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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0305"/>
  <contained>
    <Medication>
      <id value="med0311"/>
      <code>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="763179"/>
          <display value="{48 (prednisone 5 MG Oral Tablet) } Pack"/>
        </coding>
      </code>
    </Medication>
  </contained>
  <status value="entered-in-error"/>
  <medication>
    <!--  Linked to a RESOURCE Medication  -->
    <reference>
      <reference value="#med0311"/>
      <display value="Prednisone"/>
    </reference>
  </medication>
  <subject>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/>
  </subject>
  <performer>
    <actor>
      <reference value="Practitioner/f006"/>
    </actor>
  </performer>
  <authorizingPrescription>
    <reference value="MedicationRequest/medrx0303"/>
  </authorizingPrescription>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="FF"/>
      <display value="First Fill"/>
    </coding>
  </type>
  <quantity>
    <value value="49"/>
    <unit value="TAB"/>
    <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
    <code value="TAB"/>
  </quantity>
  <daysSupply>
    <value value="21"/>
    <unit value="Day"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="d"/>
  </daysSupply>
  <whenPrepared value="2015-01-15T10:20:00Z"/>
  <whenHandedOver value="2015-01-15T16:20:00Z"/>
  <dosageInstruction>
    <renderedInstruction value="Take 4 tablets daily for 7 days, then 2 tablets daily for 7 days, then 1 tablet daily for 7 days. Take with or after food."/>
    <step>
      <component>
        <text value="Take 4 tablets daily for 7 days starting January 16, 2015"/>
        <additionalInstruction>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="311504000"/>
            <display value="With or after Food"/>
          </coding>
        </additionalInstruction>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2015-01-16"/>
              <end value="2015-01-20"/>
            </boundsPeriod>
            <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"/>
          </coding>
        </route>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="421521009"/>
            <display value="Swallow - dosing instruction imperative (qualifier value)"/>
          </coding>
        </method>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
              <code value="calculated"/>
              <display value="Calculated"/>
            </coding>
          </type>
          <doseQuantity>
            <value value="4"/>
            <unit value="TAB"/>
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="TAB"/>
          </doseQuantity>
        </doseAndRate>
      </component>
    </step>
    <step>
      <component>
        <text value="Take 2 tablets daily for 7 days starting January 23, 2015"/>
        <additionalInstruction>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="311504000"/>
            <display value="With or after Food"/>
          </coding>
        </additionalInstruction>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2015-01-23"/>
              <end value="2015-01-30"/>
            </boundsPeriod>
            <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"/>
          </coding>
        </route>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="421521009"/>
            <display value="Swallow - dosing instruction imperative (qualifier value)"/>
          </coding>
        </method>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
              <code value="calculated"/>
              <display value="Calculated"/>
            </coding>
          </type>
          <doseQuantity>
            <value value="2"/>
            <unit value="TAB"/>
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="TAB"/>
          </doseQuantity>
        </doseAndRate>
      </component>
    </step>
    <step>
      <component>
        <text value="Take 1 tablets daily for 7 days starting January 31, 2015"/>
        <additionalInstruction>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="311504000"/>
            <display value="With or after Food"/>
          </coding>
        </additionalInstruction>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2015-01-31"/>
              <end value="2015-02-06"/>
            </boundsPeriod>
            <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"/>
          </coding>
        </route>
        <method>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="421521009"/>
            <display value="Swallow - dosing instruction imperative (qualifier value)"/>
          </coding>
        </method>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
              <code value="calculated"/>
              <display value="Calculated"/>
            </coding>
          </type>
          <doseQuantity>
            <value value="1"/>
            <unit value="TAB"/>
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
            <code value="TAB"/>
          </doseQuantity>
        </doseAndRate>
      </component>
    </step>
  </dosageInstruction>
</MedicationDispense>