FHIR IG analytics| Package | hl7.fhir.us.pdmp.r4 |
| Resource Type | Bundle |
| Id | Bundle-pdmp-bundle-history-result-1.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "pdmp-bundle-history-result-1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"
]
},
"type": "collection",
"entry": [
{
"fullUrl": "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
"resource": {
"resourceType": "MedicationDispense",
"id": "meddispense-res-1",
"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
}
],
"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": "PLAC",
"display": "Placer Identifier"
}
]
},
"system": "http://myprescribingsystem.com/ordernumber",
"value": "605153"
}
}
],
"quantity": {
"value": 10,
"unit": "each"
},
"daysSupply": {
"value": 5
},
"whenPrepared": "2023-06-05",
"whenHandedOver": "2023-06-05",
"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|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"
}
]
}
}
]
}