Clinical Quality Framework Common FHIR Assets (US-Based)
0.1.0 - CI Build United States of America (USA)

Clinical Quality Framework Common FHIR Assets (US-Based), published by Clinical Quality Framework. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/cqframework/cqf-us/ and changes regularly. See the Directory of published versions

: null (Bundle) - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "tests-UPPARF-example-bundle",
  "type" : "transaction",
  "entry" : [
    {
      "fullUrl" : "https://www.hl7.org/fhir/us/qicore/MedicationRequest-negation-example.html",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "negation-example",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: negation-example</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>category</b>: community <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'community' = 'community)</span></p><p><b>doNotPerform</b>: true</p><p><b>medication</b>: Antithrombotic Therapy value set <span style=\"background: LightGoldenRodYellow\">(Details : {[not stated] code 'null' = 'null)</span></p><p><b>subject</b>: <a href=\"https://www.hl7.org/fhir/patient-example.html\">Generated Summary: id: example; Medical record number = 12345 (USUAL); active; Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN); ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD); gender: male; birthDate: 1974-12-25; </a></p><p><b>authoredOn</b>: Mar 26, 2015 12:32:52 AM</p><p><b>requester</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>reasonCode</b>: Drug treatment not indicated (situation) <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '183966005' = 'Drug treatment not indicated', given as 'Drug treatment not indicated (situation)'})</span></p></div>"
        },
        "status" : "completed",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "code" : "community"
              }
            ]
          }
        ],
        "priority" : "routine",
        "doNotPerform" : true,
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "extension" : [
                {
                  "url" : "http://hl7.org/fhir/StructureDefinition/valueset-reference",
                  "valueUri" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.117.1.7.1.201"
                }
              ]
            }
          ],
          "text" : "Antithrombotic Therapy value set"
        },
        "subject" : {
          "reference" : "Patient/example"
        },
        "authoredOn" : "2015-03-25T19:32:52-05:00",
        "requester" : {
          "reference" : "Practitioner/example"
        },
        "reasonCode" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "183966005",
                "display" : "Drug treatment not indicated (situation)"
              }
            ]
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/negation-example"
      }
    },
    {
      "resource" : {
        "resourceType" : "Organization",
        "id" : "example",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: ??</p><p><b>active</b>: true</p><p><b>type</b>: Organizational team <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'team' = 'Organizational team', given as 'Organizational team'})</span></p><p><b>name</b>: Health Level Seven International</p><p><b>telecom</b>: ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Ann Arbor MI 48104 USA </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "team",
                "display" : "Organizational team"
              }
            ]
          }
        ],
        "name" : "Health Level Seven International",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 734-677-7777"
          },
          {
            "system" : "fax",
            "value" : "(+1) 734-677-6622"
          },
          {
            "system" : "email",
            "value" : "hq@HL7.org"
          }
        ],
        "address" : [
          {
            "line" : [
              "3300 Washtenaw Avenue, Suite 227"
            ],
            "city" : "Ann Arbor",
            "state" : "MI",
            "postalCode" : "48104",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/example"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/condition.html",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "hypothyroidism",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition",
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_hypothyroidism\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition hypothyroidism</b></p><a name=\"hypothyroidism\"> </a><a name=\"hchypothyroidism\"> </a><a name=\"hypothyroidism-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status unconfirmed}\">Unconfirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 2917005}\">Transient hypothyroidism</span></p><p><b>subject</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "unconfirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ]
          }
        ],
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "2917005",
