{
  "resourceType": "MedicationStatement",
  "id": "example007",
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0315",
      "code": {
        "coding": [
          {
            "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code": "1797865",
            "display": "mometasone furoate 0.05 MG/ACTUAT Metered Dose Nasal Spray"
          }
        ]
      },
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385157007",
            "display": "Nasal Spray"
          }
        ]
      }
    }
  ],
  "status": "recorded",
  "medication": {
    "reference": {
      "reference": "#med0315"
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "informationSource": [
    {
      "reference": "Patient/pat1",
      "display": "Donald Duck"
    }
  ],
  "note": [
    {
      "text": "patient plans to start using for seasonal allergies in the Spring when pollen is in the air"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}