Medicationusageexample2.json

Patient reports they are not taking Tylenol PM

{
  "resourceType": "MedicationUsage",
  "id": "example002",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: example002</p><p><b>status</b>: active</p><p><b>statusReason</b>: <span>Liver enzymes abnormal</span></p><p><b>medication</b>: </p><p><b>subject</b>: <a>Donald Duck. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </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. Generated Summary: id: pat1; Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male; </a></p><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0309",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "50580-608-02",
            "display": "Tylenol PM"
          }
        ]
      },
      "doseForm": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "385057009",
            "display": "Film-coated tablet (qualifier value)"
          }
        ]
      },
      "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": "active",
  "statusReason": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "166643006",
          "display": "Liver enzymes abnormal"
        }
      ]
    }
  ],
  "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"
  },
  "note": [
    {
      "text": "Patient cannot take acetaminophen as per Dr instructions"
    }
  ]
}