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Packagehl7.fhir.us.specialty-rx
Resource TypeBundle
IdBundle-specialty-rx-query-response-unsolicited-1.json
FHIR VersionR4

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Narrative

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Source1

{
  "resourceType": "Bundle",
  "id": "specialty-rx-query-response-unsolicited-1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-query-response-unsolicited"
    ]
  },
  "type": "message",
  "timestamp": "2020-03-11T13:10:17-05:00",
  "entry": [
    {
      "fullUrl": "http://example.org/MyEHR/MessageHeader/msgheader1",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "msgheader1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-messageheader-query-response-unsolicited"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"msgheader1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MessageHeader &quot;msgheader1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-messageheader-query-response-unsolicited.html\">Specialty Rx MessageHeader - Query Response - Unsolicited</a></p></div><p><b>event</b>: Query Response - Unsolicited (Details: http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type code query-response-unsolicited = 'Query Response - Unsolicited', stated as 'null')</p><h3>Sources</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>MyEHR</td><td><a href=\"http://example.org/MyEHR\">http://example.org/MyEHR</a></td></tr></table><p><b>focus</b>: <a href=\"#Parameters_61ebe359-bfdc-4613-8bf2-c5e300945f0d\">See above (urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d)</a></p></div>"
        },
        "eventCoding": {
          "system": "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type",
          "code": "query-response-unsolicited"
        },
        "source": {
          "name": "MyEHR",
          "endpoint": "http://example.org/MyEHR"
        },
        "focus": [
          {
            "reference": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d",
      "resource": {
        "resourceType": "Parameters",
        "id": "61ebe359-bfdc-4613-8bf2-c5e300945f0d",
        "parameter": [
          {
            "name": "source-patient",
            "valueReference": {
              "reference": "http://example.org/MyEHR/Patient/patientEHR"
            }
          },
          {
            "name": "prescription",
            "valueReference": {
              "reference": "http://example.org/MyEHR/MedicationRequest/prescription1"
            }
          },
          {
            "name": "pharmacy",
            "valueReference": {
              "reference": "http://example.org/MyEHR/Organization/pharmacy1"
            }
          },
          {
            "name": "prescriber",
            "valueReference": {
              "reference": "http://example.org/MyEHR/Practitioner/practitioner1"
            }
          },
          {
            "name": "search-result",
            "valueReference": {
              "reference": "http://example.org/MyEHR/Bundle/3456789"
            }
          },
          {
            "name": "search-result",
            "valueReference": {
              "reference": "http://example.org/MyEHR/Bundle/987654"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Patient/patientEHR",
      "resource": {
        "resourceType": "Patient",
        "id": "patientEHR",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-patient"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Patient</b><a name=\"patientEHR\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;patientEHR&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-patient.html\">Specialty Rx Patient</a></p></div><p><b>identifier</b>: Medical record number: 30455</p><p><b>active</b>: true</p><p><b>name</b>: Tim Doe </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href=\"mailto:tim.doe@example.com\">tim.doe@example.com</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: 2224 Century Avenue Minnetonka MN 55345 US </p><h3>Communications</h3><table class=\"grid\"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td></tr></table></div>"
        },
        "identifier": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code": "MR",
                  "display": "Medical record number"
                }
              ],
              "text": "Medical record number"
            },
            "system": "http://example.org/MyEHR",
            "value": "30455"
          }
        ],
        "active": true,
        "name": [
          {
            "family": "Doe",
            "given": [
              "Tim"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-555-5555",
            "use": "home"
          },
          {
            "system": "email",
            "value": "tim.doe@example.com"
          }
        ],
        "gender": "male",
        "birthDate": "1987-02-20",
        "address": [
          {
            "line": [
              "2224 Century Avenue"
            ],
            "city": "Minnetonka",
            "state": "MN",
            "postalCode": "55345",
            "country": "US"
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "urn:ietf:bcp:47",
                  "code": "en-US",
                  "display": "English (Region=United States)"
                }
              ]
