Specialty Medication Enrollment
0.1.0 - STU1 Ballot

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## : Specialty Rx Query Response - Unsolicited 1 - XML Representation

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    <Bundle xmlns="http://hl7.org/fhir">
      <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"/>
      </meta>
      <type value="message"/>
      <timestamp value="2020-03-11T13:10:17-05:00"/>
      <entry>
        <fullUrl value="http://example.org/MyEHR/MessageHeader/msgheader1"/>
        <resource>
          <MessageHeader>
            <id value="msgheader1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>event</b>: <span title="{http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type query-response-unsolicited}">Query Response - Unsolicited</span></p><h3>Sources</h3><table class="grid"><tr><td>-</td><td><b>Name</b></td><td><b>Endpoint</b></td></tr><tr><td>*</td><td>MyEHR</td><td><a href="http://example.org/MyEHR">http://example.org/MyEHR</a></td></tr></table><p><b>focus</b>: <a href="#Parameters_61ebe359-bfdc-4613-8bf2-c5e300945f0d">See above (Parameters/61ebe359-bfdc-4613-8bf2-c5e300945f0d)</a></p></div>
            </text>
            <eventCoding>
              <system
                      value="http://hl7.org/fhir/us/specialty-rx/CodeSystem/specialty-rx-event-type"/>
              <code value="query-response-unsolicited"/>
            </eventCoding>
            <source>
              <name value="MyEHR"/>
              <endpoint value="http://example.org/MyEHR"/>
            </source>
            <focus>
              <reference value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
            </focus>
          </MessageHeader>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:uuid:61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
        <resource>
          <Parameters>
            <id value="61ebe359-bfdc-4613-8bf2-c5e300945f0d"/>
            <parameter>
              <name value="source-patient"/>
              <valueReference>
                <reference value="Patient/patientEHR"/>
              </valueReference>
            </parameter>
            <parameter>
              <name value="prescription"/>
              <valueReference>
                <reference value="MedicationRequest/prescription1"/>
              </valueReference>
            </parameter>
            <parameter>
              <name value="pharmacy"/>
              <valueReference>
                <reference value="Organization/pharmacy1"/>
              </valueReference>
            </parameter>
            <parameter>
              <name value="prescriber"/>
              <valueReference>
                <reference value="Practitioner/practitioner1"/>
              </valueReference>
            </parameter>
            <parameter>
              <name value="search-result"/>
              <valueReference>
                <reference value="Bundle/3456789"/>
              </valueReference>
            </parameter>
            <parameter>
              <name value="search-result"/>
              <valueReference>
                <reference value="Bundle/987654"/>
              </valueReference>
            </parameter>
          </Parameters>
        </resource>
      </entry>
      <entry>
        <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"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: Patient internal identifier: 30455</p><p><b>active</b>: true</p><p><b>name</b>: Tim Doe </p><p><b>telecom</b>: ph: 555-555-5555(HOME), <a href="mailto:tim.doe@example.com">tim.doe@example.com</a></p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1987-02-20</p><p><b>address</b>: 2224 Century Avenue Minnetonka MN 55345 US </p><h3>Communications</h3><table class="grid"><tr><td>-</td><td><b>Language</b></td></tr><tr><td>*</td><td><span title="Codes: {urn:ietf:bcp:47 en-US}">English (Region=United States)</span></td></tr></table></div>
            </text>
            <identifier>
              <type>
                <coding>
                  <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
                  <code value="PI"/>
                  <display value="Patient internal identifier"/>
                </coding>
                <text value="Patient internal identifier"/>
              </type>
              <system value="http://example.org/MyEHR"/>
              <value value="30455"/>
            </identifier>
            <active value="true"/>
            <name>
              <family value="Doe"/>
              <given value="Tim"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="555-555-5555"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="tim.doe@example.com"/>
            </telecom>
            <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"/>
            </address>
            <communication>
              <language>
                <coding>
                  <system value="urn:ietf:bcp:47"/>
                  <code value="en-US"/>
                  <display value="English (Region=United States)"/>
                </coding>
              </language>
            </communication>
          </Patient>
        </resource>
      </entry>
      <entry>
