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

<id value="example002"/>
<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>
<status value="active"/>
<statusReason>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="166643006"/>
    <display value="Liver enzymes abnormal"/>
  </coding>
</statusReason>
<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>

<note>
  <text value="Patient cannot take acetaminophen as per Dr instructions"/>
</note>

</MedicationStatement>