Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

## : ExampleMedicationDispenseClaim - XML Representation

Page standards status: Informative

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    <MedicationDispense xmlns="http://hl7.org/fhir">
      <id value="1000001"/>
      <meta>
        <versionId value="1"/>
        <lastUpdated value="2024-04-17T15:26:23.217+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 class="res-header-id"><b>Generated Narrative: MedicationDispense 1000001</b></p><a name="1000001"> </a><a name="hc1000001"> </a><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">version: 1; Last updated: 2024-04-17 15:26:23+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>: <span title="Codes:{http://hl7.org/fhir/sid/ndc 54458-872-10}">Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package)</span></p><p><b>subject</b>: <a href="Patient-1.html">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-4.html">Practitioner Susan Smith </a></td></tr></table><p><b>location</b>: <a href="Location-5.html">Location MyFavorite Pharmacy</a></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode RF}">Refill</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p><p><b>whenHandedOver</b>: 2024-04-15 09:00:23+0000</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>
      <whenHandedOver value="2024-04-15T09:00:23.217+00:00"/>
    </MedicationDispense>