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

<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="ie-dispense-lv-metformin"/>
  <meta>
    <profile value="https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-medicationdispense-edispensation"/>
  </meta>
  <text>
    <status value="extensions"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationDispense ie-dispense-lv-metformin</b></p><a name="ie-dispense-lv-metformin"> </a><a name="hcie-dispense-lv-metformin"> </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"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-ie-mpd-medicationdispense-edispensation.html">IE MPD MedicationDispense (eDispensation)</a></p></div><p><b>R5: When the recording of the dispense started (new)</b>: 2025-06-15 11:00:00+0300</p><p><b>identifier</b>: LV-DISP-2025-XB-001</p><p><b>status</b>: Completed</p><p><b>medication</b>: <a href="Medication-ie-medication-dispensed-lv-metformin.html">Metformins 500mg tabletes</a></p><p><b>subject</b>: <a href="Patient-ie-mpd-patient-sean-murphy.html">Seán Murphy</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="Organization-ie-org-lv-mes-aptieka.html">Mēs atdot Aptieka</a></td></tr></table><p><b>authorizingPrescription</b>: <a href="MedicationRequest-ie-rx-sean-lv-metformin.html">PCRS-RX-2025-IE-LV-001</a></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode DF}">Daily Fill</span></p><p><b>quantity</b>: 60 Tablet<span style="background: LightGoldenRodYellow"> (Details: SNOMED CT  code732936001 = 'Tablet')</span></p><p><b>daysSupply</b>: 30 days<span style="background: LightGoldenRodYellow"> (Details: UCUM  coded = 'd')</span></p><p><b>whenHandedOver</b>: 2025-06-15 11:00:00+0300</p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>Lietot vienu 500mg tableti divas reizes dienā ēdienreizēs (Take one 500mg tablet twice daily with meals)</td></tr></table><h3>Substitutions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td></tr><tr><td style="display: none">*</td><td>true</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution G}">Generic composition</span></td></tr></table></div>
  </text>
  <extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-MedicationDispense.recorded">
    <valueDateTime value="2025-06-15T11:00:00+03:00"/>
  </extension>
  <identifier>
    <value value="LV-DISP-2025-XB-001"/>
    <assigner>
      <display value="Issuing authority in Latvia (illustrative)"/>
    </assigner>
  </identifier>
  <status value="completed"/>
  <medicationReference>
    <reference value="Medication/ie-medication-dispensed-lv-metformin"/>
    <display value="Metformins 500mg tabletes"/>
  </medicationReference>
  <subject>
    <reference value="Patient/ie-mpd-patient-sean-murphy"/>
    <display value="Seán Murphy"/>
  </subject>
  <performer>
    <actor>
      <reference value="Organization/ie-org-lv-mes-aptieka"/>
      <display value="Mēs atdot Aptieka"/>
    </actor>
  </performer>
  <authorizingPrescription>
    <reference value="MedicationRequest/ie-rx-sean-lv-metformin"/>
    <display value="PCRS-RX-2025-IE-LV-001"/>
  </authorizingPrescription>
  <type>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="DF"/>
      <display value="Daily Fill"/>
    </coding>
  </type>
  <quantity>
    <value value="60"/>
    <unit value="Tablet"/>
    <system value="http://snomed.info/sct"/>
    <code value="732936001"/>
  </quantity>
  <daysSupply>
    <value value="30"/>
    <unit value="days"/>
    <system value="http://unitsofmeasure.org"/>
    <code value="d"/>
  </daysSupply>
  <whenHandedOver value="2025-06-15T11:00:00+03:00"/>
  <dosageInstruction>
    <text value="Lietot vienu 500mg tableti divas reizes dienā ēdienreizēs (Take one 500mg tablet twice daily with meals)"/>
  </dosageInstruction>
  <substitution>
    <wasSubstituted value="true"/>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution"/>
        <code value="G"/>
        <display value="Generic composition"/>
      </coding>
    </type>
  </substitution>
</MedicationDispense>