This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version. For a full list of available versions, see the Directory of published versions 
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Example MedicationStatement/example002 (XML)
Raw XML (canonical form + also see XML Format Specification)
Jump past Narrative
Patient reports they are not taking Tylenol PM (id = "example002")
<?xml version="1.0" encoding="UTF-8"?>
<MedicationStatement xmlns="http://hl7.org/fhir">
<id value="example002"/>
<text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative: MedicationStatement</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 MedicationStatement "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/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> <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-statement-adherence.html">MedicationStatement 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>
<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-statement-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>
</MedicationStatement>
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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