        <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"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>intent</b>: order</p><p><b>medication</b>: <span title="Codes: {http://www.nlm.nih.gov/research/umls/rxnorm 1872980}">Humira 40 MG in 0.4 ML Auto-Injector</span></p><p><b>subject</b>: <a href="#Patient_patientEHR">See above (Patient/patientEHR)</a></p><p><b>authoredOn</b>: 2020-03-10</p><p><b>requester</b>: <a href="#Practitioner_practitioner1">See above (Practitioner/practitioner1)</a></p><h3>DosageInstructions</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><blockquote><p><b>dispenseRequest</b></p><h3>InitialFills</h3><table class="grid"><tr><td>-</td><td><b>Quantity</b></td></tr><tr><td>*</td><td>4 {each}</td></tr></table><p><b>numberOfRepeatsAllowed</b>: 2</p><h3>ExpectedSupplyDurations</h3><table class="grid"><tr><td>-</td></tr><tr><td>*</td></tr></table><p><b>performer</b>: <a href="#Organization_pharmacy1">Our Specialty Pharmacy. Generated Summary: id: 1669512345; active; <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span>; name: Our Pharmacy; Phone: 952-555-5555, contact-us@example.org</a></p></blockquote><h3>Substitutions</h3><table class="grid"><tr><td>-</td><td><b>Allowed[x]</b></td></tr><tr><td>*</td><td>false</td></tr></table></div>
            </text>
            <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"/>
              </coding>
            </medicationCodeableConcept>
            <subject>
              <reference value="Patient/patientEHR"/>
            </subject>
            <authoredOn value="2020-03-10"/>
            <requester>
              <reference value="Practitioner/practitioner1"/>
            </requester>
            <dosageInstruction>
              <text
                    value="Inject 2 pens on Day 1. Inject 1 pen on Day 8 and every other week thereafter"/>
            </dosageInstruction>
            <dispenseRequest>
              <initialFill>
                <quantity>
                  <value value="4"/>
                  <unit value="{each}"/>
                </quantity>
              </initialFill>
              <numberOfRepeatsAllowed value="2"/>
              <expectedSupplyDuration>
                <value value="30"/>
                <unit value="days"/>
                <system value="http://unitsofmeasure.org"/>
                <code value="d"/>
              </expectedSupplyDuration>
              <performer>
                <reference value="Organization/pharmacy1"/>
                <display value="Our Specialty Pharmacy"/>
              </performer>
            </dispenseRequest>
            <substitution>
              <allowedBoolean value="false"/>
            </substitution>
          </MedicationRequest>
        </resource>
      </entry>
      <entry>
        <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"/>
            </meta>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 9941339108</p><p><b>name</b>: Jane Smith </p><p><b>telecom</b>: ph: 555-555-5555(HOME), fax: 555-555-1234(HOME), <a href="mailto:jane.smith@example.org">jane.smith@example.org</a></p><p><b>address</b>: 101 Oak Lane Minnetonka MN 55345 (HOME)</p></div>
            </text>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="9941339108"/>
            </identifier>
            <name>
              <family value="Smith"/>
              <given value="Jane"/>
              <prefix value="Dr"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="555-555-5555"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="fax"/>
              <value value="555-555-1234"/>
              <use value="home"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="jane.smith@example.org"/>
              <use value="work"/>
            </telecom>
            <address>
              <use value="home"/>
              <line value="101 Oak Lane"/>
              <city value="Minnetonka"/>
              <state value="MN"/>
              <postalCode value="55345"/>
            </address>
          </Practitioner>
        </resource>
      </entry>
      <entry>
        <fullUrl value="https://example.org/MyEHR/Organization/pharmacy1"/>
        <resource>
          <Organization>
            <id value="pharmacy1"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 1669512345</p><p><b>active</b>: true</p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/organization-type prov}">Healthcare Provider</span></p><p><b>name</b>: Our Pharmacy</p><p><b>telecom</b>: ph: 952-555-5555, <a href="mailto:contact-us@example.org">contact-us@example.org</a></p><p><b>address</b>: 220 Oak St Minneapolis MN 55008 USA </p></div>
            </text>
            <identifier>
              <system value="http://hl7.org/fhir/sid/us-npi"/>
              <value value="1669512345"/>
            </identifier>
            <active value="true"/>
            <type>
              <coding>
                <system
                        value="http://terminology.hl7.org/CodeSystem/organization-type"/>
                <code value="prov"/>
                <display value="Healthcare Provider"/>
              </coding>
            </type>
            <name value="Our Pharmacy"/>
            <telecom>
              <system value="phone"/>
              <value value="952-555-5555"/>
            </telecom>
            <telecom>
              <system value="email"/>
              <value value="contact-us@example.org"/>
            </telecom>
            <address>
              <line value="220 Oak St"/>
              <city value="Minneapolis"/>
              <state value="MN"/>
              <postalCode value="55008"/>
              <country value="USA"/>
            </address>
          </Organization>
        </resource>
      </entry>
      <entry>
        <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"/>
            </meta>
            <type value="searchset"/>
            <timestamp value="2020-03-11T13:10:17-05:00"/>
            <total value="3"/>
            <link>
              <relation value="self"/>
              <url value="Condition?patient=patientEHR"/>
            </link>
            <entry>
              <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"/>
                    </coding>
                    <text value="Active"/>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                    <text value="Confirmed"/>
