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Packagesynapxe.sgcdi
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IdListPutPatientMedicationListResponse.Example.json
FHIR VersionR5

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Source1

{
  "resourceType": "List",
  "id": "pml-2026-001234",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2026-02-10T10:05:00.100+08:00",
    "profile": [
      "https://fhir.synapxe.sg/StructureDefinition/profile-list-medicationstatement"
    ]
  },
  "contained": [
    {
      "resourceType": "MedicationStatement",
      "id": "med-statement-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationstatement"
        ]
      },
      "extension": [
        {
          "url": "https://fhir.synapxe.sg/StructureDefinition/ext-changesMade",
          "valueString": "Dose increased from 5mg to 10mg based on clinical response"
        }
      ],
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
          "value": "SEQ-001"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/group-no",
          "value": "GRP-001"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/group-sequence-no",
          "value": "GRPSEQ-001"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
          "value": "REC-MS-2026-001234-001"
        }
      ],
      "status": "recorded",
      "category": [
        {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/clinical-setting",
              "code": "admission",
              "display": "Admission"
            }
          ]
        }
      ],
      "medication": {
        "reference": {
          "reference": "#medication-001"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "dateAsserted": "2026-02-10T10:00:00+08:00",
      "informationSource": [
        {
          "reference": "PractitionerRole/pr-pharmacist-001",
          "display": "Ms. Rachel Goh, Pharmacist"
        },
        {
          "type": "Patient",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
            "value": "S1234567A"
          }
        },
        {
          "type": "RelatedPerson",
          "identifier": {
            "system": "https://fhir.synapxe.sg/NamingSystem/nric",
            "value": "S7654321B"
          }
        }
      ],
      "derivedFrom": [
        {
          "reference": "#med-request-001"
        },
        {
          "reference": "#med-dispense-001"
        },
        {
          "reference": "#allergy-001"
        },
        {
          "reference": "#flag-001"
        }
      ],
      "reason": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "38341003",
                "display": "Hypertensive disorder"
              }
            ],
            "text": "Hypertension management"
          }
        }
      ],
      "note": [
        {
          "text": "Patient reports good compliance. No adverse effects reported."
        }
      ],
      "dosage": [
        {
          "text": "Take 1 tablet by mouth once daily in the morning",
          "asNeededFor": [
            {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "38341003",
                  "display": "Hypertensive disorder"
                }
              ],
              "text": "Hypertension"
            }
          ],
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral route"
              }
            ],
            "text": "Oral"
          },
          "doseAndRate": [
            {
              "doseRange": {
                "low": {
                  "value": 5,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                },
                "high": {
                  "value": 10,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            }
          ]
        }
      ],
      "adherence": {
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/CodeSystem/medication-statement-adherence",
              "code": "taking",
              "display": "Taking"
            }
          ]
        },
        "reason": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "182891003",
              "display": "Patient compliant with drug therapy"
            }
          ],
          "text": "Patient is compliant with medication"
        }
      }
    },
    {
      "resourceType": "MedicationRequest",
      "id": "med-request-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationrequest"
        ]
      },
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/prescription-no",
          "value": "RX-2026-001234-001"
        }
      ],
      "status": "active",
      "intent": "order",
      "medication": {
        "reference": {
          "reference": "#medication-001"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "authoredOn": "2026-02-09T14:00:00+08:00",
      "requester": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "M12345"
        },
        "display": "Dr. Sarah Lim"
      }
    },
    {
      "resourceType": "MedicationDispense",
