3.125 G1 - 201 p170 Pharmacist Adapt
Raw XML
<Bundle xmlns="http://hl7.org/fhir">
<!-- Note: This id will not be present when the message is submitted to the inbox. It will be assigned by the inbox as part of processing -->
<id value="example-g1-201-p170"/>
<meta>
<profile
value="http://sharedhealth.exchange/fhir/StructureDefinition/profile-bundle-message"/>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/interaction-bundle-201"/>
<tag>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedspecificationversion"/>
<code value="PrescribeIT5.0"/>
</tag>
</meta>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:54fc3e09-e279-4b74-a8ff-2649ec968642"/>
<resource>
<MessageHeader>
<id value="54fc3e09-e279-4b74-a8ff-2649ec968642"/>
<meta>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/interaction-messageheader-201"/>
</meta>
<timestamp value="2016-10-04T12:15:38.123-06:00"/>
<event>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/sharedmessageevents"/>
<code value="201"/>
</event>
<source>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-application-id">
<valueUri value="urn:oid:1.2.3.4.5.6.9999"/>
</extension>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-messageheader-conformance-version">
<valueString
value="Sending software version number that passed conformance"/>
</extension>
<name value="Sending application internal identifier"/>
<software value="Sending application software name"/>
<version value="Sending software version number"/>
<!-- Note that the endpoint has to be a URI. Could be urn:oid:1.2.3.4 -->
<endpoint
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</source>
<destination>
<endpoint
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
</destination>
<data>
<reference value="Task/9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
</data>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
<resource>
<Patient>
<id value="bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="JHN"/>
</coding>
<text value="OHIP"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.59"/>
<!-- OHIP identification system -->
<value value="1234567890"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="MR"/>
</coding>
<text value="Local Patient ID"/>
</type>
<system value="urn:oid:1.2.3.4.5.6.9999.1"/>
<!-- Sending Application identification system Patient ID -->
<value value="PMS-12345"/>
</identifier>
<name>
<use value="official"/>
<family value="Lerr Jr"/>
<given value="Todd"/>
<given value="G."/>
<prefix value="Mr"/>
<suffix value="DDS"/>
</name>
<telecom>
<system value="phone"/>
<value value="(555) 555-1212"/>
<use value="mobile"/>
</telecom>
<telecom>
<extension
url="http://sharedhealth.exchange/fhir/StructureDefinition/ext-contactpoint-confidential">
<valueBoolean value="true"/>
</extension>
<system value="phone"/>
<value value="(858) 429-5170"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="2012-06-07"/>
<address>
<line value="123 North 102nd Street"/>
<line value="Apt 4d"/>
<city value="Harrisburg"/>
<state value="ON"/>
<postalCode value="M2N 7H6"/>
<country value="Canada"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<!-- Fax-only ids won't be in the Provider Registry so we use GUIDs -->
<fullUrl value="urn:uuid:67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
<resource>
<Practitioner>
<id value="67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="LN"/>
</coding>
<text value="License number"/>
</type>
<system value="urn:oid:2.16.840.1.113883.3.239.13.43"/>
<value value="OCP12345"/>
</identifier>
<name>
<use value="official"/>
<family value="Pharmacist"/>
<given value="Paula"/>
</name>
<telecom>
<system value="phone"/>
<value value="(987)654-3210"/>
<use value="work"/>
</telecom>
<practitionerRole>
<organization>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</organization>
</practitionerRole>
<practitionerRole>
<role>
<coding>
<system value="http://hl7.org/fhir/practitioner-role"/>
<code value="pharmacist"/>
<display value="Pharmacist"/>
</coding>
</role>
<specialty>
<!-- inv-1: Must have coding or text but not both <coding> <system value="http://hl7.org/fhir/ValueSet/practitioner-specialty"/> <code value="cardio"/> </coding> -->
<text value="Pharmacist">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ST-translation">
<valueString value="Pharmacien">
<extension
url="http://hl7.org/fhir/StructureDefinition/iso21090-ST-language">
<valueCode value="fr"/>
</extension>
</valueString>
</extension>
</text>
</specialty>
</practitionerRole>
<communication>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-CA"/>
</coding>
</communication>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/4388836452"/>
<resource>
<Practitioner>
<id value="4388836452"/>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="LN"/>
</coding>
<text value="License number"/>
</type>
<system value="urn:oid:2.16.840.1.113883.4.41"/>
<!-- License ID may be part of the SAML token -->
<value value="134IDY41W988"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="PRN"/>
</coding>
</type>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-practitioner"/>
<!-- Provider ID may be part of the SAML token -->
<value value="4388836452"/>
</identifier>
<name>
<use value="official"/>
<family value="Martel"/>
<!-- EMR Suffix will be included in the family tag -->
<given value="Dr"/>
<given value="Benoit"/>
</name>
<telecom>
