<MedicationRequest xmlns="http://hl7.org/fhir">
  <id value="rdc-MedicationRequest-bolus-calculator-pump-standard" />
  <meta>
    <profile value="https://roche.com/fhir/iop/StructureDefinition/rdc-MedicationRequest" />
  </meta>
  <status value="active" />
  <intent value="order" />
  <category>
    <coding>
      <system value="https://roche.com/fhir/iop/cs" />
      <code value="789480007_recommended_bolus" />
      <display value="789480007_recommended_bolus" />
    </coding>
  </category>
  <medication>
    <concept>
      <coding>
        <system value="https://roche.com/fhir/iop/cs" />
        <code value="67866001_short_acting" />
        <display value="67866001_short_acting" />
      </coding>
    </concept>
  </medication>
  <subject>
    <reference value="Patient/34605fdc-74aa-4587-a5f0-92e6c5f64527" />
  </subject>
  <authoredOn value="2020-02-27T11:14:00+00:00" />
  <requester>
    <reference value="Device/5f0990b9-1be2-4f69-9621-028b6abdf1b5" />
  </requester>
  <dosageInstruction>
    <method>
      <coding>
        <system value="https://roche.com/fhir/iop/cs" />
        <code value="789480007_bolus_standard" />
        <display value="789480007_bolus_standard" />
      </coding>
    </method>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_correction_bolus_recommended" />
          <display value="789480007_correction_bolus_recommended" />
        </coding>
      </type>
      <doseQuantity>
        <value value="3" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_meal_bolus_recommended" />
          <display value="789480007_meal_bolus_recommended" />
        </coding>
      </type>
      <doseQuantity>
        <value value="2" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_total_bolus_recommended" />
          <display value="789480007_total_bolus_recommended" />
        </coding>
      </type>
      <doseQuantity>
        <value value="5" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_correction_bolus_selected" />
          <display value="789480007_correction_bolus_selected" />
        </coding>
      </type>
      <doseQuantity>
        <value value="3" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_meal_bolus_selected" />
          <display value="789480007_meal_bolus_selected" />
        </coding>
      </type>
      <doseQuantity>
        <value value="2" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_total_bolus_selected" />
          <display value="789480007_total_bolus_selected" />
        </coding>
      </type>
      <doseQuantity>
        <value value="5" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_correction_bolus_confirmed" />
          <display value="789480007_correction_bolus_confirmed" />
        </coding>
      </type>
      <doseQuantity>
        <value value="3" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_meal_bolus_confirmed" />
          <display value="789480007_meal_bolus_confirmed" />
        </coding>
      </type>
      <doseQuantity>
        <value value="2" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
    <doseAndRate>
      <type>
        <coding>
          <system value="https://roche.com/fhir/iop/cs" />
          <code value="789480007_total_bolus_confirmed" />
          <display value="789480007_total_bolus_confirmed" />
        </coding>
      </type>
      <doseQuantity>
        <value value="5" />
        <unit value="[iU]" />
        <system value="http://unitsofmeasure.org" />
        <code value="[iU]" />
      </doseQuantity>
    </doseAndRate>
  </dosageInstruction>
</MedicationRequest>