Specialty Medication Enrollment
2.0.0 - STU2 US United States of America flag

This page is part of the Specialty Medication Enrollment (v2.0.0: STU2) based on FHIR 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

Example Bundle: Specialty Rx Query Response - Unsolicited 1

Example data content

expand all | contract allBundle
id@value:  specialty-rx-query-response-unsolicited-1
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-query-response-unsolicited
type@value:  message
timestamp@value:  2020-03-11T13:10:17-05:00entry[1]fullUrl@value:  http://example.org/MyEHR/MessageHeader/msgheader1
resource
id@value:  msgheader1
eventCodingsystem@value:  http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-typecode@value:  query-response-unsolicited
sourcename@value:  MyEHRendpoint@value:  http://example.org/MyEHR
focusreference@value:  urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d
entry[2]fullUrl@value:  urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d
resource
id@value:  61ebe359-bfdc-4613-8bf2-c5e300945f0dparameter[1]name@value:  source-patientvalueReferencereference@value:  http://example.org/MyEHR/Patient/patientEHR
parameter[2]name@value:  prescriptionvalueReferencereference@value:  http://example.org/MyEHR/MedicationRequest/prescription1
parameter[3]name@value:  pharmacyvalueReferencereference@value:  http://example.org/MyEHR/Organization/pharmacy1
parameter[4]name@value:  prescribervalueReferencereference@value:  http://example.org/MyEHR/Practitioner/practitioner1
parameter[5]name@value:  search-resultvalueReferencereference@value:  http://example.org/MyEHR/Bundle/3456789
parameter[6]name@value:  search-resultvalueReferencereference@value:  http://example.org/MyEHR/Bundle/987654
entry[3]fullUrl@value:  http://example.org/MyEHR/Patient/patientEHR
resource
id@value:  patientEHR
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-patient
identifiertypecodingsystem@value:  http://terminology.hl7.org/CodeSystem/v2-0203code@value:  MRdisplay@value:  Medical record number
text@value:  Medical record number
system@value:  http://example.org/MyEHRvalue@value:  30455
active@value:  true
namefamily@value:  Doegiven@value:  Timtelecom[1]system@value:  phonevalue@value:  555-555-5555use@value:  home
telecom[2]system@value:  emailvalue@value:  tim.doe@example.comgender@value:  male
birthDate@value:  1987-02-20
addressline@value:  2224 Century Avenuecity@value:  Minnetonkastate@value:  MNpostalCode@value:  55345country@value:  US
communicationlanguagecodingsystem@value:  urn:ietf:bcp:47code@value:  en-USdisplay@value:  English (Region=United States)
entry[4]fullUrl@value:  http://example.org/MyEHR/MedicationRequest/prescription1
resource
id@value:  prescription1
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest
status@value:  active
intent@value:  order
medicationCodeableConceptcodingsystem@value:  http://www.nlm.nih.gov/research/umls/rxnormcode@value:  1872980display@value:  Humira 40 MG in 0.4 ML Auto-Injector
subjectreference@value:  Patient/patientEHR
authoredOn@value:  2020-03-10
requesterreference@value:  Practitioner/practitioner1
dosageInstructiontext@value:  Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter
dispenseRequestinitialFillquantityvalue@value:  4unit@value:  {each}
numberOfRepeatsAllowed@value:  2expectedSupplyDurationvalue@value:  30unit@value:  dayssystem@value:  http://unitsofmeasure.orgcode@value:  d
performerreference@value:  Organization/pharmacy1display@value:  Our Specialty Pharmacy
substitutionallowedBoolean@value:  false
entry[5]fullUrl@value:  http://example.org/MyEHR/Practitioner/practitioner1
resource
id@value:  practitioner1
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner
identifiersystem@value:  http://hl7.org/fhir/sid/us-npivalue@value:  9941339108
namefamily@value:  Smithgiven@value:  Janeprefix@value:  Drtelecom[1]system@value:  phonevalue@value:  555-555-5555use@value:  home
telecom[2]system@value:  faxvalue@value:  555-555-1234use@value:  home
telecom[3]system@value:  emailvalue@value:  jane.smith@example.orguse@value:  workaddressuse@value:  homeline@value:  101 Oak Lanecity@value:  Minnetonkastate@value:  MNpostalCode@value:  55345
entry[6]fullUrl@value:  http://example.org/MyEHR/Organization/pharmacy1
resource
id@value:  pharmacy1
identifiersystem@value:  http://hl7.org/fhir/sid/us-npivalue@value:  1669512345
active@value:  true