              "display" : "Transient hypothyroidism"
            }
          ]
        },
        "subject" : {
          "reference" : "Patient/example"
        },
        "onsetDateTime" : "2012-05-24T00:00:00+00:00",
        "recordedDate" : "2012-05-24T00:00:00+00:00"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Condition/hypothyroidism"
      }
    },
    {
      "resource" : {
        "resourceType" : "Organization",
        "id" : "acme-lab",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: acme-lab</p><p><b>meta</b>: </p><p><b>identifier</b>: 1144221847, 12D4567890</p><p><b>active</b>: true</p><p><b>type</b>: Healthcare Provider <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/organization-type code 'prov' = 'Healthcare Provider', given as 'Healthcare Provider'})</span></p><p><b>name</b>: Acme Labs</p><p><b>telecom</b>: ph: (+1) 734-677-7777, hq@acme.org</p><p><b>address</b>: 3300 Washtenaw Avenue, Suite 227 Amherst MA 01002 USA </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "1144221847"
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.4.7",
            "value" : "12D4567890"
          }
        ],
        "active" : true,
        "type" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/organization-type",
                "code" : "prov",
                "display" : "Healthcare Provider"
              }
            ]
          }
        ],
        "name" : "Acme Labs",
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(+1) 734-677-7777"
          },
          {
            "system" : "email",
            "value" : "hq@acme.org"
          }
        ],
        "address" : [
          {
            "line" : [
              "3300 Washtenaw Avenue, Suite 227"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "01002",
            "country" : "USA"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Organization/acme-lab"
      }
    },
    {
      "resource" : {
        "resourceType" : "Medication",
        "id" : "lisinopril",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med1</p><p><b>meta</b>: </p><p><b>code</b>: lisinopril oral 10 mg <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '206765' = 'Prinivil 10 MG Oral Tablet', given as 'Lisinopril 10 MG Oral Tablet [Prinivil]'})</span></p></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "206765",
              "display" : "Lisinopril 10 MG Oral Tablet [Prinivil]"
            }
          ],
          "text" : "lisinopril oral 10 mg"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Medication/lisinopril"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/medicationrequest.html",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "reference-nizatidine2",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"https://www.hl7.org/fhir/us/core/Medication-uscore-med2.html\">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone </a></p></div>"
        },
        "status" : "active",
        "intent" : "order",
        "priority" : "routine",
        "medicationReference" : {
          "reference" : "Medication/nizatidine",
          "display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
        },
        "subject" : {
          "reference" : "Patient/example",
          "display" : "Amy Shaw"
        },
        "authoredOn" : "2009-04-05T00:00:00.000-00:00",
        "requester" : {
          "reference" : "Practitioner/practitioner-1",
          "display" : "Ronald Bone, MD"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/reference-nizatidine2"
      }
    },
    {
      "fullUrl" : "https://build.fhir.org/condition.html",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "medicationcosts",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_medicationcosts\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition medicationcosts</b></p><a name=\"medicationcosts\"> </a><a name=\"hcmedicationcosts\"> </a><a name=\"medicationcosts-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/condition-category health-concern}\">Health Concern</span></p><p><b>code</b>: <span title=\"Codes:\">Medication costs</span></p><p><b>subject</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>onset</b>: 2007-12-14</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/core/CodeSystem/condition-category",
                "code" : "health-concern",
                "display" : "Health Concern"
              }
            ],
            "text" : "Health Concern"
          }
        ],
        "code" : {
          "text" : "Medication costs"
        },
        "subject" : {
          "reference" : "Patient/example"
        },
        "onsetDateTime" : "2007-12-14"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Condition/medicationcosts"
      }
    },
    {
      "resource" : {
        "resourceType" : "Medication",
        "id" : "nizatidine",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: uscore-med2</p><p><b>meta</b>: </p><p><b>code</b>: Nizatidine 15 MG/ML Oral Solution [Axid] <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '582620' = 'Nizatidine 15 MG/ML Oral Solution [Axid]', given as 'Nizatidine 15 MG/ML Oral Solution [Axid]'})</span></p></div>"
