FHIR IG analytics| Package | hl7.fhir.us.pdmp |
| Resource Type | Bundle |
| Id | Bundle-pdmp-bundle-history-result-2.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "pdmp-bundle-history-result-2",
"meta": {
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"
]
},
"type": "collection",
"entry": [
{
"fullUrl": "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
"resource": {
"resourceType": "MedicationDispense",
"id": "meddispense-res-1",
"meta": {
"source": "http://example.org/ma-pdmp",
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Record of a dispense to August Samuels for Acetaminophen/Codeine on 2023-06-05</div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number",
"valuePositiveInt": 1
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL",
"display": "Filler Identifier"
}
]
},
"system": "http://ourpharmacy.com/fillnumber",
"value": "2000353"
}
],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "993781",
"display": "acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet"
},
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "00093015001",
"userSelected": true
}
],
"text": "Acetaminophen 300 mg / Codeine 30 mg oral tablet"
},
"subject": {
"reference": "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"display": "August Samuels"
},
"performer": [
{
"actor": {
"reference": "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"identifier": {
"system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value": "999017"
},
"display": "Our Pharmacy"
}
}
],
"authorizingPrescription": [
{
"reference": "urn:uuid:151b9dd1-ca84-48a4-b132-67b1bbed0194",
"identifier": {
"system": "http://myprescribingsystem.com/ordernumber",
"value": "605153"
}
}
],
"quantity": {
"value": 10,
"unit": "each"
},
"daysSupply": {
"value": 5
},
"whenPrepared": "2023-06-05",
"_whenHandedOver": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode": "unknown"
}
]
},
"dosageInstruction": [
{
"sequence": 1,
"text": "1 tab tid prn pain"
}
]
}
},
{
"fullUrl": "urn:uuid:2706c68c-fb00-4f01-acb9-2547a20c5f63",
"resource": {
"resourceType": "MedicationDispense",
"id": "meddispense-res-2",
"meta": {
"source": "http://example.org/ri-pdmp",
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">A record dispense to August Thomas Samuels for alprazolam on 2023-07-08</div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number",
"valuePositiveInt": 4
},
{
"url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-lme",
"valueDecimal": 4
},
{
"url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method",
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/PMIXTransmissionFormRxOriginCodeType",
"code": "05",
"display": "Electronic Prescription"
}
}
],
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "FILL",
"display": "Filler Identifier"
}
]
},
"system": "http://anotherPharmacy.com/fillnumber",
"value": "87355201"
}
],
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "433800",
"display": "24 HR alprazolam 1 MG Extended Release Oral Tablet"
},
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "00093545106",
"userSelected": true
}
],
"text": "24 HR alprazolam 1 MG Extended Release Oral Tablet"
},
"subject": {
"reference": "urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190",
"display": "August Thomas Samuels"
},
"performer": [
{
"actor": {
"reference": "urn:uuid:d0890c3e-45dc-489c-8498-31ffb6254003",
"identifier": {
"system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value": "990717"
},
"display": "Another Pharmacy"
}
}
],
"authorizingPrescription": [
{
"reference": "urn:uuid:47a9b899-1bee-4490-bd41-b3ca12eb441a",
"identifier": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
]
},
"system": "http://myprescribingsystem.com/ordernumber",
"value": "580331"
}
}
],
"quantity": {
"value": 60,
"unit": "each"
},
"daysSupply": {
"value": 30
},
"whenPrepared": "2023-07-08",
"whenHandedOver": "2023-07-08",
"dosageInstruction": [
{
"sequence": 1,
"text": "2 tablets every morning"
}
]
}
},
{
"fullUrl": "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"resource": {
"resourceType": "Patient",
"id": "patient-res-1",
"meta": {
"source": "http://example.org/ma-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP Responder's patient record for August Samuels, dob 1989-03-12, SSN 120-35-2435</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "SS"
}
]
},
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "120-35-2435"
}
],
"name": [
{
"family": "Samuels",
"given": [
"August"
]
}
],
"gender": "male",
"birthDate": "1989-03-12",
"address": [
{
"state": "MA",
"postalCode": "01059"
}
]
}
},
{
"fullUrl": "urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190",
"resource": {
"resourceType": "Patient",
"id": "patient-res-2",
"meta": {
"source": "http://example.org/ri-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP Responder's patient record for August Thomas Samuels, dob 1989-03-12, MRN 28-145-2249</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "http://Highview.org/EHR/patient/mrn",
"value": "28-145-2249"
}
],
"name": [
{
"family": "Samuels",
"given": [
"August",
"Thomas"
]
}
],
"gender": "male",
"birthDate": "1989-03-12",
"address": [
{
"state": "MA",
"postalCode": "01059"
}
]
}
},
{
"fullUrl": "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"resource": {
"resourceType": "Organization",
"id": "pharmacy-res-1-1",
"meta": {
"source": "http://example.org/ma-pdmp",
