<MedicationRequest xmlns="http://hl7.org/fhir">
    <id value="missingSNOMED-fail" />
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionType">
        <valueCoding>
            <system value="https://fhir.nhs.uk/CodeSystem/prescription-type" />
            <code value="0101" />
            <display value="Primary Care Prescriber – Medical Prescriber" />
        </valueCoding>
    </extension>
    <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-ResponsiblePractitioner">
        <valueReference>
            <reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
        </valueReference>
    </extension>
    <identifier>
        <system value="https://fhir.nhs.uk/Id/prescription-order-item-number" />
        <value value="1E34EE53-397A-2E70-E97C-67B1BD95014D" />
    </identifier>
    <status value="active" />
    <intent value="order" />
    <medicationCodeableConcept>
        <coding>
            <system value="https://fhir.hl7.org.uk/Id/multilex-drug-codes" />
            <code value="ABCDE" />
            <display value="Salbutamol 100micrograms inhaler (product)" />
        </coding>
    </medicationCodeableConcept>
    <subject>
        <reference value="urn:uuid:C6750CAA-3CA9-4F29-A282-6EE1AA5D7D4C" />
    </subject>
    <authoredOn value="2004-09-20T10:30:00.000+00:00" />
    <requester>
        <reference value="urn:uuid:1557E58E-3B1E-41DD-B3B5-D4D393DC5A3D" />
        <display value="Dr Smith" />
    </requester>
    <groupIdentifier>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PrescriptionId">
            <valueIdentifier>
                <system value="https://fhir.nhs.uk/Id/prescription" />
                <value value="EDD2E9DD-DA0A-C266-A4E3-447C68239524" />
            </valueIdentifier>
        </extension>
        <system value="https://fhir.nhs.uk/Id/prescription-order-number" />
        <value value="83C40E-A23856-00123C" />
    </groupIdentifier>
    <courseOfTherapyType>
        <coding>
            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PrescriptionType" />
            <code value="acute" />
            <display value="Short course (acute) therapy" />
        </coding>
    </courseOfTherapyType>
    <dosageInstruction>
        <text value="2 Puffs when required" />
    </dosageInstruction>
    <dispenseRequest>
        <extension url="https://fhir.nhs.uk/StructureDefinition/Extension-DM-PerformerSiteType">
            <valueCoding>
                <system value="https://fhir.nhs.uk/CodeSystem/dispensing-site-preference" />
                <code value="0004" />
            </valueCoding>
        </extension>
        <quantity>
            <value value="200" />
            <unit value="actuation(s)" />
            <system value="http://snomed.info/sct" />
            <code value="732981002" />
        </quantity>
        <performer>
            <identifier>
                <system value="https://not.correct.uri/Id/ods-organization-code" />
                <value value="Y12345" />
            </identifier>
        </performer>
    </dispenseRequest>
    <substitution>
        <allowedBoolean value="false" />
    </substitution>
</MedicationRequest>