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Medication Request Updated

Medication Request Updated Detailed

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Order notifications contain details about any order placed by your connection's system to your organization. This could include device, medication, or service requests, depending on what your organization provides or manages for patients.

You can receive notifications when an order is created, cancelled, or updated.

updated

Indicates that an existing medication request has been updated for a patient that your organization works with.

You can opt in for lightweight or detailed notifications.

  • A lightweight notification provides the MedicationRequest reference, medication code, patient identifier, and timestamp.
  • A detailed notification contains everything in the lightweight plus extended medication and patient info, pharmacy/practitioner info, and any related references.

Select payload example

MedicationRequestUpdatedFullBundleExample
json
1
{
2
  "resourceType": "Bundle",
3
  "id": "MedicationRequestUpdatedFullBundleExample",
4
  "type": "message",
5
  "entry": [
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    {
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      "resource": {
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        "eventUri": "https://fhir.redoxengine.com/EventDefinition/MedicationRequestUpdated",
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        "resourceType": "MessageHeader",
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        "id": "MedicationRequestUpdatedMessageHeader",
11
        "source": {
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          "name": "Good Health Clinics",
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          "endpoint": "05107c08-fe2f-4740-8c1d-c7107d18ebe5"
14
        },
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        "focus": [
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          {
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            "reference": "MedicationRequest/RedoxMedicationRequestExample"
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          },
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          {
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            "reference": "Patient/RedoxPatientExampleTimothy"
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          }
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        ],
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        "definition": "https://fhir.redoxengine.com/MessageDefinition/MedicationRequestUpdatedFull"
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/MedicationRequest?identifier=06dc94e9-ce21-4ad6-89b7-bfb51154bbd6|urn:redox:example:MedOrderID",
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      "resource": {
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        "resourceType": "MedicationRequest",
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        "id": "RedoxMedicationRequestExample",
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        "identifier": [
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          {
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            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.798268",
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            "value": "865492246"
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          }
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        ],
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        "subject": {
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          "reference": "Patient/RedoxPatientExampleTimothy"
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        },
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        "intent": "order",
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        "encounter": {
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          "reference": "Encounter/RedoxEncompassingEncounterExample"
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        },
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        "medicationCodeableConcept": {
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          "coding": [
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            {
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              "code": "104894",
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              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
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              "display": "Ondansetron 4 Mg Po Tbdp"
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            }
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          ],
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          "text": "Ondansetron 4 Mg Po Tbdp"
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        },
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        "dispenseRequest": {
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          "quantity": {
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            "value": 30,
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            "unit": "tablet"
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          },
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          "numberOfRepeatsAllowed": 0,
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          "validityPeriod": {
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            "start": "2019-04-01T00:00:00.000Z",
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            "end": "2019-05-31T00:00:00.000Z"
63
          },
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          "performer": {
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            "reference": "Organization/RedoxOrganizationPharmacyExample"
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          }
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        },
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        "status": "active",
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        "priority": "routine",
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        "reasonCode": [
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          {
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            "coding": [
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              {
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                "code": "422587007",
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                "system": "http://snomed.info/sct"
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              }
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            ],
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            "text": "Nausea"
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          }
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        ],
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        "authoredOn": "2019-04-01T17:04:16.605Z",
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        "requester": {
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          "reference": "PractitionerRole/RedoxPAPractitionerRoleExamplePat"
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        },
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        "recorder": {
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          "reference": "Practitioner/RedoxPractitionerExampleMedicationRequest"
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        },
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        "dosageInstruction": [
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          {
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            "text": "one tablet every 8 hours",
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            "asNeededBoolean": false,
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            "route": {
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              "coding": [
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                {
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                  "code": "C38288",
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                  "system": "urn:oid:2.16.840.1.113883.3.26.1.1",
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                  "display": "Oral"
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                }
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              ]
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            },
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            "doseAndRate": [
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              {
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                "doseQuantity": {
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                  "value": 4,
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                  "unit": "mg"
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                }
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              }
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            ],
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            "timing": {
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              "repeat": {
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                "frequency": 1,
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                "period": 8,
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                "periodUnit": "h",
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                "boundsPeriod": {
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                  "start": "2013-11-11T05:00:00.000Z"
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                }
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              }
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            }
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          }
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        ]
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Patient?identifier=0000000001|urn:redox:MRN",
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      "resource": {
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        "resourceType": "Patient",
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        "id": "RedoxPatientExampleTimothy",
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        "meta": {
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          "extension": [
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            {
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              "url": "https://fhir.redoxengine.com/StructureDefinition/example-sort-order",
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              "valueInteger": 1
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            }
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          ]
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        },
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        "extension": [
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          {
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            "extension": [
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              {
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                "url": "text",
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                "valueString": "White"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
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          },
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          {
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            "extension": [
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              {
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                "url": "ombCategory",
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                "valueCoding": {
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                  "code": "2135-2",
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                  "system": "urn:oid:2.16.840.1.113883.6.238",
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                  "display": "Hispanic or Latino"
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                }
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              },
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              {
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                "url": "text",
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                "valueString": "Hispanic"
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              }
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            ],
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            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
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          }
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        ],
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        "identifier": [
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          {
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            "value": "0000000001",
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            "system": "urn:redox:health-one:MR"
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          },
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          {
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            "value": "101-01-0001",
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            "system": "http://hl7.org/fhir/sid/us-ssn"
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          }
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        ],
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        "name": [
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          {
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            "given": [
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              "Timothy",
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              "Paul"
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            ],
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            "family": "Bixby",
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            "use": "official"
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          },
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          {
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            "text": "Billy",
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            "use": "usual"
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          }
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        ],
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        "gender": "male",
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        "birthDate": "2008-01-06",
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        "telecom": [
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          {
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            "value": "+18088675301",
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            "system": "phone",
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            "use": "home"