typecodingsystem@value:  http://terminology.hl7.org/CodeSystem/organization-typecode@value:  provdisplay@value:  Healthcare Provider
name@value:  Our Pharmacytelecom[1]system@value:  phonevalue@value:  952-555-5555
telecom[2]system@value:  emailvalue@value:  contact-us@example.orgaddressline@value:  220 Oak Stcity@value:  Minneapolisstate@value:  MNpostalCode@value:  55008country@value:  USA
entry[7]fullUrl@value:  http://example.org/MyEHR/Bundle/3456789
resource
id@value:  3456789
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result
type@value:  searchset
timestamp@value:  2020-03-11T13:10:17-05:00
total@value:  3
linkrelation@value:  selfurl@value:  Condition?patient=patientEHRentry[1]fullUrl@value:  http://example.org/MyEHR/Condition/1
resource
id@value:  1
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-clinicalcode@value:  activedisplay@value:  Active
text@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-ver-statuscode@value:  confirmeddisplay@value:  Confirmed
text@value:  Confirmed
categorycodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-categorycode@value:  problem-list-itemdisplay@value:  Problem List Item
text@value:  Problem
codecodingsystem@value:  http://snomed.info/sctcode@value:  13644009display@value:  Hypercholesterolemia (disorder)
text@value:  Hypercholesterolemia (disorder)
subjectreference@value:  Patient/patientEHR
searchmode@value:  match
entry[2]fullUrl@value:  http://example.org/MyEHR/Condition/2
resource
id@value:  2
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-clinicalcode@value:  activedisplay@value:  Active
text@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-ver-statuscode@value:  confirmeddisplay@value:  Confirmed
text@value:  Confirmed
categorycodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-categorycode@value:  problem-list-itemdisplay@value:  Problem List Item
text@value:  Problem
codecodingsystem@value:  http://snomed.info/sctcode@value:  84172003display@value:  Spondylitis (disorder)
text@value:  Spondylitis (disorder)
subjectreference@value:  Patient/patientEHR
searchmode@value:  match
entry[3]fullUrl@value:  http://example.org/MyEHR/Condition/3
resource
id@value:  3
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-clinicalcode@value:  activedisplay@value:  Active
text@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-ver-statuscode@value:  confirmeddisplay@value:  Confirmed
text@value:  Confirmed
categorycodingsystem@value:  http://terminology.hl7.org/CodeSystem/condition-categorycode@value:  problem-list-itemdisplay@value:  Problem List Item
text@value:  Problem
codecodingsystem@value:  http://snomed.info/sctcode@value:  427603009display@value:  Intermittent asthma (disorder)
text@value:  Intermittent asthma (disorder)
subjectreference@value:  Patient/patientEHR
searchmode@value:  match
entry[8]fullUrl@value:  http://example.org/MyEHR/Bundle/987654
resource
id@value:  987654
metaprofile@value:  http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result
type@value:  searchset
timestamp@value:  2020-03-11T13:10:17-05:00
total@value:  3
linkrelation@value:  selfurl@value:  AllergyIntolerance?patient=patientEHRentry[1]fullUrl@value:  http://example.org/MyEHR/AllergyIntolerance/1
resource
id@value:  1
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinicalcode@value:  activedisplay@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-verificationcode@value:  confirmeddisplay@value:  Confirmed
codetext@value:  Cashew
patientreference@value:  Patient/patientEHR
searchmode@value:  match
entry[2]fullUrl@value:  http://example.org/MyEHR/AllergyIntolerance/2
resource
id@value:  2
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinicalcode@value:  activedisplay@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-verificationcode@value:  confirmeddisplay@value:  Confirmed
codetext@value:  Bees
patientreference@value:  Patient/patientEHR
searchmode@value:  match
entry[3]fullUrl@value:  http://example.org/MyEHR/AllergyIntolerance/3
resource
id@value:  3
clinicalStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-clinicalcode@value:  activedisplay@value:  Active
verificationStatuscodingsystem@value:  http://terminology.hl7.org/CodeSystem/allergyintolerance-verificationcode@value:  confirmeddisplay@value:  Confirmed
codetext@value:  Penicillins
patientreference@value:  Patient/patientEHR
reactionmanifestationtext@value:  Hives
searchmode@value:  match

