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Example MedicationStatement/example002 (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 not taking Tylenol PM

{
  "resourceType" : "MedicationStatement",
  "id" : "example002",
  "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"
    }
  }],
  "status" : "recorded",
  "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"
  }],
  "reason" : [{
    "concept" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "166643006",
        "display" : "Liver enzymes abnormal"
      }]
    }
  }],
  "note" : [{
    "text" : "Patient cannot take acetaminophen as per Dr instructions"
  }],
  "adherence" : {
    "code" : {
      "coding" : [{
        "system" : "http://hl7.org/fhir/CodeSystem/medication-statement-adherence",
        "code" : "not-taking",
        "display" : "Not Taking"
      }]
    },
    "reason" : {
      "coding" : [{
        "system" : "http://snomed.info/sct",
        "code" : "266710000",
        "display" : "Drugs not taken/completed"
      }]
    }
  }
}

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.