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

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: pdmp-meddispense-1 - JSON Representation

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{
  "resourceType" : "MedicationDispense",
  "id" : "pdmp-meddispense-1",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2023-06-05T06:38:52Z",
    "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
    },
    {
      "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-transmission-form-of-rx-origin",
        "code" : "05",
        "display" : "Electronic Prescription"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mme",
      "valueDecimal" : 18
    },
    {
      "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-method-of-payment",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-method-of-payment",
        "code" : "01",
        "display" : "Private Pay (Cash, Charge, Credit Card)"
      }
    },
    {
      "url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-opioid-treatment-code",
      "valueCoding" : {
        "system" : "http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-opioid-treatment-code",
        "code" : "10",
        "display" : "Acute Opioid Therapy"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "FILL",
            "display" : "Filler Identifier"
          }
        ]
      },
      "system" : "http://ourpharmacy.com/fillnumber",
      "value" : "2000353"
    }
  ],
  "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"
      },
      {
        "system" : "http://hl7.org/fhir/sid/ndc",
        "code" : "00093015001",
        "userSelected" : true
      }
    ],
    "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" : 15,
    "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 tablet every 6-8 hours as needed for pain"
    }
  ]
}