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 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-history-output-parameters-1 - JSON Representation

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{
  "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"
                }
              ]
            }
          }
        ]
      }
    }
  ]
}