Adverse Event Clinical Research R4 Backport
1.0.0-ballot - ballot
Adverse Event Clinical Research R4 Backport
1.0.0-ballot - ballot
This page is part of the Adverse Event Clinical Research R4 Backport (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
| Page standards status: Informative |
<MedicationStatement xmlns="http://hl7.org/fhir">
<id value="example001"/>
<text>
<status value="generated"/>
<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: 12345689 (use: OFFICIAL)</p><p><b>status</b>: active</p><p><b>medication</b>: <a name="med0309"> </a></p><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/5.0.0/CodeSystem-v3-ndc.html">National drug codes</a>#50580-506-02)</span></p><p><b>form</b>: Film-coated tablet <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/5.0.0/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/5.0.0/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 style="display: none">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style="display: none">*</td><td>9494788</td><td>2025-05-25</td></tr></table></blockquote><p><b>subject</b>: <a href="Patient-JanetPatient.html">Patient/JanetPatient: Janet</a> " CLINICAL TRIAL PATIENT"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2023-04-12</p><p><b>informationSource</b>: <a href="Patient-JanetPatient.html">Patient/JanetPatient: Janet</a> " CLINICAL TRIAL PATIENT"</p><p><b>derivedFrom</b>: <span>: Reference(medrx002)</span></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><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>asNeeded</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><hr/><blockquote><p><b>Generated Narrative: Medication #med0309</b><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/5.0.0/CodeSystem-v3-ndc.html">National drug codes</a>#50580-506-02)</span></p><p><b>form</b>: Film-coated tablet <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/5.0.0/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/5.0.0/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 style="display: none">-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td style="display: none">*</td><td>9494788</td><td>2025-05-25</td></tr></table></blockquote></div>
</text>
<contained>
<Medication>
<id value="med0309"/>
<code>
<coding>
<system value="http://hl7.org/fhir/sid/ndc"/>
<code value="50580-506-02"/>
</coding>
<text value="Tylenol PM"/>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385057009"/>
<display value="Film-coated tablet"/>
</coding>
</form>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="315266"/>
<display value="Acetaminophen 500 MG"/>
</coding>
</itemCodeableConcept>
<strength>
<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>
</strength>
</ingredient>
<ingredient>
<itemCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="901813"/>
<display value="Diphenhydramine Hydrochloride 25 mg"/>
</coding>
</itemCodeableConcept>
<strength>
<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>
</strength>
</ingredient>
<batch>
<lotNumber value="9494788"/>
<expirationDate value="2025-05-25"/>
</batch>
</Medication>
</contained>
<identifier>
<use value="official"/>
<system value="http://www.bmc.nl/portal/medstatements"/>
<value value="12345689"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="#med0309"/>
</medicationReference>
<subject>
<reference value="Patient/JanetPatient"/>
<display value="Janet"/>
</subject>
<effectiveDateTime value="2015-01-23"/>
<dateAsserted value="2023-04-12"/>
<informationSource>
<reference value="Patient/JanetPatient"/>
<display value="Janet"/>
</informationSource>
<derivedFrom>
<identifier>
<system value="http://www.bmc.nl/portal/medstatements"/>
<value value="medrx002"/>
</identifier>
<display value="Reference(medrx002)"/>
</derivedFrom>
<reasonCode>
<coding>
<system value="http://snomed.info/sct"/>
<code value="32914008"/>
<display value="Restless Legs"/>
</coding>
</reasonCode>
<note>
<text value="Patient indicates they miss the occasional dose"/>
</note>
<dosage>
<sequence value="1"/>
<text
value="1-2 tablets once daily at bedtime as needed for restless legs"/>
<additionalInstruction>
<text value="Taking at bedtime"/>
</additionalInstruction>
<timing>
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="32914008"/>
<display value="Restless Legs"/>
</coding>
</asNeededCodeableConcept>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral Route"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseRange>
<low>
<value value="1"/>
<unit value="TAB"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</low>
<high>
<value value="2"/>
<unit value="TAB"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</high>
</doseRange>
</doseAndRate>
</dosage>
</MedicationStatement>
IG © 2020+ HL7 International - Biomedical Research and Regulation, Vulcan AdverseEvent groups. Package hl7.fhir.uv.ae-research-backport-ig#1.0.0-ballot based on FHIR 4.0.1. Generated 2023-07-28
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