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 - XML Representation

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<Parameters xmlns="http://hl7.org/fhir">
  <id value="pdmp-history-input-parameters-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"/>
  </meta>
  <parameter>
    <name value="patient"/>
    <resource>
      <Patient>
        <id value="patient-req-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">August Samuels</div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security number"/>
            </coding>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="120-35-2435"/>
        </identifier>
        <name>
          <family value="Samuels"/>
          <given value="August"/>
        </name>
        <gender value="male"/>
        <birthDate value="1989-03-12"/>
        <address>
          <state value="MA"/>
          <postalCode value="01059"/>
        </address>
      </Patient>
    </resource>
  </parameter>
  <parameter>
    <name value="authorized-practitioner"/>
    <resource>
      <Practitioner>
        <id value="practitioner-req-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Adam Amster MD</div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="1928340565"/>
        </identifier>
        <name>
          <family value="Amster"/>
          <given value="Adam"/>
        </name>
        <address>
          <state value="MA"/>
        </address>
      </Practitioner>
    </resource>
  </parameter>
  <parameter>
    <name value="authorized-practitioner-role"/>
    <resource>
      <PractitionerRole>
        <id value="practitionerrole-req-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Adam Amster, Internal Medicine, Highview Clinic</div>
        </text>
        <practitioner>
          <reference value="Practitioner/practitioner-req-1"/>
          <display value="Adam Amster"/>
        </practitioner>
        <organization>
          <reference value="Organization/organization-req-1"/>
          <display value="Highview Clinic"/>
        </organization>
        <telecom>
          <system value="phone"/>
          <value value="951-555-5555"/>
        </telecom>
        <telecom>
          <system value="email"/>
          <value value="aamster-highview-clinic@exampleemail.org"/>
        </telecom>
      </PractitionerRole>
    </resource>
  </parameter>
  <parameter>
    <name value="authorized-practitioner-organization"/>
    <resource>
      <Organization>
        <id value="organization-req-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Highview Clinic</div>
        </text>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="9851234689"/>
        </identifier>
        <active value="true"/>
        <name value="Highview Clinic"/>
        <address>
          <state value="MA"/>
        </address>
      </Organization>
    </resource>
  </parameter>
  <parameter>
    <name value="pre-stage-only"/>
    <valueBoolean value="false"/>
  </parameter>
</Parameters>