<?xml version="1.0" encoding="UTF-8"?> <MedicationDispense xmlns="http://hl7.org/fhir"> <id value="meddisp0318"/> <meta> <security> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HTEST"/> <display value="test health data"/> </security> </meta> <identifier> <use value="official"/> <system value="http://www.bmc.nl/portal/dispenses"/> <value value="12345689"/> </identifier> <status value="in-progress"/> <medicationCodeableConcept> <coding> <system value="http://hl7.org/fhir/sid/ndc"/> <code value="0378-1805-01"/> <display value="Levothyroxine Sodium Tablets, USP (75mcg)"/> </coding> </medicationCodeableConcept> <subject> <reference value="Patient/pat1"/> <display value="Donald Duck"/> </subject> <performer> <actor> <reference value="Practitioner/f006"/> </actor> </performer> <authorizingPrescription> <reference value="MedicationRequest/medrx0314"/> </authorizingPrescription> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="RFP"/> <display value="Refill - Part Fill"/> </coding> </type> <quantity> <value value="100"/> <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> <code value="TAB"/> </quantity> <daysSupply> <value value="30"/> <unit value="Day"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </daysSupply> <whenPrepared value="2015-03-16T17:13:00+05:00"/> <dosageInstruction> <sequence value="1"/> <text value="75mcg daily daily"/> <timing> <repeat> <frequency value="1"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <route> <coding> <system value="http://snomed.info/sct"/> <code value="26643006"/> <display value="Oral Route (qualifier value)"/> </coding> </route> <doseAndRate> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/> <code value="ordered"/> <display value="Ordered"/> </coding> </type> <doseQuantity> <value value="75"/> <unit value="mcg"/> <system value="http://unitsofmeasure.org"/> <code value="mcg"/> </doseQuantity> </doseAndRate> </dosageInstruction> <substitution> <wasSubstituted value="true"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/> <code value="F"/> <display value="formulary"/> </coding> </type> <reason> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="FP"/> <display value="Formulary Policy"/> </coding> </reason> <responsibleParty> <reference value="Practitioner/f006"/> </responsibleParty> </substitution> </MedicationDispense>