{"dateAsserted":"2015-02-22","effectiveDateTime":"2014-01-23","encounter":{"reference":"Encounter/f203"},"id":"example005","informationSource":[{"display":"Donald Duck","reference":"Patient/pat1"}],"medication":{"concept":{"coding":[{"code":"27658006","display":"Product containing amoxicillin (medicinal product)","system":"http://snomed.info/sct"}]}},"note":[{"text":"Patient indicated that they thought it was Amoxicillin they were taking but it was really Erythromycin"}],"resourceType":"MedicationStatement","status":"entered-in-error","subject":{"display":"Donald Duck","reference":"Patient/pat1"}}