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

<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="medrx0305"/>
  <contained>
    <Medication>
      <id value="med0314"/>
      <code>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="308047"/>
          <display value="alprazolam 0.25 MG Oral Tablet"/>
        </coding>
      </code>
    </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="#med0314"/>
    </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>
    <simple>
      <text value="0.25mg PO every 6-12 hours as needed for menses from Jan 15-20, 2015.  Do not exceed more than 4mg per day"/>
      <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>
      <timing>
        <repeat>
          <boundsPeriod>
            <start value="2015-01-15"/>
            <end value="2015-01-20"/>
          </boundsPeriod>
          <frequency value="1"/>
          <period value="6"/>
          <periodMax value="12"/>
          <periodUnit value="h"/>
        </repeat>
      </timing>
      <asNeededFor>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="266599000"/>
          <display value="Dysmenorrhea (disorder)"/>
        </coding>
      </asNeededFor>
      <route>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="26643006"/>
          <display value="Oral Route"/>
        </coding>
      </route>
      <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>
      <safety>
        <doseLimit>
          <valueQuantity>
            <value value="4"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </valueQuantity>
          <scope value="administration"/>
        </doseLimit>
      </safety>
    </simple>
  </dosageInstruction>
  <dispenseRequest>
    <validityPeriod>
      <start value="2015-01-15"/>
      <end value="2016-01-15"/>
    </validityPeriod>
    <numberOfRepeatsAllowed value="1"/>
    <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>
  </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>
</MedicationRequest>