Dispense for compounded ointment - completed with additionalInstructions as text and a coded site in dosageInstructions (id = "meddisp0329")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0329"/> 
  <contained> 
    <Medication> 
      <id value="med0319"/> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385101003"/> 
          <display value="Ointment"/> 
        </coding> 
        <text value="Ointment"/> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="387253001"/> 
              <display value="Salicylic acid (substance)"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="5"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </numerator> 
          <denominator> 
            <value value="100"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="396458002"/> 
              <display value="Hydrocortisone (substance)"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="1"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </numerator> 
          <denominator> 
            <value value="100"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://snomed.info/sct"/> 
              <code value="126066007"/> 
              <display value="White petroleum (substance)"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="94"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </numerator> 
          <denominator> 
            <value value="100"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="g"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
    </Medication> 
  </contained> 
  <status value="completed"/> 
  <medication> 
    <reference> 
      <reference value="#med0319"/> 
    </reference> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f006"/> 
    </actor> 
  </performer> 
  <authorizingPrescription> 
    <reference value="MedicationRequest/medrx0329"/> 
  </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="30"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="g"/> 
  </quantity> 
  <daysSupply> 
    <value value="10"/> 
    <unit value="Day"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="d"/> 
  </daysSupply> 
  <recorded value="2015-01-15T10:00:00Z"/> 
  <whenPrepared value="2015-01-15T10:20:00Z"/> 
  <whenHandedOver value="2015-01-15T16:20:00Z"/> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="Apply twice daily to affected area on left arm"/> 
    <additionalInstruction> 
      <text value="Apply sparingly"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="2"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <site> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="72098002"/> 
        <display value="Entire left upper arm (body structure)"/> 
      </coding> 
    </site> 
    <route> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="359540000"/> 
        <display value="Topical (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="1"/> 
        <unit value="ea"/> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
        <code value="OINT"/> 
      </doseQuantity> 
    </doseAndRate> 
  </dosageInstruction> 
</MedicationDispense>