This page is part of the US Medication REMS (v1.0.0: STU1) 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
Example DocumentReference: example-rems-docref-1
Example data content
expand all | contract allDocumentReferenceid@value: example-rems-docref-1metaprofile@value: http://hl7.org/fhir/us/core/StructureDefinition/us-core-documentreferencetextstatus@value: generateddivREMS 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: 30550221status@value: currenttypecodingsystem@value: http://loinc.orgcode@value: 51851-4display@value: Administrative notetext@value: REMS administrative notecategorycodingsystem@value: http://loinc.orgcode@value: 51851-4display@value: Administrative notesubjectreference@value: Patient/example-patient-123display@value: August Samuelsdate@value: 2024-03-09T15:29:46+00:00description@value: REMS Patient Information NotecontentattachmentcontentType@value: text/plaindata@value: UkVNUyBpbmZvcm1hdGlvbiBmb3IgQXVndXN0IFNhbXVlbHMgW3RleHQgdHJ1bmNhdGVkXQ==title@value: REMS information for August Samuels on March 9, 2024formatsystem@value: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcodecode@value: urn:ihe:iti:xds:2017:mimeTypeSufficientdisplay@value: mimeType Sufficientcontextperiodstart@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