3.126 G2 - 201 p190 Pharmacist Prescribe
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-g2-201-p190"/>
<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:ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
<resource>
<Patient>
<id value="ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
<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) 429-5190"/>
<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-p190-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>
<modifierExtension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-task-do-not-autofill">
<valueBoolean value="true"/>
</modifierExtension>
<type>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/prescriptiontasktype"/>
<code value="p190-m"/>
</coding>
</type>
<priority value="high"/>
<status value="requested"/>
<subject>
<reference
value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
</subject>
<for>
<reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</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:ded75587-840a-48ad-9be9-daee203b45ba"/>
<resource>
<MedicationOrder>
<id value="ded75587-840a-48ad-9be9-daee203b45ba"/>
<contained>
<Medication>
<id value="med"/>
<code>
<coding>
<system
value="https://fhir.infoway-inforoute.ca/CodeSystem/canadianclinicaldrugdataset"/>
<code value="8000926"/>
<display
value="brompheniramine and codeine and guaifenesin and phenylephrine"/>
</coding>
<text
value="brompheniramine and codeine and guaifenesin and phenylephrine"/>
</code>
<product>
<form>
<text value="Liquid"/>
</form>
</product>
</Medication>
</contained>
<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-prescribe-reason">
<valueString
value="Any relevant information pertaining to the reason/rational that needs to be included as part of this notification, must be populated within this extension."/>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-treatment-type">
<valueCode value="ACU"/>
</extension>
<!-- The rendered dosage instruction MUST contain ALL dosage instructions. This includes ALL child elements of dosage instruction, such as dosage quantity, dosage unit, frequency, etc) in human readable form and must be able to stand on its own. This field will include all of the information contained in the structured dosage as well as patient instructions (eg take with food, starting one day before dental appointment), assembled into one field and formatted as human-readable. Coded values codes should not be used (e.g. 'days' should be used instead of 'd', the code of PO as 'oral' ) -->
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medication-rendered-dosage">
<valueString value="10 ml other for 7 days 10mL every 4-6 hours."/>
</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-request-dispenser-instructions">
<valueString
value="To convey explicit instructions to the Pharmacist related to this medication order"/>
</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/84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
<valueReference>
<reference
value="DetectedIssue/12d79947-83f0-46be-bf7a-e1658b26facf"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-request-detectedissue">
<valueReference>
<reference
value="DetectedIssue/e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
</valueReference>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-over-25-dur">
<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-g2-brompheniramine-20161004"/>
</identifier>
<!-- Note: The DIS-assigned identifier will not be present from EMR to PrescribeIT, but may be present from PrescribeIT to PMS -->
<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 PMS application instance.branch assigned for MedOrder ID -->
<value value="dis-g2-brompheniramine-20161004"/>
</identifier>
<status value="active"/>
<medicationReference>
<!-- This must match the Medication resource ID -->
<reference value="#med"/>
</medicationReference>
<patient>
<reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</patient>
<!-- The date (and perhaps time) when the prescription was written. -->
<dateWritten value="2016-10-04T12:15:38.123-06:00"/>
<prescriber>
<reference value="Practitioner/67a47a0e-f98b-4233-ab3e-d7c8222207db"/>
</prescriber>
<dispenseRequest>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-interval">
<valueQuantity>
<value value="7"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-first-fill">
<extension url="quantity">
<valueQuantity>
<value value="100"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</valueQuantity>
</extension>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-days-supply">
<valueQuantity>
<value value="7"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-total-quantity">
<valueQuantity>
<value value="500"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</valueQuantity>
</extension>
<extension
url="http://prescribeit.ca/fhir/StructureDefinition/ext-medicationorder-dispense-max">
<valueQuantity>
<value value="500"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</valueQuantity>
</extension>
<validityPeriod>
<start value="2018-06-08"/>
<end value="2018-06-14"/>
</validityPeriod>
<quantity>
<value value="500"/>
<unit value="mL"/>
<system value="http://unitsofmeasure.org"/>
<code value="mL"/>
</quantity>
<expectedSupplyDuration>
<value value="7"/>
<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/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</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/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</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:84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
<resource>
<List>
<id value="84ef2d41-e27b-4d95-ac48-f0e4ae45e948"/>
<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/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
<display value="Todd G. Lerr Jr"/>
</subject>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:12d79947-83f0-46be-bf7a-e1658b26facf"/>
<resource>
<DetectedIssue>
<id value="12d79947-83f0-46be-bf7a-e1658b26facf"/>
<patient>
<reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</patient>
<category>
<!--
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ALLDONE"/>
<display value="already performed"/>
</coding> -->
<text value="Plain text representation of the concept"/>
</category>
<implicated>
<reference
value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
</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:e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
<resource>
<DetectedIssue>
<id value="e7cf6efe-2341-4e6b-94a2-3bba3e020009"/>
<patient>
<reference value="Patient/ab101261-4e2b-4d82-a15f-1377c3e84e3d"/>
</patient>
<category>
<!--
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="ALRTENDLATE"/>
<display value="end too late alert"/>
</coding> -->
<text value="Plain text representation of the concept"/>
</category>
<implicated>
<reference
value="MedicationOrder/ded75587-840a-48ad-9be9-daee203b45ba"/>
</implicated>
<detail
value="2nd Detected Issue - Aspirin contraindicated for patients intolerant of NSAIDs"/>
<mitigation>
<action>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="10"/>
<display value="Provided Patient Education"/>
</coding>
<text value="Plain text representation of the concept"/>
</action>
</mitigation>
</DetectedIssue>
</resource>
</entry>
</Bundle>