      "id": "med-dispense-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationdispense"
        ]
      },
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/dispense-id",
          "value": "DISP-2026-001234-001"
        }
      ],
      "status": "completed",
      "medication": {
        "reference": {
          "reference": "#medication-001"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "performer": [
        {
          "actor": {
            "reference": "PractitionerRole/pr-pharmacist-001",
            "display": "Ms. Rachel Goh, Pharmacist"
          }
        }
      ],
      "quantity": {
        "value": 30,
        "unit": "tablets",
        "system": "http://unitsofmeasure.org",
        "code": "{tbl}"
      },
      "whenHandedOver": "2026-02-09T16:00:00+08:00"
    },
    {
      "resourceType": "Medication",
      "id": "medication-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medication"
        ]
      },
      "code": {
        "coding": [
          {
            "system": "https://fhir.synapxe.sg/CodeSystem/medication-list",
            "code": "0004-28-351-L",
            "display": "Amlodipine 10MG TAB"
          }
        ],
        "text": "Amlodipine 10mg Tablet"
      }
    },
    {
      "resourceType": "AllergyIntolerance",
      "id": "allergy-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-allergyintolerance"
        ]
      },
      "clinicalStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
            "code": "active",
            "display": "Active"
          }
        ]
      },
      "verificationStatus": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
            "code": "confirmed",
            "display": "Confirmed"
          }
        ]
      },
      "type": "allergy",
      "category": [
        "medication"
      ],
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "372687004",
            "display": "Amoxicillin"
          }
        ],
        "text": "Amoxicillin allergy"
      },
      "patient": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "reaction": [
        {
          "manifestation": [
            {
              "concept": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "271807003",
                    "display": "Skin rash"
                  }
                ],
                "text": "Skin rash"
              }
            }
          ],
          "severity": "moderate"
        }
      ]
    },
    {
      "resourceType": "Flag",
      "id": "flag-001",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-flag"
        ]
      },
      "status": "active",
      "category": [
        {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/flag-category",
              "code": "drug",
              "display": "Drug"
            }
          ]
        }
      ],
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "428351000124105",
            "display": "High risk medication"
          }
        ],
        "text": "Patient on high alert medication - monitor blood pressure closely"
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "period": {
        "start": "2026-02-09T14:00:00+08:00"
      }
    },
    {
      "resourceType": "MedicationStatement",
      "id": "med-statement-002",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationstatement"
        ]
      },
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/sequence-no",
          "value": "SEQ-002"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/group-no",
          "value": "GRP-001"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/group-sequence-no",
          "value": "GRPSEQ-002"
        },
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/record-id",
          "value": "REC-MS-2026-001234-002"
        }
      ],
      "status": "recorded",
      "category": [
        {
          "coding": [
            {
              "system": "https://fhir.synapxe.sg/CodeSystem/clinical-setting",
              "code": "admission",
              "display": "Admission"
            }
          ]
        }
      ],
      "medication": {
        "reference": {
          "reference": "#medication-002"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "dateAsserted": "2026-02-10T10:00:00+08:00",
      "informationSource": [
        {
          "reference": "PractitionerRole/pr-pharmacist-001",
          "display": "Ms. Rachel Goh, Pharmacist"
        }
      ],
      "derivedFrom": [
        {
          "reference": "#med-request-002"
        },
        {
          "reference": "#med-dispense-002"
        }
      ],
      "reason": [
        {
          "concept": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "44054006",
                "display": "Type 2 diabetes mellitus"
              }
            ],
            "text": "Type 2 Diabetes management"
          }
        }
      ],
      "note": [
        {
          "text": "Patient to monitor blood glucose levels regularly."
