This page is part of the Specialty Medication Enrollment (v0.1.0: STU1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="specialty-rx-query-response-unsolicited-1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-query-response-unsolicited"/>
</meta>
<type value="message"/>
<timestamp value="2020-03-11T13:10:17-05:00"/>
<entry>
<fullUrl value="http://example.org/MyEHR/MessageHeader/msgheader1"/>
<resource>
<MessageHeader>
<id value="msgheader1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>event</b>: <span title="{http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type query-response-unsolicited}">Query Response - Unsolicited</span></p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>MyEHR</td><td><a href="http://example.org/MyEHR">http://example.org/MyEHR</a></td></tr></table><p><b>focus</b>: <a href="#Parameters_61ebe359-bfdc-4613-8bf2-c5e300945f0d">See above (Parameters/61ebe359-bfdc-4613-8bf2-c5e300945f0d)</a></p></div>
</text>
<eventCoding>
<system
value="http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type"/>
<code value="query-response-unsolicited"/>
</eventCoding>
<source>
<name value="MyEHR"/>
<endpoint value="http://example.org/MyEHR"/>
</source>
<focus>
<reference value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
<resource>
<Parameters>
<id value="61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
<parameter>
<name value="source-patient"/>
<valueReference>
<reference value="Patient/patientEHR"/>
</valueReference>
</parameter>
<parameter>
<name value="prescription"/>
<valueReference>
<reference value="MedicationRequest/prescription1"/>
</valueReference>
</parameter>
<parameter>
<name value="pharmacy"/>
<valueReference>
<reference value="Organization/pharmacy1"/>
</valueReference>
</parameter>
<parameter>
<name value="prescriber"/>
<valueReference>
<reference value="Practitioner/practitioner1"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="Bundle/3456789"/>
</valueReference>
</parameter>
<parameter>
<name value="search-result"/>
<valueReference>
<reference value="Bundle/987654"/>
</valueReference>
</parameter>
</Parameters>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/Patient/patientEHR"/>
<resource>
<Patient>
<id value="patientEHR"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-patient"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Patient internal identifier: 30455</p><p><b>active</b>: true</p><p><b>name</b>: Tim Doe </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href="mailto:tim.doe@example.com">tim.doe@example.com</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: 2224 Century Avenue Minnetonka MN 55345 US </p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td><span title="Codes: {urn:ietf:bcp:47 en-US}">English (Region=United States)</span></td></tr></table></div>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PI"/>
<display value="Patient internal identifier"/>
</coding>
<text value="Patient internal identifier"/>
</type>
<system value="http://example.org/MyEHR"/>
<value value="30455"/>
</identifier>
<active value="true"/>
<name>
<family value="Doe"/>
<given value="Tim"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="tim.doe@example.com"/>
</telecom>
<gender value="male"/>
<birthDate value="1987-02-20"/>
<address>
<line value="2224 Century Avenue"/>
<city value="Minnetonka"/>
<state value="MN"/>
<postalCode value="55345"/>
<country value="US"/>
</address>
<communication>
<language>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-US"/>
<display value="English (Region=United States)"/>
</coding>
</language>
</communication>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://example.org/MyEHR/MedicationRequest/prescription1"/>
<resource>
<MedicationRequest>
<id value="prescription1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1872980}">Humira 40 MG in 0.4 ML Auto-Injector</span></p><p><b>subject</b>: <a href="#Patient_patientEHR">See above (Patient/patientEHR)</a></p><p><b>authoredOn</b>: 2020-03-10</p><p><b>requester</b>: <a href="#Practitioner_practitioner1">See above (Practitioner/practitioner1)</a></p><h3>DosageInstructions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><h3>InitialFills</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>4 {each}</td></tr></table><p><b>numberOfRepeatsAllowed</b>: 2</p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>performer</b>: <a href="#Organization_pharmacy1">Our Specialty Pharmacy. Generated Summary: id: 1669512345; active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: Our Pharmacy; Phone: 952-555-5555, contact-us@example.org</a></p></blockquote><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>false</td></tr></table></div>
</text>
<status value="active"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="1872980"/>
<display value="Humira 40 MG in 0.4 ML Auto-Injector"/>
</coding>
</medicationCodeableConcept>
<subject>
<reference value="Patient/patientEHR"/>
</subject>
<authoredOn value="2020-03-10"/>
<requester>
<reference value="Practitioner/practitioner1"/>
</requester>
<dosageInstruction>
<text
value="Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter"/>
</dosageInstruction>
<dispenseRequest>
<initialFill>
<quantity>
<value value="4"/>
<unit value="{each}"/>
</quantity>
</initialFill>
<numberOfRepeatsAllowed value="2"/>
<expectedSupplyDuration>
<value value="30"/>
