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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0321"/>
  <status value="in-progress"/>
  <medication>
    <concept>
      <coding>
        <system value="http://hl7.org/fhir/sid/ndc"/>
        <code value="0074-3043-13"/>
        <display value="Vicodin ES, 100 TABLET in 1 BOTTLE (0074-3043-13) (package)"/>
      </coding>
    </concept>
  </medication>
  <subject>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/f006"/>
    </actor>
  </performer>
  <authorizingPrescription>
    <reference value="MedicationRequest/medrx0321"/>
  </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://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
    <code value="TAB"/>
  </quantity>
  <daysSupply>
    <value value="10"/>
    <unit value="Day"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="d"/>
  </daysSupply>
  <whenPrepared value="2015-01-15T10:20:00Z"/>
  <dosageInstruction>
    <simple>
      <text value="1 tablet every four hours as needed for pain"/>
      <additionalInstruction>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="418914006"/>
          <display value="Warning. May cause drowsiness. If affected do not drive or operate machinery. Avoid alcoholic drink (qualifier value)"/>
        </coding>
      </additionalInstruction>
      <timing>
        <repeat>
          <frequency value="1"/>
          <period value="4"/>
          <periodUnit value="h"/>
        </repeat>
      </timing>
      <asNeededFor>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="203082005"/>
          <display value="Fibromyalgia (disorder)"/>
        </coding>
      </asNeededFor>
      <route>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="26643006"/>
          <display value="Oral Route"/>
        </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="TAB"/>
          <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
          <code value="TAB"/>
        </doseQuantity>
      </doseAndRate>
    </simple>
  </dosageInstruction>
</MedicationDispense>