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-history-input-parameters-3-veterinary - JSON Representation

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{
  "resourceType" : "Parameters",
  "id" : "pdmp-history-input-parameters-3-veterinary",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-request"
    ]
  },
  "parameter" : [
    {
      "name" : "patient",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-req-3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Animal patient: Fido Samuels</div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "species",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/PMIXSpeciesTypeCode",
                      "code" : "02",
                      "display" : "Veterinary Patient"
                    }
                  ]
                }
              }
            ],
            "url" : "http://hl7.org/fhir/StructureDefinition/patient-animal"
          }
        ],
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR",
                  "display" : "Medical record number"
                }
              ]
            },
            "system" : "http://vet-medical.example.org/mrn",
            "value" : "10035406"
          }
        ],
        "name" : [
          {
            "family" : "Samuels",
            "given" : [
              "Fido"
            ]
          }
        ],
        "gender" : "male",
        "_birthDate" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
              "valueCode" : "unknown"
            }
          ]
        },
        "address" : [
          {
            "line" : [
              "10023 Oakways Ln"
            ],
            "state" : "MA",
            "postalCode" : "01742"
          }
        ]
      }
    },
    {
      "name" : "authorized-practitioner",
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-req-3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Susan Patel, Veterinarian</div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "1928340565"
          }
        ],
        "name" : [
          {
            "family" : "Patel"
          }
        ]
      }
    },
    {
      "name" : "authorized-practitioner-role",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "practitionerrole-req-3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Susan Patel, Veterinary Medicine, Highview Veterinary</div>"
        },
        "practitioner" : {
          "reference" : "Practitioner/practitioner-req-3",
          "display" : "Susan Patel"
        },
        "organization" : {
          "reference" : "Organization/organization-req-3",
          "display" : "Highview Veterinary"
        },
        "telecom" : [
          {
            "system" : "phone",
            "value" : "951-555-5555"
          }
        ]
      }
    },
    {
      "name" : "authorized-practitioner-organization",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "organization-req-3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Highview Veterinary</div>"
        },
        "active" : true,
        "name" : "Highview Veterinary"
      }
    },
    {
      "name" : "animal-owner",
      "resource" : {
        "resourceType" : "RelatedPerson",
        "id" : "patient-req-3",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Animal's owner: August Samuels</div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "DL",
                  "display" : "Driver's license number"
                }
              ]
            },
            "value" : "M231-64600-565-55"
          }
        ],
        "active" : true,
        "patient" : {
          "reference" : "Patient/patient-req-3"
        },
        "name" : [
          {
            "family" : "Samuels",
            "given" : [
              "August"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "1989-03-12",
        "address" : [
          {
            "line" : [
              "10023 Oakways Ln"
            ],
            "state" : "MA",
            "postalCode" : "01742"
          }
        ]
      }
    },
    {
      "name" : "pre-stage-only",
      "valueBoolean" : false
    }
  ]
}