<?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>