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/MedicationRequest/prescription1",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "prescription1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"prescription1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;prescription1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-medicationrequest.html\">Specialty Prescription</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: Humira 40 MG in 0.4 ML Auto-Injector <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1872980)</span></p><p><b>subject</b>: <a href=\"#Patient_patientEHR\">See above (Patient/patientEHR)</a></p><p><b>authoredOn</b>: 2020-03-10</p><p><b>requester</b>: <a href=\"#Practitioner_practitioner1\">See above (Practitioner/practitioner1)</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter</td></tr></table><blockquote><p><b>dispenseRequest</b></p><h3>InitialFills</h3><table class=\"grid\"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>4 {each}</td></tr></table><p><b>numberOfRepeatsAllowed</b>: 2</p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td>-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>performer</b>: <a href=\"#Organization_pharmacy1\">See above (Organization/pharmacy1: Our Specialty Pharmacy)</a></p></blockquote><h3>Substitutions</h3><table class=\"grid\"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>false</td></tr></table></div>"
        },
        "status": "active",
        "intent": "order",
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1872980",
              "display": "Humira 40 MG in 0.4 ML Auto-Injector"
            }
          ]
        },
        "subject": {
          "reference": "Patient/patientEHR"
        },
        "authoredOn": "2020-03-10",
        "requester": {
          "reference": "Practitioner/practitioner1"
        },
        "dosageInstruction": [
          {
            "text": "Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter"
          }
        ],
        "dispenseRequest": {
          "initialFill": {
            "quantity": {
              "value": 4,
              "unit": "{each}"
            }
          },
          "numberOfRepeatsAllowed": 2,
          "expectedSupplyDuration": {
            "value": 30,
            "unit": "days",
            "system": "http://unitsofmeasure.org",
            "code": "d"
          },
          "performer": {
            "reference": "Organization/pharmacy1",
            "display": "Our Specialty Pharmacy"
          }
        },
        "substitution": {
          "allowedBoolean": false
        }
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Practitioner/practitioner1",
      "resource": {
        "resourceType": "Practitioner",
        "id": "practitioner1",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"practitioner1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;practitioner1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-practitioner.html\">Specialty Prescription Practitioner</a></p></div><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Jane Smith </p><p><b>telecom</b>: ph: 555-555-5555(HOME), fax: 555-555-1234(HOME), <a href=\"mailto:jane.smith@example.org\">jane.smith@example.org</a></p><p><b>address</b>: 101 Oak Lane Minnetonka MN 55345 (HOME)</p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "9941339108"
          }
        ],
        "name": [
          {
            "family": "Smith",
            "given": [
              "Jane"
            ],
            "prefix": [
              "Dr"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "555-555-5555",
            "use": "home"
          },
          {
            "system": "fax",
            "value": "555-555-1234",
            "use": "home"
          },
          {
            "system": "email",
            "value": "jane.smith@example.org",
            "use": "work"
          }
        ],
        "address": [
          {
            "use": "home",
            "line": [
              "101 Oak Lane"
            ],
            "city": "Minnetonka",
            "state": "MN",
            "postalCode": "55345"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Organization/pharmacy1",
      "resource": {
        "resourceType": "Organization",
        "id": "pharmacy1",
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"pharmacy1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;pharmacy1&quot; </p></div><p><b>identifier</b>: id: 1669512345</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</span></p><p><b>name</b>: Our Pharmacy</p><p><b>telecom</b>: ph: 952-555-5555, <a href=\"mailto:contact-us@example.org\">contact-us@example.org</a></p><p><b>address</b>: 220 Oak St Minneapolis MN 55008 USA </p></div>"
        },
        "identifier": [
          {
            "system": "http://hl7.org/fhir/sid/us-npi",
            "value": "1669512345"
          }
        ],
        "active": true,
        "type": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ]
          }
        ],
        "name": "Our Pharmacy",
        "telecom": [
          {
            "system": "phone",
            "value": "952-555-5555"
          },
          {
            "system": "email",
            "value": "contact-us@example.org"
          }
        ],
        "address": [
          {
            "line": [
              "220 Oak St"
            ],
            "city": "Minneapolis",
            "state": "MN",
            "postalCode": "55008",
            "country": "USA"
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Bundle/3456789",
      "resource": {
        "resourceType": "Bundle",
        "id": "3456789",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
          ]
        },
        "type": "searchset",
        "timestamp": "2020-03-11T13:10:17-05:00",
        "total": 3,
        "link": [
          {
            "relation": "self",
            "url": "Condition?patient=patientEHR"
          }
        ],
        "entry": [
          {
            "fullUrl": "http://example.org/MyEHR/Condition/1",
