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Packagehl7.fhir.us.pdmp
Resource TypeParameters
IdParameters-pdmp-history-input-parameters-3-veterinary.json
FHIR VersionR4

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Source1

{
  "resourceType": "Parameters",
  "id": "pdmp-history-input-parameters-3-veterinary",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
    ]
  },
  "parameter": [
    {
      "name": "patient",
      "resource": {
        "resourceType": "Patient",
        "id": "patient-req-3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Animal patient: Fido Samuels</div>"
        },
        "extension": [
          {
            "extension": [
              {
                "url": "species",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/PMIXSpeciesTypeCode",
                      "code": "02",
                      "display": "Veterinary Patient"
                    }
                  ]
                }
              }
            ],
            "url": "http://hl7.org/fhir/StructureDefinition/patient-animal"
          }
        ],
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ]
            },
            "system": "http://vet-medical.example.org/mrn",
            "value": "10035406"
          }
        ],
        "name": [
          {
            "family": "Samuels",
            "given": [
              "Fido"
            ]
          }
        ],
        "gender": "male",
        "_birthDate": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode": "unknown"
            }
          ]
        },
        "address": [
          {
            "line": [
              "10023 Oakways Ln"
            ],
            "state": "MA",
            "postalCode": "01742"
          }
        ]
      }
    },
    {
      "name": "authorized-practitioner",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner-req-3",
        "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\">Susan Patel, Veterinarian</div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1928340565"
          }
        ],
        "name": [
          {
            "family": "Patel"
          }
        ]
      }
    },
    {
      "name": "authorized-practitioner-role",
      "resource": {
        "resourceType": "PractitionerRole",
        "id": "practitionerrole-req-3",
        "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\">Susan Patel, Veterinary Medicine, Highview Veterinary</div>"
        },
        "practitioner": {
          "reference": "Practitioner/practitioner-req-3",
          "display": "Susan Patel"
        },
        "organization": {
          "reference": "Organization/organization-req-3",
          "display": "Highview Veterinary"
        },
        "telecom": [
          {
            "system": "phone",
            "value": "951-555-5555"
          }
        ]
      }
    },
    {
      "name": "authorized-practitioner-organization",
      "resource": {
        "resourceType": "Organization",
        "id": "organization-req-3",
        "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 Veterinary</div>"
        },
        "active": true,
        "name": "Highview Veterinary"
      }
    },
    {
      "name": "animal-owner",
      "resource": {
        "resourceType": "RelatedPerson",
        "id": "patient-req-3",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Animal's owner: August Samuels</div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "DL",
                  "display": "Driver's license number"
                }
              ]
            },
            "value": "M231-64600-565-55"
          }
        ],
        "active": true,
        "patient": {
          "reference": "Patient/patient-req-3"
        },
        "name": [
          {
            "family": "Samuels",
            "given": [
              "August"
            ]
          }
        ],
        "gender": "male",
        "birthDate": "1989-03-12",
        "address": [
          {
            "line": [
              "10023 Oakways Ln"
            ],
            "state": "MA",
            "postalCode": "01742"
          }
        ]
      }
    },
    {
      "name": "pre-stage-only",
      "valueBoolean": false
    }
  ]
}