<MedicationRequest xmlns="http://hl7.org/fhir">
  <meta>
    <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest" />
    <tag>
      <display value="Create MedicationRequest of medical consumables" />
    </tag>
    <tag>
      <display value="Example of create prescription of a medical consumable" />
    </tag>
    <tag>
      <display value="create-medicationrequest-example-4" />
    </tag>
  </meta>
  <contained>
    <Practitioner>
      <id value="thePractitioner" />
      <meta>
        <profile value="http://electronichealth.se/fhir/StructureDefinition/NLLPractitioner" />
      </meta>
      <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLWorkplaceSummary">
        <extension url="workplaceName">
          <valueString value="Min vardcentral" />
        </extension>
        <extension url="workplaceIdentifier">
          <valueString value="7711222222" />
        </extension>
        <extension url="workplaceType">
          <valueCode value="HEALTHCAREUNIT" />
        </extension>
        <extension url="workplaceIdType">
          <valueCode value="ORGNR" />
        </extension>
      </extension>
      <name>
        <family value="Svensson" />
        <given value="Gustav" />
      </name>
      <telecom>
        <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLContactPointType">
          <valueCode value="P" />
        </extension>
        <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLAvailableToPatient">
          <valueBoolean value="false" />
        </extension>
        <value value="011-900000" />
        <rank value="1" />
      </telecom>
      <telecom>
        <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLContactPointType">
          <valueCode value="W" />
        </extension>
        <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLAvailableToPatient">
          <valueBoolean value="true" />
        </extension>
        <value value="011-900000" />
        <rank value="1" />
      </telecom>
      <address>
        <type value="postal" />
        <line value="postGatan 133" />
        <city value="stockholm" />
        <postalCode value="12345" />
      </address>
      <address>
        <type value="physical" />
        <line value="fysiskaGatan 134" />
        <city value="stockholm" />
        <postalCode value="12345" />
      </address>
      <qualification>
        <identifier>
          <system value="urn:oid:1.2.752.116.3.1.2" />
          <value value="9000027" />
        </identifier>
        <code>
          <coding>
            <system value="urn:oid:1.2.752.116.3.1.3" />
            <code value="LK" />
          </coding>
        </code>
      </qualification>
    </Practitioner>
  </contained>
  <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLPatientTreatmentReason">
    <valueString value="testtext NLLPatientTreatmentReason - Behandlingsändamål" />
  </extension>
  <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLRegistrationBasis">
    <valueCode value="ELECTRONIC" />
  </extension>
  <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionFormat">
    <valueCode value="ELEKTRONISKT" />
  </extension>
  <status value="active" />
  <intent value="order" />
  <medicationCodeableConcept>
    <coding>
      <system value="http://electronichealth.se/fhir/NamingSystem/varunr" />
      <code value="210761" />
    </coding>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/9244aac0-6351-49fd-9d6f-ff03935edc33" />
  </subject>
  <authoredOn value="2022-05-03" />
  <requester>
    <reference value="#thePractitioner" />
  </requester>
  <dispenseRequest>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriberCostCenter">
      <valueIdentifier>
        <value value="4000000000000" />
      </valueIdentifier>
    </extension>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLPrescriptionCommunicableDiseasesAct">
      <valueBoolean value="false" />
    </extension>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfPackagesPrescribed">
      <valuePositiveInt value="6" />
    </extension>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLPatientPharmaceuticalBenefitsAct">
      <valueBoolean value="true" />
    </extension>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLDosePackaging">
      <valueBoolean value="false" />
    </extension>
    <extension url="http://electronichealth.se/fhir/StructureDefinition/NLLNumberOfDispensesAllowed">
      <valueUnsignedInt value="12" />
    </extension>
    <validityPeriod>
      <end value="2023-05-03" />
    </validityPeriod>
    <numberOfRepeatsAllowed value="11" />
  </dispenseRequest>
</MedicationRequest>