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "582620",
              "display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
            }
          ],
          "text" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Medication/nizatidine"
      }
    },
    {
      "resource" : {
        "resourceType" : "Practitioner",
        "id" : "practitioner-1",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: practitioner-1</p><p><b>meta</b>: </p><p><b>identifier</b>: 9941339108, 25456</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 Healthcare Drive Amherst MA 01002 (HOME)</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://hl7.org.fhir/sid/us-npi",
            "value" : "9941339108"
          },
          {
            "system" : "urn:oid:2.16.840.1.113883.4.4",
            "value" : "1tg1556"
          },
          {
            "system" : "http://www.acme.org/practitioners",
            "value" : "25456"
          }
        ],
        "name" : [
          {
            "use" : "official",
            "family" : "Voigt",
            "given" : [
              "Pieter"
            ],
            "suffix" : [
              "MD"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(03) 123 645",
            "use" : "mobile"
          },
          {
            "system" : "pager",
            "value" : "234325"
          },
          {
            "system" : "fax",
            "value" : "(03) 123 654 234"
          },
          {
            "system" : "email",
            "value" : "example.practitioner@gmail.com"
          }
        ],
        "address" : [
          {
            "use" : "home",
            "line" : [
              "1003 Healthcare Drive"
            ],
            "city" : "Amherst",
            "state" : "MA",
            "postalCode" : "01002"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Practitioner/practitioner-1"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/coverage.html",
      "resource" : {
        "resourceType" : "Coverage",
        "id" : "example",
        "meta" : {
          "profile" : [
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-coverage"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Coverage_example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Coverage example</b></p><a name=\"example\"> </a><a name=\"hcexample\"> </a><a name=\"example-en-US\"> </a><p><b>identifier</b>: Member Number/member-id-from-identifier-slice-example-patient, Subscriber Number/policy-number-from-identifier-slice-example-continued-therapy-patient</p><p><b>status</b>: Active</p><p><b>type</b>: <span title=\"Codes:{urn:oid:2.16.840.1.113883.3.221.5 59}\">Other Private Insurance</span></p><p><b>policyHolder</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>subscriber</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>subscriberId</b>: subscriber-id-example</p><p><b>beneficiary</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>dependent</b>: 0</p><p><b>relationship</b>: <span title=\"Codes:\">self</span></p><p><b>period</b>: 2011-05-23 --&gt; 2026-05-23</p><p><b>payor</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Organization_example\">Bundle: type = transaction</a></p><p><b>order</b>: 9</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MB"
                }
              ]
            },
            "value" : "member-id-from-identifier-slice-example-patient"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "SN"
                }
              ]
            },
            "value" : "policy-number-from-identifier-slice-example-continued-therapy-patient"
          }
        ],
        "status" : "active",
        "type" : {
          "coding" : [
            {
              "system" : "urn:oid:2.16.840.1.113883.3.221.5",
              "code" : "59",
              "display" : "Other Private Insurance"
            }
          ]
        },
        "policyHolder" : {
          "reference" : "Patient/example"
        },
        "subscriber" : {
          "reference" : "Patient/example"
        },
        "subscriberId" : "subscriber-id-example",
        "beneficiary" : {
          "reference" : "Patient/example"
        },
        "dependent" : "0",
        "relationship" : {
          "coding" : [
            {
              "code" : "self"
            }
          ]
        },
        "period" : {
          "start" : "2011-05-23",
          "end" : "2026-05-23"
        },
        "payor" : [
          {
            "reference" : "Organization/example"
          }
        ],
        "order" : 9
      },
      "request" : {
        "method" : "PUT",
        "url" : "Coverage/example"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/patient.html",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "example",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient",
