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ndc.html">National drug codes</a>#0338-1134-03)</span></td></tr></table></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td>TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ndc.html">National drug codes</a>#0409-5779-01)</span></td></tr></table></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Concept</b></td></tr><tr><td style="display: none">*</td><td>Intralipid 20% IV Fat Emulsion <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.4.0/CodeSystem-v3-ndc.html">National drug codes</a>#0338-0519-02 &quot;Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)&quot;)</span></td></tr></table></blockquote><h3>Batches</h3><table class="grid"><tr><td style="display: none">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style="display: none">*</td><td>123455</td><td>2016-07-09</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a href="encounter-example-f001-heart.html">Encounter/f001: encounter who leads to this prescription</a></p><p><b>authoredOn</b>: 2015-01-15</p><p><b>requester</b>: <a href="practitioner-example-f007-sh.html">Practitioner/f007: Patrick Pump</a> &quot;Simone HEPS&quot;</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours</p><p><b>timing</b>: Events: 2015-01-15T22:00:00+11:00, Once per 24 hours</p><p><b>site</b>: Structure of ligament of left superior vena cava <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#6073002)</span></p><p><b>route</b>: Intravenous <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#255560000)</span></p><p><b>method</b>: PICC line <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div></text><contained>
        <Medication>
            <id value="med0318"/>
                <doseForm>
                    <coding>
                        <system value="http://snomed.info/sct"/>
                        <code value="385221006"/>
                        <display value="Injection emulsion"/>
                    </coding>
                </doseForm>
                <ingredient>
                    <item>
                        <concept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-1134-03"/>
                            <display value="CLINIMIX, 1000 mL in 1 BAG (0338-1134-03) (package)"/>     <!--  Clinimix 4.25/10 sulfite-free (4.25% Amino Acid in 10% Dextrose) Injection, 1000ml"  -->
                        </coding>
                        </concept>
                    </item>
                </ingredient>
                <ingredient>
                    <item>
                        <concept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0409-5779-01"/>
                            <display value="TPN Electrolytes, 25 VIAL, SINGLE-DOSE in 1 CARTON (0409-5779-01) &gt; 20 mL in 1 VIAL, SINGLE-DOSE (0409-5779-11) (package)"/>
                        </coding>
                        </concept>
                    </item>
                </ingredient>
                <ingredient>
                    <item>
                    <concept>
                        <coding>
                            <system value="http://hl7.org/fhir/sid/ndc"/>
                            <code value="0338-0519-02"/>
                            <display value="Intralipid, 250 mL in 1 BAG (0338-0519-02) (package)"/>
                        </coding>
                        <text value="Intralipid 20% IV Fat Emulsion"/>
                    </concept>
                    </item>
                </ingredient>
            <batch>
                <lotNumber value="123455"/>
                <expirationDate value="2016-07-09"/>
            </batch>              
        </Medication>
    </contained>
    <identifier>
        <use value="official"/>
        <system value="http://www.bmc.nl/portal/prescriptions"/>
        <value value="12345689"/>
    </identifier>
    <status value="completed"/>
    <intent value="order"/>
    <medication>     <!--   Linked to a RESOURCE Medication   -->
        <reference>
        <reference value="#med0318"/>
        </reference>
    </medication> 
    <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>
    
    <dosageInstruction>
        <sequence value="1"/>
        <text value="1000mL infused at 50ml/hour for 4 hours - hung at 2200 hours"/>
        <timing>
            <event value="2015-01-15T22:00:00+11:00"/>
            <repeat>
                <frequency value="1"/>
                <period value="24"/>
                <periodUnit value="h"/>
            </repeat>
        </timing>
        <site>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="6073002"/>
                <display value="Structure of ligament of left superior vena cava"/>
            </coding>
        </site>
        <route>
            <coding>
                <system value="http://snomed.info/sct"/>
                <code value="255560000"/>
                <display value="Intravenous"/>
            </coding>
        </route>
        <method>
            <text value="PICC line"/>
        </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="1000"/>
                <unit value="mL"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="mL"/> 
            </doseQuantity>
            <rateRatio>
                <numerator>
                    <value value="50"/>
                    <unit value="mL"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="mL"/> 
                </numerator>
                <denominator>
                    <value value="1"/>
                    <unit value="h"/>
                    <system value="http://unitsofmeasure.org"/>
                    <code value="h"/> 
                </denominator>
            </rateRatio>
        </doseAndRate>
        
        
    </dosageInstruction>
    
</MedicationRequest>