US Prescription Drug Monitoring Program (PDMP)
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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

: pdmp-bundle-request-message-1 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "pdmp-bundle-request-message-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-request-message"
    ]
  },
  "type" : "message",
  "timestamp" : "2023-10-10T15:26:30.162-07:00",
  "entry" : [
    {
      "fullUrl" : "http://example.org/MyEHR/MessageHeader/messageheader-req-op-1",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "messageheader-req-op-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-messageheader-request"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Event = the canonical URL for the pdmp-history operation. Focus is the Parameters resource holding request inputs.</div>"
        },
        "eventCoding" : {
          "system" : "urn:ietf:rfc:3986",
          "code" : "http://hl7.org/fhir/us/pdmp/OperationDefinition/pdmp-history"
        },
        "source" : {
          "name" : "MyPDMPServer",
          "endpoint" : "http://pdmpserver.example.org/api"
        },
        "focus" : [
          {
            "reference" : "Parameters/parameters-req-op-1"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://example.org/MyEHR/Parameters/parameters-req-op-1",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "parameters-req-op-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
          ]
        },
        "parameter" : [
          {
            "name" : "patient",
            "resource" : {
              "resourceType" : "Patient",
              "id" : "patient-req-op-1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"
                ]
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">August Samuels</div>"
              },
              "identifier" : [
                {
                  "type" : {
                    "coding" : [
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                        "code" : "SS",
                        "display" : "Social Security number"
                      }
                    ]
                  },
                  "system" : "http://hl7.org/fhir/sid/us-ssn",
                  "value" : "120-35-2435"
                }
              ],
              "name" : [
                {
                  "family" : "Samuels",
                  "given" : [
                    "August"
                  ]
                }
              ],
              "gender" : "male",
              "birthDate" : "1989-03-12",
              "address" : [
                {
                  "state" : "MA",
                  "postalCode" : "01059"
                }
              ]
            }
          },
          {
            "name" : "authorized-practitioner",
            "resource" : {
              "resourceType" : "Practitioner",
              "id" : "practitioner-req-op-1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
                ]
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster MD</div>"
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "1928340565"
                }
              ],
              "name" : [
                {
                  "family" : "Amster",
                  "given" : [
                    "Adam"
                  ]
                }
              ],
              "address" : [
                {
                  "state" : "MA"
                }
              ]
            }
          },
          {
            "name" : "authorized-practitioner-role",
            "resource" : {
              "resourceType" : "PractitionerRole",
              "id" : "practitionerrole-req-op-1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
                ]
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster, Internal Medicine, Highview Clinic</div>"
              },
              "practitioner" : {
                "identifier" : {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "9851234689"
                },
                "display" : "Adam Amster"
              },
              "organization" : {
                "identifier" : {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "1928340565"
                },
                "display" : "Highview Clinic"
              },
              "telecom" : [
                {
                  "system" : "phone",
                  "value" : "951-555-5555"
                },
                {
                  "system" : "email",
                  "value" : "aamster-highview-clinic@exampleemail.org"
                }
              ]
            }
          },
          {
            "name" : "authorized-practitioner-organization",
            "resource" : {
              "resourceType" : "Organization",
              "id" : "organization-req-op-1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
                ]
              },
              "text" : {
                "status" : "generated",
                "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Highview Clinic</div>"
              },
              "identifier" : [
                {
                  "system" : "http://hl7.org/fhir/sid/us-npi",
                  "value" : "9851234689"
                }
              ],
              "active" : true,
              "name" : "Highview Clinic",
              "address" : [
                {
                  "state" : "MA"
                }
              ]
            }
          },
          {
            "name" : "pre-stage-only",
            "valueBoolean" : false
          }
        ]
      }
    }
  ]
}