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: Medical record number = 12345 (USUAL)</p><p><b>active</b>: true</p><p><b>name</b>: Peter James Chalmers (OFFICIAL), Jim Chalmers , Peter James Windsor (MAIDEN)</p><p><b>telecom</b>: ph: (03) 5555 6473(WORK), ph: (03) 3410 5613(MOBILE), ph: (03) 5555 8834(OLD)</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1974-12-25</p><p><b>deceased</b>: false</p><p><b>address</b>: 534 Erewhon St PeasantVille, Utah 84414(HOME)</p><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Relationship</b></td><td><b>Name</b></td><td><b>Telecom</b></td><td><b>Address</b></td><td><b>Gender</b></td><td><b>Period</b></td></tr><tr><td>*</td><td>Next-of-Kin <span style=\"background: LightGoldenRodYellow\">(Details : {http://terminology.hl7.org/CodeSystem/v2-0131 code 'N' = 'Next-of-Kin)</span></td><td>Bénédicte du Marché </td><td>ph: +33 (237) 998327</td><td>534 Erewhon St PleasantVille VT 3999 (HOME)</td><td>female</td><td>Jan 1, 2012 12:00:00 AM --&gt; (ongoing)</td></tr></table><p><b>managingOrganization</b>: <a href=\"https://www.hl7.org/fhir/organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p></div>"
        },
        "extension" : [
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2106-3",
                  "display" : "White"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1002-5",
                  "display" : "American Indian or Alaska Native"
                }
              },
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2028-9",
                  "display" : "Asian"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1586-7",
                  "display" : "Shoshone"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2036-2",
                  "display" : "Filipino"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "1735-0",
                  "display" : "Alaska Native"
                }
              },
              {
                "url" : "text",
                "valueString" : "Mixed"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
          },
          {
            "extension" : [
              {
                "url" : "ombCategory",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2135-2",
                  "display" : "Hispanic or Latino"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2184-0",
                  "display" : "Dominican"
                }
              },
              {
                "url" : "detailed",
                "valueCoding" : {
                  "system" : "urn:oid:2.16.840.1.113883.6.238",
                  "code" : "2148-5",
                  "display" : "Mexican"
                }
              },
              {
                "url" : "text",
                "valueString" : "Hispanic or Latino"
              }
            ],
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
          },
          {
            "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode" : "M"
          }
        ],
        "identifier" : [
          {
            "use" : "usual",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "urn:oid:1.2.36.146.595.217.0.1",
            "value" : "12345",
            "period" : {
              "start" : "2001-05-06"
            },
            "assigner" : {
              "display" : "Acme Healthcare"
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "Chalmers",
            "given" : [
              "Peter",
              "James"
            ]
          },
          {
            "use" : "usual",
            "family" : "Chalmers",
            "given" : [
              "Jim"
            ]
          },
          {
            "use" : "maiden",
            "family" : "Windsor",
            "given" : [
              "Peter",
              "James"
            ],
            "period" : {
              "end" : "2002"
            }
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(03) 5555 6473",
            "use" : "work",
            "rank" : 1
          },
          {
            "system" : "phone",
            "value" : "(03) 3410 5613",
            "use" : "mobile",
            "rank" : 2
          },
          {
            "system" : "phone",
            "value" : "(03) 5555 8834",
            "use" : "old",
            "period" : {
              "end" : "2014"
            }
          },
          {
            "system" : "email",
            "value" : "example.patient@gmail.com"
          }
        ],
        "gender" : "male",
        "birthDate" : "1974-12-25",
        "_birthDate" : {
          "extension" : [
            {
              "url" : "http://hl7.org/fhir/StructureDefinition/patient-birthTime",
              "valueDateTime" : "1974-12-25T14:35:45-05:00"
            }
          ]
        },
        "deceasedBoolean" : false,
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "text" : "534 Erewhon St PeasantVille, Utah 84414",
            "line" : [
              "534 Erewhon St"
            ],
