Order with as needed (PRN) dosage with pre-condition - Oxycodone - active with reasonCode, note, dispenseRequest and substitution (id = "medrx0301")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0301"/> 
  <contained> 
    <Medication> 
      <id value="med0310"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="430127000"/> 
          <display value="Oxycodone-containing product in oral dose form"/> 
        </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-admin-location"/> 
      <code value="inpatient"/> 
      <display value="Inpatient"/> 
    </coding> 
  </category> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0310"/> 
    </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/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> 
  <performerType> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="26369006"/> 
      <display value="Public Health Nurse"/> 
    </coding> 
  </performerType> 
  <performer> 
    <reference value="Practitioner/f204"/> 
    <display value="Carla Espinosa"/> 
  </performer> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="297217002"/> 
        <display value="Rib Pain (finding)"/> 
      </coding> 
    </concept> 
  </reason> 
  <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> 
    <asNeededFor> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="297217002"/> 
        <display value="Rib Pain (finding)"/> 
      </coding> 
    </asNeededFor> 
    <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> 
    <dispenser> 
      <reference value="Organization/2.16.840.1.113883.19.5"/> 
    </dispenser> 
  </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> 
  <eventHistory> 
    <reference value="#signature"/> 
    <display value="Author's Signature"/> 
  </eventHistory> 
</MedicationRequest>