[ {
  "sequence" : 2,
  "text" : "inject 10 units subcut 10 minutes before breakfast",
  "timing" : {
    "repeat" : {
      "frequency" : 1,
      "period" : 1,
      "periodUnit" : "d",
      "when" : [ "ACM" ],
      "offset" : 10
    }
  },
  "doseAndRate" : [ {
    "type" : {
      "coding" : [ {
        "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
        "code" : "ordered",
        "display" : "Ordered"
      } ]
    },
    "doseQuantity" : {
      "value" : 10,
      "unit" : "U",
      "system" : "http://unitsofmeasure.org",
      "code" : "U"
    }
  } ]
}, {
  "sequence" : 2,
  "text" : "15 units before lunch",
  "additionalInstruction" : [ {
    "text" : "Before Lunch"
  } ],
  "timing" : {
    "repeat" : {
      "frequency" : 1,
      "period" : 1,
      "periodUnit" : "d"
    }
  },
  "doseAndRate" : [ {
    "type" : {
      "coding" : [ {
        "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
        "code" : "ordered",
        "display" : "Ordered"
      } ]
    },
    "doseQuantity" : {
      "value" : 15,
      "unit" : "U",
      "system" : "http://unitsofmeasure.org",
      "code" : "U"
    }
  } ]
}, {
  "sequence" : 1,
  "text" : "20 units before dinner",
  "additionalInstruction" : [ {
    "text" : "Before Dinner"
  } ],
  "timing" : {
    "repeat" : {
      "frequency" : 1,
      "period" : 1,
      "periodUnit" : "d"
    }
  },
  "doseAndRate" : [ {
    "type" : {
      "coding" : [ {
        "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
        "code" : "ordered",
        "display" : "Ordered"
      } ]
    },
    "doseQuantity" : {
      "value" : 20,
      "unit" : "U",
      "system" : "http://unitsofmeasure.org",
      "code" : "U"
    }
  } ]
} ]