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Example MedicationDispense/meddisp0337 (XML)

Responsible Owner: Pharmacy Work GroupStandards Status: InformativeCompartments: Encounter, Group, Patient, Practitioner

Raw XML (canonical form + also see XML Format Specification)

Dispense with the authorizing prescription contained, showing the authorized repeats (Pulmicort, 5 repeats, third supply) (id = "meddisp0337")

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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="meddisp0337"/> 
  <contained> 
    <MedicationRequest> 
      <id value="rx"/> 
      <status value="active"/> 
      <intent value="order"/> 
      <medication> 
        <concept> 
          <text value="Pulmicort Turbuhaler 400 microgram/actuation inhalation (budesonide)"/> 
        </concept> 
      </medication> 
      <subject> 
        <reference value="Patient/pat1"/> 
        <display value="Donald Duck"/> 
      </subject> 
      <authoredOn value="2026-03-02"/> 
      <requester> 
        <reference value="Practitioner/f007"/> 
      </requester> 
      <dosageInstruction> 
        <step> 
          <component> 
            <text value="1 inhalation twice daily"/> 
          </component> 
        </step> 
      </dosageInstruction> 
      <dispenseRequest> 
        <numberOfRepeatsAllowed value="5"/> 
        <quantity> 
          <value value="1"/> 
          <unit value="inhaler"/> 
          <system value="http://unitsofmeasure.org"/> 
          <code value="{inhaler}"/> 
        </quantity> 
      </dispenseRequest> 
    </MedicationRequest> 
  </contained> 
  <status value="completed"/> 
  <medication> 
    <concept> 
      <text value="Pulmicort Turbuhaler 400 microgram/actuation inhalation (budesonide)"/> 
    </concept> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <performer> 
    <actor> 
      <reference value="Practitioner/f006"/> 
    </actor> 
  </performer> 
  <authorizingPrescription> 
    <reference value="#rx"/> 
  </authorizingPrescription> 
  <type> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="RF"/> 
      <display value="Refill"/> 
    </coding> 
  </type> 
  <quantity> 
    <value value="1"/> 
    <unit value="inhaler"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="{inhaler}"/> 
  </quantity> 
  <daysSupply> 
    <value value="30"/> 
    <unit value="Day"/> 
    <system value="http://unitsofmeasure.org"/> 
    <code value="d"/> 
  </daysSupply> 
  <fillNumber value="3"/> 
  <whenHandedOver value="2026-05-04T11:00:00+10:00"/> 
  <note> 
    <text value="Third supply against the prescription: the original supply and the 2nd of the 5
     authorized repeats. 3 repeats remain."/> 
  </note> 
  <dosageInstruction> 
    <step> 
      <component> 
        <text value="1 inhalation twice daily"/> 
      </component> 
    </step> 
  </dosageInstruction> 
</MedicationDispense> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.