SRxDataRequest Example
Download Raw SRxDataRequest json example
{ "resourceType": "Bundle", "id": "example-SRxDataRequest-Bundle", "language": "en-US", "type": "message", "timestamp": "02/03/2022 08:01:48", "entry": [ { "resource": { "resourceType": "MessageHeader", "id": "620b9e7f5fd54adda8d161becce5a536", "eventCoding": { "system": "http://fhirdocs.surescripts.net/message-events", "code": "specialty-data-request" }, "destination": [ { "name": "Acme Message Gateway", "target": { "reference": "Device/example" }, "endpoint": "llp:10.11.12.14:5432" } ], "sender": { "reference": "urn:uuid:a716f94a-2e39-447d-bd00-4bed52f37184" }, "source": { "name": "Surescripts, LLC (Staging)", "software": "Workbench Specialty Testing Tools", "endpoint": "B3C4BFEE81A64EA3ADC0FF33D386EED1" }, "focus": [ { "reference": "urn:uuid:4f2743cb-b5b5-43a5-9f92-93d13e331633" } ] } }, { "fullUrl": "urn:uuid:4f2743cb-b5b5-43a5-9f92-93d13e331633", "resource": { "resourceType": "MedicationRequest", "id": "4f2743cb-b5b5-43a5-9f92-93d13e331633", "identifier": [ { "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PLAC", "display": "Placer Identifier" } ], "text": "Prescriber Order Number" }, "value": "PON7777777", "assigner": { "display": "MyEHR-777" } }, { "system": "urn://myehr.com/namespace/hl7/1", "value": "9941339108" }, { "system": "urn://myehr.com/namespace/hl7/20", "value": "abc" } ], "status": "active", "intent": "filler-order", "medicationCodeableConcept": { "coding": [ { "system": "http://hl7.org/fhir/sid/ndc", "code": "68788729801" }, { "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "1741049" } ], "text": "CHIDEBETINOL 3 MCG" }, "subject": { "reference": "urn:uuid:7dfed5cc-99b5-48be-829b-3ea749fa963a", "type": "Patient" }, "authoredOn": "05/09/2023 20:59:49", "requester": { "reference": "urn:uuid:a716f94a-2e39-447d-bd00-4bed52f37184", "type": "Practitioner" }, "performer": { "reference": "urn:uuid:0b4ddfe8-c96f-45e7-b0de-e66dc375d5b8", "type": "Organization" }, "reasonCode": [ { "coding": [ { "system": "http://hl7.org/fhir/sid/icd-10", "code": "D10.2" } ], "text": "Mysotaesis poisoning" } ], "reasonReference": [ { "reference": "urn:uuid:9e95ceeb-a029-4956-8b13-6c346e63fe10", "type": "Condition" } ], "groupIdentifier": { "value": "1664224781150", "assigner": { "display": "MyEHR-123" } }, "dosageInstruction": [ { "text": "1 PO QD" } ], "dispenseRequest": { "quantity": { "value": 30, "unit": "tablets", "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm", "code": "tablets" }, "expectedSupplyDuration": { "value": 30, "unit": "days", "system": "http://unitsofmeasure.org", "code": "d" } } } }, { "fullUrl": "urn:uuid:7dfed5cc-99b5-48be-829b-3ea749fa963a", "resource": { "resourceType": "Patient", "id": "7dfed5cc-99b5-48be-829b-3ea749fa963a", "identifier": [ { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "MR", "display": "Medical Record Number" } ], "text": "Medical Record Number" }, "system": "urn://myehr.com/namespace/hl7/3", "value": "7dfed5cc-99b5-48be-829b-3ea749fa963a" }, { "system": "urn://myehr.com/namespace/hl7/3", "value": "999-99-9999" } ], "active": true, "name": [ { "use": "official", "text": "Jane Doe", "family": "Doe", "given": [ "Jane" ] } ], "telecom": [ { "system": "email", "value": "d.h@bom.com", "rank": 1 }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-extension", "valueString": "123" } ], "system": "phone", "value": "9715551111", "rank": 1 }, { "system": "fax", "value": "8005551312", "rank": 1 }, { "system": "phone", "value": "4155552222", "use": "home" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-extension", "valueString": "124" } ], "system": "phone", "value": "8775553333", "use": "work" }, { "system": "phone", "value": "8665554444", "use": "mobile" } ], "gender": "female", "birthDate": "2000-02-20", "deceasedBoolean": false, "address": [ { "type": "postal", "line": [ "1877 189th" ], "city": "Beaverton", "state": "OR", "postalCode": "97006", "country": "US" } ], "contact": [ { "relationship": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0131", "code": "N" } ] } ], "name": { "family": "du Marche", "_family": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/humanname-own-prefix", "valueString": "VV" } ] }, "given": [ "Benedicte" ] }, "telecom": [ { "system": "phone", "value": "+33 (237) 998327" } ], "address": { "use": "home", "type": "both", "line": [ "534 Erewhon St" ], "city": "PleasantVille", "district": "Rainbow", "state": "Vic", "postalCode": "3999", "period": { "start": "1974-12-25" } }, "gender": "female", "period": { "start": "2012" } } ], "communication": [ { "language": { "coding": [ { "system": "urn:ietf:bcp:47", "code": "en", "display": "English" } ] } } ] } }, { "fullUrl": "urn:uuid:0b4ddfe8-c96f-45e7-b0de-e66dc375d5b8", "resource": { "resourceType": "Organization", "id": "0b4ddfe8-c96f-45e7-b0de-e66dc375d5b8", "identifier": [ { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "http://ncpdp.org/provider-id", "value": "9876546", "assigner": { "identifier": { "system": "urn:ietf:rfc:3986", "value": "urn:oid:2.16.840.1.113883.3.79" } } }, { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "http://hl7.org/fhir/sid/us-npi", "value": "1093759540" } ], "active": true, "type": [ { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/organization-type", "code": "prov", "display": "Healthcare Provider" } ], "text": "Pharmacy" } ], "name": "T12.Dev.RLE.Electronic", "telecom": [ { "system": "email", "value": "manager@smart.com", "rank": 1 }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-extension", "valueString": "123" } ], "system": "phone", "value": "8005432121", "rank": 1 }, { "system": "fax", "value": "5034567890", "rank": 1 } ], "address": [ { "type": "postal", "line": [ "123 Fake St" ], "city": "Timber", "state": "OR", "postalCode": "97008", "country": "US" } ] } }, { "fullUrl": "urn:uuid:a716f94a-2e39-447d-bd00-4bed52f37184", "resource": { "resourceType": "Practitioner", "id": "a716f94a-2e39-447d-bd00-4bed52f37184", "identifier": [ { "use": "secondary", "type": { "coding": [ { "system": "Surescripts", "code": "SPI" } ] }, "system": "http://fhirdocs.surescripts.net/spi", "value": "4725438108001" }, { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "http://hl7.org/fhir/sid/us-npi", "value": "1257237549" }, { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "http://hl7.org/fhir/sid/us-medicare", "value": "G12345" }, { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "urn:oid:2.16.840.1.113883.4.290", "value": "123456789" }, { "use": "official", "type": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0203", "code": "PRN", "display": "Provider Number" } ], "text": "Provider Number" }, "system": "urn:oid:2.16.840.1.113883.4.814", "value": "CS2121212" } ], "active": true, "name": [ { "use": "official", "text": "Dr. Rufus B.", "family": "Provider", "given": [ "Specialty" ], "prefix": [ "Dr." ], "suffix": [ "Jr." ] } ], "telecom": [ { "system": "email", "value": "barleyr@procto.com", "rank": 1 }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/contactpoint-extension", "valueString": "44" } ], "system": "phone", "value": "5595551212", "rank": 1 }, { "system": "fax", "value": "4565551212", "rank": 1 } ], "address": [ { "type": "postal", "line": [ "66 Tat Ave" ], "city": "Timber", "state": "OR", "postalCode": "97008", "country": "US" } ] } } ] }