pdmp-meddispense-1 - US Prescription Drug Monitoring Program (PDMP) v1.0.0

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

Example MedicationDispense: pdmp-meddispense-1

Example data content

MedicationDispense
id@value: pdmp-meddispense-1
metaversionId@value: 1lastUpdated@value: 2023-06-05T06:38:52+00:00source@value: http://example.org/ma-pdmpprofile@value: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispenseextension[1]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-numbervaluePositiveInt@value: 1
extension[2]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-methodvalueCodingsystem@value: http://terminology.hl7.org/CodeSystem/PMIXTransmissionFormRxOriginCodeTypecode@value: 05display@value: Electronic Prescription
extension[3]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mmevalueDecimal@value: 18
extension[4]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-method-of-paymentvalueCodingsystem@value: http://terminology.hl7.org/CodeSystem/PMIXMethodofPaymentcode@value: 01display@value: Private Pay (Cash, Charge, Credit Card)
extension[5]@url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-opioid-treatment-codevalueCodingsystem@value: http://terminology.hl7.org/CodeSystem/PMIXOpioidTreatmentCodecode@value: 10display@value: Acute Opioid Therapyidentifiertypecodingsystem@value: http://terminology.hl7.org/CodeSystem/v2-0203code@value: FILLdisplay@value: Filler Identifier
system@value: http://ourpharmacy.com/fillnumbervalue@value: 2000353
status@value: completed
medicationCodeableConceptcoding[1]system@value: http://www.nlm.nih.gov/research/umls/rxnormcode@value: 993781display@value: acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet
coding[2]system@value: http://hl7.org/fhir/sid/ndccode@value: 00093015001userSelected@value: truetext@value: Acetaminophen 300 mg / Codeine 30 mg oral tablet
subjectreference@value: urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57display@value: August Samuels
performeractorreference@value: urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6eidentifiersystem@value: http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumbervalue@value: 999017
display@value: Our Pharmacy
authorizingPrescriptionidentifiertypecodingsystem@value: http://terminology.hl7.org/CodeSystem/v2-0203code@value: FILLdisplay@value: Filler Identifier
system@value: http://mypharmacysystem.com/prescriptionnumbervalue@value: 065046045550
quantityvalue@value: 15unit@value: each
daysSupplyvalue@value: 5
whenPrepared@value: 2023-06-05
whenHandedOverextension@url: http://hl7.org/fhir/StructureDefinition/data-absent-reasonvalueCode@value: unknown
dosageInstructionsequence@value: 1text@value: 1 tablet every 6-8 hours as needed for pain

Generated Narrative: MedicationDispense pdmp-meddispense-1

version: 1; Last updated: 2023-06-05 06:38:52+0000;

Information Source: http://example.org/ma-pdmp

Profile: PDMP MedicationDispense

PDMP Extension - Prescription Fill Number: 1

PDMP Extension - Prescription Transmission Method: PMIX Transmission Form Of Rx Origin Code Type 05: Electronic Prescription

PDMP Extension - MME: 18

PDMP Extension - Method of Payment: PMIX Method of Payment 01: Private Pay (Cash, Charge, Credit Card)

PDMP Extension - Opioid Treatment Code: PMIX Opioid Treatment Code 10: Acute Opioid Therapy

identifier: Filler Identifier/2000353

status: Completed

medication: Acetaminophen 300 mg / Codeine 30 mg oral tablet