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
{
"resourceType" : "Parameters",
"id" : "pdmp-history-output-parameters-1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-parameters-response"
]
},
"parameter" : [
{
"name" : "pdmp-history-data",
"resource" : {
"resourceType" : "Bundle",
"id" : "bundle-history-data-1",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-bundle-history-result"
]
},
"type" : "collection",
"entry" : [
{
"id" : "meddispense-res-1",
"fullUrl" : "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
"resource" : {
"resourceType" : "MedicationDispense",
"meta" : {
"lastUpdated" : "2023-06-05T18:38:52Z",
"source" : "http://example.org/ma-pdmp",
"profile" : [
🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number",
"valuePositiveInt" : 1
},
{
"url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method",
"valueCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/PMIXTransmissionFormRxOriginCodeType",
"code" : "05",
"display" : "Electronic Prescription"
}
},
{
"url" : "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mme",
"valueDecimal" : 18
}
],
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL",
"display" : "Filler Identifier"
}
]
},
"system" : "http://ourpharmacy.com/fillnumber",
"value" : "2000353"
}
],
"status" : "completed",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "993781",
"display" : "acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet"
},
{
"system" : "http://hl7.org/fhir/sid/ndc",
"code" : "00093015001",
"userSelected" : true
}
],
"text" : "Acetaminophen 300 mg / Codeine 30 mg oral tablet"
},
"subject" : {
"reference" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"display" : "August Samuels"
},
"performer" : [
{
"actor" : {
"reference" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"identifier" : {
"system" : "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value" : "999017"
},
"display" : "Our Pharmacy"
}
}
],
"authorizingPrescription" : [
{
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "FILL",
"display" : "Filler Identifier"
}
]
},
"system" : "http://mypharmacysystem.com/prescriptionnumber",
"value" : "000022056"
}
}
],
"quantity" : {
"value" : 15,
"unit" : "each"
},
"daysSupply" : {
"value" : 5
},
"whenPrepared" : "2023-06-05",
"_whenHandedOver" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
},
"dosageInstruction" : [
{
"sequence" : 1,
"text" : "1 tab every 6 to 8 hours as needed for pain"
}
]
}
},
{
"fullUrl" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"resource" : {
"resourceType" : "Patient",
"id" : "patient-res-1-1",
"meta" : {
"source" : "http://example.org/ma-pdmp",
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|6.1.0"
]
},
"text" : {
"status" : "generated",
"div" : "<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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "SS"
}
]
},
"system" : "http://hl7.org/fhir/sid/us-ssn",
"value" : "120-35-2435"
}
],
"name" : [
{
"family" : "Samuels",
"given" : [
"August"
]
}
],
"gender" : "male",
"birthDate" : "1989-03-12",
"address" : [
{
"state" : "MA",
"postalCode" : "01059"
}
]
}
},
{
"fullUrl" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"resource" : {
"resourceType" : "Organization",
"id" : "pharmacy-res-1-1",
"meta" : {
"source" : "http://example.org/ma-pdmp",
"profile" : [
🔗 "http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-organization-pharmacy"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The pharmacy that dispensed the reported medication: Our Pharmacy</div>"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1669512349"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
"value" : "999017"
}
],
"active" : true,
"name" : "Our Pharmacy",
"telecom" : [
{
"system" : "phone",
"value" : "952-555-5555"
},
{
"system" : "email",
"value" : "contact-our-pharmacy@email.org"
}
],
"address" : [
{
"line" : [
"220 Oak St"
],
"city" : "Minneapolis",
"state" : "MN",
"postalCode" : "55008",
"country" : "USA"
}
]
}
}
]
}
}
]
}