{
  "resourceType": "MedicationStatement",
  "id": "21707",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2017-03-29T00:20:29.050-04:00"
  },
  "contained": [
    {
      "resourceType": "Patient",
      "id": "21705",
      "meta": {
        "versionId": "1",
        "lastUpdated": "2017-03-29T00:20:21.756-04:00"
      },
      "identifier": [
        {
          "system": "urn:oid:2.16.578.1.12.4.1.4.1",
          "value": "55555"
        }
      ]
    },
    {
      "resourceType": "Medication",
      "id": "21706",
      "meta": {
        "versionId": "1",
        "lastUpdated": "2017-03-29T00:20:24.385-04:00"
      },
      "code": {
        "coding": [
          {
            "system": "system MIB",
            "code": "123",
            "display": "product X"
          }
        ]
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:oid:2.16.578.1.12.4.1.4.1",
      "value": "1122"
    }
  ],
  "patient": {
    "reference": "#21705"
  },
  "note": "my medication statement",
  "medicationReference": {
    "reference": "#21706"
  }
}