<system value="phone"/>
<value value="(123) 456-7890"/>
<use value="work"/>
</telecom>
<practitionerRole>
<organization>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
</organization>
</practitionerRole>
<communication>
<coding>
<system value="urn:ietf:bcp:47"/>
<code value="en-CA"/>
</coding>
</communication>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
<resource>
<Organization>
<id value="CPR1000992"/>
<identifier>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
<value value="CPR1000992"/>
</identifier>
<name value="Simplicity #9999"/>
<telecom>
<system value="phone"/>
<value value="(123) 123-4567"/>
<use value="work"/>
</telecom>
<address>
<type value="both"/>
<line value="123 Some Street"/>
<city value="Hamilton"/>
<state value="ON"/>
<postalCode value="A1B 2C3"/>
<country value="Canada"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000991"/>
<resource>
<Organization>
<id value="CPR1000991"/>
<identifier>
<system
value="http://sharedhealth.exchange/fhir/NamingSystem/registry-id-organization"/>
<value value="CPR1000991"/>
</identifier>
<name value="PS Suite #8888"/>
<telecom>
<system value="phone"/>
<value value="(123) 123-4567"/>
<use value="work"/>
</telecom>
<address>
<type value="both"/>
<line value="456 Some Street"/>
<city value="Hamilton"/>
<state value="ON"/>
<postalCode value="A1B 2C4"/>
<country value="Canada"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
<resource>
<Task>
<id value="9b830eff-7405-4f14-bfe8-b1f42ca83062"/>
<meta>
<profile
value="http://prescribeit.ca/fhir/StructureDefinition/task-p170-m"/>
</meta>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Task.groupIdentifier">
<valueIdentifier>
<system value="urn:oid:1.2.3.4.5.6.9999.3"/>
<value value="ri-Group-Identifier"/>
</valueIdentifier>
</extension>
<type>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype"/>
<code value="p170-m"/>
</coding>
</type>
<status value="requested"/>
<subject>
<reference
value="MedicationOrder/86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
</subject>
<for>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
</for>
<created value="2016-10-04T12:15:38.123-06:00"/>
<lastModified value="2016-10-04T12:15:38.123-06:00"/>
<creator>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Organization/CPR1000992"/>
</creator>
<owner>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/4388836452"/>
</owner>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
<resource>
<MedicationOrder>
<id value="86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
<contained>
<Medication>
<id value="med"/>
<code>
<coding>
<!-- If DIN is found on PrescriptionMedicinalProduct Concept Code, then system value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset" -->
<system value="http://hl7.org/fhir/NamingSystem/ca-hc-din"/>
<code value="02093146"/>
<display value="NICODERM 21MG/24 HR PATCH"/>
</coding>
<!-- TEXT element is mandatory on the prescription -->
<text value="NICODERM 21MG/24 HR PATCH"/>
</code>
</Medication>
</contained>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-adapt-reason">
<valueString value="Patient has an injury to his left arm."/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-basedon">
<valueReference>
<reference value="MedicationOrder/OriginalMedicationOrderGUID"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.category">
<valueCodeableConcept>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontype"/>
<code value="medication"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-protocol">
<valueString
value="Identifies the Protocol, Order set, Guideline or other definition that guided the creation of this prescription"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">
<valueCode value="CHRON"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">
<valueString
value="Apply 1 Patch 1 time per day for 28 days Site: Right arm"/>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/4fb26823-5296-4291-8bc4-82440fc0b343"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="Observation/f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
</valueReference>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-MedicationRequest.supportingInfo">
<valueReference>
<reference value="List/f2872604-69cb-47d4-87f4-48e208677739"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
<valueReference>
<reference
value="DetectedIssue/877a5514-e5fe-4fba-8ee8-d18309282363"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-dispenser-instructions">
<valueString
value="To convey explicit instructions to the Pharmacist related to this medication order"/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-over-25-dur">
<valueBoolean value="false"/>
</extension>
<!-- Setting the flag to false is equivalent to omitting this extension -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-no-renewals">
<valueBoolean value="false"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:1.2.3.4.5.6.9999.2"/>
<!-- OID Structure includes PMS application instance.branch assigned for MedOrder ID -->
<value value="PMS-mi-c1-NICODERM-20160303"/>
</identifier>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/v2/0203"/>
<code value="RRI"/>
</coding>
</type>
<system value="urn:oid:1.2.3.4.5.53.111.2"/>
<!-- OID Structure includes EMR application instance.branch assigned for MedOrder ID -->
<value value="DIS-id-adapted123456"/>
