Dispense for Levothyroxine (NDC code) in-progress with authorizing prescription

{
  "resourceType": "MedicationDispense",
  "id": "meddisp0318",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: meddisp0318</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: in-progress</p><p><b>medication</b>: Levothyroxine Sodium Tablets, USP (75mcg) <span>(Details : {http://hl7.org/fhir/sid/ndc code '0378-1805-01' = 'n/a', given as 'Levothyroxine Sodium Tablets, USP (75mcg)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><h3>Performers</h3><table><tr><td>-</td><td><b>Actor</b></td></tr><tr><td>*</td><td><a>Practitioner/f006</a></td></tr></table><p><b>authorizingPrescription</b>: <a>MedicationRequest/medrx0314</a></p><p><b>type</b>: Refill - Part Fill <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'RFP' = 'Refill - Part Fill', given as 'Refill - Part Fill'})</span></p><p><b>quantity</b>: 100 TAB<span> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p><p><b>daysSupply</b>: 30 Day<span> (Details: UCUM code d = 'd')</span></p><p><b>whenPrepared</b>: 16/03/2015 5:13:00 PM</p><p><b>dosageInstruction</b>: </p><h3>Substitutions</h3><table><tr><td>-</td><td><b>WasSubstituted</b></td><td><b>Type</b></td><td><b>Reason</b></td><td><b>ResponsibleParty</b></td></tr><tr><td>*</td><td>true</td><td>formulary <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution code 'F' = 'formulary', given as 'formulary'})</span></td><td>Formulary Policy <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'FP' = 'formulary policy', given as 'Formulary Policy'})</span></td><td><a>Practitioner/f006</a></td></tr></table></div>"
  },
  "identifier": [
    {
      "use": "official",
      "system": "http://www.bmc.nl/portal/dispenses",
      "value": "12345689"

  "resourceType" : "MedicationDispense",
  "id" : "meddisp0318",
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/dispenses",
    "value" : "12345689"
  }],
  "status" : "in-progress",
  "medication" : {
    "concept" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "0378-1800-10",
        "display" : "Levothyroxine Sodium, 1000 TABLET in 1 BOTTLE, PLASTIC (0378-1800-10) (package)"
      }],
      "text" : "Levothyroxine Sodium Tablets, USP (75mcg)"

    }
  ],
  "status": "in-progress",
  "medicationCodeableConcept": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/sid/ndc",
        "code": "0378-1805-01",
        "display": "Levothyroxine Sodium Tablets, USP (75mcg)"
      }
    ]

  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"

  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"

  },
  "performer": [
    {
      "actor": {
        "reference": "Practitioner/f006"
      }
    }
  ],
  "authorizingPrescription": [
    {
      "reference": "MedicationRequest/medrx0314"

  "encounter" : {
    "reference" : "Encounter/f001"
  },
  "performer" : [{
    "actor" : {
      "reference" : "Practitioner/f006"

    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "RFP",
        "display": "Refill - Part Fill"
      }
    ]

  }],
  "authorizingPrescription" : [{
    "reference" : "MedicationRequest/medrx0314"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "RFP",
      "display" : "Refill - Part Fill"
    }]

  },
  "quantity": {
    "value": 100,
    "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code": "TAB"

  "quantity" : {
    "value" : 100,
    "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
    "code" : "TAB"

  },
  "daysSupply": {
    "value": 30,
    "unit": "Day",
    "system": "http://unitsofmeasure.org",
    "code": "d"

  "daysSupply" : {
    "value" : 30,
    "unit" : "Day",
    "system" : "http://unitsofmeasure.org",
    "code" : "d"

  },
  "whenPrepared": "2015-03-16T17:13:00+05:00",
  "dosageInstruction": [
    {
      "sequence": 1,
      "text": "75mcg daily daily",
      "timing": {
        "repeat": {
          "frequency": 1,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route (qualifier value)"
          }
        ]
      },
      "doseAndRate": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                "code": "ordered",
                "display": "Ordered"
              }
            ]
          },
          "doseQuantity": {
            "value": 75,
            "unit": "mcg",
            "system": "http://unitsofmeasure.org",
            "code": "mcg"
          }
        }
      ]
    }
  ],
  "substitution": {
    "wasSubstituted": true,
    "type": {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
          "code": "F",
          "display": "formulary"
        }
      ]
    },
    "reason": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code": "FP",
            "display": "Formulary Policy"
          }
        ]

  "whenPrepared" : "2015-03-16T17:13:00+05:00",
  "dosageInstruction" : [{
    "sequence" : 1,
    "text" : "75mcg daily daily",
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"

      }
    ],
    "responsibleParty": [
      {
        "reference": "Practitioner/f006"

    },
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "26643006",
        "display" : "Oral Route (qualifier value)"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]
      },
      "doseQuantity" : {
        "value" : 75,
        "unit" : "mcg",
        "system" : "http://unitsofmeasure.org",
        "code" : "ug"

      }
    ]

    }]
  }],
  "substitution" : {
    "wasSubstituted" : true,
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution",
        "code" : "F",
        "display" : "formulary"
      }]
    },
    "reason" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "FP",
        "display" : "Formulary Policy"
      }]
    }],
    "responsibleParty" : {
      "reference" : "Practitioner/f006"
    }

  }
}