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Packagehl7.fhir.us.pdmp
Resource TypeBundle
IdBundle-pdmp-bundle-request-message-1.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "pdmp-bundle-request-message-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-request-message"
    ]
  },
  "type": "message",
  "timestamp": "2023-10-10T15:26:30.162-07:00",
  "entry": [
    {
      "fullUrl": "http://example.org/MyEHR/MessageHeader/messageheader-req-op-1",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "messageheader-req-op-1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-messageheader-request"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Event = the canonical URL for the pdmp-history operation. Focus is the Parameters resource holding request inputs.</div>"
        },
        "eventCoding": {
          "system": "urn:ietf:rfc:3986",
          "code": "http://hl7.org/fhir/us/pdmp/OperationDefinition/pdmp-history"
        },
        "source": {
          "name": "MyPDMPServer",
          "endpoint": "http://pdmpserver.example.org/api"
        },
        "focus": [
          {
            "reference": "Parameters/parameters-req-op-1"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Parameters/parameters-req-op-1",
      "resource": {
        "resourceType": "Parameters",
        "id": "parameters-req-op-1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
          ]
        },
        "parameter": [
          {
            "name": "patient",
            "resource": {
              "resourceType": "Patient",
              "id": "patient-req-op-1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"
                ]
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">August Samuels</div>"
              },
              "identifier": [
                {
                  "type": {
                    "coding": [
                      {
                        "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code": "SS",
                        "display": "Social Security number"
                      }
                    ]
                  },
                  "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"
                }
              ]
            }
          },
          {
            "name": "authorized-practitioner",
            "resource": {
              "resourceType": "Practitioner",
              "id": "practitioner-req-op-1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster MD</div>"
              },
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "1928340565"
                }
              ],
              "name": [
                {
                  "family": "Amster",
                  "given": [
                    "Adam"
                  ]
                }
              ],
              "address": [
                {
                  "state": "MA"
                }
              ]
            }
          },
          {
            "name": "authorized-practitioner-role",
            "resource": {
              "resourceType": "PractitionerRole",
              "id": "practitionerrole-req-op-1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
                ]
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster, Internal Medicine, Highview Clinic</div>"
              },
              "practitioner": {
                "identifier": {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "9851234689"
                },
                "display": "Adam Amster"
              },
              "organization": {
                "identifier": {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "1928340565"
                },
                "display": "Highview Clinic"
              },
              "telecom": [
                {
                  "system": "phone",
                  "value": "951-555-5555"
                },
                {
                  "system": "email",
                  "value": "aamster-highview-clinic@exampleemail.org"
                }
              ]
            }
          },
          {
            "name": "authorized-practitioner-organization",
            "resource": {
              "resourceType": "Organization",
              "id": "organization-req-op-1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
                ]
              },
              "text": {
                "status": "generated",
                "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Highview Clinic</div>"
              },
              "identifier": [
                {
                  "system": "http://hl7.org/fhir/sid/us-npi",
                  "value": "9851234689"
                }
              ],
              "active": true,
              "name": "Highview Clinic",
              "address": [
                {
                  "state": "MA"
                }
              ]
            }
          },
          {
            "name": "pre-stage-only",
            "valueBoolean": false
          }
        ]
      }
    }
  ]
}