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pharmacy: Our Pharmacy, NCPDP ID 999017</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1669512349"
},
{
"system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value": "999017"
}
],
"active": true,
"name": "Our Pharmacy",
"telecom": [
{
"system": "phone",
"value": "952-555-5555"
},
{
"system": "email",
"value": "contact-our-pharmacy@email.org"
}
],
"address": [
{
"line": [
"220 Oak St"
],
"city": "Sheldonville",
"state": "MA",
"postalCode": "02093",
"country": "USA"
}
]
}
},
{
"fullUrl": "urn:uuid:d0890c3e-45dc-489c-8498-31ffb6254003",
"resource": {
"resourceType": "Organization",
"id": "pharmacy-res-2",
"meta": {
"source": "http://example.org/ri-pdmp",
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pharmacy: Another Pharmacy, NCPDP ID 999717</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1682435585"
},
{
"system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value": "999717"
}
],
"active": true,
"name": "Another Pharmacy",
"telecom": [
{
"system": "phone",
"value": "952-555-1134"
},
{
"system": "email",
"value": "contact-another-pharmacy@email.org"
}
],
"address": [
{
"line": [
"1809 Broad St"
],
"city": "Cumberland",
"state": "RI",
"postalCode": "02864",
"country": "USA"
}
]
}
},
{
"fullUrl": "urn:uuid:1ae374d2-7bb9-4298-8c54-2179410c549e",
"resource": {
"resourceType": "DetectedIssue",
"id": "alert-1",
"meta": {
"source": "http://example.org/ma-pdmp"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">An alert generated by the PDMP: 03 Doctor/pharmacy shopping alert</div>"
},
"status": "final",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/PMIXPatientAlertCatCode",
"code": "03"
}
],
"text": "Doctor/pharmacy shopping alert"
},
"patient": {
"reference": "urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190",
"display": "August Thomas Samuels"
}
}
},
{
"fullUrl": "urn:uuid:47a9b899-1bee-4490-bd41-b3ca12eb441a",
"resource": {
"resourceType": "MedicationRequest",
"id": "authorizing-prescription-2",
"meta": {
"source": "http://example.org/ri-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The authorizing prescription for prescription dispense 87355201</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
]
},
"system": "http://myprescribingsystem.com/ordernumber",
"value": "580331"
}
],
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "433800",
"display": "24 HR alprazolam 1 MG Extended Release Oral Tablet",
"userSelected": true
}
]
},
"subject": {
"reference": "urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190",
"display": "August Thomas Samuels"
},
"requester": {
"reference": "urn:uuid:77ee025a-59fc-4d1e-a189-2133a9a56c26",
"display": "Marie Fiorella, MD"
},
"dosageInstruction": [
{
"text": "2 tablets every morning"
}
],
"dispenseRequest": {
"numberOfRepeatsAllowed": 5,
"quantity": {
"value": 60,
"unit": "each"
},
"expectedSupplyDuration": {
"value": 30,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
},
{
"fullUrl": "urn:uuid:77ee025a-59fc-4d1e-a189-2133a9a56c26",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-2",
"meta": {
"source": "http://example.org/ri-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP record for Marie Fiorella, MD</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "9941339100"
},
{
"system": "http://terminology.hl7.org/NamingSystem/usdeanumber",
"value": "CF1234563"
}
],
"name": [
{
"family": "Fiorella",
"given": [
"Marie"
],
"suffix": [
"MD"
]
}
],
"telecom": [
{
"system": "phone",
"value": "401-333-3333"
}
],
"address": [
{
"use": "work",
"line": [
"201 S Main St #150"
],
"city": "Cumberland",
"state": "RI",
"postalCode": "02864",
"country": "USA"
}
]
}
},
{
"fullUrl": "urn:uuid:151b9dd1-ca84-48a4-b132-67b1bbed0194",
"resource": {
"resourceType": "MedicationRequest",
"id": "authorizing-prescription-1",
"meta": {
"source": "http://example.org/ma-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The authorizing prescription for prescription dispense 2000353</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer Identifier"
}
]
},
"system": "http://myprescribingsystem.com/ordernumber",
"value": "605153"
}
],
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "993781",
"display": "acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet",
"userSelected": true
}
]
},
"subject": {
"reference": "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"display": "August Samuels"
},
"requester": {
"reference": "urn:uuid:23c69153-03c7-470d-9cc8-08265491d095",
"display": "Marie Fiorella, MD"
},
"dosageInstruction": [
{
"text": "1 tab tid prn pain"
}
],
"dispenseRequest": {
"numberOfRepeatsAllowed": 1,
"quantity": {
"value": 10,
"unit": "each"
},
"expectedSupplyDuration": {
"value": 5,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
},
{
"fullUrl": "urn:uuid:23c69153-03c7-470d-9cc8-08265491d095",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-1",
"meta": {
"source": "http://example.org/ma-pdmp",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP record for Marie Fiorella, MD</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "9941339100"
},
{
"system": "http://terminology.hl7.org/NamingSystem/usdeanumber",
"value": "CF6543210"
}
],
"name": [
{
"family": "Fiorella",
"given": [
"Marie"
],
"suffix": [
"MD"
]
}
],
"telecom": [
{
"system": "phone",
"value": "401-333-3333"
}
],
"address": [
{
"use": "work",
"line": [
"201 S Main St #150"
],
"city": "Cumberland",
"state": "RI",
"postalCode": "02864",
"country": "USA"
}
]
}
}
]
}