<unit value="days"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
<performer>
<reference value="Organization/pharmacy1"/>
<display value="Our Specialty Pharmacy"/>
</performer>
</dispenseRequest>
<substitution>
<allowedBoolean value="false"/>
</substitution>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="https://example.org/MyEHR/Practitioner/practitioner1"/>
<resource>
<Practitioner>
<id value="practitioner1"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Jane Smith </p><p><b>telecom</b>: ph: 555-555-5555(HOME), fax: 555-555-1234(HOME), <a href="mailto:jane.smith@example.org">jane.smith@example.org</a></p><p><b>address</b>: 101 Oak Lane Minnetonka MN 55345 (HOME)</p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339108"/>
</identifier>
<name>
<family value="Smith"/>
<given value="Jane"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="fax"/>
<value value="555-555-1234"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="jane.smith@example.org"/>
<use value="work"/>
</telecom>
<address>
<use value="home"/>
<line value="101 Oak Lane"/>
<city value="Minnetonka"/>
<state value="MN"/>
<postalCode value="55345"/>
</address>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="https://example.org/MyEHR/Organization/pharmacy1"/>
<resource>
<Organization>
<id value="pharmacy1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1669512345</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Our Pharmacy</p><p><b>telecom</b>: ph: 952-555-5555, <a href="mailto:contact-us@example.org">contact-us@example.org</a></p><p><b>address</b>: 220 Oak St Minneapolis MN 55008 USA </p></div>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="1669512345"/>
</identifier>
<active value="true"/>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/organization-type"/>
<code value="prov"/>
<display value="Healthcare Provider"/>
</coding>
</type>
<name value="Our Pharmacy"/>
<telecom>
<system value="phone"/>
<value value="952-555-5555"/>
</telecom>
<telecom>
<system value="email"/>
<value value="contact-us@example.org"/>
</telecom>
<address>
<line value="220 Oak St"/>
<city value="Minneapolis"/>
<state value="MN"/>
<postalCode value="55008"/>
<country value="USA"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/Bundle/3456789"/>
<resource>
<Bundle>
<id value="3456789"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"/>
</meta>
<type value="searchset"/>
<timestamp value="2020-03-11T13:10:17-05:00"/>
<total value="3"/>
<link>
<relation value="self"/>
<url value="Condition?patient=patientEHR"/>
</link>
<entry>
<fullUrl value="http://example.org/MyEHR/Condition/1"/>
<resource>
<Condition>
<id value="1"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="13644009"/>
<display value="Hypercholesterolemia (disorder)"/>
</coding>
<text value="Hypercholesterolemia (disorder)"/>
</code>
<subject>
<reference value="Patient/patientEHR"/>
</subject>
</Condition>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/Condition/2"/>
<resource>
<Condition>
<id value="2"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="84172003"/>
<display value="Spondylitis (disorder)"/>
</coding>
<text value="Spondylitis (disorder)"/>
</code>
<subject>
<reference value="Patient/patientEHR"/>
</subject>
</Condition>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/Condition/3"/>
<resource>
<Condition>
<id value="3"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
<text value="Active"/>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
<text value="Confirmed"/>
</verificationStatus>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/condition-category"/>
<code value="problem-list-item"/>
<display value="Problem List Item"/>
</coding>
<text value="Problem"/>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="427603009"/>
<display value="Intermittent asthma (disorder)"/>
</coding>
<text value="Intermittent asthma (disorder)"/>
</code>
<subject>
<reference value="Patient/patientEHR"/>
</subject>
</Condition>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
</Bundle>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/Bundle/987654"/>
<resource>
<Bundle>
<id value="987654"/>
<meta>
<profile
value="http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"/>
</meta>
<type value="searchset"/>
<timestamp value="2020-03-11T13:10:17-05:00"/>
<total value="3"/>
<link>
<relation value="self"/>
<url value="AllergyIntolerance?patient=patientEHR"/>
</link>
<entry>
<fullUrl value="http://example.org/MyEHR/AllergyIntolerance/1"/>
<resource>
<AllergyIntolerance>
<id value="1"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<text value="Cashew"/>
</code>
<patient>
<reference value="Patient/patientEHR"/>
</patient>
</AllergyIntolerance>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/AllergyIntolerance/2"/>
<resource>
<AllergyIntolerance>
<id value="2"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<text value="Bees"/>
</code>
<patient>
<reference value="Patient/patientEHR"/>
</patient>
</AllergyIntolerance>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="http://example.org/MyEHR/AllergyIntolerance/3"/>
<resource>
<AllergyIntolerance>
<id value="3"/>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<code>
<text value="Penicillins"/>
</code>
<patient>
<reference value="Patient/patientEHR"/>
</patient>
<reaction>
<manifestation>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>