<?xml version="1.0" encoding="UTF-8"?><MedicationDispense xmlns="http://hl7.org/fhir"><id value="meddisp0306"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationDispense</b><a name="meddisp0306"> </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 MedicationDispense &quot;meddisp0306&quot; </p></div><p><b>status</b>: in-progress</p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><a name="med0303"> </a><blockquote><p/><p><a name="med0303"> </a></p><p><b>code</b>: Alemtuzumab 10mg/ml (Lemtrada) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a>#1594660)</span></p></blockquote></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table><p><b>authorizingPrescription</b>: <a href="medicationrequest0317.html">MedicationRequest/medrx0317</a></p><p><b>type</b>: Daily Fill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html">ActCode</a>#DF)</span></p><p><b>quantity</b>: 5(unit 415818006 from http://snomed.info/sct)<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT code 415818006 = 'Vial')</span></p><p><b>daysSupply</b>: 7 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-01-15T10:20:00Z</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>, Administer on alternate days <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>timing</b>: Duration 12weeks, 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#422145002)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 2</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>, Administer on alternate days <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>timing</b>: Duration 12weeks, 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#422145002)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 3</p><p><b>text</b>: Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk</p><p><b>additionalInstruction</b>: Rapidly increase dose until tolerated <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span>, Administer on alternate days <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span></p><p><b>timing</b>: Duration 12weeks, 3 per 1 weeks</p><p><b>route</b>: Intravenous route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#47625008)</span></p><p><b>method</b>: Inject - dosing instruction imperative (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#422145002)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div></text><contained><Medication><id value="med0303"/><code><coding><system value="http://www.nlm.nih.gov/research/umls/rxnorm"/><code value="1594660"/><display value="Alemtuzumab 10mg/ml (Lemtrada)"/></coding></code></Medication></contained><status value="in-progress"/><medication><reference>  <!--    Linked to a RESOURCE Medication    --><reference value="#med0303"/><display value="Alemtuzumab 10mg/ml (Lemtrada)"/></reference></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><performer><actor><reference value="Practitioner/f006"/></actor></performer><authorizingPrescription><reference value="MedicationRequest/medrx0317"/></authorizingPrescription><type><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/><code value="DF"/><display value="Daily Fill"/></coding></type><quantity><value value="5"/><system value="http://snomed.info/sct"/><code value="415818006"/></quantity><daysSupply><value value="7"/><unit value="Day"/><system value="http://unitsofmeasure.org"/><code value="d"/></daysSupply><whenPrepared value="2015-01-15T10:20:00Z"/><dosageInstruction><sequence value="1"/><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route (qualifier value)"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - dosing instruction imperative (qualifier value)"/></coding></method><doseAndRate><type><coding><system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/><code value="calculated"/><display value="Calculated"/></coding></type><doseQuantity><value value="3"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></dosageInstruction><dosageInstruction><sequence value="2"/><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route (qualifier value)"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - dosing instruction imperative (qualifier value)"/></coding></method><doseAndRate><type><coding><system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/><code value="calculated"/><display value="Calculated"/></coding></type><doseQuantity><value value="10"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></dosageInstruction><dosageInstruction><sequence value="3"/><text value="Rapid daily-dose escalation, until tolerated, from 3 mg/d, and then 10 mg/d, to the recommended maintenance dose of 30 mg IV over 120 min, 3 times per wk on alternate days for up to 12 wk"/><additionalInstruction><text value="Rapidly increase dose until tolerated"/></additionalInstruction><additionalInstruction><text value="Administer on alternate days"/></additionalInstruction><timing><repeat><duration value="12"/><durationUnit value="wk"/><frequency value="3"/><period value="1"/><periodUnit value="wk"/></repeat></timing><route><coding><system value="http://snomed.info/sct"/><code value="47625008"/><display value="Intravenous route (qualifier value)"/></coding></route><method><coding><system value="http://snomed.info/sct"/><code value="422145002"/><display value="Inject - dosing instruction imperative (qualifier value)"/></coding></method><doseAndRate><type><coding><system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/><code value="calculated"/><display value="Calculated"/></coding></type><doseQuantity><value value="30"/><unit value="mg"/><system value="http://unitsofmeasure.org"/><code value="mg"/></doseQuantity></doseAndRate></dosageInstruction></MedicationDispense>