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 XML (canonical form + also see XML Format Specification)
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 "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> </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>
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.