            "city" : "PleasantVille",
            "district" : "Rainbow",
            "state" : "UT",
            "postalCode" : "84414",
            "period" : {
              "start" : "1974-12-25"
            }
          }
        ],
        "maritalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus",
              "code" : "M"
            }
          ]
        },
        "contact" : [
          {
            "relationship" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/v2-0131",
                    "code" : "N"
                  }
                ]
              }
            ],
            "name" : {
              "family" : "du Marché",
              "_family" : {
                "extension" : [
                  {
                    "url" : "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix",
                    "valueString" : "VV"
                  }
                ]
              },
              "given" : [
                "Bénédicte"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "+33 (237) 998327"
              }
            ],
            "address" : {
              "use" : "home",
              "type" : "both",
              "line" : [
                "534 Erewhon St"
              ],
              "city" : "PleasantVille",
              "district" : "Rainbow",
              "state" : "VT",
              "postalCode" : "3999",
              "period" : {
                "start" : "1974-12-25"
              }
            },
            "gender" : "female",
            "period" : {
              "start" : "2012"
            }
          }
        ],
        "managingOrganization" : {
          "reference" : "Organization/acme-lab"
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "Patient/example"
      }
    },
    {
      "fullUrl" : "https://hl7.org/fhir/us/qicore/https://hl7.org/fhir/us/qicore/Condition-appendicitis-example.html",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "appendicitis-example",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition",
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_appendicitis-example\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition appendicitis-example</b></p><a name=\"appendicitis-example\"> </a><a name=\"hcappendicitis-example\"> </a><a name=\"appendicitis-example-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical resolved}\">Resolved</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category encounter-diagnosis}\">Encounter Diagnosis</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe (severity modifier)</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm K35}\">Appendicitis</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 66754008}\">Appendix structure</span></p><p><b>subject</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "resolved"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "encounter-diagnosis",
                "display" : "Encounter Diagnosis"
              }
            ]
          }
        ],
        "severity" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24484000",
              "display" : "Severe (severity modifier)"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10-cm",
              "code" : "K35",
              "display" : "Acute Appendicitis"
            }
          ],
          "text" : "Appendicitis"
        },
        "bodySite" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "66754008",
                "display" : "Appendix structure"
              }
            ]
          }
        ],
        "subject" : {
          "reference" : "Patient/example"
        },
        "onsetDateTime" : "2012-05-24T00:00:00+00:00",
        "recordedDate" : "2012-05-24T00:00:00+00:00"
      },
      "request" : {
        "method" : "PUT",
        "url" : "Condition/appendicitis-example"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/practitionerrole.html",
      "resource" : {
        "resourceType" : "PractitionerRole",
        "id" : "example",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: example</p><p><b>meta</b>: </p><p><b>identifier</b>: 31</p><p><b>active</b>: true</p><p><b>period</b>: Jan 1, 1995 12:00:00 AM --&gt; (ongoing)</p><p><b>practitioner</b>: <a href=\"https://hl7.org/fhir/practitioner-example.html\">Dr Adam Careful. Generated Summary: id: example; 23; active; Adam Careful </a></p><p><b>organization</b>: <a href=\"https://www.hl7.org/fhir/organization-example.html\">Generated Summary: id: example; ??; active; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/organization-type team}\">Organizational team</span>; name: Health Level Seven International; ph: (+1) 734-677-7777, fax: (+1) 734-677-6622, hq@HL7.org</a></p><p><b>code</b>: Primary Care <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '261QP2300X' = 'Primary Care', given as 'Primary Care'})</span></p><p><b>specialty</b>: General Practice <span style=\"background: LightGoldenRodYellow\">(Details : {http://nucc.org/provider-taxonomy code '1223G0001X' = 