Medications
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| Responsible Owner: Pharmacy Work Group | Standards Status : Informative | Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson |
Raw JSON ( canonical form + also see JSON Format Specification )
Patient reports they are not taking Tylenol PM
{
"resourceType": "MedicationStatement",
"id": "example002",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example002</p><p><b>contained</b>: </p><p><b>status</b>: active</p><p><b>statusReason</b>: Liver enzymes abnormal <span>(Details : {SNOMED CT code '166643006' = 'Liver enzymes abnormal', given as 'Liver enzymes abnormal'})</span></p><p><b>medication</b>: id: med0309; Tylenol PM <span>(Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = 'n/a', given as 'Tylenol PM'})</span>; Film-coated tablet (qualifier value) <span>(Details : {SNOMED CT code '385057009' = 'Film-coated tablet', given as 'Film-coated tablet (qualifier value)'})</span></p><p><b>subject</b>: <a>Donald Duck</a></p><p><b>effective</b>: 23/01/2015</p><p><b>dateAsserted</b>: 22/02/2015</p><p><b>informationSource</b>: <a>Donald Duck</a></p><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p></div>"
},
"contained": [
{
"resourceType": "Medication",
"id": "med0309",
"code": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "50580-506-02",
"display": "Tylenol PM"
}
]
},
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385057009",
"display": "Film-coated tablet (qualifier value)"
}
]
"resourceType" : "MedicationStatement",
"id" : "example002",
"contained" : [{
"resourceType" : "Medication",
"id" : "med0309",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "50580-608-02",
"display" : "Tylenol PM Extra Strength, 1 BOTTLE in 1 CARTON (50580-608-02) > 100 TABLET, FILM COATED in 1 BOTTLE (package)"
}],
"text" : "Tylenol PM"
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385057009",
"display" : "Film-coated tablet (basic dose form)"
}]
},
"ingredient" : [{
"item" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "315266",
"display" : "Acetaminophen 500 MG"
}]
}
},
"ingredient": [
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "315266",
"display": "Acetaminophen 500 MG"
}
]
},
"strength": {
"numerator": {
"value": 500,
"system": "http://unitsofmeasure.org",
"code": "mg"
},
"denominator": {
"value": 1,
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "Tab"
}
}
"strengthRatio" : {
"numerator" : {
"value" : 500,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
{
"itemCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "901813",
"display": "Diphenhydramine Hydrochloride 25 mg"
}
]
},
"strength": {
"numerator": {
"value": 25,
"system": "http://unitsofmeasure.org",
"code": "mg"
},
"denominator": {
"value": 1,
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "Tab"
}
}
"denominator" : {
"value" : 1,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
],
"batch": {
"lotNumber": "9494788",
"expirationDate": "2017-05-22"
}
}
],
"status": "active",
"statusReason": [
},
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "166643006",
"display": "Liver enzymes abnormal"
"item" : {
"concept" : {
"coding" : [{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "901813",
"display" : "Diphenhydramine Hydrochloride 25 mg"
}]
}
]
},
"strengthRatio" : {
"numerator" : {
"value" : 25,
"system" : "http://unitsofmeasure.org",
"code" : "mg"
},
"denominator" : {
"value" : 1,
"system" : "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code" : "TAB"
}
}
}]
}],
"status" : "recorded",
"medication" : {
"reference" : {
"reference" : "#med0309"
}
],
"medicationReference": {
"reference": "#med0309"
},
"subject": {
"reference": "Patient/pat1",
"display": "Donald Duck"
},
"effectiveDateTime": "2015-01-23",
"dateAsserted": "2015-02-22",
"informationSource": {
"reference": "Patient/pat1",
"display": "Donald Duck"
"subject" : {
"reference" : "Patient/pat1",
"display" : "Donald Duck"
},
"note": [
{
"text": "Patient cannot take acetaminophen as per Dr instructions"
"effectiveDateTime" : "2015-01-23",
"dateAsserted" : "2015-02-22",
"informationSource" : [{
"reference" : "Patient/pat1",
"display" : "Donald Duck"
}],
"reason" : [{
"concept" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "166643006",
"display" : "Liver enzymes abnormal"
}]
}
]
}],
"note" : [{
"text" : "Patient cannot take acetaminophen as per Dr instructions"
}],
"adherence" : {
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/CodeSystem/medication-statement-adherence",
"code" : "not-taking",
"display" : "Not Taking"
}]
},
"reason" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "266710000",
"display" : "Drugs not taken/completed"
}]
}
}
}
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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2011+.
FHIR
Release
4
(Technical
Correction
#1)
(v4.0.1)
R6
hl7.fhir.core#6.0.0-ballot3
generated
on
Fri,
Mon,
Nov
1,
2019
09:36+1100.
QA
Page
10,
2025
15:22+0000.
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