{
  "resourceType": "MedicationStatement",
  "id": "example005",
  "status": "entered-in-error",
  "medication": {
    "concept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "27658006",
          "display": "Product containing amoxicillin (medicinal product)"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "encounter": {
    "reference": "Encounter/f203"
  },
  "effectiveDateTime": "2014-01-23",
  "dateAsserted": "2015-02-22",
  "informationSource": [
    {
      "reference": "Patient/pat1",
      "display": "Donald Duck"
    }
  ],
  "note": [
    {
      "text": "Patient indicated that they thought it was Amoxicillin they were taking but it was really Erythromycin"
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}