<?xml version="1.0" encoding="UTF-8"?><MedicationDispense xmlns="http://hl7.org/fhir"><id value="meddisp0318"/><text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationDispense</b><a name="meddisp0318"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationDispense &quot;meddisp0318&quot; </p></div><p><b>identifier</b>: id: 12345689 (use: OFFICIAL)</p><p><b>status</b>: in-progress</p><h3>Medications</h3><table class="grid"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Levothyroxine Sodium Tablets, USP (75mcg) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ndc.html">National drug codes</a>#0378-1800-10)</span></td></tr></table><p><b>subject</b>: <a href="patient-example-a.html">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>encounter</b>: <a href="encounter-example-f001-heart.html">Encounter/f001</a></p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table><p><b>authorizingPrescription</b>: <a href="medicationrequest0314.html">MedicationRequest/medrx0314</a></p><p><b>type</b>: Refill - Part Fill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActCode.html">ActCode</a>#RFP)</span></p><p><b>quantity</b>: 100(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 30 Day<span style="background: LightGoldenRodYellow"> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 2015-03-16T17:13:00+05:00</p><blockquote><p><b>dosageInstruction</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 75mcg daily daily</p><p><b>timing</b>: Once per 1 days</p><p><b>route</b>: Oral Route (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a>#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td><td><b>ResponsibleParty</b></td></tr><tr><td>*</td><td>true</td><td>formulary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-substanceAdminSubstitution.html">Substance Admin Substitution</a>#F)</span></td><td>Formulary Policy <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.1.0/CodeSystem-v3-ActReason.html">ActReason</a>#FP)</span></td><td><a href="practitioner-example-f006-rvdb.html">Practitioner/f006</a> &quot;Rob VAN DEN BERK&quot;</td></tr></table></div></text><identifier><use value="official"/><system value="http://www.bmc.nl/portal/dispenses"/><value value="12345689"/></identifier><status value="in-progress"/><medication><concept><coding><system value="http://hl7.org/fhir/sid/ndc"/><code value="0378-1800-10"/><display value="Levothyroxine Sodium Tablets, USP (75mcg)"/></coding></concept></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><encounter><reference value="Encounter/f001"/></encounter><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="ug"/></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>