haau3 FHIR Implementation Guide (HFIG)
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: haau3 Reconciled Medication Bundle: the response to the example request - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "medlist-response-bundle",
  "meta" : {
    "profile" : [
      🔗 "https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-bundle"
    ]
  },
  "type" : "collection",
  "timestamp" : "2026-09-25T12:00:00Z",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:cca79014-be8b-4a29-b062-d4df7bd4ea4c",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "medlist-entry-janumet",
        "meta" : {
          "profile" : [
            🔗 "https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-request"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medlist-entry-janumet\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medlist-entry-janumet</b></p><a name=\"medlist-entry-janumet\"> </a><a name=\"hcmedlist-entry-janumet\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-haau3-reconciled-medication-request.html\">haau3 Reconciled MedicationRequest</a></p></div><p><b>MedList Evidence</b>: <a href=\"CodeSystem-medlist-evidence.html#medlist-evidence-active-order\">MedList Evidence: active-order</a> (Active order)</p><p><b>MedList Evidence</b>: <a href=\"CodeSystem-medlist-evidence.html#medlist-evidence-patient-reported\">MedList Evidence: patient-reported</a> (Patient-reported use)</p><p><b>MedList Evidence</b>: <a href=\"CodeSystem-medlist-evidence.html#medlist-evidence-brand-folded\">MedList Evidence: brand-folded</a> (Brand folded to generic)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>reported</b>: false</p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 861821}, {http://www.nlm.nih.gov/research/umls/rxnorm 2709491}\">Janumet 50 mg-500 mg tablet</span></p><p><b>subject</b>: <a href=\"http://example.org/fhir/Patient/example\">http://example.org/fhir/Patient/example</a></p><p><b>authoredOn</b>: 2026-08-30</p><p><b>requester</b>: Example Prescriber, MD</p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>1 tablet twice a day</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-evidence",
            "valueCoding" : {
              "system" : "https://haau3.com/fhir/CodeSystem/medlist-evidence",
              "code" : "active-order",
              "display" : "Active order"
            }
          },
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-evidence",
            "valueCoding" : {
              "system" : "https://haau3.com/fhir/CodeSystem/medlist-evidence",
              "code" : "patient-reported",
              "display" : "Patient-reported use"
            }
          },
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-evidence",
            "valueCoding" : {
              "system" : "https://haau3.com/fhir/CodeSystem/medlist-evidence",
              "code" : "brand-folded",
              "display" : "Brand folded to generic"
            }
          }
        ],
        "status" : "active",
        "intent" : "order",
        "reportedBoolean" : false,
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "861821",
              "display" : "metformin hydrochloride 500 MG / sitagliptin phosphate 50 MG Oral Tablet [Janumet]"
            },
            {
              "extension" : [
                {
                  "url" : "https://haau3.com/fhir/StructureDefinition/medlist-added-coding",
                  "valueCode" : "rxnorm-clinical-drug"
                }
              ],
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "2709491",
              "display" : "metformin hydrochloride 500 MG / sitagliptin phosphate 50 MG Oral Tablet"
            }
          ],
          "text" : "Janumet 50 mg-500 mg tablet"
        },
        "subject" : {
          "reference" : "http://example.org/fhir/Patient/example"
        },
        "authoredOn" : "2026-08-30",
        "requester" : {
          "display" : "Example Prescriber, MD"
        },
        "dosageInstruction" : [
          {
            "text" : "1 tablet twice a day"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:e9f58b63-dfcf-427b-a99a-5bd212786511",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "medlist-provenance-janumet",
        "meta" : {
          "profile" : [
            🔗 "https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-provenance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_medlist-provenance-janumet\"> </a><p><b>Provenance of a reconciled medication entry</b></p><table class=\"grid\"><tr><td>Entry</td><td>urn:uuid:cca79014-be8b-4a29-b062-d4df7bd4ea4c</td></tr><tr><td>Recorded</td><td>2026-09-25T12:00:00Z</td></tr><tr><td>Evaluated as of</td><td>2026-09-25T12:00:00Z</td></tr><tr><td>Assembler</td><td>haau3 (a contained Organization)</td></tr><tr><td>Rule-set version</td><td>2026-09-25.v1</td></tr><tr><td>RxNorm release</td><td>09082026</td></tr></table><table class=\"grid\"><tr><th>Source record</th><th>Elements it supplied</th></tr><tr><td>http://example.org/fhir/MedicationRequest/janumet-order</td><td>authoredOn, requester, medicationCodeableConcept.coding, medicationCodeableConcept.text</td></tr><tr><td>http://example.org/fhir/MedicationStatement/janumet-statement</td><td>medicationCodeableConcept.coding, dosageInstruction.text</td></tr></table></div>"
