US Prescription Drug Monitoring Program (PDMP), published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pdmp/ and changes regularly. See the Directory of published versions
<MedicationDispense xmlns="http://hl7.org/fhir">
<id value="pdmp-meddispense-1"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2023-06-05T06:38:52Z"/>
<source value="http://example.org/ma-pdmp"/>
<profile
value="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationdispense"/>
</meta>
<text>
<status value="generated"/>
<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>
</text>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-fill-number">
<valuePositiveInt value="1"/>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/PMIXTransmissionFormRxOriginCodeType"/>
<code value="05"/>
<display value="Electronic Prescription"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-mme">
<valueDecimal value="18"/>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-method-of-payment">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/PMIXMethodofPayment"/>
<code value="01"/>
<display value="Private Pay (Cash, Charge, Credit Card)"/>
</valueCoding>
</extension>
<extension
url="http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-opioid-treatment-code">
<valueCoding>
<system
value="http://terminology.hl7.org/CodeSystem/PMIXOpioidTreatmentCode"/>
<code value="10"/>
<display value="Acute Opioid Therapy"/>
</valueCoding>
</extension>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system value="http://ourpharmacy.com/fillnumber"/>
<value value="2000353"/>
</identifier>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
<code value="993781"/>
<display
value="acetaminophen 300 MG / codeine phosphate 30 MG Oral Tablet"/>
</coding>
<coding>
<system value="http://hl7.org/fhir/sid/ndc"/>
<code value="00093015001"/>
<userSelected value="true"/>
</coding>
<text value="Acetaminophen 300 mg / Codeine 30 mg oral tablet"/>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:53a1e123-5b56-44ae-b7e8-36e0b9800f57"/>
<display value="August Samuels"/>
</subject>
<performer>
<actor>
<reference value="urn:uuid:82ae67e4-f23a-4c17-b80a-9076a37f5d6e"/>
<identifier>
<system
value="http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber"/>
<value value="999017"/>
</identifier>
<display value="Our Pharmacy"/>
</actor>
</performer>
<authorizingPrescription>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="FILL"/>
<display value="Filler Identifier"/>
</coding>
</type>
<system value="http://mypharmacysystem.com/prescriptionnumber"/>
<value value="065046045550"/>
</identifier>
</authorizingPrescription>
<quantity>
<value value="15"/>
<unit value="each"/>
</quantity>
<daysSupply>
<value value="5"/>
</daysSupply>
<whenPrepared value="2023-06-05"/>
<whenHandedOver>
<extension
url="http://hl7.org/fhir/StructureDefinition/data-absent-reason">
<valueCode value="unknown"/>
</extension>
</whenHandedOver>
<dosageInstruction>
<sequence value="1"/>
<text value="1 tablet every 6-8 hours as needed for pain"/>
</dosageInstruction>
</MedicationDispense>