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: ExampleMedicationDispenseClaim - XML Representation

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<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="1000001"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-07-09T15:26:23.217+00:00"/>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-medicationdispense"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource "1000001" Version "1" Updated "2020-07-09 03:26:23+0000" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdex-medicationdispense.html">PDex MedicationDispense</a></p></div><p><b>An attribute to express the refill number of a prescription</b>: 1</p><p><b>status</b>: completed</p><p><b>medication</b>: Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10)  (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ndc.html">National drug codes</a>#54458-872-10)</span></p><p><b>subject</b>: <a href="Patient-1.html">Patient/1</a> " APPLESEED"</p><h3>Performers</h3><table class="grid"><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a href="Practitioner-4.html">Practitioner/4</a> " SMITH"</td></tr></table><p><b>location</b>: <a href="Location-5.html">Location/5</a> "MyFavorite Pharmacy"</p><p><b>type</b>: Refill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-v3-ActCode.html">ActCode</a>#RF)</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/DispenseRefill">
    <valueQuantity>
      <value value="1"/>
    </valueQuantity>
  </extension>
  <status value="completed"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="54458-872-10"/>
    </coding>
  </medicationCodeableConcept>
  <subject>
    <reference value="Patient/1"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/4"/>
    </actor>
  </performer>
  <location>
    <reference value="Location/5"/>
  </location>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="RF"/>
    </coding>
  </type>
  <quantity>
    <value value="60"/>
  </quantity>
  <daysSupply>
    <value value="30"/>
  </daysSupply>
</MedicationDispense>