Dispense for Nasonex Inhaler (RxNorm Code) - in progress with additionalInstructions as text (id = "meddisp0328")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0328"/> 
  <status value="in-progress"/> 
  <medication> 
    <concept> 
      <coding> 
        <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
        <code value="1797870"/> 
        <display value="mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray [Nasonex]"/> 
      </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="EM"/> 
      <display value="Emergency Supply"/> 
    </coding> 
  </type> 
  <quantity> 
    <value value="30"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="ml"/> 
  </quantity> 
  <daysSupply> 
    <value value="30"/> 
    <unit value="Day"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="d"/> 
  </daysSupply> 
  <whenPrepared value="2015-01-15T10:20:00Z"/> 
  <dosageInstruction> 
    <sequence value="1"/> 
    <text value="Use two sprays twice daily"/> 
    <additionalInstruction> 
      <text value="Shake Well"/> 
    </additionalInstruction> 
    <timing> 
      <repeat> 
        <frequency value="2"/> 
        <period value="1"/> 
        <periodUnit value="d"/> 
      </repeat> 
    </timing> 
    <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="NASINHL"/> 
      </doseQuantity> 
    </doseAndRate> 
  </dosageInstruction> 
</MedicationDispense>