<?xml version="1.0" encoding="UTF-8"?>

<MedicationDispense xmlns="http://hl7.org/fhir">  
    <id value="e6f8ec8665f74644a15cedd3759a187e"/>  
    <text> 
        <status value="generated"/>  
        <div xmlns="http://www.w3.org/1999/xhtml">
            <p> 
                <b>Generated Narrative with Details</b> 
            </p>  
            <p> 
                <b>id</b> : meddisp0318
            </p>  
            <p> 
                <b>identifier</b> : 12345689 (OFFICIAL)
            </p>  
            <p> 
                <b>status</b> : in-progress
            </p>  
            <p> 
                <b>medication</b> : Levothyroxine Sodium Tablets, USP (75mcg) 
                <span>(Details : {http://hl7.org/fhir/sid/ndc code '0378-1805-01' = 'n/a', given as 'Levothyroxine Sodium Tablets, USP (75mcg)'})</span> 
            </p>  
            <p> 
                <b>subject</b> : 
                <a>Donald Duck</a> 
            </p>  
            <h3>Performers</h3>  
            <table> 
                <tr> 
                    <td>-</td>  
                    <td> 
                        <b>Actor</b> 
                    </td> 
                </tr>  
                <tr> 
                    <td>*</td>  
                    <td> 
                        <a>Practitioner/f006</a> 
                    </td> 
                </tr> 
            </table>  
            <p> 
                <b>authorizingPrescription</b> : 
                <a>MedicationRequest/medrx0314</a> 
            </p>  
            <p> 
                <b>type</b> : Refill - Part Fill 
                <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'RFP' = 'Refill - Part Fill', given as 'Refill - Part Fill'})</span> 
            </p>  
            <p> 
                <b>quantity</b> : 100 TAB
                <span>(Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span> 
            </p>  
            <p> 
                <b>daysSupply</b> : 30 Day
                <span>(Details: UCUM code d = 'd')</span> 
            </p>  
            <p> 
                <b>whenPrepared</b> : 16/03/2015 5:13:00 PM
            </p>  
            <p> 
                <b>dosageInstruction</b> :
            </p>  
            <h3>Substitutions</h3>  
            <table> 
                <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>(Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'F' = 'formulary', given as 'formulary'})</span> 
                    </td>  
                    <td>Formulary Policy 
                        <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'Formulary Policy'})</span> 
                    </td>  
                    <td> 
                        <a>Practitioner/f006</a> 
                    </td> 
                </tr> 
            </table> 
        </div> 
    </text>  
    <identifier> 
        <use value="official"/>  
        <system value="http://happyvalley.com/systemid"/>  
        <value value="131188874-310-02118670"/> 
    </identifier>  
    <status value="completed"/>  
    <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/C72AXQ7N65HBR2PP"/>  
        <display value="Donald Duck"/> 
    </subject>  
    <performer> 
        <actor> 
            <reference value="Practitioner/C72AXRBKGO2JCSXW"/> 
        </actor> 
    </performer>  
    <authorizingPrescription> 
        <reference value="MedicationRequest/C72AXRHBY63CLMOI"/> 
    </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="250"/>  
        <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>  
        <code value="TAB"/> 
    </quantity>  
    <daysSupply> 
        <value value="60"/>  
        <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> 
    </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/C72AXRBKGO2JCSXW"/> 
        </responsibleParty> 
    </substitution> 
</MedicationDispense>