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

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Source1

{
  "resourceType": "Parameters",
  "id": "pdmp-history-output-parameters-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-response"
    ]
  },
  "parameter": [
    {
      "name": "pdmp-history-data",
      "resource": {
        "resourceType": "Bundle",
        "id": "bundle-history-data-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": {
                "lastUpdated": "2023-06-05T18:38:52Z",
                "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
                },
                {
                  "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"
                  }
                },
                {
                  "url": "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mme",
                  "valueDecimal": 18
                }
              ],
              "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": [
                {
                  "identifier": {
                    "type": {
                      "coding": [
                        {
                          "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                          "code": "FILL",
                          "display": "Filler Identifier"
                        }
                      ]
                    },
                    "system": "http://mypharmacysystem.com/prescriptionnumber",
                    "value": "000022056"
                  }
                }
              ],
              "quantity": {
                "value": 15,
                "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 every 6 to 8 hours as needed for 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|6.1.0"
                ]
              },
              "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": [
                    "August"
                  ]
                }
              ],
              "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\">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"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}