            "resource": {
              "resourceType": "Condition",
              "id": "1",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ],
                "text": "Active"
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ],
                "text": "Confirmed"
              },
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                      "code": "problem-list-item",
                      "display": "Problem List Item"
                    }
                  ],
                  "text": "Problem"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "13644009",
                    "display": "Hypercholesterolemia (disorder)"
                  }
                ],
                "text": "Hypercholesterolemia (disorder)"
              },
              "subject": {
                "reference": "Patient/patientEHR"
              }
            },
            "search": {
              "mode": "match"
            }
          },
          {
            "fullUrl": "http://example.org/MyEHR/Condition/2",
            "resource": {
              "resourceType": "Condition",
              "id": "2",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ],
                "text": "Active"
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ],
                "text": "Confirmed"
              },
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                      "code": "problem-list-item",
                      "display": "Problem List Item"
                    }
                  ],
                  "text": "Problem"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "84172003",
                    "display": "Spondylitis (disorder)"
                  }
                ],
                "text": "Spondylitis (disorder)"
              },
              "subject": {
                "reference": "Patient/patientEHR"
              }
            },
            "search": {
              "mode": "match"
            }
          },
          {
            "fullUrl": "http://example.org/MyEHR/Condition/3",
            "resource": {
              "resourceType": "Condition",
              "id": "3",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ],
                "text": "Active"
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ],
                "text": "Confirmed"
              },
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                      "code": "problem-list-item",
                      "display": "Problem List Item"
                    }
                  ],
                  "text": "Problem"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "427603009",
                    "display": "Intermittent asthma (disorder)"
                  }
                ],
                "text": "Intermittent asthma (disorder)"
              },
              "subject": {
                "reference": "Patient/patientEHR"
              }
            },
            "search": {
              "mode": "match"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "http://example.org/MyEHR/Bundle/987654",
      "resource": {
        "resourceType": "Bundle",
        "id": "987654",
        "meta": {
          "profile": [
            "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
          ]
        },
        "type": "searchset",
        "timestamp": "2020-03-11T13:10:17-05:00",
        "total": 3,
        "link": [
          {
            "relation": "self",
            "url": "AllergyIntolerance?patient=patientEHR"
          }
        ],
        "entry": [
          {
            "fullUrl": "http://example.org/MyEHR/AllergyIntolerance/1",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "1",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ]
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ]
              },
              "code": {
                "text": "Cashew"
              },
              "patient": {
                "reference": "Patient/patientEHR"
              }
            },
            "search": {
              "mode": "match"
            }
          },
          {
            "fullUrl": "http://example.org/MyEHR/AllergyIntolerance/2",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "2",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ]
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ]
              },
              "code": {
                "text": "Bees"
              },
              "patient": {
                "reference": "Patient/patientEHR"
              }
            },
            "search": {
              "mode": "match"
            }
          },
          {
            "fullUrl": "http://example.org/MyEHR/AllergyIntolerance/3",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "3",
              "clinicalStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                    "code": "active",
                    "display": "Active"
                  }
                ]
              },
              "verificationStatus": {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                    "code": "confirmed",
                    "display": "Confirmed"
                  }
                ]
              },
              "code": {
                "text": "Penicillins"
              },
              "patient": {
                "reference": "Patient/patientEHR"
              },
              "reaction": [
                {
                  "manifestation": [
                    {
                      "text": "Hives"
                    }
                  ]
                }
              ]
            },
            "search": {
              "mode": "match"
            }
          }
        ]
      }
    }
  ]
}