'General Practice', given as 'General Practice'})</span></p><p><b>location</b>: <a href=\"https://hl7.org/fhir/us/davinci-atr/2023Jan/Location-1.html\">Generated Summary: id: example; B1-S.F2; status: active; name: South Wing, second floor; alias: Mean Joe Greene University Medical Center, South Wing, second floor, alias: BU MC, SW, F2; description: Second floor of the Old South Wing, formerly in use by Psychiatry; mode: instance; <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/v3-RoleCode HOSP}\">Hospital</span>; ph: 2328(WORK), fax: 2329(WORK), second wing admissions, http://sampleorg.com/southwing(WORK); <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/location-physical-type wi}\">Wing</span></a></p><p><b>telecom</b>: ph: 801-123-4567</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://www.acme.org/practitionerroles",
            "value" : "31"
          }
        ],
        "active" : true,
        "period" : {
          "start" : "1995"
        },
        "practitioner" : {
          "reference" : "Practitioner/practitioner-1",
          "display" : "Dr Adam Careful"
        },
        "organization" : {
          "reference" : "Organization/example"
        },
        "code" : [
          {
            "coding" : [
              {
                "system" : "http://nucc.org/provider-taxonomy",
                "code" : "261QP2300X",
                "display" : "Primary Care Clinic/Center"
              }
            ]
          }
        ],
        "specialty" : [
          {
            "coding" : [
              {
                "system" : "http://nucc.org/provider-taxonomy",
                "code" : "1223G0001X",
                "display" : "General Practice Dentistry"
              }
            ]
          }
        ],
        "location" : [
          {
            "reference" : "Location/example"
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "801-123-4567"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "PractitionerRole/example"
      }
    },
    {
      "fullUrl" : "https://build.fhir.org/ig/HL7/US-Core/Condition-encounter-diagnosis-example1.html",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "earburn",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition",
            "http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_earburn\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition earburn</b></p><a name=\"earburn\"> </a><a name=\"hcearburn\"> </a><a name=\"earburn-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe (severity modifier)</span></p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/icd-10-cm T20.21}\">Burnt Ear</span></p><p><b>bodySite</b>: <span title=\"Codes:{http://snomed.info/sct 49521004}\">Left Ear</span></p><p><b>subject</b>: <a href=\"Bundle-tests-UPPARF-example-bundle.html#Patient_example\">Bundle: type = transaction</a></p><p><b>onset</b>: 2012-05-24 00:00:00+0000</p><p><b>recordedDate</b>: 2012-05-24 00:00:00+0000</p><h3>Stages</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Summary</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 258219007}\">stage II</span></td></tr></table></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
                "code" : "problem-list-item",
                "display" : "Problem List Item"
              }
            ]
          }
        ],
        "severity" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24484000",
              "display" : "Severe (severity modifier)"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10-cm",
              "code" : "T20.21",
              "display" : "Burn of second degree of ear [any part, except ear drum]"
            }
          ],
          "text" : "Burnt Ear"
        },
        "bodySite" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "49521004",
                "display" : "Left external ear structure"
              }
            ],
            "text" : "Left Ear"
          }
        ],
        "subject" : {
          "reference" : "Patient/example"
        },
        "onsetDateTime" : "2012-05-24T00:00:00+00:00",
        "recordedDate" : "2012-05-24T00:00:00+00:00",
        "stage" : [
          {
            "summary" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "258219007",
                  "display" : "stage II"
                }
              ]
            }
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "Condition/earburn"
      }
    },
    {
      "fullUrl" : "https://www.hl7.org/fhir/us/core/MedicationRequest-medicationrequest-coded-oral-axid.html",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "reference-nizatidine",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>id</b>: uscore-mo3</p><p><b>meta</b>: </p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <a href=\"https://www.hl7.org/fhir/us/core/Medication-uscore-med2.html\">Nizatidine 15 MG/ML Oral Solution [Axid]. Generated Summary: id: uscore-med2; <span title=\"Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></a></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">Amy Shaw. Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://build.fhir.org/ig/HL7/US-Core/Practitioner-practitioner-1.html\">Ronald Bone, MD. Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone </a></p></div>"
