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 MedicationDispense: pdmp-meddispense-1
Example data content
expand all | contract allMedicationDispenseid@value: pdmp-meddispense-1metaversionId@value: 1lastUpdated@value: 2023-06-05T06:38:52+00:00source@value: http://example.org/ma-pdmpprofile@value: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispensetextstatus@value: generateddivA record of a medication that was dispensed to the patient identified in the PDMP request: August Samuelsextension[1]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-numbervaluePositiveInt@value: 1
extension[2]@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 Prescription
extension[3]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mmevalueDecimal@value: 18
extension[4]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-method-of-paymentvalueCodingsystem@value: http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-method-of-paymentcode@value: 01display@value: Private Pay (Cash, Charge, Credit Card)
extension[5]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-opioid-treatment-codevalueCodingsystem@value: http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-opioid-treatment-codecode@value: 10display@value: Acute Opioid Therapyidentifiertypecodingsystem@value: http://terminology.hl7.org/CodeSystem/v2-0203code@value: FILLdisplay@value: Filler Identifiersystem@value: http://ourpharmacy.com/fillnumbervalue@value: 2000353status@value: completedmedicationCodeableConceptcoding[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 tabletsubjectreference@value: urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57display@value: August Samuelsperformeractorreference@value: urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6eidentifiersystem@value: http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value: 999017display@value: Our PharmacyauthorizingPrescriptionidentifiertypecodingsystem@value: http://terminology.hl7.org/CodeSystem/v2-0203code@value: FILLdisplay@value: Filler Identifiersystem@value: http://mypharmacysystem.com/prescriptionnumbervalue@value: 065046045550quantityvalue@value: 15unit@value: eachdaysSupplyvalue@value: 5whenPrepared@value: 2023-06-05whenHandedOverextension@url: http://hl7.org/fhir/StructureDefinition/data-absent-reasonvalueCode@value: unknowndosageInstructionsequence@value: 1text@value: 1 tablet every 6-8 hours as needed for pain
A record of a medication that was dispensed to the patient identified in the PDMP request: August Samuels