Specialty Medication Enrollment
0.1.0 - STU1 Ballot

Publication Build: This will be filled in by the publication tooling

## Example Bundle: Specialty Rx Query Response - Unsolicited 1

### Example data content

expand all | contract all Bundle
id@value: specialty-rx-query-response-unsolicited-1
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-query-response-unsolicited
type@value: message
timestamp@value: 2020-03-11T13:10:17-05:00 entry[1]fullUrl@value: http://example.org/MyEHR/MessageHeader/msgheader1
resource MessageHeader
id@value: msgheader1
eventCoding system@value: http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type code@value: query-response-unsolicited
source name@value: MyEHR endpoint@value: http://example.org/MyEHR
focus reference@value: urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d
entry[2]fullUrl@value: urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d
resource Parameters
id@value: 61ebe359-bfdc-4613-8bf2-c5e300945f0d parameter[1]name@value: source-patient valueReference reference@value: Patient/patientEHR
parameter[2]name@value: prescription valueReference reference@value: MedicationRequest/prescription1
parameter[3]name@value: pharmacy valueReference reference@value: Organization/pharmacy1
parameter[4]name@value: prescriber valueReference reference@value: Practitioner/practitioner1
parameter[5]name@value: search-result valueReference reference@value: Bundle/3456789
parameter[6]name@value: search-result valueReference reference@value: Bundle/987654
entry[3]fullUrl@value: http://example.org/MyEHR/Patient/patientEHR
resource Patient
id@value: patientEHR
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-patient
identifier type coding system@value: http://terminology.hl7.org/CodeSystem/v2-0203 code@value: PI display@value: Patient internal identifier
text@value: Patient internal identifier
system@value: http://example.org/MyEHR value@value: 30455
active@value: true
name family@value: Doe given@value: Tim telecom[1]system@value: phone value@value: 555-555-5555 use@value: home
telecom[2]system@value: email value@value: tim.doe@example.com gender@value: male
birthDate@value: 1987-02-20
address line@value: 2224 Century Avenue city@value: Minnetonka state@value: MN postalCode@value: 55345 country@value: US
communication language coding system@value: urn:ietf:bcp:47 code@value: en-US display@value: English (Region=United States)
entry[4]fullUrl@value: https://example.org/MyEHR/MedicationRequest/prescription1
resource MedicationRequest
id@value: prescription1
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-medicationrequest
status@value: active
intent@value: order
medicationCodeableConcept coding system@value: http://www.nlm.nih.gov/research/umls/rxnorm code@value: 1872980 display@value: Humira 40 MG in 0.4 ML Auto-Injector
subject reference@value: Patient/patientEHR
authoredOn@value: 2020-03-10
requester reference@value: Practitioner/practitioner1
dosageInstruction text@value: Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter
dispenseRequest initialFill quantity value@value: 4 unit@value: {each}
numberOfRepeatsAllowed@value: 2 expectedSupplyDuration value@value: 30 unit@value: days system@value: http://unitsofmeasure.org code@value: d
performer reference@value: Organization/pharmacy1 display@value: Our Specialty Pharmacy
substitution allowedBoolean@value: false
entry[5]fullUrl@value: https://example.org/MyEHR/Practitioner/practitioner1
resource Practitioner
id@value: practitioner1
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-practitioner
identifier system@value: http://hl7.org/fhir/sid/us-npi value@value: 9941339108
name family@value: Smith given@value: Jane prefix@value: Dr telecom[1]system@value: phone value@value: 555-555-5555 use@value: home
telecom[2]system@value: fax value@value: 555-555-1234 use@value: home
telecom[3]system@value: email value@value: jane.smith@example.org use@value: work address use@value: home line@value: 101 Oak Lane city@value: Minnetonka state@value: MN postalCode@value: 55345
entry[6]fullUrl@value: https://example.org/MyEHR/Organization/pharmacy1
resource Organization
id@value: pharmacy1
identifier system@value: http://hl7.org/fhir/sid/us-npi value@value: 1669512345
active@value: true
type coding system@value: http://terminology.hl7.org/CodeSystem/organization-type code@value: prov display@value: Healthcare Provider
name@value: Our Pharmacy telecom[1]system@value: phone value@value: 952-555-5555
