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

Example Parameters: pdmp-history-input-parameters-4-delegate

Example data content

expand all | contract allParameters
id@value:  pdmp-history-input-parameters-4-delegate
metaprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-requestparameter[1]name@value:  patient
resourcePatient
id@value:  patient-req-4
metaprofile@value:  http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient
textstatus@value:  generatedPatient: Jules Julien
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  MRdisplay@value:  Medical record number
system@value:  http://highview-va.example.org/mrnvalue@value:  10035666601
active@value:  true
namefamily@value:  Juliengiven@value:  Jules
gender@value:  female
birthDate@value:  1980-05-20
addressline@value:  10023 Santa Clara Blvdstate@value:  MApostalCode@value:  01742
parameter[2]name@value:  authorized-practitioner
resourcePractitioner
id@value:  practitioner-req-4
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
textstatus@value:  generatedMari Kimble MD
identifiersystem@value:  http://hl7.org/fhir/sid/us-npivalue@value:  1665015602
namefamily@value:  Kimble
parameter[3]name@value:  authorized-practitioner-role
resourcePractitionerRole
id@value:  practitionerrole-req-4
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0
textstatus@value:  generatedMari Kimble, Internal Medicine, Highview VA Clinic
practitionerreference@value:  Practitioner/practitioner-req-4display@value:  Mari Kimble
organizationreference@value:  Organization/organization-req-4display@value:  Highview VA Clinic
specialtycodingsystem@value:  http://nucc.org/provider-taxonomycode@value:  207R00000Xdisplay@value:  Internal Medicine Physician
telecomsystem@value:  phonevalue@value:  508-856-1234
parameter[4]name@value:  authorized-practitioner-organization
resourceOrganization
id@value:  organization-req-4
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0
textstatus@value:  generatedHighview VA Clinic
active@value:  true
name@value:  Highview VA Clinic
telecomsystem@value:  phonevalue@value:  508-856-5555
addressline@value:  2002 Highview Lncity@value:  Worcesterstate@value:  MApostalCode@value:  01604
parameter[5]name@value:  delegate-practitioner
resourcePractitioner
id@value:  practitioner-req-4-del
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0
textstatus@value:  generatedBoris Bartok
identifiersystem@value:  http://hl7.org/fhir/sid/us-npivalue@value:  1554505606
namefamily@value:  Bartok
parameter[6]name@value:  delegate-practitioner-role
resourcePractitionerRole
id@value:  practitionerrole-req-4-del
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0
textstatus@value:  generatedBoris Bartok RN, Highview VA Clinic
practitionerreference@value:  Practitioner/practitioner-req-4-deldisplay@value:  Mari Kimble
organizationreference@value:  Organization/organization-req-4-deldisplay@value:  Highview VA Clinic
specialtycodingsystem@value:  http://nucc.org/provider-taxonomycode@value:  163W00000Xdisplay@value:  Registered Nurse
telecomsystem@value:  phonevalue@value:  508-856-9999
parameter[7]name@value:  delegate-organization
resourceOrganization
id@value:  organization-req-4-del
metaprofile@value:  http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0
textstatus@value:  generatedHighview VA Clinic
active@value:  true
name@value:  Highview VA Clinic
telecomsystem@value:  phonevalue@value:  508-856-5555
addressline@value:  2002 Highview Lncity@value:  Worcesterstate@value:  MApostalCode@value:  01604
parameter[8]name@value:  pre-stage-onlyvalueBoolean@value:  false

Parameters

patient

Patient/patient-req-4

Patient: Jules Julien
authorized-practitioner

Practitioner/practitioner-req-4

Mari Kimble MD
authorized-practitioner-role

PractitionerRole/practitionerrole-req-4

Mari Kimble, Internal Medicine, Highview VA Clinic
authorized-practitioner-organization

Organization/organization-req-4

Highview VA Clinic
delegate-practitioner

Practitioner/practitioner-req-4-del

Boris Bartok
delegate-practitioner-role

PractitionerRole/practitionerrole-req-4-del

Boris Bartok RN, Highview VA Clinic
delegate-organization

Organization/organization-req-4-del

Highview VA Clinic
pre-stage-onlyfalse