This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Encounter, Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
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: 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 "example002" </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> "Donald DUCK"</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> "Donald DUCK"</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>" }, "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": "recorded", "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" } ], "reason": [ { "concept": { "coding": [ { "system": "http://snomed.info/sct", "code": "166643006", "display": "Liver enzymes abnormal" } ] } } ], "note": [ { "text": "Patient cannot take acetaminophen as per Dr instructions" } ], "adherence": { "code": { "coding": [ { "system": "http://hl7.org/fhir/CodeSystem/medication-usage-adherence", "code": "not-taking", "display": "Not Taking" } ] }, "reason": { "coding": [ { "system": "http://snomed.info/sct", "code": "266710000", "display": "Drugs not taken/completed" } ] } } }
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.