<MedicationAdministration xmlns="http://hl7.org/fhir">
  <id value="rdc-MedicationAdministration-insulin-sample-bolus" />
  <meta>
    <profile value="https://roche.com/fhir/iop/StructureDefinition/rdc-MedicationAdministration" />
  </meta>
  <status value="completed" />
  <medication>
    <concept>
      <coding>
        <system value="https://roche.com/fhir/iop/cs" />
        <code value="67866001_long_acting" />
        <display value="67866001_long_acting" />
      </coding>
    </concept>
  </medication>
  <subject>
    <reference value="Patient/34605fdc-74aa-4587-a5f0-92e6c5f64527" />
  </subject>
  <occurenceDateTime value="2020-02-27T11:14:00+00:00" />
  <performer>
    <actor>
      <reference>
        <reference value="Device/5f0990b9-1be2-4f69-9621-028b6abdf1b5" />
      </reference>
    </actor>
  </performer>
  <request>
    <reference value="MedicationRequest/13f0823f-d3d8-40c2-9155-10e098a48b0f" />
  </request>
  <dosage>
    <dose>
      <value value="3.0" />
      <unit value="[iU]" />
      <system value="http://unitsofmeasure.org" />
      <code value="[iU]" />
    </dose>
  </dosage>
</MedicationAdministration>