Medications
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| Pharmacy Work Group | Maturity Level : N/A | Standards Status : Informative | Compartments : Encounter , 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</b></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 "example002" </p></div><p><b>status</b>: active</p><p><b>statusReason</b>: Liver enzymes abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166643006)</span></p><p><b>medication</b>: <a name=\"med0309\"> </a></p><blockquote><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 "med0309" </p></div><p><b>code</b>: Tylenol PM <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ndc.html\">National drug codes</a>#50580-506-02)</span></p><p><b>form</b>: Film-coated tablet (qualifier value) <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/3.1.0/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/3.1.0/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>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>2017-05-22</td></tr></table></blockquote><p><b>subject</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-pat1.html\">Patient/pat1: Donald Duck</a> "Duck DONALD"</p><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p></div>"
"resourceType" : "MedicationStatement",
"id" : "example002",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationStatement</b><a name=\"example002\"> </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 "example002" </p></div><p><b>status</b>: recorded</p><h3>Medications</h3><table class=\"grid\"><tr><td>-</td><td><b>Reference</b></td></tr><tr><td>*</td><td><span title=\" Linked to a RESOURCE Medication \"><a name=\"med0309\"> </a></span><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/4.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#50580-608-02)</span></p><p><b>doseForm</b>: Film-coated tablet (qualifier value) <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><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Acetaminophen 500 MG <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#315266)</span></td></tr></table><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><h3>Items</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Diphenhydramine Hydrochloride 25 mg <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#901813)</span></td></tr></table><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>-</td><td><b>LotNumber</b></td><td><b>ExpirationDate</b></td></tr><tr><td>*</td><td>9494788</td><td>2017-05-22</td></tr></table></blockquote></td></tr></table><p><b>subject</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><p><b>effective</b>: 2015-01-23</p><p><b>dateAsserted</b>: 2015-02-22</p><p><b>informationSource</b>: <a href=\"patient-example-a.html\">Patient/pat1: Donald Duck</a> "Donald DUCK"</p><h3>Reasons</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>Liver enzymes abnormal <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#166643006)</span></td></tr></table><p><b>note</b>: Patient cannot take acetaminophen as per Dr instructions</p><h3>Adherences</h3><table class=\"grid\"><tr><td>-</td><td><b>Code</b></td><td><b>Reason</b></td></tr><tr><td>*</td><td>Not Taking <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"codesystem-medication-statement-adherence.html\">MedicationStatement Adherence Codes</a>#not-taking)</span></td><td>Drugs not taken/completed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#266710000)</span></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"
}
]
},
"form": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "385057009",
"display": "Film-coated tablet (qualifier value)"
}
]
"contained" : [{
"resourceType" : "Medication",
"id" : "med0309",
"code" : {
"coding" : [{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "50580-608-02",
"display" : "Tylenol PM"
}]
},
"doseForm" : {
"coding" : [{
"system" : "http://snomed.info/sct",
"code" : "385057009",
"display" : "Film-coated tablet (qualifier value)"
}]
},
"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"
}
}
}],
"batch" : {
"lotNumber" : "9494788",
"expirationDate" : "2017-05-22"
}
}],
"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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May
28,
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12:56+1000.
Wed,
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23:07+1100.
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