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          },
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          {
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            "value": "+18008675309",
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            "system": "phone",
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            "use": "work"
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          },
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          {
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            "value": "timothy.bixby@redoxengine.com",
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            "system": "email"
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          }
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        ],
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        "address": [
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          {
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            "line": [
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              "4762 Hickory Street"
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            ],
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            "city": "Monroe",
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            "district": "Greene",
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            "state": "WI",
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            "postalCode": "53566",
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            "country": "US",
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            "use": "home"
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          }
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        ],
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        "maritalStatus": {
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          "coding": [
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            {
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              "code": "M",
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              "system": "http://hl7.org/fhir/v3/MaritalStatus",
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              "display": "Married"
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            }
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          ],
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          "text": "Married"
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        },
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        "communication": [
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          {
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            "language": {
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              "coding": [
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                {
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                  "code": "en",
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                  "system": "urn:ietf:bcp:47"
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                }
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              ],
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              "text": "English"
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            }
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          }
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        ],
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        "contact": [
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          {
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            "name": {
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              "given": [
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                "Barbara"
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              ],
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              "family": "Bixby"
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            },
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            "telecom": [
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              {
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                "value": "+18088675303",
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                "system": "phone",
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                "use": "home"
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              },
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              {
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                "value": "barbara.bixby@redoxengine.com",
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                "system": "email"
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              }
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            ],
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            "address": {
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              "line": [
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                "4762 Hickory St."
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              ],
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              "city": "Monroe",
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              "district": "Green",
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              "state": "WI",
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              "postalCode": "53566",
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              "country": "USA"
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            },
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            "relationship": [
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              {
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                "coding": [
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                  {
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                    "code": "MTH",
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                    "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
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                    "display": "mother"
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                  }
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                ],
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                "text": "Mother"
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              },
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              {
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                "coding": [
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                  {
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                    "code": "C",
286
                    "system": "http://terminology.hl7.org/CodeSystem/v2-0131",
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                    "display": "Emergency Contact"
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                  }
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                ],
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                "text": "Emergency Contact"
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              }
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            ]
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          }
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        ],
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        "generalPractitioner": [
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          {
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            "reference": "Practitioner/RedoxPractitionerExamplePat"
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          }
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        ],
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        "managingOrganization": {
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          "reference": "Organization/RedoxOrganizationManagingExample"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Encounter?identifier=6425784126|urn:oid:1.2.840.114350.1.13.12345.1.7.2.698084.11",
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      "resource": {
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        "resourceType": "Encounter",
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        "id": "RedoxEncompassingEncounterExample",
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        "identifier": [
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          {
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            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.698084.11",
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            "value": "6425784126"
314
          }
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        ],
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        "status": "finished",
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        "class": {
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          "code": "IMP",
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          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
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          "display": "inpatient encounter"
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        },
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        "type": [
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          {
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            "coding": [
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              {
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                "code": "99222",
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                "system": "http://www.ama-assn.org/go/cpt",
328
                "display": "InPatient Admission"
329
              }
330
            ]
331
          }
332
        ],
333
        "period": {
334
          "start": "2022-02-02T15:17:55.221Z",
335
          "end": "2022-02-02T15:17:55.221Z"
336
        },
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        "location": [
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          {
339
            "location": {
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              "reference": "Location/RedoxLocationExampleFacility"
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            }
342
          },
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          {
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            "location": {
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              "reference": "Location/RedoxLocationExampleDepartment"
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            }
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          },
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          {
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            "location": {
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              "reference": "Location/RedoxLocationExampleRoom"
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            }
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          }
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        ],
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        "subject": {
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          "reference": "Patient/RedoxPatientExampleTimothy"
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        }
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      }
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    },
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    {
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      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Organization/RedoxOrganizationPharmacyExample",
361
      "resource": {
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        "resourceType": "Organization",
363
        "id": "RedoxOrganizationPharmacyExample",
364
        "identifier": [
365
          {
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            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.798268",
367
            "value": "4861304611"
368
          },
369
          {
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            "system": "http://terminology.hl7.org/CodeSystem/NCPDPProviderIdentificationNumber",
371
            "value": "1234567"
372
          }
373
        ],
374
        "active": true,
375
        "name": "Fake Pharmacy",
376
        "type": [
377
          {
378
            "text": "Pharmacy",
379
            "coding": [
380
              {
381
                "code": "PHARM",
382
                "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
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                "display": "Pharmacy"
384
              }
385
            ]
386
          }
387
        ],
388
        "address": [
389
          {
390
            "line": [
391
              "123 Fake St."
392
            ],
393
            "city": "Madison",
394
            "district": "Dane",
395
            "state": "WI",
396
            "postalCode": "53703",
397
            "country": "USA"
398
          }
399
        ],
400
        "telecom": [
401
          {
402
            "value": "+16085556789",
403
            "system": "phone",
404
            "use": "work"
405
          }
406
        ]
407
      }
408
    },
409
    {
410
      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/Practitioner/RedoxPractitionerExampleMedicationRequest",
411
      "resource": {
412
        "resourceType": "Practitioner",
413
        "id": "RedoxPractitionerExampleMedicationRequest",
414
        "identifier": [
415
          {
416
            "system": "http://hl7.org/fhir/sid/us-npi",
417
            "value": "3459132305"
418
          },
419
          {
420
            "system": "urn:oid:1.2.840.114350.1.13.12345.1.7.2.698077",
421
            "value": "4890215231"
422
          }
423
        ],
424
        "name": [
425
          {
426
            "given": [
427
              "Aaheli"
428
            ],
429
            "family": "Ghoshal"
430
          }
431
        ]
432
      }
433
    },
434
    {
435
      "fullUrl": "https://api.redoxengine.com/fhir/R4/redox-fhir-sandbox/Development/PractitionerRole/RedoxPAPractitionerRoleExamplePat",
436
      "resource": {
437
        "resourceType": "PractitionerRole",
438
        "id": "RedoxPAPractitionerRoleExamplePat",
439
        "practitioner": {
440
          "reference": "Practitioner/RedoxPAPractitionerExamplePat"
441
        },
442
        "organization": {
443
          "reference": "Organization/RedoxPARequestorOrganizationExample"
444
        },
445
        "location": [
446
          {
447
            "display": "1st Street Family Clinic"
448
          }
449
        ],
450
        "specialty": [
451
          {
452
            "coding": [
453
              {
454
                "code": "394579002",
455
                "system": "http://snomed.info/sct",
456
                "display": "Cardiology"
457
              }
458
            ]
459
          }
460
        ]
461
      }
462
    }
463
  ],
464
  "timestamp": "2021-06-17T20:33:22.422Z"
465
}

