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Example MedicationStatement/example002 (XML)

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

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

Patient reports they are not taking Tylenol PM (id = "example002")

<?xml version="1.0" encoding="UTF-8"?>

<!--   This example is a fully populated example where the patient reports not taking
    --><MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="example002"/> 
  <contained> 
    <Medication> 
      <id value="med0309"/> 
      <code> 
        <coding> 
          <system value="http://hl7.org/fhir/sid/ndc"/> 
          <code value="50580-608-02"/> 
          <display value="Tylenol PM Extra Strength, 1 BOTTLE in 1 CARTON (50580-608-02) &gt; 100 TABLET,
           FILM COATED in 1 BOTTLE (package)"/> 
        </coding> 
        <text value="Tylenol PM"/> 
      </code> 
      <doseForm> 
        <coding> 
          <system value="http://snomed.info/sct"/> 
          <code value="385057009"/> 
          <display value="Film-coated tablet (basic dose form)"/> 
        </coding> 
      </doseForm> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="315266"/> 
              <display value="Acetaminophen 500 MG"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="500"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/> 
          </numerator> 
          <denominator> 
            <value value="1"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <ingredient> 
        <item> 
          <concept> 
            <coding> 
              <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> 
              <code value="901813"/> 
              <display value="Diphenhydramine Hydrochloride 25 mg"/> 
            </coding> 
          </concept> 
        </item> 
        <strengthRatio> 
          <numerator> 
            <value value="25"/> 
            <system value="http://unitsofmeasure.org"/> 
            <code value="mg"/> 
          </numerator> 
          <denominator> 
            <value value="1"/> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/> 
            <code value="TAB"/> 
          </denominator> 
        </strengthRatio> 
      </ingredient> 
      <batch> 
        <lotNumber value="9494788"/> 
        <expirationDate value="2017-05-22"/> 
      </batch> 
    </Medication> 
  </contained> 
  <status value="recorded"/> 
  <medication> 
    <!--   Linked to a RESOURCE Medication   -->
    <reference> 
      <reference value="#med0309"/> 
    </reference> 
  </medication> 
  <subject> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </subject> 
  <effectiveDateTime value="2015-01-23"/> 
  <dateAsserted value="2015-02-22"/> 
  <informationSource> 
    <reference value="Patient/pat1"/> 
    <display value="Donald Duck"/> 
  </informationSource> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="166643006"/> 
        <display value="Liver enzymes abnormal"/> 
      </coding> 
    </concept> 
  </reason> 
  <note> 
    <text value="Patient cannot take acetaminophen as per Dr instructions"/> 
  </note> 
  <adherence> 
    <code> 
      <coding> 
        <system value="http://hl7.org/fhir/CodeSystem/medication-statement-adherence"/> 
        <code value="not-taking"/> 
        <display value="Not Taking"/> 
      </coding> 
    </code> 
    <reason> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="266710000"/> 
        <display value="Drugs not taken/completed"/> 
      </coding> 
    </reason> 
  </adherence> 
</MedicationStatement> 

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.