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Source1

{
  "resourceType": "MedicationDispense",
  "id": "HIEMedicationDispense-example",
  "meta": {
    "profile": [
      "https://nshr.dha.go.ke/fhir/StructureDefinition/medicationdispense"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "identifier": [
    {
      "use": "official",
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code": "ACSN",
            "display": "Accession ID"
          }
        ]
      },
      "system": "http://pharmacy.example.org/dispenses",
      "value": "DISP-2025-000045"
    }
  ],
  "status": "completed",
  "category": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/medicationdispense-category",
        "code": "outpatient",
        "display": "Outpatient"
      }
    ]
  },
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
        "code": "308189",
        "display": "Amoxicillin 500 MG Oral Capsule"
      }
    ]
  },
  "subject": {
    "reference": "Patient/p-001",
    "display": "Jane Patient"
  },
  "context": {
    "reference": "Encounter/enc-001",
    "display": "OP visit 2025-11-16"
  },
  "performer": [
    {
      "function": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/medicationdispense-performer-function",
            "code": "packager",
            "display": "Packager"
          }
        ]
      },
      "actor": {
        "reference": "Organization/pharm-001",
        "display": "Acme Community Pharmacy"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/mr-001",
      "display": "Amoxicillin 500 mg TID x10d"
    }
  ],
  "quantity": {
    "value": 30,
    "unit": "capsule",
    "system": "http://unitsofmeasure.org",
    "code": "{capsule}"
  },
  "daysSupply": {
    "value": 10,
    "unit": "day",
    "system": "http://unitsofmeasure.org",
    "code": "d"
  },
  "whenPrepared": "2025-11-16T09:10:00+03:00",
  "whenHandedOver": "2025-11-16T09:20:00+03:00",
  "receiver": [
    {
      "reference": "Patient/p-001",
      "display": "Jane Patient"
    }
  ],
  "note": [
    {
      "authorReference": {
        "reference": "Practitioner/pr-001"
      },
      "time": "2025-11-16T09:22:00+03:00",
      "text": "Patient counselled on adherence and to take with food if GI upset occurs."
    }
  ],
  "dosageInstruction": [
    {
      "text": "Take 1 capsule by mouth every 8 hours for 10 days",
      "timing": {
        "repeat": {
          "frequency": 3,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral route"
          }
        ]
      },
      "doseAndRate": [
        {
          "doseQuantity": {
            "value": 1,
            "unit": "capsule",
            "system": "http://unitsofmeasure.org",
            "code": "{capsule}"
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": false,
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActSubstanceAdminSubstitutionCode",
          "code": "E",
          "display": "equivalent"
        }
      ]
    },
    "responsibleParty": [
      {
        "reference": "Practitioner/pr-001",
        "display": "Dr. John Clinician"
      }
    ]
  }
}