This page is part of the FHIR Specification (v4.3.0: R4B - STU). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2
Pharmacy Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient, Practitioner, RelatedPerson |
Raw JSON (canonical form + also see JSON Format Specification)
Patient reports they are taking Tylenol PM and has the bottle
{ "resourceType": "MedicationStatement", "id": "example001", "text": { "status": "generated", "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></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 "example001" </p></div><p><b>identifier</b>: id: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medication-statement-category.html\">MedicationStatement Category Codes</a>#inpatient)</span></p><p><b>medication</b>: <a name=\"med0309\"> </a></p><blockquote><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 "med0309" </p></div><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>#50580-506-02)</span></p><p><b>form</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><p><b>item</b>: 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></p><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><p><b>item</b>: 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></p><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><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>derivedFrom</b>: <a href=\"medicationrequest-medrx002.html\">MedicationRequest/medrx002</a></p><p><b>reasonCode</b>: Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></p><p><b>note</b>: Patient indicates they miss the occasional dose</p></div>" }, "contained": [ { "resourceType": "Medication", "id": "med0309", "code": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "50580-506-02", "display": "Tylenol PM" } ] }, "form": { "coding": [ { "system": "http://snomed.info/sct", "code": "385057009", "display": "Film-coated tablet (qualifier value)" } ] }, "ingredient": [ { "itemCodeableConcept": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "315266", "display": "Acetaminophen 500 MG" } ] }, "strength": { "numerator": { "value": 500, "system": "http://unitsofmeasure.org", "code": "mg" }, "denominator": { "value": 1, "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } }, { "itemCodeableConcept": { "coding": [ { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "901813", "display": "Diphenhydramine Hydrochloride 25 mg" } ] }, "strength": { "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" } } ], "identifier": [ { "use": "official", "system": "http://www.bmc.nl/portal/medstatements", "value": "12345689" } ], "status": "active", "category": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/medication-statement-category", "code": "inpatient", "display": "Inpatient" } ] }, "medicationReference": { "reference": "#med0309" }, "subject": { "reference": "Patient/pat1", "display": "Donald Duck" }, "effectiveDateTime": "2015-01-23", "dateAsserted": "2015-02-22", "informationSource": { "reference": "Patient/pat1", "display": "Donald Duck" }, "derivedFrom": [ { "reference": "MedicationRequest/medrx002" } ], "reasonCode": [ { "coding": [ { "system": "http://snomed.info/sct", "code": "32914008", "display": "Restless Legs" } ] } ], "note": [ { "text": "Patient indicates they miss the occasional dose" } ], "dosage": [ { "sequence": 1, "text": "1-2 tablets once daily at bedtime as needed for restless legs", "additionalInstruction": [ { "text": "Taking at bedtime" } ], "timing": { "repeat": { "frequency": 1, "period": 1, "periodUnit": "d" } }, "asNeededCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "32914008", "display": "Restless Legs" } ] }, "route": { "coding": [ { "system": "http://snomed.info/sct", "code": "26643006", "display": "Oral Route" } ] }, "doseAndRate": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type", "code": "ordered", "display": "Ordered" } ] }, "doseRange": { "low": { "value": 1, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" }, "high": { "value": 2, "unit": "TAB", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "TAB" } } } ] } ] }
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.