<?xml version=“1.0” encoding=“UTF-8”?> <MedicationDispense xmlns=“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>