<MedicationStatement xmlns="http://hl7.org/fhir"><id value="example005"/><status value="entered-in-error"/><medication><concept><coding><system value="http://snomed.info/sct"/><code value="27658006"/><display value="Product containing amoxicillin (medicinal product)"/></coding></concept></medication><subject><reference value="Patient/pat1"/><display value="Donald Duck"/></subject><encounter><reference value="Encounter/f203"/></encounter><effectiveDateTime value="2014-01-23"/><dateAsserted value="2015-02-22"/><informationSource><reference value="Patient/pat1"/><display value="Donald Duck"/></informationSource><note><text value="Patient indicated that they thought it was Amoxicillin they were taking but it was really Erythromycin"/></note></MedicationStatement>