Medicationstatementexample1.xml

Patient reports they are taking Tylenol PM and has the bottle (id = "example001")

<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="example001"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example001</p><p><b>contained</b>: </p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: id: med0309; Tylenol PM <span>(Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = '50580-506-02', given as
           'Tylenol PM'})</span>; isBrand</p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>effective</b>: 23/01/2015</p><p><b>informationSource</b>: <a>Donald Duck</a></p><p><b>derivedFrom</b>: <a>MedicationRequest/medrx002</a></p><p><b>dateAsserted</b>: 22/02/2015</p><p><b>notTaken</b>: n</p><p><b>reasonForUseCodeableConcept</b>: Restless Legs <span>(Details : {SNOMED CT code '32914008' = 'Restless legs', given as 'Restless Legs'})</span></p><p><b>note</b>: Patient indicates they miss the occasional dose</p><p><b>category</b>: community</p><p><b>dosage</b>: </p></div></text><contained>
    <Medication>
      <id value="med0309"/>
    <code>
      <coding>
        <system value="http://hl7.org/fhir/sid/ndc"/>
        <code value="50580-506-02"/>
        <display value="Tylenol PM"/>
      </coding>
    </code>
    <isBrand value="true"/>
    <product>
      <form>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="385057009"/>
          <display value="Film-coated tablet (qualifier value)"/>
        </coding>
      </form>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="315266"/>
            <display value="Acetaminophen 500 MG"/>
          </coding>
        </itemCodeableConcept>
        <amount>
          <numerator>
            <value value="500"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/>
            <code value="Tab"/>
          </denominator>
        </amount>
      </ingredient>
      <ingredient>
        <itemCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="901813"/>
            <display value="Diphenhydramine Hydrochloride 25 mg"/>
          </coding>
        </itemCodeableConcept>
        <amount>
          <numerator>
            <value value="25"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </numerator>
          <denominator>
            <value value="1"/>
            <system value="http://hl7.org/fhir/v3/orderableDrugForm"/>
            <code value="Tab"/>
          </denominator>
        </amount>
      </ingredient>
      <batch>
        <lotNumber value="9494788"/>
        <expirationDate value="2017-05-22"/>
      </batch> 
    </product>
    </Medication>
  </contained>
  <identifier>
    <use value="official"/>
    <system value="http://www.bmc.nl/portal/medstatements"/>
    <value value="12345689"/>
  </identifier>
  <status value="active"/>  
  <medicationReference> <!--    Linked to a RESOURCE Medication    -->
    <reference value="#med0309"/>
  </medicationReference> 
  <subject>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/> 
  </subject>
  <effectiveDateTime value="2015-01-23"/>
  <informationSource>
    <reference value="Patient/pat1"/>
    <display value="Donald Duck"/> 
  </informationSource>
  <derivedFrom>
    <reference value="MedicationRequest/medrx002"/>
  </derivedFrom>
  <dateAsserted value="2015-02-22"/>
  <notTaken value="n"/>
  <reasonForUseCodeableConcept>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="32914008"/>
      <display value="Restless Legs"/>
    </coding>
  </reasonForUseCodeableConcept>
  <note>
    <text value="Patient indicates they miss the occasional dose"/>
  </note>
  <category value="community">
  </category>
  <dosage>
    <sequence value="1"/>
    <text value="1-2 tablets once daily at bedtime as needed for restless legs"/>
    <additionalInstructions>
      <text value="Taking at bedtime"/>
    </additionalInstructions>
    <timing>
      <repeat>
          <frequency value="1"/>
        <period value="1"/>
        <periodUnit value="d"/>
      </repeat>
    </timing>
      <asNeededCodeableConcept>
        <coding>
          <system value="http://snomed.info/sct"/>
          <code value="32914008"/>
          <display value="Restless Legs"/>
        </coding>
      </asNeededCodeableConcept>
    <route>
      <coding>
      <system value="http://snomed.info/sct"/>
          <code value="26643006"/>
          <display value="Oral Route"/>
      </coding>
    </route>
      <doseRange>
        <low>
      <value value="1"/>
          <unit value="TAB"/>
          <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
          <code value="TAB"/>
        </low>
        <high>
          <value value="2"/>
          <unit value="TAB"/>
          <system value="http://hl7.org/fhir/ValueSet/v3-orderableDrugForm"/>
          <code value="TAB"/>
        </high>
      </doseRange>
  </dosage>
</MedicationStatement>