US Meds Implementation Guide (Release 1.2.0)

This page is part of the US-Medication FHIR IG (v1.2.0: STU 2) based on FHIR R3. This is the current published version. For a full list of available versions, see the Directory of published versions

Example: MedicationStatement-derivedfrom-mr-enca-5

Formats: Narrative, XML, JSON, Turtle

Raw xml


<MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="derivedfrom-mr-enca-5"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationstatement"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: derivedfrom-mr-enca-5</p><p><b>meta</b>: </p><p><b>context</b>: <a href="Encounter-A.html">Inpatient Encounter A. Generated Summary: id: A; status: finished; <span title="{http://hl7.org/fhir/v3/ActCode IMP}">inpatient encounter</span>; ????; period: 10/09/2016 --&gt; 12/09/2016</a></p><p><b>status</b>: active</p><p><b>medication</b>: Zithromax 500 MG Oral Tablet <span style="background: LightGoldenRodYellow">(Details : {RxNorm code '212446' = '212446', given as 'Zithromax 250 MG Oral Tablet'})</span></p><p><b>effective</b>: 12/09/2016 --&gt; 22/09/2016</p><p><b>dateAsserted</b>: 10/04/2017 8:56:49 AM</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: 05/01/1964</a></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: 05/01/1964</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>; Brian Z; Inpatient Encounter A; authoredOn: 12/09/2016; <span title="Codes: {http://snomed.info/sct 233604007}">Pneumonia (disorder)</span>; </a></p><p><b>taken</b>: n</p><p><b>reasonCode</b>: Pneumonia (disorder) <span style="background: LightGoldenRodYellow">(Details : {SNOMED CT code '233604007' = 'Pneumonia', given as 'Pneumonia (disorder)'})</span></p><p><b>dosage</b>: </p></div>
  </text>
  <context>
    <reference value="Encounter/A"/>
    <display value="Inpatient Encounter A"/>
  </context>
  <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>
  <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>
  <subject>
    <reference value="Patient/test2"/>
    <display value="Brian Z"/>
  </subject>
  <derivedFrom>
    <reference value="MedicationRequest/enca-5"/>
  </derivedFrom>
  <taken value="n"/>
  <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://ncimeta.nci.nih.gov"/>
        <code value="C38288"/>
        <display value="ORALLY"/>
        <userSelected value="false"/>
      </coding>
    </route>
    <doseQuantity>
      <value value="1"/>
      <unit value="TAB"/>
      <system value="http://hl7.org/fhir/v3/orderableDrugForm"/>
      <code value="TAB"/>
    </doseQuantity>
  </dosage>
</MedicationStatement>