Implementation Guide (Release 2.1.0)

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="get-encounter-meds"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-04-10T12:49:37.665-04:00"/>
  </meta>
  <type value="searchset"/>
  <total value="6"/>
  <link>
    <relation value="self"/>
    <url
         value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement?patient=test2&amp;context=A"/>
  </link>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-1"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-1"/>
        <meta>
          <versionId value="3"/>
          <lastUpdated value="2017-04-10T12:47:22.409-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-1</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1656313}">cefotaxime 1 GM Injection</span></p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-10 --&gt; 2016-09-12</p><p><b>dateAsserted</b>: Apr 10, 2017 3:52:20 PM</p><p><b>informationSource</b>: <span>Provider B</span></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-1.html">Generated Summary: id: enca-1; status: completed; intent: order; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1656313}">cefotaxime 1 GM Injection</span>; authoredOn: 2016-09-10; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="1656313"/>
            <display value="cefotaxime 1 GM Injection"/>
          </coding>
          <text value="cefotaxime 1 GM Injection"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-10"/>
          <end value="2016-09-12"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:52:20.325-07:00"/>
        <informationSource>
          <display value="Provider B"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-1"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text value="Cefatoxime 1gm intravenously every 6 hours"/>
          <timing>
            <event value="2016-09-10T08:52:20-07:00"/>
            <event value="2016-09-10T08:52:20-07:00"/>
            <event value="2016-09-10T14:52:20-07:00"/>
            <event value="2016-09-10T20:20:20-07:00"/>
            <event value="2016-09-11T02:02:20-07:00"/>
            <event value="2016-09-11T08:45:20-07:00"/>
            <event value="2016-09-11T14:15:20-07:00"/>
            <event value="2016-09-11T20:15:20-07:00"/>
            <event value="2016-09-12T02:15:20-07:00"/>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="INTRAVENOUS use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <method>
            <text value="Slow Push"/>
          </method>
          <doseAndRate>
            <doseQuantity>
              <value value="1000"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-2"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-2"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2017-04-10T12:47:42.113-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-2</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 860092}">ketorolac tromethamine 15 MG in 1 ML Injection</span></p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-10 --&gt; 2016-09-12</p><p><b>dateAsserted</b>: Apr 10, 2017 3:54:15 PM</p><p><b>informationSource</b>: <span>Provider B</span></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-2.html">Generated Summary: id: enca-2; status: completed; intent: order; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 860092}">ketorolac tromethamine 15 MG in 1 ML Injection</span>; authoredOn: 2016-09-10; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="860092"/>
            <display value="ketorolac tromethamine 15 MG in 1 ML Injection"/>
          </coding>
          <text value="ketorolac tromethamine 15 MG in 1 ML Injection"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-10"/>
          <end value="2016-09-12"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:54:15.585-07:00"/>
        <informationSource>
          <display value="Provider B"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-2"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text value="Cefatoxime 1gm intravenously every 6 hours"/>
          <timing>
            <event value="2016-09-10T08:52:20-07:00"/>
            <event value="2016-09-10T08:52:20-07:00"/>
            <event value="2016-09-10T14:52:20-07:00"/>
            <event value="2016-09-10T20:20:20-07:00"/>
            <event value="2016-09-11T02:02:20-07:00"/>
            <event value="2016-09-11T08:45:20-07:00"/>
            <event value="2016-09-11T14:15:20-07:00"/>
            <event value="2016-09-11T20:15:20-07:00"/>
            <event value="2016-09-12T02:15:20-07:00"/>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="INTRAVENOUS use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <method>
            <text value="Slow Push"/>
          </method>
          <doseAndRate>
            <doseQuantity>
              <value value="15"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-3"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-3"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2017-04-10T12:47:54.316-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-3</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: <a name="med-1"> </a></p><blockquote><p><b>id</b>: med-1</p><p><b>meta</b>: </p><p><b>code</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}">Zithromax 500 MG Injection</span></p><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1668240}">Zithromax (azithromycin) 500 MG Injection</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 500 mg/1 vial</p></blockquote><blockquote><p><b>ingredient</b></p><p><b>item</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 313002}">Sodium Chloride 9 MG/ML Injectable Solution</span></p><p><b>isActive</b>: true</p><p><b>strength</b>: 250 mL/1 IV Bag</p></blockquote></blockquote><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-10 --&gt; 2016-09-12</p><p><b>dateAsserted</b>: Apr 10, 2017 3:55:28 PM</p><p><b>informationSource</b>: <span>Provider B</span></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-3.html">Generated Summary: id: enca-3; status: completed; intent: order; ?ngen-3; authoredOn: 2016-09-10; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <contained>
