Medicationusageexample4.json

Patient reports they were taking Amoxycillin in the past but are not taking it now

{
  "resourceType": "MedicationUsage",
  "id": "example004",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>partOf</b>: <a>Generated Summary: id: urn:uuid:187e0c12-8dd2-67e2-99b2-bf273c878281; <span>Vital Signs</span>; <span>Blood pressure systolic &amp; diastolic</span>; effective: 2012-09-17; <span>Below low normal</span>; <span>Right arm</span></a></p><p><b>status</b>: completed</p><h3>Medications</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>subject</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><p><b>effective</b>: 2014-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a>Donald Duck. Generated Summary: Medical record number: 654321 (USUAL); active; Duck Donald (OFFICIAL); gender: male</a></p><h3>Reasons</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><h3>Dosages</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>adherence</b>: <span>Not Taking</span></p></div>"
  },
  "partOf": [
    {
      "reference": "Observation/blood-pressure"
    }
  ],
  "status": "completed",
  "medication": {
    "concept": {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "27658006",
          "display": "Amoxicillin (product)"
        }
      ]
    }
  },
  "subject": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "effectiveDateTime": "2014-01-23",
  "dateAsserted": "2015-02-22",
  "informationSource": {
    "reference": "Patient/pat1",
    "display": "Donald Duck"
  },
  "reason": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "65363002",
            "display": "Otitis Media"
          }
        ]
      }
    }
  ],
  "note": [
    {
      "text": "Patient indicates they miss the occasional dose"
    }
  ],
  "dosage": [
    {
      "text": "one capsule three times daily",
      "timing": {
        "repeat": {
          "frequency": 3,
          "period": 1,
          "periodUnit": "d"
        }
      },
      "asNeededBoolean": false,
      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260548002",
            "display": "Oral"
          }
        ]
      },
      "maxDosePerPeriod": {
        "numerator": {
          "value": 3,
          "unit": "capsules",
          "system": "http://snomed.info/sct",
          "code": "385055001"
        },
        "denominator": {
          "value": 1,
          "system": "http://unitsofmeasure.org",
          "code": "d"
        }
      }
    }
  ],
  "adherence": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/CodeSystem/medication-usage-adherence",
        "code": "not-taking"
      }
    ]
  }
}