Specialty Medication Enrollment
2.1.0 - CI Build

Specialty Medication Enrollment, published by HL7 International - Pharmacy. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-specialty-rx/ and changes regularly. See the Directory of published versions

## : Specialty Rx Query Response - Unsolicited 1 - JSON Representation

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    {
      "resourceType" : "Bundle",
      "id" : "specialty-rx-query-response-unsolicited-1",
      "meta" : {
        "profile" : [
          "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-query-response-unsolicited"
        ]
      },
      "type" : "message",
      "timestamp" : "2020-03-11T13:10:17-05:00",
      "entry" : [
        {
          "fullUrl" : "http://example.org/MyEHR/MessageHeader/msgheader1",
          "resource" : {
            "resourceType" : "MessageHeader",
            "id" : "msgheader1",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-messageheader-query-response-unsolicited"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MessageHeader</b><a name=\"msgheader1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MessageHeader &quot;msgheader1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-messageheader-query-response-unsolicited.html\">Specialty Rx MessageHeader - Query Response - Unsolicited</a></p></div><p><b>event</b>: 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')</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 (urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d)</a></p></div>"
            },
            "eventCoding" : {
              "system" : "http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type",
              "code" : "query-response-unsolicited"
            },
            "source" : {
              "name" : "MyEHR",
              "endpoint" : "http://example.org/MyEHR"
            },
            "focus" : [
              {
                "reference" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"
              }
            ]
          }
        },
        {
          "fullUrl" : "urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d",
          "resource" : {
            "resourceType" : "Parameters",
            "id" : "61ebe359-bfdc-4613-8bf2-c5e300945f0d",
            "parameter" : [
              {
                "name" : "source-patient",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/Patient/patientEHR"
                }
              },
              {
                "name" : "prescription",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/MedicationRequest/prescription1"
                }
              },
              {
                "name" : "pharmacy",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/Organization/pharmacy1"
                }
              },
              {
                "name" : "prescriber",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/Practitioner/practitioner1"
                }
              },
              {
                "name" : "search-result",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/Bundle/3456789"
                }
              },
              {
                "name" : "search-result",
                "valueReference" : {
                  "reference" : "http://example.org/MyEHR/Bundle/987654"
                }
              }
            ]
          }
        },
        {
          "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: Patient</b><a name=\"patientEHR\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Patient &quot;patientEHR&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-patient.html\">Specialty Rx Patient</a></p></div><p><b>identifier</b>: Medical record number:\u00a030455</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>English (Region=United States) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ietf3066.html\">Tags for the Identification of Languages</a>#en-US)</span></td></tr></table></div>"
            },
            "identifier" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "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" : [
              {
                "language" : {
                  "coding" : [
                    {
                      "system" : "urn:ietf:bcp:47",
                      "code" : "en-US",
                      "display" : "English (Region=United States)"
                    }
                  ]
                }
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/MyEHR/MedicationRequest/prescription1",
          "resource" : {
            "resourceType" : "MedicationRequest",
            "id" : "prescription1",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: MedicationRequest</b><a name=\"prescription1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource MedicationRequest &quot;prescription1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-medicationrequest.html\">Specialty Prescription</a></p></div><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: Humira 40 MG in 0.4 ML Auto-Injector <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-rxNorm.html\">RxNorm</a>#1872980)</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><td><b>Text</b></td></tr><tr><td>*</td><td>Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter</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><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td>*</td><td>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v3-ucum.html\">Unified Code for Units of Measure (UCUM)</a></td><td>d</td></tr></table><p><b>performer</b>: <a href=\"#Organization_pharmacy1\">See above (Organization/pharmacy1: Our Specialty Pharmacy)</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>"
            },
            "status" : "active",
            "intent" : "order",
            "medicationCodeableConcept" : {
              "coding" : [
                {
                  "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
                  "code" : "1872980",
                  "display" : "Humira 40 MG in 0.4 ML Auto-Injector"
                }
              ]
            },
            "subject" : {
              "reference" : "Patient/patientEHR"
