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

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Source1

{
  "resourceType": "Bundle",
  "id": "pdmp-bundle-response-message-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-response-message"
    ]
  },
  "type": "message",
  "timestamp": "2020-03-11T08:10:17-05:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:b5000d0c-fed9-4746-ac26-b5ce0111a2b7",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "b5000d0c-fed9-4746-ac26-b5ce0111a2b7",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-messageheader-response"
          ]
        },
        "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 response content.</div>"
        },
        "eventCoding": {
          "system": "urn:ietf:rfc:3986",
          "code": "http://hl7.org/fhir/us/pdmp/OperationDefinition/pdmp-history",
          "display": "pdmp-history"
        },
        "source": {
          "name": "MyPDMPServer",
          "endpoint": "https://pdmp1.testpdmp.org/"
        },
        "response": {
          "identifier": "messageheader-req-op-1",
          "code": "ok"
        },
        "focus": [
          {
            "reference": "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
      "resource": {
        "resourceType": "Parameters",
        "id": "aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-response"
          ]
        },
        "parameter": [
          {
            "extension": [
              {
                "url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-header-timestamp-extension",
                "valueDateTime": "2023-12-01"
              },
              {
                "url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-activity-period-extension",
                "valuePeriod": {
                  "start": "2021-12-02",
                  "end": "2023-12-01"
                }
              }
            ],
            "name": "pdmp-history-data",
            "resource": {
              "resourceType": "Bundle",
              "id": "bundle-history-data-in-msg-1",
              "meta": {
                "profile": [
                  "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"
                ]
              },
              "type": "collection",
              "entry": [
                {
                  "id": "meddispense-res-1",
                  "fullUrl": "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
                  "resource": {
                    "resourceType": "MedicationDispense",
                    "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\">A record of a medication that was dispensed to the patient identified in the PDMP request: August Samuels</div>"
                    },
                    "extension": [
                      {
                        "url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number",
                        "valuePositiveInt": 1
                      }
                    ],
                    "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",
                          "userSelected": true
                        },
                        {
                          "system": "http://hl7.org/fhir/sid/ndc",
                          "code": "00093015001"
                        }
                      ],
                      "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": [
                      {
                        "identifier": {
                          "type": {
                            "coding": [
                              {
                                "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                                "code": "FILL",
                                "display": "Filler Identifier"
                              }
                            ]
                          },
                          "system": "http://mypharmacysystem.com/prescriptionnumber",
                          "value": "065046045550"
                        }
                      }
                    ],
                    "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:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
                  "resource": {
                    "resourceType": "Patient",
                    "id": "patient-res-1-1",
                    "meta": {
                      "source": "http://example.org/ma-pdmp",
                      "profile": [
                        "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
                      ]
                    },
                    "text": {
                      "status": "generated",
                      "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP Responder's patient record for the patient identified in the PDMP request: August Samuels</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": [
                          "John"
                        ]
                      }
                    ],
                    "gender": "male",
                    "birthDate": "1989-03-12",
                    "address": [
                      {
                        "line": [
                          "202 2nd Avenue"
                        ],
                        "city": "North Amherst",
                        "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\">The pharmacy that dispensed the reported medication: Our Pharmacy</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": "Minneapolis",
                        "state": "MN",
                        "postalCode": "55008",
                        "country": "USA"
                      }
                    ]
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}