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

<id value="example005"/>
<meta>
  <security>
    <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
    <code value="HTEST"/>
    <display value="test health data"/>
  </security>
</meta>
<basedOn>
  <reference value="CarePlan/gpvisit"/>
</basedOn>

<status value="entered-in-error"/>
<medicationCodeableConcept>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="27658006"/>
    <display value="Amoxicillin (product)"/>
  </coding>
</medicationCodeableConcept>
<subject>
  <reference value="Patient/pat1"/>
  <display value="Donald Duck"/> 
</subject>
<context>
  <reference value="Encounter/f203"/>
</context>
<effectiveDateTime value="2014-01-23"/>
<dateAsserted value="2015-02-22"/>
<informationSource>
  <reference value="Patient/pat1"/>
  <display value="Donald Duck"/> 
</informationSource>

<note>
  <text value="Patient indicated that they thought it was Amoxicillin they were taking but it was really Erythromycin"/>
</note>

</MedicationStatement>