US Prescription Drug Monitoring Program (PDMP)
1.0.0 - STU1 United States of America flag

This page is part of the US Prescription Drug Monitoring Program (PDMP) (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: pdmp-bundle-request-message-1 - XML Representation

Raw xml | Download


<Bundle xmlns="http://hl7.org/fhir">
  <id value="pdmp-bundle-request-message-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-request-message"/>
  </meta>
  <type value="message"/>
  <timestamp value="2023-10-10T15:26:30.162-07:00"/>
  <entry>
    <fullUrl
             value="http://example.org/MyEHR/MessageHeader/messageheader-req-op-1"/>
    <resource>
      <MessageHeader>
        <id value="messageheader-req-op-1"/>
        <meta>
          <profile
                   value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-messageheader-request"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml">Event = the canonical URL for the pdmp-history operation. Focus is the Parameters resource holding request inputs.</div>
        </text>
        <eventCoding>
          <system value="urn:ietf:rfc:3986"/>
          <code
                value="http://hl7.org/fhir/us/pdmp/OperationDefinition/pdmp-history"/>
        </eventCoding>
        <source>
          <name value="MyPDMPServer"/>
          <endpoint value="http://pdmpserver.example.org/api"/>
        </source>
        <focus>
          <reference value="Parameters/parameters-req-op-1"/>
        </focus>
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="http://example.org/MyEHR/Parameters/parameters-req-op-1"/>
    <resource>
      <Parameters>
        <id value="parameters-req-op-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-op-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-op-1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"/>
              </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-op-1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"/>
              </meta>
              <text>
                <status value="generated"/>
                <div xmlns="http://www.w3.org/1999/xhtml">Adam Amster, Internal Medicine, Highview Clinic</div>
              </text>
              <practitioner>
                <identifier>
                  <system value="http://hl7.org/fhir/sid/us-npi"/>
                  <value value="9851234689"/>
                </identifier>
                <display value="Adam Amster"/>
              </practitioner>
              <organization>
                <identifier>
                  <system value="http://hl7.org/fhir/sid/us-npi"/>
                  <value value="1928340565"/>
                </identifier>
                <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-op-1"/>
              <meta>
                <profile
                         value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"/>
              </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>
    </resource>
  </entry>
</Bundle>