</identifier>
<status value="active"/>
<medicationReference>
<!-- This must match the Medication resource ID -->
<reference value="#med"/>
</medicationReference>
<patient>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
</patient>
<dateWritten value="2016-07-10T12:15:38.123-06:00"/>
<prescriber>
<reference value="Practitioner/67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
</prescriber>
<dosageInstruction>
<extension
url="http://hl7.org/fhir/StructureDefinition/extension-Dosage.sequence">
<valueInteger value="1"/>
</extension>
<text value="Apply 1 Patch 1 time per day for 28 days Site: Right arm"/>
<timing>
<!-- Dose Timing data element must also be part of the ext-medication-rendered-dosage -->
<repeat>
<frequency value="1"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<asNeededBoolean value="true"/>
<siteCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/v3/ActSite"/>
<code value="RA"/>
</coding>
<text value="Right arm"/>
</siteCodeableConcept>
<doseQuantity>
<value value="1"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</doseQuantity>
</dosageInstruction>
<dispenseRequest>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
<valueQuantity>
<value value="28"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-days-supply">
<valueQuantity>
<value value="28"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
<!-- Usage Notes: This integer does NOT include the original order dispense. -->
<validityPeriod>
<start value="2016-07-10T12:15:38.123-06:00"/>
</validityPeriod>
<quantity>
<value value="28"/>
<unit value="Patch"/>
<!-- See Terminology Gateway for the SNOMED CT CA Edition system (i.e. not http://snomed.info/sct) -->
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/snomedctcaextension"/>
<code value="419702001"/>
</quantity>
<expectedSupplyDuration>
<value value="28"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</expectedSupplyDuration>
</dispenseRequest>
</MedicationOrder>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4fb26823-5296-4291-8bc4-82440fc0b343"/>
<resource>
<Observation>
<id value="4fb26823-5296-4291-8bc4-82440fc0b343"/>
<status value="final"/>
<category>
<!-- This is mandatory in FHIR and must be included as shown -->
<coding>
<system value="http://hl7.org/fhir/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
<code value="8302-2"/>
</coding>
</code>
<subject>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
</subject>
<effectiveDateTime value="2016-10-04"/>
<valueQuantity>
<value value="180"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
<resource>
<Observation>
<id value="f2a711d7-3476-40f4-93a9-118e7ca8ccc7"/>
<status value="final"/>
<category>
<!-- This is mandatory in FHIR and must be included as shown -->
<coding>
<system value="http://hl7.org/fhir/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.infoway-inforoute.ca/CodeSystem/pCLOCD"/>
<code value="29463-7"/>
</coding>
</code>
<subject>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
</subject>
<effectiveDateTime value="2016-10-04"/>
<valueQuantity>
<value value="80"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f2872604-69cb-47d4-87f4-48e208677739"/>
<resource>
<List>
<id value="f2872604-69cb-47d4-87f4-48e208677739"/>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">NSAID Intolerance|Severe Latex allergy|Penicillin allergy</div>
</text>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://hl7.org/fhir/list-example-use-codes"/>
<code value="allergies"/>
</coding>
</code>
<subject>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
<display value="Todd G. Lerr Jr"/>
</subject>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:877a5514-e5fe-4fba-8ee8-d18309282363"/>
<resource>
<DetectedIssue>
<id value="877a5514-e5fe-4fba-8ee8-d18309282363"/>
<patient>
<reference value="Patient/bb5d1185-90b1-4763-a0b9-058ef0128c6b"/>
</patient>
<!--
<text value="Plain text representation of the concept"/> -->
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ALLDONE"/>
<display value="already performed"/>
</coding>
</category>
<implicated>
<reference
value="MedicationOrder/86fd93e6-7427-4fda-9600-f6bfd241a12c"/>
</implicated>
<detail
value="Aspirin contraindicated for patients intolerant of NSAIDs"/>
<mitigation>
<action>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="1"/>
<display value="Therapy Appropriate"/>
</coding>
<text value="Plain text representation of the concept"/>
</action>
</mitigation>
</DetectedIssue>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:OriginalMedicationOrderGUID"/>
<resource>
<MedicationOrder>
<id value="OriginalMedicationOrderGUID"/>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-stop-notified">
<valueBoolean value="true"/>
</extension>
<identifier>
<type>
<coding>
<system value="http://hl7.org/fhir/identifier-type"/>
<code value="PLAC"/>
</coding>
</type>
<system value="urn:oid:1.2.3.4.5.9.8888.2"/>
<!-- OID Structure includes EMR application instance.branch assigned for MedOrder ID -->
<value value="mi-c1-NICODERM-20160303"/>
</identifier>
<medicationReference>
<!-- This must match the Medication resource ID -->
<display value="medication"/>
</medicationReference>
<prescriber>
<reference
value="https://api.sharedhealth.exchange/rest/v1/preconf/THP/TPR_vs1/Practitioner/4388836452"/>
</prescriber>
</MedicationOrder>
</resource>
</entry>
</Bundle>