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Packagehl7.fhir.us.medication-rems
Resource TypeParameters
IdParameters-parameters-rems-etasu-input.json
FHIR VersionR4

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Source1

{
  "resourceType": "Parameters",
  "id": "parameters-rems-etasu-input",
  "parameter": [
    {
      "name": "patient",
      "resource": {
        "resourceType": "Patient",
        "id": "example-patient-123",
        "meta": {
          "versionId": "1",
          "lastUpdated": "2025-04-10T01:10:26.457-04:00"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">August <b>Samuels</b></div><table class=\"hapiPropertyTable\"><tbody><tr><td>Identifier</td><td>0V843229061TB</td></tr><tr><td>Address</td><td><span>10023 Oakways Ln</span><br/><span>Concord </span><span>MA</span></td></tr><tr><td>Date of birth</td><td><span>12 March 1989</span></td></tr></tbody></table></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-medicare",
            "value": "0V843229061TB"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Samuels",
            "given": [
              "August"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1989-03-12",
        "address": [
          {
            "use": "home",
            "type": "both",
            "line": [
              "10023 Oakways Ln"
            ],
            "city": "Concord",
            "state": "MA",
            "postalCode": "01742"
          }
        ]
      }
    },
    {
      "name": "medication",
      "resource": {
        "resourceType": "Medication",
        "id": "123-mr-IPledge-med",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div class=\"hapiHeaderText\">iPledge Medication</div></div>"
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "6064",
              "display": "isotretinoin"
            },
            {
              "system": "http://hl7.org/fhir/sid/ndc",
              "code": "0245-0571-01"
            }
          ]
        }
      }
    }
  ]
}