        },
        "status" : "active",
        "intent" : "order",
        "priority" : "routine",
        "medicationReference" : {
          "reference" : "Medication/nizatidine",
          "display" : "Nizatidine 15 MG/ML Oral Solution [Axid]"
        },
        "subject" : {
          "reference" : "Patient/example",
          "display" : "Amy Shaw"
        },
        "authoredOn" : "2023-04-05T00:00:00.000-00:00",
        "requester" : {
          "reference" : "Practitioner/practitioner-1",
          "display" : "Ronald Bone, MD"
        },
        "dosageInstruction" : [
          {
            "timing" : {
              "repeat" : {
                "frequency" : 3,
                "period" : 1,
                "periodUnit" : "d"
              }
            },
            "site" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "447964005"
                }
              ]
            },
            "route" : {
              "coding" : [
                {
                  "system" : "http://snomed.info/sct",
                  "code" : "394899003",
                  "display" : "oral administration of treatment"
                }
              ]
            },
            "doseAndRate" : [
              {
                "type" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/dose-rate-type",
                      "code" : "ordered",
                      "display" : "Ordered"
                    }
                  ]
                },
                "doseQuantity" : {
                  "value" : 5,
                  "unit" : "ml",
                  "system" : "http://unitsofmeasure.org",
                  "code" : "ml"
                }
              }
            ]
          }
        ],
        "dispenseRequest" : {
          "numberOfRepeatsAllowed" : 1,
          "quantity" : {
            "value" : 480,
            "unit" : "mL",
            "system" : "http://unitsofmeasure.org",
            "code" : "mL"
          },
          "expectedSupplyDuration" : {
            "value" : 30,
            "unit" : "days",
            "system" : "http://unitsofmeasure.org",
            "code" : "d"
          }
        }
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/reference-nizatidine"
      }
    },
    {
      "fullUrl" : "https://build.fhir.org/ig/HL7/US-Core/MedicationRequest-self-tylenol.html",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "codeableconcept-tylenol",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: self-tylenol</p><p><b>identifier</b>: 12345689 (OFFICIAL)</p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>reported</b>: true</p><p><b>medication</b>: Tylenol PM Pill <span style=\"background: LightGoldenRodYellow\">(Details : {RxNorm code '1187314' = 'Tylenol PM Pill', given as 'Tylenol PM Pill'})</span></p><p><b>subject</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">Amy V. Shaw. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>encounter</b>: <a href=\"https://hl7.org/fhir/us/core/2024Jan/Encounter-example-1.html\">Office Visit. Generated Summary: id: example-1; status: finished; <span title=\"{http://terminology.hl7.org/CodeSystem/v3-ActCode AMB}\">ambulatory</span>; <span title=\"Codes: {http://www.ama-assn.org/go/cpt 99201}\">Office Visit</span>; period: 02/11/2015 9:00:14 AM --&gt; 02/11/2015 10:00:14 AM</a></p><p><b>authoredOn</b>: 24/06/2019 12:00:00 AM</p><p><b>requester</b>: <a href=\"https://hl7.org/fhir/us/core/Patient-example.html\">**self-prescribed**. Generated Summary: id: example; Medical Record Number = 1032702 (USUAL); active; Amy V. Shaw ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 2007-02-20</a></p><p><b>dosageInstruction</b>: </p></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "system" : "http://acme.org/prescriptions",
            "value" : "12345689"
          }
        ],
        "status" : "active",
        "intent" : "order",
        "priority" : "routine",
        "reportedBoolean" : true,
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "1187314",
              "display" : "Tylenol PM Pill"
            }
          ],
          "text" : "Tylenol PM Pill"
        },
        "subject" : {
          "reference" : "Patient/example",
          "display" : "Amy V. Shaw"
        },
        "authoredOn" : "2019-06-24",
        "requester" : {
          "reference" : "Patient/example",
          "display" : "**self-prescribed**"
        },
        "dosageInstruction" : [
          {
            "text" : "Takes 1-2 tablets once daily at bedtime as needed for restless legs"
          }
        ]
      },
      "request" : {
        "method" : "PUT",
        "url" : "MedicationRequest/codeableconcept-tylenol"
      }
    }
  ]
}