<OrderEffectuationRequest xmlns="http://www.dkma.dk/medicinecard/xml.schema/2015/01/01" >
	<PersonIdentifier>2512489996</PersonIdentifier>
	<MedicineCardVersion>1</MedicineCardVersion>
	<OrderedBy>
        <Other>
            <Name>
                <GivenName>Grete</GivenName>
                <Surname>Bonde</Surname>
            </Name>
            <PersonIdentifier>1712409394</PersonIdentifier>
        </Other>
        <Role>Social- og sundhedsassistent</Role>
		<Organisation>
			<Name>Bostedet Nørbygaard</Name>
			<AddressLine>Nørbyvej 4</AddressLine>
			<AddressLine>7730 Hanstholm</AddressLine>
			<TelephoneNumber>99172500</TelephoneNumber>
			<Type>Bosted</Type>
			<Identifier source="SOR">698631000016005</Identifier>
		</Organisation>
	</OrderedBy>
	<OrderPrescriptionMedication>
		<DrugMedicationIdentifier>3253047</DrugMedicationIdentifier>
			<PrescribingOrganisation>
				<Name>Knud Holst</Name>
				<AddressLine>Skanderborgvej 163</AddressLine>
				<AddressLine>8260 Viby J</AddressLine>
				<TelephoneNumber>44332211</TelephoneNumber>
				<Type>Yder</Type>
				<Identifier source="Yder">61115</Identifier>
			</PrescribingOrganisation>
	</OrderPrescriptionMedication>
</OrderEffectuationRequest>