<?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>