Specialty Medication Enrollment
1.0.0 - STU 1
Specialty Medication Enrollment
1.0.0 - STU 1
This page is part of the Specialty Medication Enrollment (v1.0.0: STU1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
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"meta" : {
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"type" : "message",
"timestamp" : "2020-03-11T08:10:17-05:00",
"entry" : [
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"fullUrl" : "urn:uuid:d0b62e34-db4a-4ef7-832c-52cb4c7f9289",
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"resourceType" : "MessageHeader",
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"text" : {
"status" : "generated",
"div" : "<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}\">Query Response</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>Specialty Sandbox Static</td><td><a href=\"http://example.org/MyEHR/$process-message\">http://example.org/MyEHR/$process-message</a></td></tr></table><h3>Responses</h3><table class=\"grid\"><tr><td>-</td><td><b>Identifier</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>5065aa9f-bd6d-49a8-924c-5d00f5d0b997</td><td>ok</td></tr></table><p><b>focus</b>: <a href=\"#Parameters_b5000d0c-fed9-4746-ac26-b5ce0111a2b7\">See above (Parameters/b5000d0c-fed9-4746-ac26-b5ce0111a2b7)</a></p></div>"
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"eventCoding" : {
"system" : "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type",
"code" : "query-response",
"display" : "Query Response"
},
"source" : {
"name" : "Specialty Sandbox Static",
"endpoint" : "http://example.org/MyEHR/$process-message"
},
"response" : {
"identifier" : "5065aa9f-bd6d-49a8-924c-5d00f5d0b997",
"code" : "ok"
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"focus" : [
{
"reference" : "urn:uuid:b5000d0c-fed9-4746-ac26-b5ce0111a2b7"
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"fullUrl" : "urn:uuid:b5000d0c-fed9-4746-ac26-b5ce0111a2b7",
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"resourceType" : "Parameters",
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"meta" : {
"profile" : [
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},
"parameter" : [
{
"name" : "responder-patient",
"valueReference" : {
"reference" : "http://example.org/MyEHR/Patient/patientEHR"
}
},
{
"name" : "requester-patient",
"valueReference" : {
"reference" : "urn:uuid:2a87e733-8fe5-4dca-a9ae-bb24c36d41aa"
}
},
{
"name" : "search-result",
"valueReference" : {
"reference" : "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164"
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{
"name" : "search-result",
"valueReference" : {
"reference" : "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084"
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"name" : "search-result",
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"reference" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57"
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"name" : "search-result",
"valueReference" : {
"reference" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e"
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"name" : "search-result",
"valueReference" : {
"reference" : "urn:uuid:6b28b7d5-95e1-485b-a0bc-2420a20635a8"
}
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"name" : "search-result",
"valueReference" : {
"reference" : "urn:uuid:89b0b6ce-4a31-4718-b38a-798efab6c9e4"
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},
{
"fullUrl" : "http://example.org/MyEHR/Patient/patientEHR",
"resource" : {
"resourceType" : "Patient",
"id" : "patientEHR",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-patient"
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Medical record number: 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>"
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"identifier" : [
{
"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
],
"text" : "Medical record number"
},
"system" : "http://example.org/MyEHR",
"value" : "30455"
}
],
"active" : true,
"name" : [
{
"family" : "Doe",
"given" : [
"Tim"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "tim.doe@example.com"
}
],
"gender" : "male",
"birthDate" : "1987-02-20",
"address" : [
{
"line" : [
"2224 Century Avenue"
],
"city" : "Minnetonka",
"state" : "MN",
"postalCode" : "55345",
"country" : "US"
}
],
"communication" : [
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"language" : {
"coding" : [
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"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
