<?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>