Medicationstatementexample2.xml

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

<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="example002"/>
  <text><status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example002</p><p><b>contained</b>: </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>dateAsserted</b>: 22/02/2015</p><p><b>notTaken</b>: y</p><p><b>reasonNotTaken</b>: Liver enzymes abnormal <span>(Details : {SNOMED CT code '166643006' = 'Liver enzymes abnormal (finding)', given as
           'Liver enzymes abnormal'})</span></p><p><b>note</b>: Patient can not take acetaminophen as per Dr instructions</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>
  <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>
  <dateAsserted value="2015-02-22"/>
  <notTaken value="y"/>
  <reasonNotTaken>
    <coding>
      <system value="http://snomed.info/sct"/>
    <code value="166643006"/>
    <display value="Liver enzymes abnormal"/>
    </coding>
  </reasonNotTaken>
  <note>
    <text value="Patient can not take acetaminophen as per Dr instructions"/>
  </note>  
</MedicationStatement>