          <Medication>
            <id value="med-1"/>
            <meta>
              <profile
                       value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"/>
            </meta>
            <code>
              <coding>
                <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                <code value="1668240"/>
                <display value="Zithromax 500 MG Injection"/>
              </coding>
              <text value="Zithromax 500 MG Injection"/>
            </code>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                  <code value="1668240"/>
                  <display value="Zithromax 500 MG Injection"/>
                </coding>
                <text value="Zithromax (azithromycin) 500 MG Injection"/>
              </itemCodeableConcept>
              <isActive value="true"/>
              <strength>
                <numerator>
                  <value value="500"/>
                  <unit value="mg"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mg"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="vial"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="{vial}"/>
                </denominator>
              </strength>
            </ingredient>
            <ingredient>
              <itemCodeableConcept>
                <coding>
                  <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
                  <code value="313002"/>
                  <display value="Sodium Chloride 9 MG/ML Injectable Solution"/>
                </coding>
                <text value="Sodium Chloride 9 MG/ML Injectable Solution"/>
              </itemCodeableConcept>
              <isActive value="true"/>
              <strength>
                <numerator>
                  <value value="250"/>
                  <unit value="mL"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="mL"/>
                </numerator>
                <denominator>
                  <value value="1"/>
                  <unit value="IV Bag"/>
                  <system value="http://unitsofmeasure.org"/>
                  <code value="{IV Bag}"/>
                </denominator>
              </strength>
            </ingredient>
          </Medication>
        </contained>
        <status value="completed"/>
        <medicationReference>
          <reference value="#med-1"/>
        </medicationReference>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-10"/>
          <end value="2016-09-12"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:55:28.557-07:00"/>
        <informationSource>
          <display value="Provider B"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-3"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text
                value="Azithromycin 500mg in 250 ml Normal Saline intravenously over 1hour every 24 hours"/>
          <timing>
            <event value="2016-09-10T08:52:20-07:00"/>
            <event value="2016-09-11T08:52:20-07:00"/>
          </timing>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="INTRAVENOUS use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <method>
            <text value="I hr infusion"/>
          </method>
          <doseAndRate>
            <doseQuantity>
              <value value="500"/>
              <unit value="mg"/>
              <system value="http://unitsofmeasure.org"/>
              <code value="mg"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-4"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-4"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2017-04-10T12:48:03.114-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-4</p><p><b>meta</b>: </p><p><b>status</b>: completed</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 847626}">Potassium Chloride 20 MEQ/L in Lactated Ringers Solution with Dextrose 5 % Injectable Solution</span></p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-10 --&gt; 2016-09-12</p><p><b>dateAsserted</b>: Apr 10, 2017 3:56:13 PM</p><p><b>informationSource</b>: <span>Provider B</span></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-4.html">Generated Summary: id: enca-4; status: completed; intent: order; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 847626}">Potassium Chloride 20 MEQ/L in Lactated Ringers Solution with Dextrose 5 % Injectable Solution</span>; authoredOn: 2016-09-10; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <status value="completed"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="847626"/>
            <display
                     value="Potassium Chloride 20 MEQ/L in Lactated Ringers Solution with Dextrose 5 % Injectable Solution"/>
          </coding>
          <text
                value="Potassium Chloride 20 MEQ/L in Lactated Ringers Solution with Dextrose 5 % Injectable Solution"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-10"/>
          <end value="2016-09-12"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:56:13.229-07:00"/>
        <informationSource>
          <display value="Provider B"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-4"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text value="LRS IV at 250 ml/hr"/>
          <asNeededBoolean value="false"/>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="47625008"/>
