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This page is part of the FHIR Specification (v1.6.0: STU 3 Ballot 4). The current version which supercedes this version is 5.0.0 ~~. For a full list of available versions, see the Directory of published versions~~ . For a full list of available versions, see the Directory of published versions ~~. Page versions:~~ . Page versions: R5 R4B R4 R3 R2

Medicationstatementexample1.json Raw JSON (

Raw JSON ( ~~canonical form~~ canonical form ~~) Example of a medication statement where the Patient reported - I'm taking med x at this dose (from bottle) - most complete example~~ )

Patient reports they are taking Tylenol PM and has the bottle

{
  "resourceType": "MedicationStatement",
  "id": "example001",
  "text": {
    "status": "generated",
    "div": "<div>\n      <p>Tylenol No 1 tablet - Taking 1 tablet four times daily as needed for pain</p>\n    </div>"

    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example001</p><p><b>contained</b>: </p><p><b>status</b>: active</p><p><b>medication</b>: id: med0309; Tylenol PM <span>(Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = '??', given as 'Tylenol PM'})</span>; isBrand</p><p><b>patient</b>: <a>Donald Duck</a></p><p><b>effective</b>: 23/01/2015</p><p><b>informationSource</b>: <a>Donald Duck</a></p><p><b>dateAsserted</b>: 22/02/2015</p><p><b>notTaken</b>: false</p><p><b>reasonForUseCode</b>: Restless Legs <span>(Details : {SNOMED CT code '32914008' = 'Restless legs', given as 'Restless Legs'})</span></p><p><b>note</b>: Patient indicates they miss the occasional dose</p><h3>Dosages</h3><table><tr><td>-</td><td><b>Text</b></td><td><b>AdditionalInstructions</b></td><td><b>Timing</b></td><td><b>AsNeeded[x]</b></td><td><b>Route</b></td><td><b>Dose[x]</b></td></tr><tr><td>*</td><td>1-2 tablets once daily at bedtime as needed for restless legs</td><td>Taking at bedtime <span>(Details )</span></td><td>Do Once per 1 days</td><td>Restless Legs <span>(Details : {SNOMED CT code '32914008' = 'Restless legs', given as 'Restless Legs'})</span></td><td>Oral Route <span>(Details : {SNOMED CT code '26643006' = 'Oral route (qualifier value)', given as 'Oral Route'})</span></td><td>1-2 TAB</td></tr></table></div>"
  },
  "contained": [
    {
      "resourceType": "Medication",
      "id": "med0309",
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/sid/ndc",
            "code": "50580-506-02",
            "display": "Tylenol PM"
          }
        ]
      },
      "isBrand": true,
      "product": {
        "form": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "385057009",
              "display": "Film-coated tablet (qualifier value)"
            }
          ]
        },
        "ingredient": [
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "315266",
                  "display": "Acetaminophen 500 MG"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 500,
                "system": "http://unitsofmeasure.org",
                "code": "mg"
              },
              "denominator": {
                "value": 1,
                "system": "http://hl7.org/fhir/v3/orderableDrugForm",
                "code": "Tab"
              }
            }
          },
          {
            "itemCodeableConcept": {
              "coding": [
                {
                  "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code": "901813",
                  "display": "Diphenhydramine Hydrochloride 25 mg"
                }
              ]
            },
            "amount": {
              "numerator": {
                "value": 25,
                "system": "http://unitsofmeasure.org",
                "code": "mg"
              },
              "denominator": {
                "value": 1,
                "system": "http://hl7.org/fhir/v3/orderableDrugForm",
                "code": "Tab"
              }
            }
          }
        ],
        "batch": [
          {
            "lotNumber": "9494788",
            "expirationDate": "2017-05-22"
          }
        ]
      }
    }
  ],
  "status": "active",
  "medicationReference": {
    "reference": "#med0309"

  },
  "patient": {
    "reference": "Patient/pat1"

    "reference": "Patient/pat1",
    "display": "Donald Duck"

  },
  "effectiveDateTime": "2015-01-23",

  "informationSource": {
    "reference": "Patient/pat2"

    "reference": "Patient/pat1",
    "display": "Donald Duck"

  },
  "dateAsserted": "2015-02-22",
  "status": "completed",
  "wasNotTaken": false,
  "reasonForUseCodeableConcept": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "22253000",
        "display": "Pain"
      }
    ]
  },
  "effectiveDateTime": "2015-01-23",
  "note": "Patient indicates they miss the occasional dose",
  "medicationReference": {
    "reference": "Medication/MedicationExample7"
  },

  "notTaken": false,
  "reasonForUseCode": [
    {
      "coding": [
        {
          "system": "http://snomed.info/sct",
          "code": "32914008",
          "display": "Restless Legs"
        }
      ]
    }
  ],
  "note": [
    {
      "text": "Patient indicates they miss the occasional dose"
    }
  ],

  "dosage": [
    {
      "text": "one tablet four times daily as needed for pain",

      "text": "1-2 tablets once daily at bedtime as needed for restless legs",
      "additionalInstructions": [
        {
          "text": "Taking at bedtime"
        }
      ],

      "timing": {
        "repeat": {
          "frequency": 4,

          "frequency": 1,

          "period": 1,
          "periodUnits": "d"

          "periodUnit": "d"

        }
      },
      "asNeededBoolean": true,
      "route": {

      "asNeededCodeableConcept": {

        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "260548002",
            "display": "Oral"

            "code": "32914008",
            "display": "Restless Legs"

          }
        ]
      },
      "quantityQuantity": {
        "value": 1

      "route": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "26643006",
            "display": "Oral Route"
          }
        ]

      },
      "maxDosePerPeriod": {
        "numerator": {
          "value": 4,
          "unit": "tablets",
          "system": "http://snomed.info/sct",
          "code": "385055001"
        },
        "denominator": {

      "doseRange": {
        "low": {

          "value": 1,
          "system": "http://unitsofmeasure.org",
          "code": "d"

          "unit": "TAB",
          "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
          "code": "TAB"
        },
        "high": {
          "value": 2,
          "unit": "TAB",
          "system": "http://hl7.org/fhir/ValueSet/v3-orderableDrugForm",
          "code": "TAB"

        }
      }
    }
  ]
}
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.
©
HL7.org
2011+.
FHIR
DSTU2
(v1.0.2-7202)
generated
on
Sat,
Oct
24,
2015
07:44+1100.
Links:

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.