<?xml version=“1.0” encoding=“UTF-8”?> <MedicationStatement xmlns=“hl7.org/fhir”>

<id value="example001"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<contained>
  <Medication>
    <id value="med0309"/>
  <code>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="50580-506-02"/>
      <display value="Tylenol PM"/>
    </coding>
  </code>
    <form>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="385057009"/>
        <display value="Film-coated tablet (qualifier value)"/>
      </coding>
    </form>
    <ingredient>
      <itemCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="315266"/>
          <display value="Acetaminophen 500 MG"/>
        </coding>
      </itemCodeableConcept>
      <strength>
        <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>
      </strength>
    </ingredient>
    <ingredient>
      <itemCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="901813"/>
          <display value="Diphenhydramine Hydrochloride 25 mg"/>
        </coding>
      </itemCodeableConcept>
      <strength>
        <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>
      </strength>
    </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="active"/>
<category>
  <coding>
    <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category"/>
    <code value="inpatient"/>
    <display value="Inpatient"/>
  </coding>
</category>
<medicationReference> <!--   Linked to a RESOURCE Medication   -->
  <reference value="#med0309"/>
</medicationReference> 
<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>
<reasonCode>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="32914008"/>
    <display value="Restless Legs"/>
  </coding>
</reasonCode>

<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>
    <asNeededCodeableConcept>
      <coding>
        <system value="http://snomed.info/sct"/>
        <code value="32914008"/>
        <display value="Restless Legs"/>
      </coding>
    </asNeededCodeableConcept>
  <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>