              <display value="INTRAVENOUS use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <method>
            <text value="Constant Rate Infusion"/>
          </method>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-5"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-5"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2017-04-10T12:48:11.192-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-5</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 212446}">Zithromax 500 MG Oral Tablet</span></p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-12 --&gt; 2016-09-22</p><p><b>dateAsserted</b>: Apr 10, 2017 3:56:49 PM</p><p><b>informationSource</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-5.html">Generated Summary: id: enca-5; status: active; intent: order; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 212446}">Zithromax 500 MG Oral Tablet</span>; authoredOn: 2016-09-12; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <status value="active"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="212446"/>
            <display value="Zithromax 250 MG Oral Tablet"/>
          </coding>
          <text value="Zithromax 500 MG Oral Tablet"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-12"/>
          <end value="2016-09-22"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:56:49.038-07:00"/>
        <informationSource>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-5"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text
                value="Zithromax (azithromycin) 250mg by mouth every 12 hours for 10 days"/>
          <additionalInstruction>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="311504000"/>
              <display value="With or after food"/>
            </coding>
          </additionalInstruction>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="12"/>
              <periodUnit value="h"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="1"/>
              <unit value="TAB"/>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
              <code value="TAB"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
  <entry>
    <fullUrl
             value="http://wildfhir.aegis.net/fhir3-0-0/MedicationStatement/derivedfrom-mr-enca-6"/>
    <resource>
      <MedicationStatement>
        <id value="derivedfrom-mr-enca-6"/>
        <meta>
          <versionId value="2"/>
          <lastUpdated value="2017-04-10T12:48:18.411-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: derivedfrom-mr-enca-6</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 308191}">Amoxicillin 500 MG</span></p><p><b>subject</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://terminology.hl7.org/CodeSystem/v3-ActCode IMP}">inpatient encounter</span>; period: 2016-09-10 --&gt; 2016-09-12</a></p><p><b>effective</b>: 2016-09-12 --&gt; (ongoing)</p><p><b>dateAsserted</b>: Apr 10, 2017 3:57:19 PM</p><p><b>informationSource</b>: <a href="Patient-test2.html">Brian Z. Generated Summary: id: test2; Medical Record Number: 1032702 (USUAL); active; Brian Z ; ph: 555-555-5555(HOME); gender: male; birthDate: 1964-01-05</a></p><p><b>derivedFrom</b>: <a href="MedicationRequest-enca-6.html">Generated Summary: id: enca-6; status: active; intent: order; <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 308191}">Amoxicillin 500 MG</span>; authoredOn: 2016-09-12; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>reasonCode</b>: <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span></p><p><b>dosage</b>: </p></div>
        </text>
        <status value="active"/>
        <medicationCodeableConcept>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="308191"/>
            <display value="Amoxicillin 500 MG Oral Capsule"/>
          </coding>
          <text value="Amoxicillin 500 MG"/>
        </medicationCodeableConcept>
        <subject>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </subject>
        <context>
          <reference value="Encounter/A"/>
          <display value="Inpatient Encounter A"/>
        </context>
        <effectivePeriod>
          <start value="2016-09-12"/>
        </effectivePeriod>
        <dateAsserted value="2017-04-10T08:57:19.412-07:00"/>
        <informationSource>
          <reference value="Patient/test2"/>
          <display value="Brian Z"/>
        </informationSource>
        <derivedFrom>
          <reference value="MedicationRequest/enca-6"/>
        </derivedFrom>
        <reasonCode>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="233604007"/>
            <display value="Pneumonia (disorder)"/>
          </coding>
        </reasonCode>
        <dosage>
          <sequence value="1"/>
          <text value="Amoxicillin 500mg by mouth every 6 hours for 10 days"/>
          <additionalInstruction>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="311504000"/>
              <display value="With or after food"/>
            </coding>
          </additionalInstruction>
          <timing>
            <repeat>
              <frequency value="1"/>
              <period value="6"/>
              <periodUnit value="h"/>
            </repeat>
          </timing>
          <route>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="26643006"/>
              <display value="Oral use"/>
              <userSelected value="false"/>
            </coding>
          </route>
          <doseAndRate>
            <doseQuantity>
              <value value="1"/>
              <unit value="Oral Capsule"/>
              <system
                      value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
              <code value="ORCAP"/>
            </doseQuantity>
          </doseAndRate>
        </dosage>
      </MedicationStatement>
    </resource>
  </entry>
</Bundle>