This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
: BundleWithProvenance - JSON Representation
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{
"resourceType" : "Bundle",
"id" : "3000002",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/StructureDefinition/Bundle"
]
},
"type" : "searchset",
"timestamp" : "2020-09-28T23:26:23.217+00:00",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "https://example.com/base/fhir/MedicationDispense?ct=W3sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"
}
],
"entry" : [
{
"fullUrl" : "https://example.com/base/MedicationDispense/1000001",
"resource" : {
"resourceType" : "MedicationDispense",
"id" : "1000001",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationDispense</b><a name=\"1000001\"> </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 MedicationDispense "1000001" </p></div><p><b>status</b>: completed</p><p><b>medication</b>: Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ndc.html\">National drug codes</a>#54458-872-10)</span></p><p><b>subject</b>: <a href=\"Patient-1.html\">Patient/1</a> " APPLESEED"</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Practitioner-4.html\">Practitioner/4</a> " SMITH"</td></tr></table><p><b>location</b>: <a href=\"Location-5.html\">Location/5</a> "MyFavorite Pharmacy"</p><p><b>type</b>: Refill <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html\">ActCode</a>#RF)</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p></div>"
},
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "54458-872-10"
}
]
},
"subject" : {
🔗 "reference" : "Patient/1"
},
"performer" : [
{
"actor" : {
🔗 "reference" : "Practitioner/4"
}
}
],
"location" : {
🔗 "reference" : "Location/5"
},
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "RF"
}
]
},
"quantity" : {
"value" : 60
},
"daysSupply" : {
"value" : 30
}
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "https://example.com/base/Provenance/321000001",
"resource" : {
"resourceType" : "Provenance",
"id" : "321000001",
"meta" : {
"versionId" : "1",
"lastUpdated" : "2020-09-28T23:26:23.217+00:00",
"profile" : [
🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"321000001\"> </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 Provenance "321000001" Version "1" Updated "2020-09-28 23:26:23+0000" </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provenance.html\">PDex Provenance</a></p></div><p><b>target</b>: <a href=\"#MedicationDispense_1000001\">See above (MedicationDispense/1000001)</a></p><p><b>recorded</b>: Jul 12, 2020, 6:26:23 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style=\"display: none\">*</td><td>Transmitter <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-us-core-provenance-participant-type.html\">US Core Provenance Participant Type Extension Codes</a>#transmitter)</span></td><td><a href=\"Organization-Payer1.html\">Organization/Payer1</a> "Payer 1"</td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>"
},
"target" : [
{
🔗 "reference" : "MedicationDispense/1000001"
}
],
"recorded" : "2020-07-12T18:26:23.217+00:00",
"agent" : [
{
"type" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code" : "transmitter",
"display" : "Transmitter"
}
]
},
"who" : {
🔗 "reference" : "Organization/Payer1"
}
}
],
"entity" : [
{
"extension" : [
{
"url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"code" : "hl7ccda",
"display" : "HL7 C-CDA"
}
]
}
}
],
"role" : "source",
"what" : {
"display" : "No reference available"
}
}
]
},
"search" : {
"mode" : "include"
}
}
]
}
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