        }
      ],
      "dosage": [
        {
          "text": "Take 1 tablet by mouth twice daily with meals",
          "asNeededFor": [
            {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "44054006",
                  "display": "Type 2 diabetes mellitus"
                }
              ],
              "text": "Diabetes"
            }
          ],
          "route": {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "26643006",
                "display": "Oral route"
              }
            ],
            "text": "Oral"
          },
          "doseAndRate": [
            {
              "doseRange": {
                "low": {
                  "value": 500,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                },
                "high": {
                  "value": 500,
                  "unit": "mg",
                  "system": "http://unitsofmeasure.org",
                  "code": "mg"
                }
              }
            }
          ]
        }
      ],
      "adherence": {
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/CodeSystem/medication-statement-adherence",
              "code": "taking",
              "display": "Taking"
            }
          ]
        },
        "reason": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "182891003",
              "display": "Patient compliant with drug therapy"
            }
          ],
          "text": "Patient is compliant with medication"
        }
      }
    },
    {
      "resourceType": "MedicationRequest",
      "id": "med-request-002",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationrequest"
        ]
      },
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/prescription-no",
          "value": "RX-2026-001234-002"
        }
      ],
      "status": "active",
      "intent": "order",
      "medication": {
        "reference": {
          "reference": "#medication-002"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "authoredOn": "2026-01-15T09:30:00+08:00",
      "requester": {
        "type": "Practitioner",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/mcr",
          "value": "M67890"
        },
        "display": "Dr. Michael Tan"
      }
    },
    {
      "resourceType": "MedicationDispense",
      "id": "med-dispense-002",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medicationdispense"
        ]
      },
      "identifier": [
        {
          "system": "https://fhir.synapxe.sg/NamingSystem/dispense-id",
          "value": "DISP-2026-001234-002"
        }
      ],
      "status": "completed",
      "medication": {
        "reference": {
          "reference": "#medication-002"
        }
      },
      "subject": {
        "type": "Patient",
        "identifier": {
          "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
          "value": "S1234567A"
        }
      },
      "performer": [
        {
          "actor": {
            "reference": "PractitionerRole/pr-pharmacist-001",
            "display": "Ms. Rachel Goh, Pharmacist"
          }
        }
      ],
      "quantity": {
        "value": 60,
        "unit": "tablets",
        "system": "http://unitsofmeasure.org",
        "code": "{tbl}"
      },
      "whenHandedOver": "2026-01-15T11:00:00+08:00"
    },
    {
      "resourceType": "Medication",
      "id": "medication-002",
      "meta": {
        "profile": [
          "https://fhir.synapxe.sg/StructureDefinition/profile-medication"
        ]
      },
      "code": {
        "coding": [
          {
            "system": "https://fhir.synapxe.sg/CodeSystem/medication-list",
            "code": "0004-28-351-L",
            "display": "Metformin 500MG TAB"
          }
        ],
        "text": "Metformin 500mg Tablet"
      }
    }
  ],
  "identifier": {
    "system": "https://fhir.synapxe.sg/NamingSystem/pml-id",
    "value": "PML-2026-001234"
  },
  "status": "current",
  "mode": "working",
  "code": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/list-example-use-codes",
        "code": "medications",
        "display": "Medications"
      }
    ]
  },
  "subject": {
    "type": "Patient",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/nric-fin",
      "value": "S1234567A"
    },
    "display": "John Tan"
  },
  "encounter": {
    "type": "Encounter",
    "identifier": {
      "system": "https://fhir.synapxe.sg/NamingSystem/visit-number",
      "value": "VN-2026-001234"
    }
  },
  "date": "2026-02-10T10:00:00+08:00",
  "source": {
    "reference": "PractitionerRole/pr-pharmacist-001",
    "type": "PractitionerRole",
    "display": "Ms. Rachel Goh, Pharmacist"
  },
  "note": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/annotationType",
          "valueCodeableConcept": {
            "coding": [
              {
                "system": "https://fhir.synapxe.sg/CodeSystem/annotation-type",
                "code": "notesforHCP",
                "display": "notesforHCP"
              }
            ]
          }
        }
      ],
      "text": "Patient medication list reviewed during admission. Overall compliance is good. Amlodipine dose was recently increased. Continue monitoring blood pressure and blood glucose levels."
    }
  ],
  "entry": [
    {
      "date": "2026-02-10T10:00:00+08:00",
      "item": {
        "reference": "#med-statement-001"
      }
    },
    {
      "date": "2026-02-10T10:00:00+08:00",
      "item": {
        "reference": "#med-statement-002"
      }
    }
  ]
}