Order for Tapering Dose - Prednisone - active with note and multiple DosageInstructions with boundsPeriod (id = "medrx0303")

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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0303"/> 
  <contained> 
    <Medication> 
      <id value="med0311"/> 
      <code> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="373994007"/> 
          <display value="Prednisone 5 mg oral tablet"/> 
        </coding> 
      </code> 
    </Medication> 
  </contained> 
  <identifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="12345689"/> 
  </identifier> 
  <basedOn> 
    <reference value="CarePlan/gpvisit"/> 
  </basedOn> 
  <groupIdentifier> 
    <use value="official"/> 
    <system value="http://www.bmc.nl/portal/prescriptions"/> 
    <value value="983939393"/> 
  </groupIdentifier> 
  <status value="active"/> 
  <intent value="order"/> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0311"/> 
    </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> 
  <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="2015-01-22"/> 
        </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="2015-01-29"/> 
        </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 30, 2015"/> 
    <timing> 
      <repeat> 
        <boundsPeriod> 
          <start value="2015-01-30"/> 
          <end value="2015-02-05"/> 
        </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> 
    <dispenser> 
      <reference value="Organization/f001"/> 
    </dispenser> 
  </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>