US Medication Risk Evaluation and Mitigation Strategies (REMS) FHIR IG
1.0.0-ballot - STU1 Ballot United States of America flag

This page is part of the US Medication REMS (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions

Example DocumentReference: example-rems-docref-1

Example data content

expand all | contract allDocumentReference
id@value:  example-rems-docref-1
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreference
textstatus@value:  generatedREMS information for August Samuels
On March 9, 2024
Patient Name: August Samuels
Patient REMS ID: 0354600
Patient enrollment status: Enrolled March 9, 2024
Prescriber Name: Mary Patel
Prescriber REMS ID: 0354035500 (NPI)
Medication: Zombify 10mg Tablet
Initial dispense authorization number: 30550221
status@value:  current
typecodingsystem@value:  http://loinc.orgcode@value:  51851-4display@value:  Administrative note
text@value:  REMS administrative note
categorycodingsystem@value:  http://loinc.orgcode@value:  51851-4display@value:  Administrative note
subjectreference@value:  Patient/example-patient-123display@value:  August Samuels
date@value:  2024-03-09T15:29:46+00:00
description@value:  REMS Patient Information Note
contentattachmentcontentType@value:  text/plaindata@value:  UkVNUyBpbmZvcm1hdGlvbiBmb3IgQXVndXN0IFNhbXVlbHMgW3RleHQgdHJ1bmNhdGVkXQ==title@value:  REMS information for August Samuels on March 9, 2024
formatsystem@value:  http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcodecode@value:  urn:ihe:iti:xds:2017:mimeTypeSufficientdisplay@value:  mimeType Sufficient
contextperiodstart@value:  2024-03-09T08:00:00+11:00
REMS information for August Samuels
On March 9, 2024

Patient Name: August Samuels
Patient REMS ID: 0354600
Patient enrollment status: Enrolled March 9, 2024

Prescriber Name: Mary Patel
Prescriber REMS ID: 0354035500 (NPI)

Medication: Zombify 10mg Tablet
Initial dispense authorization number: 30550221