            },
            "authoredOn" : "2020-03-10",
            "requester" : {
              "reference" : "Practitioner/practitioner1"
            },
            "dosageInstruction" : [
              {
                "text" : "Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter"
              }
            ],
            "dispenseRequest" : {
              "initialFill" : {
                "quantity" : {
                  "value" : 4,
                  "unit" : "{each}"
                }
              },
              "numberOfRepeatsAllowed" : 2,
              "expectedSupplyDuration" : {
                "value" : 30,
                "unit" : "days",
                "system" : "http://unitsofmeasure.org",
                "code" : "d"
              },
              "performer" : {
                "reference" : "Organization/pharmacy1",
                "display" : "Our Specialty Pharmacy"
              }
            },
            "substitution" : {
              "allowedBoolean" : false
            }
          }
        },
        {
          "fullUrl" : "http://example.org/MyEHR/Practitioner/practitioner1",
          "resource" : {
            "resourceType" : "Practitioner",
            "id" : "practitioner1",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner"
              ]
            },
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Practitioner</b><a name=\"practitioner1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Practitioner &quot;practitioner1&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-specialty-rx-practitioner.html\">Specialty Prescription Practitioner</a></p></div><p><b>identifier</b>: id:\u00a09941339108</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>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "9941339108"
              }
            ],
            "name" : [
              {
                "family" : "Smith",
                "given" : [
                  "Jane"
                ],
                "prefix" : [
                  "Dr"
                ]
              }
            ],
            "telecom" : [
              {
                "system" : "phone",
                "value" : "555-555-5555",
                "use" : "home"
              },
              {
                "system" : "fax",
                "value" : "555-555-1234",
                "use" : "home"
              },
              {
                "system" : "email",
                "value" : "jane.smith@example.org",
                "use" : "work"
              }
            ],
            "address" : [
              {
                "use" : "home",
                "line" : [
                  "101 Oak Lane"
                ],
                "city" : "Minnetonka",
                "state" : "MN",
                "postalCode" : "55345"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/MyEHR/Organization/pharmacy1",
          "resource" : {
            "resourceType" : "Organization",
            "id" : "pharmacy1",
            "text" : {
              "status" : "generated",
              "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Organization</b><a name=\"pharmacy1\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Organization &quot;pharmacy1&quot; </p></div><p><b>identifier</b>: id:\u00a01669512345</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-organization-type.html\">Organization type</a>#prov)</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>"
            },
            "identifier" : [
              {
                "system" : "http://hl7.org/fhir/sid/us-npi",
                "value" : "1669512345"
              }
            ],
            "active" : true,
            "type" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                    "code" : "prov",
                    "display" : "Healthcare Provider"
                  }
                ]
              }
            ],
            "name" : "Our Pharmacy",
            "telecom" : [
              {
                "system" : "phone",
                "value" : "952-555-5555"
              },
              {
                "system" : "email",
                "value" : "contact-us@example.org"
              }
            ],
            "address" : [
              {
                "line" : [
                  "220 Oak St"
                ],
                "city" : "Minneapolis",
                "state" : "MN",
                "postalCode" : "55008",
                "country" : "USA"
              }
            ]
          }
        },
        {
          "fullUrl" : "http://example.org/MyEHR/Bundle/3456789",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "3456789",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
              ]
            },
            "type" : "searchset",
            "timestamp" : "2020-03-11T13:10:17-05:00",
            "total" : 3,
            "link" : [
              {
                "relation" : "self",
                "url" : "Condition?patient=patientEHR"
              }
            ],
            "entry" : [
              {
                "fullUrl" : "http://example.org/MyEHR/Condition/1",
                "resource" : {
                  "resourceType" : "Condition",
                  "id" : "1",
                  "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",
                  "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",
                  "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" : "http://example.org/MyEHR/Bundle/987654",
          "resource" : {
            "resourceType" : "Bundle",
            "id" : "987654",
            "meta" : {
              "profile" : [
                "http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result"
              ]
            },
            "type" : "searchset",
            "timestamp" : "2020-03-11T13:10:17-05:00",
            "total" : 3,
            "link" : [
              {
                "relation" : "self",
                "url" : "AllergyIntolerance?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"
                }
              }
            ]
          }
        }
      ]
    }