Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Medicationstatementexample1.xml

Example MedicationStatement/example001 (XML)

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

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

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

<?xml version="1.0" encoding="UTF-8"?>


  
  (Details : {http://terminology.hl7.org/CodeSystem/medication-statement-category code 'inpatient'
           = 'Inpatient', given as 'Inpatient'})(Details : {http://hl7.org/fhir/sid/ndc code '50580-506-02' = 'n/a', given as 'Tylenol
           PM'})(Details : {SNOMED CT code '385057009' = 'Film-coated tablet', given as 'Film-coated tablet
           (qualifier value)'})
    
      
    
      
        
        
        
      
    
      
        
          
          
          
        
      
      
        
          
            
            
            
          
        
        
          
            
            
            
          
          
            
            
            
          
        
      
      
        
          
            
            
            
          
        
        
          
            
            
            
          
          
            
            
            
          
        
      
      
        
        
       

    
  
  
    
    
    
  
  
  
    
      
      
      
    
  
  
    
   
  
    
     
   
  
  
  
    
     
  
  
    
  
  
    
      
      
      
    
  



  
    
  
  
    
    
    
      
    
    
      
          
        
        
      
    
      
        
          
          
          
        
      
    
      
      
          
          
      
    
    
      
        
          
          
          
        
      
      
        
          
          
          
          
        
        
          
          
          
          
        
      
    
    
  

<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 &quot;example001&quot; </p> </div> <p> <b> identifier</b> : id: 12345689 (use: OFFICIAL)</p> <p> <b> status</b> : recorded</p> <p> <b> category</b> : Inpatient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (medication-statement-category#inpatient)</span> </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/5.1.0/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/5.1.0/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/5.1.0/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>  &quot;Donald DUCK&quot;</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>  &quot;Donald DUCK&quot;</p> <p> <b> derivedFrom</b> : <a href="medicationrequestexample2.html">MedicationRequest/medrx002</a> </p> <h3> Reasons</h3> <table class="grid"><tr> <td> -</td> <td> <b> Concept</b> </td> </tr> <tr> <td> *</td> <td> Restless Legs <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOMED CT</a> #32914008)</span> </td> </tr> </table> <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> asNeededFor</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> </div> </text> <contained> 
    <Medication>       <id value="med0309"/>     <code>       <coding>         <system value="http://hl7.org/fhir/sid/ndc"/>         <code value="50580-608-02"/>         <display value="Tylenol PM"/>       </coding>     </code>       <doseForm>         <coding>           <system value="http://snomed.info/sct"/>           <code value="385057009"/>           <display value="Film-coated tablet (qualifier value)"/>         </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>       <batch>         <lotNumber value="9494788"/>         <expirationDate value="2017-05-22"/>       </batch>      </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

>



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.