FHIR Release 3 (STU) CI-Build

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Medicationstatementexample1.xml

Example MedicationStatement/example001 (XML)

Maturity Level : N/A
Responsible Owner: Pharmacy Work Group Ballot Standards Status : Informative Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form ) Jump past Narrative + also see XML Format Specification )

Patient reports they are taking Tylenol PM and has the bottle (id = "example001")

(Details : {http://hl7.org/fhir/medication-statement-category code 'inpatient' = 'Inpatient', given as 'Inpatient'})(Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = '50580-506-02', given as 'Tylenol PM'})(Details : {SNOMED CT code '385057009' = 'Film-coated tablet', given as 'Film-coated tablet (qualifier value)'}) 
<?xml version="1.0" encoding="UTF-8"?>


  
  
    
      
      
      
    
  
  
    
  
  
    
    
    
      
    
    
      
          
        
        
      
    
      
        
          
          
          
        
      
    
      
      
          
          
      
    
      
        
      
          
          
          
        
        
          
          
          
          
        
      
  

<!--   This example is a fully populated example where a patient reports they are taking
 a certain medication and has the bottle    --><MedicationStatement xmlns="http://hl7.org/fhir">
  <id value="example001"/>   <contained>     <Medication>       <id value="med0309"/>       <code>         <coding>           <system value="http://hl7.org/fhir/sid/ndc"/>           <code value="50580-608-02"/>           <display value="Tylenol PM Extra Strength, 1 BOTTLE in 1 CARTON (50580-608-02) &gt; 100 TABLET,

           FILM COATED in 1 BOTTLE (package)"/> 
        </coding>         <text value="Tylenol PM"/>       </code>       <doseForm>         <coding>           <system value="http://snomed.info/sct"/>           <code value="385057009"/>           <display value="Film-coated tablet (basic dose form)"/>         </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>     </Medication>   </contained>   <identifier>     <use value="official"/>     <system value="http://www.bmc.nl/portal/medstatements"/>     <value value="12345689"/>   </identifier>   <status value="recorded"/>   <category>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category"/>       <code value="inpatient"/>       <display value="Inpatient"/>     </coding>   </category>   <medication>     <!--   Linked to a RESOURCE 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>   <derivedFrom>     <reference value="MedicationRequest/medrx002"/>   </derivedFrom>   <reason>     <concept>       <coding>         <system value="http://snomed.info/sct"/>         <code value="32914008"/>         <display value="Restless Legs"/>       </coding>     </concept>   </reason>   <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>     <asNeededFor>       <coding>         <system value="http://snomed.info/sct"/>         <code value="32914008"/>         <display value="Restless Legs"/>       </coding>     </asNeededFor>     <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

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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.