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]
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},
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"fullUrl" : "urn:uuid:2a87e733-8fe5-4dca-a9ae-bb24c36d41aa",
"resource" : {
"resourceType" : "Patient",
"id" : "2a87e733-8fe5-4dca-a9ae-bb24c36d41aa",
"meta" : {
"profile" : [
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},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Patient internal identifier: 540002, MRN from prescription: 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>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PI",
"display" : "Patient internal identifier"
}
]
},
"system" : "http://example.org/MyPharmacyApp/patient-id",
"value" : "540002"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical record number"
}
],
"text" : "MRN from prescription"
},
"_system" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
"valueCode" : "unknown"
}
]
},
"value" : "30455"
}
],
"active" : true,
"name" : [
{
"family" : "Doe",
"given" : [
"Tim"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "tim.doe@example.com"
}
],
"gender" : "male",
"birthDate" : "1987-02-20",
"address" : [
{
"line" : [
"2224 Century Avenue"
],
"city" : "Minnetonka",
"state" : "MN",
"postalCode" : "55345",
"country" : "US"
}
],
"communication" : [
{
"language" : {
"coding" : [
{
"system" : "urn:ietf:bcp:47",
"code" : "en-US",
"display" : "English (Region=United States)"
}
]
}
}
]
}
},
{
"fullUrl" : "urn:uuid:aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
"resource" : {
"resourceType" : "Bundle",
"id" : "aecbb129-9a73-4b59-9d66-ff5cdb3f3164",
"meta" : {
"profile" : [
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]
},
"type" : "searchset",
"total" : 3,
"link" : [
{
"relation" : "self",
"url" : "AllergyIntolerance?clinical-status=active&patient=patientEHR"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/MyEHR/AllergyIntolerance/1",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "1",
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"code" : {
"text" : "Cashew"
},
"patient" : {
"reference" : "Patient/patientEHR"
}
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/MyEHR/AllergyIntolerance/2",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "2",
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"code" : {
"text" : "Bees"
},
"patient" : {
"reference" : "Patient/patientEHR"
}
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/MyEHR/AllergyIntolerance/3",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "3",
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active",
"display" : "Active"
}
]
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code" : "confirmed",
"display" : "Confirmed"
}
]
},
"code" : {
"text" : "Penicillins"
},
"patient" : {
"reference" : "Patient/patientEHR"
},
"reaction" : [
{
"manifestation" : [
{
"text" : "Hives"
}
]
}
]
},
"search" : {
"mode" : "match"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:9ce2a97b-5cab-4986-814f-4734016e6084",
"resource" : {
"resourceType" : "Bundle",
"id" : "9ce2a97b-5cab-4986-814f-4734016e6084",
"meta" : {
"profile" : [
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]
},
"type" : "searchset",
"total" : 3,
"link" : [
{
"relation" : "self",
"url" : "Condition?clinical-status=active&patient=patientEHR"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/MyEHR/Condition/1",
"resource" : {
"resourceType" : "Condition",
"id" : "1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "13644009",
"display" : "Hypercholesterolemia (disorder)"
}
],
"text" : "Hypercholesterolemia (disorder)"
},
"subject" : {
"reference" : "Patient/patientEHR"
}
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/MyEHR/Condition/2",
"resource" : {
"resourceType" : "Condition",
"id" : "2",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "84172003",
"display" : "Spondylitis (disorder)"
}
],
"text" : "Spondylitis (disorder)"
},
"subject" : {
"reference" : "Patient/patientEHR"
}
},
"search" : {
"mode" : "match"
}
},
{
"fullUrl" : "http://example.org/MyEHR/Condition/3",
"resource" : {
"resourceType" : "Condition",
"id" : "3",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
]
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active",
"display" : "Active"
}
],
"text" : "Active"
},
"verificationStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code" : "confirmed",
"display" : "Confirmed"
}
],
"text" : "Confirmed"
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item",
"display" : "Problem List Item"
