US Prescription Drug Monitoring Program (PDMP)
1.0.0-ballot - STU1 Ballot United States of America flag

This page is part of the US Prescription Drug Monitoring Program (PDMP) (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 Bundle: pdmp-bundle-history-result-1

Example data content

expand all | contract allBundle
id@value:  pdmp-bundle-history-result-1
metaprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result
type@value:  collectionentry[1]@id:  meddispense-res-1fullUrl@value:  urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084
resourceMedicationDispense
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense
textstatus@value:  generatedA record of a medication that was dispensed to the patient identified in the PDMP request: August Samuels
extension@url:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-numbervaluePositiveInt@value:  1
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  FILLdisplay@value:  Filler Identifier
system@value:  http://ourpharmacy.com/fillnumbervalue@value:  2000353
status@value:  completed
medicationCodeableConceptcoding[1]system@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  993781display@value:  acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet
coding[2]system@value:  http://hl7.org/fhir/sid/ndccode@value:  00093015001userSelected@value:  truetext@value:  Acetaminophen 300 mg / Codeine 30 mg oral tablet
subjectreference@value:  urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57display@value:  August Samuels
performeractorreference@value:  urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6eidentifiersystem@value:  http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value:  999017
display@value:  Our Pharmacy
authorizingPrescriptionidentifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  PLACdisplay@value:  Placer Identifier
system@value:  http://myprescribingsystem.com/ordernumbervalue@value:  605153
quantityvalue@value:  10unit@value:  each
daysSupplyvalue@value:  5
whenPrepared@value:  2023-06-05
whenHandedOver@value:  2023-06-05
dosageInstructionsequence@value:  1text@value:  1 tab tid prn pain
entry[2]fullUrl@value:  urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57
resourcePatient
id@value:  patient-res-1-1
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0
textstatus@value:  generatedThe PDMP Responder's patient record for the patient identified in the PDMP request: August Samuels
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  SS
system@value:  http://hl7.org/fhir/sid/us-ssnvalue@value:  120-35-2435
namefamily@value:  Samuelsgiven@value:  August
gender@value:  male
birthDate@value:  1989-03-12
addressstate@value:  MApostalCode@value:  01059
entry[3]fullUrl@value:  urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e
resourceOrganization
id@value:  pharmacy-res-1-1
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy
textstatus@value:  generatedThe pharmacy that dispensed the reported medication: Our Pharmacyidentifier[1]system@value:  http://hl7.org/fhir/sid/us-npivalue@value:  1669512349
identifier[2]system@value:  http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value:  999017active@value:  true
name@value:  Our Pharmacytelecom[1]system@value:  phonevalue@value:  952-555-5555
telecom[2]system@value:  emailvalue@value:  contact-our-pharmacy@email.orgaddressline@value:  220 Oak Stcity@value:  Minneapolisstate@value:  MNpostalCode@value:  55008country@value:  USA

Bundle pdmp-bundle-history-result-1 of type collection

Entry 1 - fullUrl = urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084

Resource MedicationDispense:

A record of a medication that was dispensed to the patient identified in the PDMP request: August Samuels

Entry 2 - fullUrl = urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57

Resource Patient:

The PDMP Responder's patient record for the patient identified in the PDMP request: August Samuels

Entry 3 - fullUrl = urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e

Resource Organization:

The pharmacy that dispensed the reported medication: Our Pharmacy