telecom[2]system@value: email value@value: contact-us@example.org address line@value: 220 Oak St city@value: Minneapolis state@value: MN postalCode@value: 55008 country@value: USA
entry[7]fullUrl@value: http://example.org/MyEHR/Bundle/3456789
resource Bundle
id@value: 3456789
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result
type@value: searchset
timestamp@value: 2020-03-11T13:10:17-05:00
total@value: 3
link relation@value: self url@value: Condition?patient=patientEHR entry[1]fullUrl@value: http://example.org/MyEHR/Condition/1
resource Condition
id@value: 1
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-clinical code@value: active display@value: Active
text@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-ver-status code@value: confirmed display@value: Confirmed
text@value: Confirmed
category coding system@value: http://terminology.hl7.org/CodeSystem/condition-category code@value: problem-list-item display@value: Problem List Item
text@value: Problem
code coding system@value: http://snomed.info/sct code@value: 13644009 display@value: Hypercholesterolemia (disorder)
text@value: Hypercholesterolemia (disorder)
subject reference@value: Patient/patientEHR
search mode@value: match
entry[2]fullUrl@value: http://example.org/MyEHR/Condition/2
resource Condition
id@value: 2
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-clinical code@value: active display@value: Active
text@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-ver-status code@value: confirmed display@value: Confirmed
text@value: Confirmed
category coding system@value: http://terminology.hl7.org/CodeSystem/condition-category code@value: problem-list-item display@value: Problem List Item
text@value: Problem
code coding system@value: http://snomed.info/sct code@value: 84172003 display@value: Spondylitis (disorder)
text@value: Spondylitis (disorder)
subject reference@value: Patient/patientEHR
search mode@value: match
entry[3]fullUrl@value: http://example.org/MyEHR/Condition/3
resource Condition
id@value: 3
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-clinical code@value: active display@value: Active
text@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/condition-ver-status code@value: confirmed display@value: Confirmed
text@value: Confirmed
category coding system@value: http://terminology.hl7.org/CodeSystem/condition-category code@value: problem-list-item display@value: Problem List Item
text@value: Problem
code coding system@value: http://snomed.info/sct code@value: 427603009 display@value: Intermittent asthma (disorder)
text@value: Intermittent asthma (disorder)
subject reference@value: Patient/patientEHR
search mode@value: match
entry[8]fullUrl@value: http://example.org/MyEHR/Bundle/987654
resource Bundle
id@value: 987654
meta profile@value: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-bundle-search-result
type@value: searchset
timestamp@value: 2020-03-11T13:10:17-05:00
total@value: 3
link relation@value: self url@value: AllergyIntolerance?patient=patientEHR entry[1]fullUrl@value: http://example.org/MyEHR/AllergyIntolerance/1
resource AllergyIntolerance
id@value: 1
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code@value: active display@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code@value: confirmed display@value: Confirmed
code text@value: Cashew
patient reference@value: Patient/patientEHR
search mode@value: match
entry[2]fullUrl@value: http://example.org/MyEHR/AllergyIntolerance/2
resource AllergyIntolerance
id@value: 2
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code@value: active display@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code@value: confirmed display@value: Confirmed
code text@value: Bees
patient reference@value: Patient/patientEHR
search mode@value: match
entry[3]fullUrl@value: http://example.org/MyEHR/AllergyIntolerance/3
resource AllergyIntolerance
id@value: 3
clinicalStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical code@value: active display@value: Active
verificationStatus coding system@value: http://terminology.hl7.org/CodeSystem/allergyintolerance-verification code@value: confirmed display@value: Confirmed
code text@value: Penicillins
patient reference@value: Patient/patientEHR
reaction manifestation text@value: Hives
search mode@value: match

### Generated Narrative

Bundle specialty-rx-query-response-unsolicited-1 of type message

Entry 1 - Full URL = http://example.org/MyEHR/MessageHeader/msgheader1

Resource MessageHeader:

