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

: Specialty Rx Query Response - Unsolicited 1 - XML Representation

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<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>: 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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
              <display value="Medical record number"/>
            </coding>
            <text value="Medical record number"/>
          </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><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><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>