                  </verificationStatus>
                  <category>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                      <code value="problem-list-item"/>
                      <display value="Problem List Item"/>
                    </coding>
                    <text value="Problem"/>
                  </category>
                  <code>
                    <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="13644009"/>
                      <display value="Hypercholesterolemia (disorder)"/>
                    </coding>
                    <text value="Hypercholesterolemia (disorder)"/>
                  </code>
                  <subject>
                    <reference value="Patient/patientEHR"/>
                  </subject>
                </Condition>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
            <entry>
              <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"/>
                    </coding>
                    <text value="Active"/>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                    <text value="Confirmed"/>
                  </verificationStatus>
                  <category>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                      <code value="problem-list-item"/>
                      <display value="Problem List Item"/>
                    </coding>
                    <text value="Problem"/>
                  </category>
                  <code>
                    <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="84172003"/>
                      <display value="Spondylitis (disorder)"/>
                    </coding>
                    <text value="Spondylitis (disorder)"/>
                  </code>
                  <subject>
                    <reference value="Patient/patientEHR"/>
                  </subject>
                </Condition>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
            <entry>
              <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"/>
                    </coding>
                    <text value="Active"/>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                    <text value="Confirmed"/>
                  </verificationStatus>
                  <category>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/condition-category"/>
                      <code value="problem-list-item"/>
                      <display value="Problem List Item"/>
                    </coding>
                    <text value="Problem"/>
                  </category>
                  <code>
                    <coding>
                      <system value="http://snomed.info/sct"/>
                      <code value="427603009"/>
                      <display value="Intermittent asthma (disorder)"/>
                    </coding>
                    <text value="Intermittent asthma (disorder)"/>
                  </code>
                  <subject>
                    <reference value="Patient/patientEHR"/>
                  </subject>
                </Condition>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
          </Bundle>
        </resource>
      </entry>
      <entry>
        <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"/>
            </meta>
            <type value="searchset"/>
            <timestamp value="2020-03-11T13:10:17-05:00"/>
            <total value="3"/>
            <link>
              <relation value="self"/>
              <url value="AllergyIntolerance?patient=patientEHR"/>
            </link>
            <entry>
              <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"/>
                    </coding>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                  </verificationStatus>
                  <code>
                    <text value="Cashew"/>
                  </code>
                  <patient>
                    <reference value="Patient/patientEHR"/>
                  </patient>
                </AllergyIntolerance>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
            <entry>
              <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"/>
                    </coding>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                  </verificationStatus>
                  <code>
                    <text value="Bees"/>
                  </code>
                  <patient>
                    <reference value="Patient/patientEHR"/>
                  </patient>
                </AllergyIntolerance>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
            <entry>
              <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"/>
                    </coding>
                  </clinicalStatus>
                  <verificationStatus>
                    <coding>
                      <system
                              value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
                      <code value="confirmed"/>
                      <display value="Confirmed"/>
                    </coding>
                  </verificationStatus>
                  <code>
                    <text value="Penicillins"/>
                  </code>
                  <patient>
                    <reference value="Patient/patientEHR"/>
                  </patient>
                  <reaction>
                    <manifestation>
                      <text value="Hives"/>
                    </manifestation>
                  </reaction>
                </AllergyIntolerance>
              </resource>
              <search>
                <mode value="match"/>
              </search>
            </entry>
          </Bundle>
        </resource>
      </entry>
    </Bundle>