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

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

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{
  "resourceType" : "Bundle",
  "id" : "pdmp-bundle-response-message-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-response-message"
    ]
  },
  "type" : "message",
  "timestamp" : "2020-03-11T08:10:17-05:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:b5000d0c-fed9-4746-ac26-b5ce0111a2b7",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "b5000d0c-fed9-4746-ac26-b5ce0111a2b7",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-messageheader-response"
          ]
        },
        "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 response content.</div>"
        },
        "eventCoding" : {
          "system" : "urn:ietf:rfc:3986",
          "code" : "http://hl7.org/fhir/us/pdmp/OperationDefinition/pdmp-history",
          "display" : "pdmp-history"
        },
        "source" : {
          "name" : "MyPDMPServer",
          "endpoint" : "https://pdmp1.testpdmp.org/"
        },
        "response" : {
          "identifier" : "messageheader-req-op-1",
          "code" : "ok"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
      "resource" : {
        "resourceType" : "Parameters",
        "id" : "aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-response"
          ]
        },
        "parameter" : [
          {
            "extension" : [
              {
                "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-header-timestamp-extension",
                "valueDateTime" : "2023-12-01"
              },
              {
                "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-activity-period-extension",
                "valuePeriod" : {
                  "start" : "2021-12-02",
                  "end" : "2023-12-01"
                }
              }
            ],
            "name" : "pdmp-history-data",
            "resource" : {
              "resourceType" : "Bundle",
              "id" : "bundle-history-data-in-msg-1",
              "meta" : {
                "profile" : [
                  🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"
                ]
              },
              "type" : "collection",
              "entry" : [
                {
                  "id" : "meddispense-res-1",
                  "fullUrl" : "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
                  "resource" : {
                    "resourceType" : "MedicationDispense",
                    "meta" : {
                      "source" : "http://example.org/ma-pdmp",
                      "profile" : [
                        🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"
                      ]
                    },
                    "text" : {
                      "status" : "generated",
                      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A record of a medication that was dispensed to the patient identified in the PDMP request: August Samuels</div>"
                    },
                    "extension" : [
                      {
                        "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number",
                        "valuePositiveInt" : 1
                      }
                    ],
                    "status" : "completed",
                    "medicationCodeableConcept" : {
                      "coding" : [
                        {
                          "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                          "code" : "993781",
                          "display" : "acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet",
                          "userSelected" : true
                        },
                        {
                          "system" : "http://hl7.org/fhir/sid/ndc",
                          "code" : "00093015001"
                        }
                      ],
                      "text" : "Acetaminophen 300 mg / Codeine 30 mg oral tablet"
                    },
                    "subject" : {
                      "reference" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
                      "display" : "August Samuels"
                    },
                    "performer" : [
                      {
                        "actor" : {
                          "reference" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
                          "identifier" : {
                            "system" : "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
                            "value" : "999017"
                          },
                          "display" : "Our Pharmacy"
                        }
                      }
                    ],
                    "authorizingPrescription" : [
                      {
                        "identifier" : {
                          "type" : {
                            "coding" : [
                              {
                                "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                                "code" : "FILL",
                                "display" : "Filler Identifier"
                              }
                            ]
                          },
                          "system" : "http://mypharmacysystem.com/prescriptionnumber",
                          "value" : "065046045550"
                        }
                      }
                    ],
                    "quantity" : {
                      "value" : 10,
                      "unit" : "each"
                    },
                    "daysSupply" : {
                      "value" : 5
                    },
                    "whenPrepared" : "2023-06-05",
                    "_whenHandedOver" : {
                      "extension" : [
                        {
                          "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
                          "valueCode" : "unknown"
                        }
                      ]
                    },
                    "dosageInstruction" : [
                      {
                        "sequence" : 1,
                        "text" : "1 tab tid prn pain"
                      }
                    ]
                  }
                },
                {
                  "fullUrl" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
                  "resource" : {
                    "resourceType" : "Patient",
                    "id" : "patient-res-1-1",
                    "meta" : {
                      "source" : "http://example.org/ma-pdmp",
                      "profile" : [
                        🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
                      ]
                    },
                    "text" : {
                      "status" : "generated",
                      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The PDMP Responder's patient record for the patient identified in the PDMP request: August Samuels</div>"
                    },
                    "identifier" : [
                      {
                        "type" : {
                          "coding" : [
                            {
                              "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                              "code" : "SS"
                            }
                          ]
                        },
                        "system" : "http://hl7.org/fhir/sid/us-ssn",
                        "value" : "120-35-2435"
                      }
                    ],
                    "name" : [
                      {
                        "family" : "Samuels",
                        "given" : [
                          "John"
                        ]
                      }
                    ],
                    "gender" : "male",
                    "birthDate" : "1989-03-12",
                    "address" : [
                      {
                        "line" : [
                          "202 2nd Avenue"
                        ],
                        "city" : "North Amherst",
                        "state" : "MA",
                        "postalCode" : "01059"
                      }
                    ]
                  }
                },
                {
                  "fullUrl" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
                  "resource" : {
                    "resourceType" : "Organization",
                    "id" : "pharmacy-res-1-1",
                    "meta" : {
                      "source" : "http://example.org/ma-pdmp",
                      "profile" : [
                        🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"
                      ]
                    },
                    "text" : {
                      "status" : "generated",
                      "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The pharmacy that dispensed the reported medication: Our Pharmacy</div>"
                    },
                    "identifier" : [
                      {
                        "system" : "http://hl7.org/fhir/sid/us-npi",
                        "value" : "1669512349"
                      },
                      {
                        "system" : "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
                        "value" : "999017"
                      }
                    ],
                    "active" : true,
                    "name" : "Our Pharmacy",
                    "telecom" : [
                      {
                        "system" : "phone",
                        "value" : "952-555-5555"
                      },
                      {
                        "system" : "email",
                        "value" : "contact-our-pharmacy@email.org"
                      }
                    ],
                    "address" : [
                      {
                        "line" : [
                          "220 Oak St"
                        ],
                        "city" : "Minneapolis",
                        "state" : "MN",
                        "postalCode" : "55008",
                        "country" : "USA"
                      }
                    ]
                  }
                }
              ]
            }
          }
        ]
      }
    }
  ]
}