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 in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

: pdmp-meddispense-2 - XML Representation

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<MedicationDispense xmlns="http://hl7.org/fhir">
  <id value="pdmp-meddispense-2"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2016-12-10T06:38:52Z"/>
    <profile
             value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MedicationDispense pdmp-meddispense-2</b></p><a name="pdmp-meddispense-2"> </a><a name="hcpdmp-meddispense-2"> </a><a name="pdmp-meddispense-2-en-US"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1; Last updated: 2016-12-10 06:38:52+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdmp-medicationdispense.html">PDMP MedicationDispense</a></p></div><p><b>PDMP Extension - Prescription Fill Number</b>: 4</p><p><b>PDMP Extension - Prescription Transmission Method</b>: <a href="http://terminology.hl7.org/6.0.2/CodeSystem-PMIXTransmissionFormRxOriginCodeType.html#PMIXTransmissionFormRxOriginCodeType-05">PMIX Transmission Form Of Rx Origin Code Type</a> 05: Electronic Prescription</p><p><b>PDMP Extension - LME</b>: 4</p><p><b>status</b>: In Progress</p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 433800}, {http://hl7.org/fhir/sid/ndc 00093545106}">24 HR alprazolam 1 MG Extended Release Oral Tablet</span></p><p><b>subject</b>: August Samuels</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td>Our Pharmacy (Identifier: <a href="http://terminology.hl7.org/5.0.0/NamingSystem-NCPDPProviderIdentificationNumber.html" title="A NCPDP assigned number that provides pharmacies with a unique, 7-digit national identifying number that assists pharmacies in their interactions with federal agencies and third party providers. The NCPDP Provider Identification Number was formerly known as the NABP (National Board of Pharmacy) number. NCPDP also enumerates licensed dispensing sites in the United States as part of its Alternate Site Enumeration Program Numbering System (ASEP). The purpose of this system is to enable a site to identify itself to all third party processors by one standard number, in order to adjudicate claims and receive reimbursement from prescription card programs.">NCPDPProviderIdentificationNumber</a>/999017)</td></tr></table><p><b>authorizingPrescription</b>: Identifier: Filler Identifier/065046045550</p><p><b>quantity</b>: 60 each</p><p><b>daysSupply</b>: 30</p><p><b>whenPrepared</b>: 2023-07-08 06:45:52+0000</p><h3>DosageInstructions</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Sequence</b></td><td><b>Text</b></td></tr><tr><td style="display: none">*</td><td>1</td><td>2 tablets every morning</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number">
    <valuePositiveInt value="4"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method">
    <valueCoding>
      <system
              value="http://terminology.hl7.org/CodeSystem/PMIXTransmissionFormRxOriginCodeType"/>
      <code value="05"/>
      <display value="Electronic Prescription"/>
    </valueCoding>
  </extension>
  <extension
             url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-lme">
    <valueDecimal value="4"/>
  </extension>
  <status value="in-progress"/>
  <medicationCodeableConcept>
    <coding>
      <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
      <code value="433800"/>
      <display value="24 HR alprazolam 1 MG Extended Release Oral Tablet"/>
    </coding>
    <coding>
      <system value="http://hl7.org/fhir/sid/ndc"/>
      <code value="00093545106"/>
      <userSelected value="true"/>
    </coding>
    <text value="24 HR alprazolam 1 MG Extended Release Oral Tablet"/>
  </medicationCodeableConcept>
  <subject>
    <display value="August Samuels"/>
  </subject>
  <performer>
    <actor>
      <identifier>
        <system
                value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
        <value value="999017"/>
      </identifier>
      <display value="Our Pharmacy"/>
    </actor>
  </performer>
  <authorizingPrescription>
    <identifier>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
          <code value="FILL"/>
          <display value="Filler Identifier"/>
        </coding>
      </type>
      <system value="http://mypharmacysystem.com/prescriptionnumber"/>
      <value value="065046045550"/>
    </identifier>
  </authorizingPrescription>
  <quantity>
    <value value="60"/>
    <unit value="each"/>
  </quantity>
  <daysSupply>
    <value value="30"/>
  </daysSupply>
  <whenPrepared value="2023-07-08T06:45:52Z"/>
  <dosageInstruction>
    <sequence value="1"/>
    <text value="2 tablets every morning"/>
  </dosageInstruction>
</MedicationDispense>