Request Body Schema

    Bundle sent as part of a MedicationRequest-updated event

  • resourceType
    required, string

    Identifies the type of the resource

    Value: Bundle
  • type
    required, string

    Indicates the purpose of this bundle - how it is intended to be used.

    Value: message
  • entry
    required, Array of messageHeader, medicationRequest, patient, encounter

    An entry in the bundle containing a FHIR resource

    • fullUrl
      string

      The Absolute URL for the resource. The fullUrl SHALL NOT disagree with the id in the resource - i.e. if the fullUrl is not a urn:uuid, the URL shall be version-independent URL consistent with the Resource.id. The fullUrl is a version independent reference to the resource. The fullUrl element SHALL have a value except that:

      • fullUrl can be empty on a POST (although it does not need to when specifying a temporary id for reference in the bundle)
      • Results from operations might involve resources that are not identified.
    • resource
      object

      The Resource for the entry. The purpose/meaning of the resource is determined by the Bundle.type.

      • resourceType
        required, string

        Identifies the type of the resource

        Value: MessageHeader
      • source
        required, object

        The source application from which this message originated.

        • endpoint
          required, string

          Identifies the routing target to send acknowledgements to.

      • focus
        required, Array of object

        The actual data of the message - a reference to the root/focus class of the event.

        Must be a resource of type Resource.

        • reference
          string

          A reference to another resource. This is typically either a relative reference which includes the resource type and ID, or an internal reference which starts with # and refers to a contained resource.

      • definition
        required, string

        Permanent link to the MessageDefinition for this message.

      • eventUri
        required, string

        Code that identifies the event this message represents and connects it with its definition. Events defined as part of the FHIR specification have the system value "http://terminology.hl7.org/CodeSystem/message-events". Alternatively uri to the EventDefinition.

        Value: https://fhir.redoxengine.com/EventDefinition/MedicationRequestUpdated
  • timestamp
    string

    The date/time that the bundle was assembled - i.e. when the resources were placed in the bundle.