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: MedicationUsage</b> <a name="example002"> </a> </p> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border:
       1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource MedicationUsage &quot;example002&quot; </p> </div> <p> <b> status</b> : recorded</p> <h3> Medications</h3> <table class="grid"><tr> <td> -</td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span title="  Linked to a RESOURCE Medication  "><a name="med0309"> </a> </span> <blockquote> <p/>  <p> <a name="med0309"> </a> </p> <p> <b> code</b> : Tylenol PM <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html">National drug codes</a> #50580-608-02)</span> </p> <p> <b> doseForm</b> : Film-coated tablet (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #385057009)</span> </p> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Acetaminophen 500 MG <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #315266)</span> </td> </tr> </table> <p> <b> strength</b> : 500 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
                     = 'Tablet')</span> </p> </blockquote> <blockquote> <p> <b> ingredient</b> </p> <h3> Items</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Diphenhydramine Hydrochloride 25 mg <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-rxNorm.html">RxNorm</a> #901813)</span> </td> </tr> </table> <p> <b> strength</b> : 25 mg<span style="background: LightGoldenRodYellow"> (Details: UCUM code mg = 'mg')</span> /1(unit TAB from http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm)<span style="background: LightGoldenRodYellow"> (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB
                     = 'Tablet')</span> </p> </blockquote> <h3> Batches</h3> <table class="grid"><tr> <td> -</td> <td> <b> LotNumber</b> </td> <td> <b> ExpirationDate</b> </td> </tr> <tr> <td> *</td> <td> 9494788</td> <td> 2017-05-22</td> </tr> </table> </blockquote> </td> </tr> </table> <p> <b> subject</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <p> <b> effective</b> : 2015-01-23</p> <p> <b> dateAsserted</b> : 2015-02-22</p> <p> <b> informationSource</b> : <a href="patient-example-a.html">Patient/pat1: Donald Duck</a>  &quot;Donald DUCK&quot;</p> <h3> Reasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Liver enzymes abnormal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #166643006)</span> </td> </tr> </table> <p> <b> note</b> : Patient cannot take acetaminophen as per Dr instructions</p> <h3> Adherences</h3> <table class="grid"><tr> <td> -</td> <td> <b> Code</b> </td> <td> <b> Reason</b> </td> </tr> <tr> <td> *</td> <td> Not Taking <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-medication-usage-adherence.html">MedicationUsage Adherence Codes</a> #not-taking)</span> </td> <td> Drugs not taken/completed <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #266710000)</span> </td> </tr> </table> </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="recorded"/> 
  <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> 
  <reason> 
    <concept> 
      <coding> 
        <system value="http://snomed.info/sct"/> 
        <code value="166643006"/> 
        <display value="Liver enzymes abnormal"/> 
      </coding> 
    </concept> 
  </reason> 
  <note> 
    <text value="Patient cannot take acetaminophen as per Dr instructions"/> 
  </note>   
  <adherence> 
    <code>  
      <coding>  
        <system value="http://hl7.org/fhir/CodeSystem/medication-usage-adherence"/>  
        <code value="not-taking"/>  
        <display value="Not Taking"/>  
      </coding>  
    </code>  
    <reason>  
      <coding>  
        <system value="http://snomed.info/sct"/>  
        <code value="266710000"/>  
        <display value="Drugs not taken/completed"/>  
      </coding>  
    </reason>  
  </adherence> 
</MedicationUsage>