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Packagehl7.fhir.us.pdmp
Resource TypeParameters
IdParameters-pdmp-history-input-parameters-1.json
FHIR VersionR4

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Source1

{
  "resourceType": "Parameters",
  "id": "pdmp-history-input-parameters-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
    ]
  },
  "parameter": [
    {
      "name": "patient",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-req-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-1",
        "meta": {
          "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\">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-1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster, Internal Medicine, Highview Clinic</div>"
        },
        "practitioner": {
          "reference": "Practitioner/practitioner-req-1",
          "display": "Adam Amster"
        },
        "organization": {
          "reference": "Organization/organization-req-1",
          "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-1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
          ]
        },
        "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
    }
  ]
}