This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). 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: Encounter, 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: MedicationStatement</b><a name=\"example001\"> </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 MedicationStatement "example001" </p></div><p><b>identifier</b>: id:\u00a012345689\u00a0(use:\u00a0OFFICIAL)</p><p><b>status</b>: recorded</p><p><b>category</b>: Inpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (medication-statement-category#inpatient)</span></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/5.1.0/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/5.1.0/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/5.1.0/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><p><b>derivedFrom</b>: <a href=\"medicationrequestexample2.html\">MedicationRequest/medrx002</a></p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Restless Legs <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#32914008)</span></td></tr></table><p><b>note</b>: Patient indicates they miss the occasional dose</p><blockquote><p><b>dosage</b></p><p><b>sequence</b>: 1</p><p><b>text</b>: 1-2 tablets once daily at bedtime as needed for restless legs</p><p><b>additionalInstruction</b>: Taking at bedtime <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p><p><b>timing</b>: Once per 1 days</p><p><b>asNeededFor</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>route</b>: Oral Route <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#26643006)</span></p><blockquote><p><b>doseAndRate</b></p></blockquote></blockquote></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" } }], "identifier" : [{ "use" : "official", "system" : "http://www.bmc.nl/portal/medstatements", "value" : "12345689" }], "status" : "recorded", "category" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/medication-statement-category", "code" : "inpatient", "display" : "Inpatient" }] }], "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" }], "derivedFrom" : [{ "reference" : "MedicationRequest/medrx002" }], "reason" : [{ "concept" : { "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" } }, "asNeededFor" : [{ "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.
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