Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription (id = "meddisp0318")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0318"/> 
  <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, 1000 TABLET in 1 BOTTLE, PLASTIC (0378-1800-10) (package)"/> 
      </coding> 
      <text value="Levothyroxine Sodium Tablets, USP (75mcg)"/> 
    </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>