}
],
"text" : "Problem"
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "427603009",
"display" : "Intermittent asthma (disorder)"
}
],
"text" : "Intermittent asthma (disorder)"
},
"subject" : {
"reference" : "Patient/patientEHR"
}
},
"search" : {
"mode" : "match"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"resource" : {
"resourceType" : "Bundle",
"id" : "53a1e123-5b56-44ae-b7e8-36e0b9800f57",
"meta" : {
"profile" : [
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]
},
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "Coverage?patient=patientEHR"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/MyEHR/Coverage/coverage-1",
"resource" : {
"resourceType" : "Coverage",
"id" : "coverage-1",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-coverage"
]
},
"status" : "active",
"beneficiary" : {
"reference" : "Patient/patientEHR"
},
"payor" : [
{
"identifier" : {
"value" : "Pharmacy Plans US"
}
}
],
"class" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxbin"
}
]
},
"value" : "560564"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxpcn"
}
]
},
"value" : "HMMK"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxgroup"
}
]
},
"value" : "SILVER0334"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/coverage-class",
"code" : "rxid"
}
]
},
"value" : "JSO1345505608801"
}
]
},
"search" : {
"mode" : "match"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"resource" : {
"resourceType" : "Bundle",
"id" : "82ae67e4-f23a-4c17-b80a-9076a37f5d6e",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
]
},
"type" : "searchset",
"total" : 0,
"link" : [
{
"relation" : "self",
"url" : "Observation?category=vital-signs&patient=patientEHR"
}
]
}
},
{
"fullUrl" : "urn:uuid:6b28b7d5-95e1-485b-a0bc-2420a20635a8",
"resource" : {
"resourceType" : "Bundle",
"id" : "6b28b7d5-95e1-485b-a0bc-2420a20635a8",
"meta" : {
"profile" : [
"http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
]
},
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "Observation?category=laboratory&patient=patientEHR"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/MyEHR/Observation/observation-1",
"resource" : {
"resourceType" : "Observation",
"id" : "observation-1",
"meta" : {
"versionId" : "206588",
"lastUpdated" : "2019-04-18T04:10:12.426+00:00",
"profile" : [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"status" : "final",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory",
"display" : "Laboratory"
}
],
"text" : "Laboratory"
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "5811-5",
"display" : "Specific gravity of Urine by Test strip"
}
],
"text" : "SPEC GRAV"
},
"subject" : {
"reference" : "Patient/patientEHR",
"display" : "Tim Doe"
},
"effectiveDateTime" : "2019-04-18",
"valueQuantity" : {
"value" : 1.017,
"system" : "http://unitsofmeasure.org",
"code" : "{urine specific gravity}"
},
"referenceRange" : [
{
"low" : {
"value" : 1.003,
"system" : "http://unitsofmeasure.org",
"code" : "{urine specific gravity}"
},
"high" : {
"value" : 1.035,
"system" : "http://unitsofmeasure.org",
"code" : "{urine specific gravity}"
}
}
]
},
"search" : {
"mode" : "match"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:89b0b6ce-4a31-4718-b38a-798efab6c9e4",
"resource" : {
"resourceType" : "Bundle",
"id" : "89b0b6ce-4a31-4718-b38a-798efab6c9e4",
"meta" : {
"profile" : [
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]
},
"type" : "searchset",
"total" : 1,
"link" : [
{
"relation" : "self",
"url" : "MedicationRequest?patient=patientEHR"
}
],
"entry" : [
{
"fullUrl" : "http://example.org/MyEHR/MedicationRequest/prescription-1",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "prescription-1",
"status" : "stopped",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
"code" : "802652",
"display" : "1 ML Enbrel 50 MG/ML Prefilled Syringe"
}
]
},
"subject" : {
"reference" : "Patient/patientEHR"
},
"authoredOn" : "2020-05-11",
"requester" : {
"reference" : "http://example.org/MyEHR/Practitioner/50645003"
},
"dispenseRequest" : {
"quantity" : {
"value" : 4,
"unit" : "{each}"
},
"expectedSupplyDuration" : {
"value" : 30,
"unit" : "days",
"system" : "http://unitsofmeasure.org",
"code" : "d"
},
"performer" : {
"reference" : "http://example.org/MyEHR/Organization/pharmacy-305660"
}
},
"substitution" : {
"allowedBoolean" : false
}
},
"search" : {
"mode" : "match"
}
}
]
}
}
]
}
IG © 2021+ HL7 International - Pharmacy. Package hl7.fhir.us.specialty-rx#1.0.0 based on FHIR 4.0.1. Generated 2021-06-21
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