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-history-input-parameters-1 - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "pdmp-history-input-parameters-1",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
    ]
  },
  "parameter" : [
    {
      "name" : "patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-req-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-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
          ]
        },
        "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-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adam Amster, Internal Medicine, Highview Clinic</div>"
        },
        "practitioner" : {
          "reference" : "Practitioner/practitioner-req-1",
          "display" : "Adam Amster"
        },
        "organization" : {
          "reference" : "Organization/organization-req-1",
          "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-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
          ]
        },
        "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
    }
  ]
}