FHIR IG analytics| Package | hl7.fhir.us.pdmp.r4 |
| Resource Type | Parameters |
| Id | Parameters-pdmp-history-input-parameters-4-delegate.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
{
"resourceType": "Parameters",
"id": "pdmp-history-input-parameters-4-delegate",
"meta": {
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
]
},
"parameter": [
{
"name": "patient",
"resource": {
"resourceType": "Patient",
"id": "patient-req-4",
"meta": {
"profile": [
"http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Patient: Jules Julien</div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical record number"
}
]
},
"system": "http://highview-va.example.org/mrn",
"value": "10035666601"
}
],
"active": true,
"name": [
{
"family": "Julien",
"given": [
"Jules"
]
}
],
"gender": "female",
"birthDate": "1980-05-20",
"address": [
{
"line": [
"10023 Santa Clara Blvd"
],
"state": "MA",
"postalCode": "01742"
}
]
}
},
{
"name": "authorized-practitioner",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-req-4",
"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\">Mari Kimble MD</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1665015602"
}
],
"name": [
{
"family": "Kimble"
}
]
}
},
{
"name": "authorized-practitioner-role",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-req-4",
"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\">Mari Kimble, Internal Medicine, Highview VA Clinic</div>"
},
"practitioner": {
"reference": "Practitioner/practitioner-req-4",
"display": "Mari Kimble"
},
"organization": {
"reference": "Organization/organization-req-4",
"display": "Highview VA Clinic"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "207R00000X",
"display": "Internal Medicine Physician"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "508-856-1234"
}
]
}
},
{
"name": "authorized-practitioner-organization",
"resource": {
"resourceType": "Organization",
"id": "organization-req-4",
"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 VA Clinic</div>"
},
"active": true,
"name": "Highview VA Clinic",
"telecom": [
{
"system": "phone",
"value": "508-856-5555"
}
],
"address": [
{
"line": [
"2002 Highview Ln"
],
"city": "Worcester",
"state": "MA",
"postalCode": "01604"
}
]
}
},
{
"name": "delegate-practitioner",
"resource": {
"resourceType": "Practitioner",
"id": "practitioner-req-4-del",
"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\">Boris Bartok</div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1554505606"
}
],
"name": [
{
"family": "Bartok"
}
]
}
},
{
"name": "delegate-practitioner-role",
"resource": {
"resourceType": "PractitionerRole",
"id": "practitionerrole-req-4-del",
"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\">Boris Bartok RN, Highview VA Clinic</div>"
},
"practitioner": {
"reference": "Practitioner/practitioner-req-4-del",
"display": "Mari Kimble"
},
"organization": {
"reference": "Organization/organization-req-4-del",
"display": "Highview VA Clinic"
},
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "163W00000X",
"display": "Registered Nurse"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "508-856-9999"
}
]
}
},
{
"name": "delegate-organization",
"resource": {
"resourceType": "Organization",
"id": "organization-req-4-del",
"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 VA Clinic</div>"
},
"active": true,
"name": "Highview VA Clinic",
"telecom": [
{
"system": "phone",
"value": "508-856-5555"
}
],
"address": [
{
"line": [
"2002 Highview Ln"
],
"city": "Worcester",
"state": "MA",
"postalCode": "01604"
}
]
}
},
{
"name": "pre-stage-only",
"valueBoolean": false
}
]
}