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Narrative

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Source1

{
  "resourceType": "MedicationRequest",
  "id": "medicationrequest-for-bresentrik",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/medstatements",
      "value": "1234568900-studyDrug"
    }
  ],
  "status": "active",
  "intent": "order",
  "medicationReference": {
    "reference": "Medication/bresentrik",
    "display": "bresentrik 2mg tablet"
  },
  "subject": {
    "reference": "Patient/JanetPatient",
    "display": "Janet"
  },
  "supportingInformation": [
    {
      "reference": "ResearchStudy/BreastCancerTrial"
    }
  ],
  "authoredOn": "2023-04-05",
  "requester": {
    "display": "Could be reference to inline contained profile such as Reference(practitioner-1) Ronald Bone, MD"
  },
  "reasonCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "254837009",
          "display": "Breast Cancer"
        }
      ]
    }
  ],
  "instantiatesCanonical": [
    "http://baseUrlOfHospitalHolding/PlanDefinition/protocol-for-the-ResearchStudy"
  ],
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "6 mg PO daily for remission induction; adjust dosage to white blood cell (WBC) count.  With hold treatment if WBC is less than 15,000/µL; resume when WBC is greater than 50,000/µL",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 6,
            "unit": "mg",
            "system": "http://unitsofmeasure.org",
            "code": "mg"
          }
        }
      ]
    }
  ],
  "dispenseRequest": {
    "numberOfRepeatsAllowed": 1,
    "quantity": {
      "value": 600,
      "unit": "mg",
      "system": "http://unitsofmeasure.org",
      "code": "mg"
    },
    "expectedSupplyDuration": {
      "value": 30,
      "unit": "days",
      "system": "http://unitsofmeasure.org",
      "code": "d"
    }
  }
}