US Prescription Drug Monitoring Program (PDMP)
1.0.0-ballot - STU1 Ballot
US Prescription Drug Monitoring Program (PDMP)
1.0.0-ballot - STU1 Ballot
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
<Parameters xmlns="http://hl7.org/fhir">
<id value="pdmp-history-output-parameters-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-response"/>
</meta>
<parameter>
<name value="pdmp-history-data"/>
<resource>
<Bundle>
<id value="bundle-history-data-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"/>
</meta>
<type value="collection"/>
<entry id="meddispense-res-1">
<fullUrl value="urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084"/>
<resource>
<MedicationDispense>
<meta>
<lastUpdated value="2023-06-05T18:38:52Z"/>
<source value="http://example.org/ma-pdmp"/>
<profile
value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number">
<valuePositiveInt value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method">
<valueCoding>
<system
value="http://hl7.org/fhir/us/pdmp/CodeSystem/temporary-pmix-transmission-form-of-rx-origin"/>
<code value="05"/>
<display value="Electronic Prescription"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mme">
<valueDecimal value="18"/>
</extension>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system value="http://ourpharmacy.com/fillnumber"/>
<value value="2000353"/>
</identifier>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system
value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="993781"/>
<display
value="acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/ndc"/>
<code value="00093015001"/>
<userSelected value="true"/>
</coding>
<text
value="Acetaminophen 300 mg / Codeine 30 mg oral tablet"/>
</medicationCodeableConcept>
<subject>
<reference
value="urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57"/>
<display value="August Samuels"/>
</subject>
<performer>
<actor>
<reference
value="urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e"/>
<identifier>
<system
value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
<value value="999017"/>
</identifier>
<display value="Our Pharmacy"/>
</actor>
</performer>
<authorizingPrescription>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system
value="http://mypharmacysystem.com/prescriptionnumber"/>
<value value="000022056"/>
</identifier>
</authorizingPrescription>
<quantity>
<value value="15"/>
<unit value="each"/>
</quantity>
<daysSupply>
<value value="5"/>
</daysSupply>
<whenPrepared value="2023-06-05"/>
<whenHandedOver>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</whenHandedOver>
<dosageInstruction>
<sequence value="1"/>
<text value="1 tab every 6 to 8 hours as needed for pain"/>
</dosageInstruction>
</MedicationDispense>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57"/>
<resource>
<Patient>
<id value="patient-res-1-1"/>
<meta>
<source value="http://example.org/ma-pdmp"/>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The PDMP Responder's patient record for the patient identified in the PDMP request: August Samuels</div>
</text>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="SS"/>
</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>
</entry>
<entry>
<fullUrl value="urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e"/>
<resource>
<Organization>
<id value="pharmacy-res-1-1"/>
<meta>
<source value="http://example.org/ma-pdmp"/>
<profile
value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">The pharmacy that dispensed the reported medication: Our Pharmacy</div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1669512349"/>
</identifier>
<identifier>
<system
value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
<value value="999017"/>
</identifier>
<active value="true"/>
<name value="Our Pharmacy"/>
<telecom>
<system value="phone"/>
<value value="952-555-5555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact-our-pharmacy@email.org"/>
</telecom>
<address>
<line value="220 Oak St"/>
<city value="Minneapolis"/>
<state value="MN"/>
<postalCode value="55008"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>
</resource>
</parameter>
</Parameters>
IG © 2023+ HL7 International / Pharmacy. Package hl7.fhir.us.pdmp#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-04
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