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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",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"example002\"> </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;example002&quot; </p></div><p><b>status</b>: recorded</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><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>Liver enzymes abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166643006)</span></td></tr></table><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p><h3>Adherences</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Reason</b></td></tr><tr><td style=\"display: none\">*</td><td>Not Taking <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medication-statement-adherence.html\">MedicationStatement Adherence Codes</a>#not-taking)</span></td><td>Drugs not taken/completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#266710000)</span></td></tr></table></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"
    }
  }],
  "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.