US Prescription Drug Monitoring Program (PDMP)
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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 - XML Representation

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