US Medication Risk Evaluation and Mitigation Strategies (REMS) FHIR IG
2.0.0-ballot - STU 2 Ballot United States of America flag

This page is part of the US Medication REMS (v2.0.0-ballot: STU2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions

: parameters-rems-etasu-input - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="parameters-rems-etasu-input"/>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient>
        <id value="example-patient-123"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2025-04-10T01:10:26.457-04:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><div class="hapiHeaderText">August <b>Samuels</b></div><table class="hapiPropertyTable"><tbody><tr><td>Identifier</td><td>0V843229061TB</td></tr><tr><td>Address</td><td><span>10023 Oakways Ln</span><br/><span>Concord </span><span>MA</span></td></tr><tr><td>Date of birth</td><td><span>12 March 1989</span></td></tr></tbody></table></div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-medicare"/>
          <value value="0V843229061TB"/>
        </identifier>
        <name>
          <use value="official"/>
          <family value="Samuels"/>
          <given value="August"/>
        </name>
        <gender value="male"/>
        <birthDate value="1989-03-12"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <line value="10023 Oakways Ln"/>
          <city value="Concord"/>
          <state value="MA"/>
          <postalCode value="01742"/>
        </address>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="medication"/>
    <resource>
      <Medication>
        <id value="123-mr-IPledge-med"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><div class="hapiHeaderText">iPledge Medication</div></div>
        </text>
        <code>
          <coding>
            <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
            <code value="6064"/>
            <display value="isotretinoin"/>
          </coding>
          <coding>
            <system value="http://hl7.org/fhir/sid/ndc"/>
            <code value="0245-0571-01"/>
          </coding>
        </code>
      </Medication>
    </resource>
  </parameter>
</Parameters>