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-2

Example data content

expand all | contract allBundle
id@value:  pdmp-bundle-history-result-2
metaprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result
type@value:  collectionentry[1]fullUrl@value:  urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084
resourceMedicationDispense
id@value:  meddispense-res-1
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense
textstatus@value:  generatedRecord of a dispense to August Samuels for Acetaminophen/Codeine on 2023-06-05
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
authorizingPrescriptionreference@value:  urn:uuid:151b9dd1-ca84-48a4-b132-67b1bbed0194identifiersystem@value:  http://myprescribingsystem.com/ordernumbervalue@value:  605153
quantityvalue@value:  10unit@value:  each
daysSupplyvalue@value:  5
whenPrepared@value:  2023-06-05
whenHandedOverextension@url:  http://hl7.org/fhir/StructureDefinition/data-absent-reasonvalueCode@value:  unknown
dosageInstructionsequence@value:  1text@value:  1 tab tid prn pain
entry[2]fullUrl@value:  urn:uuid:2706c68c-fb00-4f01-acb9-2547a20c5f63
resourceMedicationDispense
id@value:  meddispense-res-2
metasource@value:  http://example.org/ri-pdmpprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense
textstatus@value:  generatedA record dispense to August Thomas Samuels for alprazolam on 2023-07-08extension[1]@url:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-numbervaluePositiveInt@value:  4
extension[2]@url:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-lmevalueDecimal@value:  4
extension[3]@url:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-methodvalueCodingsystem@value:  http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-transmission-form-of-rx-origincode@value:  05display@value:  Electronic Prescriptionidentifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  FILLdisplay@value:  Filler Identifier
system@value:  http://anotherPharmacy.com/fillnumbervalue@value:  87355201
status@value:  completed
medicationCodeableConceptcoding[1]system@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  433800display@value:  24 HR alprazolam 1 MG Extended Release Oral Tablet
coding[2]system@value:  http://hl7.org/fhir/sid/ndccode@value:  00093545106userSelected@value:  truetext@value:  24 HR alprazolam 1 MG Extended Release Oral Tablet
subjectreference@value:  urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190display@value:  August Thomas Samuels
performeractorreference@value:  urn:uuid:d0890c3e-45dc-489c-8498-31ffb6254003identifiersystem@value:  http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value:  990717
display@value:  Another Pharmacy
authorizingPrescriptionreference@value:  urn:uuid:47a9b899-1bee-4490-bd41-b3ca12eb441aidentifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  PLACdisplay@value:  Placer Identifier
system@value:  http://myprescribingsystem.com/ordernumbervalue@value:  580331
quantityvalue@value:  60unit@value:  each
daysSupplyvalue@value:  30
whenPrepared@value:  2023-07-08
whenHandedOver@value:  2023-07-08
dosageInstructionsequence@value:  1text@value:  2 tablets every morning
entry[3]fullUrl@value:  urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57
resourcePatient
id@value:  patient-res-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 August Samuels, dob 1989-03-12, SSN 120-35-2435
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[4]fullUrl@value:  urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190
resourcePatient
id@value:  patient-res-2
metasource@value:  http://example.org/ri-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0
textstatus@value:  generatedThe PDMP Responder's patient record for August Thomas Samuels, dob 1989-03-12, MRN 28-145-2249
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  MR
system@value:  http://Highview.org/EHR/patient/mrnvalue@value:  28-145-2249
namefamily@value:  Samuelsgiven[1]@value:  Augustgiven[2]@value:  Thomasgender@value:  male
birthDate@value:  1989-03-12
addressstate@value:  MApostalCode@value:  01059
entry[5]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:  generatedPharmacy: Our Pharmacy, NCPDP ID 999017identifier[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:  Sheldonvillestate@value:  MApostalCode@value:  02093country@value:  USA
entry[6]fullUrl@value:  urn:uuid:d0890c3e-45dc-489c-8498-31ffb6254003
resourceOrganization
id@value:  pharmacy-res-2
metasource@value:  http://example.org/ri-pdmpprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy
textstatus@value:  generatedPharmacy: Another Pharmacy, NCPDP ID 999717identifier[1]system@value:  http://hl7.org/fhir/sid/us-npivalue@value:  1682435585
identifier[2]system@value:  http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value:  999717active@value:  true
name@value:  Another Pharmacytelecom[1]system@value:  phonevalue@value:  952-555-1134
telecom[2]system@value:  emailvalue@value:  contact-another-pharmacy@email.orgaddressline@value:  1809 Broad Stcity@value:  Cumberlandstate@value:  RIpostalCode@value:  02864country@value:  USA
entry[7]fullUrl@value:  urn:uuid:1ae374d2-7bb9-4298-8c54-2179410c549e
resourceDetectedIssue
id@value:  alert-1
metasource@value:  http://example.org/ma-pdmp
textstatus@value:  generatedAn alert generated by the PDMP: 03 Doctor/pharmacy shopping alert
status@value:  final
codecodingsystem@value:  http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-patient-alert-category-codecode@value:  03
text@value:  Doctor/pharmacy shopping alert
patientreference@value:  urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190display@value:  August Thomas Samuels
entry[8]fullUrl@value:  urn:uuid:47a9b899-1bee-4490-bd41-b3ca12eb441a
resourceMedicationRequest
id@value:  authorizing-prescription-2
metasource@value:  http://example.org/ri-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0
textstatus@value:  generatedThe authorizing prescription for prescription dispense 87355201
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  PLACdisplay@value:  Placer Identifier
system@value:  http://myprescribingsystem.com/ordernumbervalue@value:  580331
status@value:  active
intent@value:  order
medicationCodeableConceptcodingsystem@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  433800display@value:  24 HR alprazolam 1 MG Extended Release Oral TabletuserSelected@value:  true
subjectreference@value:  urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190display@value:  August Thomas Samuels
requesterreference@value:  urn:uuid:77ee025a-59fc-4d1e-a189-2133a9a56c26display@value:  Marie Fiorella, MD
dosageInstructiontext@value:  2 tablets every morning
dispenseRequestnumberOfRepeatsAllowed@value:  5quantityvalue@value:  60unit@value:  each
expectedSupplyDurationvalue@value:  30unit@value:  dayssystem@value:  http://unitsofmeasure.orgcode@value:  d
entry[9]fullUrl@value:  urn:uuid:77ee025a-59fc-4d1e-a189-2133a9a56c26
resourcePractitioner
id@value:  practitioner-2
metasource@value:  http://example.org/ri-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
textstatus@value:  generatedThe PDMP record for Marie Fiorella, MDidentifier[1]system@value:  http://hl7.org/fhir/sid/us-npivalue@value:  9941339100
identifier[2]system@value:  http://example.com/ri-deavalue@value:  CF1234563namefamily@value:  Fiorellagiven@value:  Mariesuffix@value:  MD
telecomsystem@value:  phonevalue@value:  401-333-3333
addressuse@value:  workline@value:  201 S Main St #150city@value:  Cumberlandstate@value:  RIpostalCode@value:  02864country@value:  USA
entry[10]fullUrl@value:  urn:uuid:151b9dd1-ca84-48a4-b132-67b1bbed0194
resourceMedicationRequest
id@value:  authorizing-prescription-1
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0
textstatus@value:  generatedThe authorizing prescription for prescription dispense 2000353
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  PLACdisplay@value:  Placer Identifier
system@value:  http://myprescribingsystem.com/ordernumbervalue@value:  605153
status@value:  active
intent@value:  order
medicationCodeableConceptcodingsystem@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  993781display@value:  acetaminophen 300 MG / codeine phosphate 30 MG Oral TabletuserSelected@value:  true
subjectreference@value:  urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57display@value:  August Samuels
requesterreference@value:  urn:uuid:23c69153-03c7-470d-9cc8-08265491d095display@value:  Marie Fiorella, MD
dosageInstructiontext@value:  1 tab tid prn pain
dispenseRequestnumberOfRepeatsAllowed@value:  1quantityvalue@value:  10unit@value:  each
expectedSupplyDurationvalue@value:  5unit@value:  dayssystem@value:  http://unitsofmeasure.orgcode@value:  d
entry[11]fullUrl@value:  urn:uuid:23c69153-03c7-470d-9cc8-08265491d095
resourcePractitioner
id@value:  practitioner-1
metasource@value:  http://example.org/ma-pdmpprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
textstatus@value:  generatedThe PDMP record for Marie Fiorella, MDidentifier[1]system@value:  http://hl7.org/fhir/sid/us-npivalue@value:  9941339100
identifier[2]system@value:  http://example.com/ma-deavalue@value:  CF6543210namefamily@value:  Fiorellagiven@value:  Mariesuffix@value:  MD
telecomsystem@value:  phonevalue@value:  401-333-3333
addressuse@value:  workline@value:  201 S Main St #150city@value:  Cumberlandstate@value:  RIpostalCode@value:  02864country@value:  USA