> Generated Narrative

> ### Texts

> -
> *

> event: Query Response - Unsolicited

> ### Sources

> - | Name | Endpoint
> * | MyEHR | http://example.org/MyEHR

> focus: Generated Summary: type: message; timestamp: Mar 11, 2020 6:10:17 PM

Entry 2 - Full URL = urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d

Resource Parameters:

> ## Parameters

> source-patient | Patient/patientEHR
> prescription | MedicationRequest/prescription1
> pharmacy | Organization/pharmacy1
> prescriber | Practitioner/practitioner1
> search-result | Bundle/3456789
> search-result | Bundle/987654

Entry 3 - Full URL = http://example.org/MyEHR/Patient/patientEHR

Resource Patient:

> Tim Doe Male 1987-02-20 ( Patient internal identifier: 30455)

Entry 4 - Full URL = https://example.org/MyEHR/MedicationRequest/prescription1

Resource MedicationRequest:

> Generated Narrative

> ### Texts

> -
> *

> status: ACTIVE

> intent: ORDER

> subject: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> authoredOn: 2020-03-10

> requester: Generated Summary: type: message; timestamp: Mar 11, 2020 6:10:17 PM

> ### DosageInstructions

> -
> *

> > dispenseRequest

> > ### InitialFills

> > - | Quantity
> > * | 4 {each}

> > numberOfRepeatsAllowed: 2

> > ### ExpectedSupplyDurations

> > -
> > *

> ### Substitutions

> - | Allowed[x]
> * | false

Entry 5 - Full URL = https://example.org/MyEHR/Practitioner/practitioner1

Resource Practitioner:

> Generated Narrative

> ### Texts

> -
> *

> identifier: id: 9941339108

> name: Jane Smith

> telecom: ph: 555-555-5555(HOME), fax: 555-555-1234(HOME), jane.smith@example.org

> address: 101 Oak Lane Minnetonka MN 55345 (HOME)

Entry 6 - Full URL = https://example.org/MyEHR/Organization/pharmacy1

Resource Organization:

> Generated Narrative

> ### Texts

> -
> *

> identifier: id: 1669512345

> active: true

> type: Healthcare Provider

> name: Our Pharmacy

> telecom: ph: 952-555-5555, contact-us@example.org

> address: 220 Oak St Minneapolis MN 55008 USA

Entry 7 - Full URL = http://example.org/MyEHR/Bundle/3456789

Resource Bundle:

> Bundle 3456789 of type searchset

> Entry 1 - Full URL = http://example.org/MyEHR/Condition/1

> Search:mode = match

> Resource Condition:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > category: Problem

> > code: Hypercholesterolemia (disorder)

> > subject: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> Entry 2 - Full URL = http://example.org/MyEHR/Condition/2

> Search:mode = match

> Resource Condition:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > category: Problem

> > code: Spondylitis (disorder)

> > subject: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> Entry 3 - Full URL = http://example.org/MyEHR/Condition/3

> Search:mode = match

> Resource Condition:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > category: Problem

> > code: Intermittent asthma (disorder)

> > subject: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

Entry 8 - Full URL = http://example.org/MyEHR/Bundle/987654

Resource Bundle:

> Bundle 987654 of type searchset

> Entry 1 - Full URL = http://example.org/MyEHR/AllergyIntolerance/1

> Search:mode = match

> Resource AllergyIntolerance:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > code: Cashew

> > patient: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> Entry 2 - Full URL = http://example.org/MyEHR/AllergyIntolerance/2

> Search:mode = match

> Resource AllergyIntolerance:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > code: Bees

> > patient: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> Entry 3 - Full URL = http://example.org/MyEHR/AllergyIntolerance/3

> Search:mode = match

> Resource AllergyIntolerance:

> > Generated Narrative

> > ### Texts

> > -
> > *

> > clinicalStatus: Active

> > verificationStatus: Confirmed

> > code: Penicillins

> > patient: Generated Summary: type: message; timestamp: Mar 11, 2020 1:10:17 PM

> > ### Reactions

> > - | Manifestation
> > * | Hives