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Example MedicationStatement/example001 (JSON)

Pharmacy Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Encounter, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

Patient reports they are taking Tylenol PM and has the bottle

{
  "resourceType" : "MedicationStatement",
  "id" : "example001",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"example001\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationStatement &quot;example001&quot; </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: recorded</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medication-statement-category#inpatient)</span></p><h3>Medications</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"  Linked to a RESOURCE Medication  \"><a name=\"med0309\"> </a></span><blockquote><p/><p><a name=\"med0309\"> </a></p><p><b>code</b>: Tylenol PM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ndc.html\">National drug codes</a>#50580-608-02 &quot;Tylenol PM Extra Strength, 1 BOTTLE in 1 CARTON (50580-608-02) &gt; 100 TABLET, FILM COATED in 1 BOTTLE (package)&quot;)</span></p><p><b>doseForm</b>: Film-coated tablet (basic dose form) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#385057009)</span></p><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Acetaminophen 500 MG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#315266)</span></td></tr></table><p><b>strength</b>: 500 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p></blockquote><blockquote><p><b>ingredient</b></p><h3>Items</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Diphenhydramine Hydrochloride 25 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#901813)</span></td></tr></table><p><b>strength</b>: 25 mg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM code mg = 'mg')</span>/1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style=\"background: LightGoldenRodYellow\"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')</span></p></blockquote><h3>Batches</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style=\"display: none\">*</td><td>9494788</td><td>2017-05-22</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> &quot;Donald DUCK&quot;</p><p><b>derivedFrom</b>: <a href=\"medicationrequestexample2.html\">MedicationRequest/medrx002</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Concept</b></td></tr><tr><td style=\"display: none\">*</td><td>Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1-2 tablets once daily at bedtime as needed for restless legs</p><p><b>additionalInstruction</b>: Taking at bedtime <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><p><b>asNeededFor</b>: Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></p><p><b>route</b>: Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></div>"
  },
  "contained" : [{
    "resourceType" : "Medication",
    "id" : "med0309",
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "50580-608-02",
        "display" : "Tylenol PM Extra Strength, 1 BOTTLE in 1 CARTON (50580-608-02) > 100 TABLET, FILM COATED in 1 BOTTLE (package)"
      }],
      "text" : "Tylenol PM"
    },
    "doseForm" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "385057009",
        "display" : "Film-coated tablet (basic dose form)"
      }]
    },
    "ingredient" : [{
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "315266",
            "display" : "Acetaminophen 500 MG"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 500,
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "TAB"
        }
      }
    },
    {
      "item" : {
        "concept" : {
          "coding" : [{
            "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
            "code" : "901813",
            "display" : "Diphenhydramine Hydrochloride 25 mg"
          }]
        }
      },
      "strengthRatio" : {
        "numerator" : {
          "value" : 25,
          "system" : "http://unitsofmeasure.org",
          "code" : "mg"
        },
        "denominator" : {
          "value" : 1,
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "TAB"
        }
      }
    }],
    "batch" : {
      "lotNumber" : "9494788",
      "expirationDate" : "2017-05-22"
    }
  }],
  "identifier" : [{
    "use" : "official",
    "system" : "http://www.bmc.nl/portal/medstatements",
    "value" : "12345689"
  }],
  "status" : "recorded",
  "category" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/medication-statement-category",
      "code" : "inpatient",
      "display" : "Inpatient"
    }]
  }],
  "medication" : {
    "reference" : {
      "reference" : "#med0309"
    }
  },
  "subject" : {
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  },
  "effectiveDateTime" : "2015-01-23",
  "dateAsserted" : "2015-02-22",
  "informationSource" : [{
    "reference" : "Patient/pat1",
    "display" : "Donald Duck"
  }],
  "derivedFrom" : [{
    "reference" : "MedicationRequest/medrx002"
  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "32914008",
        "display" : "Restless Legs"
      }]
    }
  }],
  "note" : [{
    "text" : "Patient indicates they miss the occasional dose"
  }],
  "dosage" : [{
    "sequence" : 1,
    "text" : "1-2 tablets once daily at bedtime as needed for restless legs",
    "additionalInstruction" : [{
      "text" : "Taking at bedtime"
    }],
    "timing" : {
      "repeat" : {
        "frequency" : 1,
        "period" : 1,
        "periodUnit" : "d"
      }
    },
    "asNeededFor" : [{
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "32914008",
        "display" : "Restless Legs"
      }]
    }],
    "route" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "26643006",
        "display" : "Oral Route"
      }]
    },
    "doseAndRate" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
          "code" : "ordered",
          "display" : "Ordered"
        }]
      },
      "doseRange" : {
        "low" : {
          "value" : 1,
          "unit" : "TAB",
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "TAB"
        },
        "high" : {
          "value" : 2,
          "unit" : "TAB",
          "system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code" : "TAB"
        }
      }
    }]
  }]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.