Medicationusageexample2.xml

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

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

<MedicationUsage 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> statusReason</b> : Liver enzymes abnormal <span> (Details : {SNOMED CT code '166643006' = 'Liver enzymes abnormal', given as 'Liver enzymes
           abnormal'})</span> </p> <p> <b> medication</b> : </p> <p> <b> subject</b> : <a> Donald Duck</a> </p> <p> <b> effective</b> : 2015-01-23</p> <p> <b> dateAsserted</b> : 2015-02-22</p> <p> <b> informationSource</b> : <a> Donald Duck</a> </p> <p> <b> note</b> : Patient cannot 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="50580-608-02"/> 
          <display value="Tylenol PM"/> 
        </coding> 
      </code> 
        <doseForm> 
          <coding> 
            <system value="http://snomed.info/sct"/> 
            <code value="385057009"/> 
            <display value="Film-coated tablet (qualifier value)"/> 
          </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="active"/> 
  <statusReason> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="166643006"/> 
      <display value="Liver enzymes abnormal"/> 
    </coding> 
  </statusReason> 
  <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> 


  <note> 
    <text value="Patient cannot take acetaminophen as per Dr instructions"/> 
  </note>   
</MedicationUsage>