FHIR IG analytics| Package | surescripts.specialty |
| Resource Type | Bundle |
| Id | example-SRxDataRequest.json |
| FHIR Version | R4 |
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No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "fee19dc54ac6468b81e696f2b15defa4",
"language": "en-US",
"type": "message",
"entry": [
{
"resource": {
"resourceType": "MessageHeader",
"id": "9e5e26ffbb1e45088564bfa7ec865429",
"eventCoding": {
"system": "http://fhirdocs.surescripts.net/message-events",
"code": "specialty-data-request"
},
"sender": {
"reference": "Organization/8888224"
},
"source": {
"name": "Surescripts, LLC (Staging)",
"software": "Workbench Specialty Testing Tools",
"version": "1.0",
"endpoint": "B3C4BFEE81A64EA3ADC0FF33D386EED1"
},
"focus": [
{
"reference": "MedicationRequest/abc"
}
]
}
},
{
"fullUrl": "MedicationRequest/abc",
"resource": {
"resourceType": "MedicationRequest",
"id": "abc",
"identifier": [
{
"value": "abc",
"assigner": {
"display": "EpicVersion1"
}
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PLAC",
"display": "Placer identifier"
}
],
"text": "Placer identifier"
},
"value": "123456789"
}
],
"status": "active",
"intent": "filler-order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/ndc",
"code": "58406044504"
},
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm"
}
],
"text": "Hydrochlorothiazide 50 MG Tablet"
},
"subject": {
"reference": "Patient/799999"
},
"authoredOn": "2022-10-04T15:03:06.0153060Z",
"requester": {
"reference": "Practitioner/1131435277"
},
"dosageInstruction": [
{
"text": "Take 2 tablets, once a day"
}
],
"dispenseRequest": {
"quantity": {
"value": 10,
"unit": "ORTAB",
"system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
"code": "ORTAB"
},
"expectedSupplyDuration": {
"value": 30,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
},
"performer": {
"reference": "Organization/8888224"
}
}
}
},
{
"fullUrl": "Patient/799999",
"resource": {
"resourceType": "Patient",
"identifier": [
{
"type": {
"coding": [
{
"system": "http://surescripts.net/CodeSystem/id-types",
"code": "SSPTID"
}
]
},
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"value": "799999"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Singletary",
"given": [
"Rory"
]
}
],
"telecom": [
{
"system": "email",
"value": "abc",
"rank": 1
},
{
"system": "phone",
"value": "8005551212",
"rank": 1
}
],
"gender": "male",
"birthDate": "2001-01-01",
"address": [
{
"type": "postal",
"line": [
"32 Macaw St"
],
"city": "Kennebunk",
"state": "ME",
"postalCode": "04043",
"country": "USA"
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "7"
}
]
}
}
]
}
},
{
"fullUrl": "Practitioner/1131435277",
"resource": {
"resourceType": "Practitioner",
"id": "1131435277",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1257237549"
},
{
"system": "http://fhirdocs.surescripts.net/spi",
"value": "4725438108001"
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"code": "PRN",
"display": "Provider Number"
}
],
"text": "Provider Number"
},
"system": "http://hl7.org/fhir/sid/us-medicare",
"value": "abc"
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"code": "PRN",
"display": "Provider Number"
}
],
"text": "Provider Number"
},
"system": "urn:oid:2.16.840.1.113883.4.290",
"value": "abc"
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"code": "PRN",
"display": "Provider Number"
}
],
"text": "Provider Number"
},
"system": "urn:oid:2.16.840.1.113883.4.814",
"value": "abc"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Provider",
"given": [
"Specialty"
],
"prefix": [
"abc"
],
"suffix": [
"abc"
]
}
],
"telecom": [
{
"system": "email",
"value": "abc",
"rank": 1
},
{
"system": "phone",
"value": "0",
"rank": 1
},
{
"system": "fax",
"value": "0",
"rank": 1
}
],
"address": [
{
"type": "postal",
"line": [
"123 Practioner Blvd."
],
"city": "Providersville",
"state": "OR",
"postalCode": "97123",
"country": "US"
}
]
}
},
{
"fullUrl": "Organization/8888224",
"resource": {
"resourceType": "Organization",
"id": "8888224",
"identifier": [
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"code": "PRN",
"display": "Provider Number"
}
],
"text": "Provider Number"
},
"system": "http://ncpdp.org/provider-id",
"value": "0001215",
"assigner": {
"identifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:2.16.840.1.113883.3.79"
}
}
},
{
"use": "official",
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/identifier-type",
"code": "PRN",
"display": "Provider Number"
}
],
"text": "Provider Number"
},
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1093759540"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://hl7.org/fhir/ValueSet/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
],
"text": "Pharmacy"
}
],
"name": "T12.QA.Pharmacy.RLE",
"telecom": [
{
"system": "email",
"value": "blah@blah.com",
"rank": 1
},
{
"system": "phone",
"value": "8005432121",
"rank": 1
},
{
"system": "fax",
"value": "5034567890",
"rank": 1
}
],
"address": [
{
"type": "postal",
"line": [
"PhAddressLine1",
"PhAddressLine2"
],
"city": "Beaverton",
"state": "OR",
"postalCode": "97008",
"country": "!"
}
]
}
}
]
}