Bundle pdmp-bundle-history-result-2 of type collection

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

Resource MedicationDispense:

Record of a dispense to August Samuels for Acetaminophen/Codeine on 2023-06-05

Entry 2 - fullUrl = urn:uuid:2706c68c-fb00-4f01-acb9-2547a20c5f63

Resource MedicationDispense:

A record dispense to August Thomas Samuels for alprazolam on 2023-07-08

Entry 3 - fullUrl = urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57

Resource Patient:

The PDMP Responder's patient record for August Samuels, dob 1989-03-12, SSN 120-35-2435

Entry 4 - fullUrl = urn:uuid:8b0fcac7-eeb8-4558-a1f6-46f2f4293190

Resource Patient:

The PDMP Responder's patient record for August Thomas Samuels, dob 1989-03-12, MRN 28-145-2249

Entry 5 - fullUrl = urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e

Resource Organization:

Pharmacy: Our Pharmacy, NCPDP ID 999017

Entry 6 - fullUrl = urn:uuid:d0890c3e-45dc-489c-8498-31ffb6254003

Resource Organization:

Pharmacy: Another Pharmacy, NCPDP ID 999717

Entry 7 - fullUrl = urn:uuid:1ae374d2-7bb9-4298-8c54-2179410c549e

Resource DetectedIssue:

An alert generated by the PDMP: 03 Doctor/pharmacy shopping alert

Entry 8 - fullUrl = urn:uuid:47a9b899-1bee-4490-bd41-b3ca12eb441a

Resource MedicationRequest:

The authorizing prescription for prescription dispense 87355201

Entry 9 - fullUrl = urn:uuid:77ee025a-59fc-4d1e-a189-2133a9a56c26

Resource Practitioner:

The PDMP record for Marie Fiorella, MD

Entry 10 - fullUrl = urn:uuid:151b9dd1-ca84-48a4-b132-67b1bbed0194

Resource MedicationRequest:

The authorizing prescription for prescription dispense 2000353

Entry 11 - fullUrl = urn:uuid:23c69153-03c7-470d-9cc8-08265491d095

Resource Practitioner:

The PDMP record for Marie Fiorella, MD