Generated Narrative

Bundle specialty-rx-query-response-unsolicited-1 of type message

Entry 1 - fullUrl = http://example.org/MyEHR/MessageHeader/msgheader1

Resource MessageHeader:

Generated Narrative: MessageHeader

Resource MessageHeader "msgheader1"

Profile: Specialty Rx MessageHeader - Query Response - Unsolicited

event: Query Response - Unsolicited (Details: http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type code query-response-unsolicited = 'Query Response - Unsolicited', stated as 'null')

Sources

-NameEndpoint
*MyEHRhttp://example.org/MyEHR

focus: See above (urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d)

Entry 2 - fullUrl = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d

Resource Parameters:

Parameters

source-patienthttp://example.org/MyEHR/Patient/patientEHR
prescriptionhttp://example.org/MyEHR/MedicationRequest/prescription1
pharmacyhttp://example.org/MyEHR/Organization/pharmacy1
prescriberhttp://example.org/MyEHR/Practitioner/practitioner1
search-resulthttp://example.org/MyEHR/Bundle/3456789
search-resulthttp://example.org/MyEHR/Bundle/987654

Entry 3 - fullUrl = http://example.org/MyEHR/Patient/patientEHR

Resource Patient:

Tim Doe Male, DoB: 1987-02-20 ( Medical record number: 30455)

Entry 4 - fullUrl = http://example.org/MyEHR/MedicationRequest/prescription1

Resource MedicationRequest:

Generated Narrative: MedicationRequest

Resource MedicationRequest "prescription1"

Profile: Specialty Prescription

status: ACTIVE

intent: ORDER

subject: See above (Patient/patientEHR)

authoredOn: 2020-03-10

requester: See above (Practitioner/practitioner1)

DosageInstructions

-Text
*Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter

dispenseRequest

InitialFills

-Quantity
*4 {each}

numberOfRepeatsAllowed: 2

ExpectedSupplyDurations

-ValueUnitSystemCode
*30daysUnified Code for Units of Measure (UCUM)d

Substitutions

-Allowed[x]
*false

Entry 5 - fullUrl = http://example.org/MyEHR/Practitioner/practitioner1

Resource Practitioner:

Generated Narrative: Practitioner

Resource Practitioner "practitioner1"

Profile: Specialty Prescription Practitioner

identifier: id: 9941339108

name: Jane Smith

telecom: ph: 555-555-5555(HOME), fax: 555-555-1234(HOME), jane.smith@example.org

address: 101 Oak Lane Minnetonka MN 55345 (HOME)

Entry 6 - fullUrl = http://example.org/MyEHR/Organization/pharmacy1

Resource Organization:

Generated Narrative: Organization

Resource Organization "pharmacy1"

identifier: id: 1669512345

active: true

type: Healthcare Provider (Organization type#prov)

name: Our Pharmacy

Contacts

-TelecomAddress
*ph: 952-555-5555, contact-us@example.org220 Oak St Minneapolis MN 55008 USA

Entry 7 - fullUrl = http://example.org/MyEHR/Bundle/3456789

Resource Bundle:

Bundle 3456789 of type searchset

Entry 1 - fullUrl = http://example.org/MyEHR/Condition/1

Search:Mode = match

Resource Condition:

Generated Narrative: Condition

Resource Condition "1"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item")

code: Hypercholesterolemia (disorder) (SNOMED CT#13644009)

subject: See above (Patient/patientEHR)

Entry 2 - fullUrl = http://example.org/MyEHR/Condition/2

Search:Mode = match

Resource Condition:

Generated Narrative: Condition

Resource Condition "2"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item")

code: Spondylitis (disorder) (SNOMED CT#84172003)

subject: See above (Patient/patientEHR)

Entry 3 - fullUrl = http://example.org/MyEHR/Condition/3

Search:Mode = match

Resource Condition:

Generated Narrative: Condition

Resource Condition "3"

clinicalStatus: Active (Condition Clinical Status Codes#active)

verificationStatus: Confirmed (ConditionVerificationStatus#confirmed)

category: Problem (Condition Category Codes#problem-list-item "Problem List Item")

code: Intermittent asthma (disorder) (SNOMED CT#427603009)

subject: See above (Patient/patientEHR)

Entry 8 - fullUrl = http://example.org/MyEHR/Bundle/987654

Resource Bundle:

Bundle 987654 of type searchset

Entry 1 - fullUrl = http://example.org/MyEHR/AllergyIntolerance/1

Search:Mode = match

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "1"

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

code: Cashew ()

patient: See above (Patient/patientEHR)

Entry 2 - fullUrl = http://example.org/MyEHR/AllergyIntolerance/2

Search:Mode = match

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "2"

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

code: Bees ()

patient: See above (Patient/patientEHR)

Entry 3 - fullUrl = http://example.org/MyEHR/AllergyIntolerance/3

Search:Mode = match

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance

Resource AllergyIntolerance "3"

clinicalStatus: Active (AllergyIntolerance Clinical Status Codes#active)

verificationStatus: Confirmed (AllergyIntolerance Verification Status#confirmed)

code: Penicillins ()

patient: See above (Patient/patientEHR)

Reactions

-Manifestation
*Hives ()