        },
        "contained" : [
          {
            "resourceType" : "Organization",
            "id" : "haau3",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
              ]
            },
            "active" : true,
            "name" : "haau3",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://haau3.com"
              }
            ]
          }
        ],
        "extension" : [
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-ruleset-version",
            "valueString" : "2026-09-25.v1"
          },
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-rxnorm-release",
            "valueString" : "09082026"
          }
        ],
        "target" : [
          {
            "reference" : "urn:uuid:cca79014-be8b-4a29-b062-d4df7bd4ea4c"
          }
        ],
        "occurredDateTime" : "2026-09-25T12:00:00Z",
        "recorded" : "2026-09-25T12:00:00Z",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "assembler",
                  "display" : "Assembler"
                }
              ]
            },
            "who" : {
              "reference" : "#haau3"
            }
          }
        ],
        "entity" : [
          {
            "extension" : [
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "authoredOn"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "requester"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "medicationCodeableConcept.coding"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "medicationCodeableConcept.text"
              }
            ],
            "role" : "source",
            "what" : {
              "reference" : "http://example.org/fhir/MedicationRequest/janumet-order"
            }
          },
          {
            "extension" : [
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "medicationCodeableConcept.coding"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "dosageInstruction.text"
              }
            ],
            "role" : "source",
            "what" : {
              "reference" : "http://example.org/fhir/MedicationStatement/janumet-statement"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:6ed091b4-5154-4341-a5a0-db38571c584b",
      "resource" : {
        "resourceType" : "MedicationRequest",
        "id" : "medlist-entry-lisinopril",
        "meta" : {
          "profile" : [
            🔗 "https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-request"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_medlist-entry-lisinopril\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest medlist-entry-lisinopril</b></p><a name=\"medlist-entry-lisinopril\"> </a><a name=\"hcmedlist-entry-lisinopril\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-haau3-reconciled-medication-request.html\">haau3 Reconciled MedicationRequest</a></p></div><p><b>MedList Evidence</b>: <a href=\"CodeSystem-medlist-evidence.html#medlist-evidence-patient-reported\">MedList Evidence: patient-reported</a> (Patient-reported use)</p><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>reported</b>: <a href=\"http://example.org/fhir/Patient/example\">http://example.org/fhir/Patient/example</a></p><p><b>medication</b>: <span title=\"Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 311354}\">lisinopril 5 mg tablet</span></p><p><b>subject</b>: <a href=\"http://example.org/fhir/Patient/example\">http://example.org/fhir/Patient/example</a></p><p><b>requester</b>: <a href=\"http://example.org/fhir/Patient/example\">http://example.org/fhir/Patient/example</a></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>5 mg once daily</td></tr></table></div>"
        },
        "extension" : [
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-evidence",
            "valueCoding" : {
              "system" : "https://haau3.com/fhir/CodeSystem/medlist-evidence",
              "code" : "patient-reported",
              "display" : "Patient-reported use"
            }
          }
        ],
        "status" : "active",
        "intent" : "plan",
        "reportedReference" : {
          "reference" : "http://example.org/fhir/Patient/example"
        },
        "medicationCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code" : "311354",
              "display" : "lisinopril 5 MG Oral Tablet"
            }
          ],
          "text" : "lisinopril 5 mg tablet"
        },
        "subject" : {
          "reference" : "http://example.org/fhir/Patient/example"
        },
        "requester" : {
          "reference" : "http://example.org/fhir/Patient/example"
        },
        "dosageInstruction" : [
          {
            "text" : "5 mg once daily"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:37832b15-3a07-4084-b779-6bb3078cab3b",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "medlist-provenance-lisinopril",
        "meta" : {
          "profile" : [
            🔗 "https://haau3.com/fhir/StructureDefinition/haau3-reconciled-medication-provenance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_medlist-provenance-lisinopril\"> </a><p><b>Provenance of a reconciled medication entry</b></p><table class=\"grid\"><tr><td>Entry</td><td>urn:uuid:6ed091b4-5154-4341-a5a0-db38571c584b</td></tr><tr><td>Recorded</td><td>2026-09-25T12:00:00Z</td></tr><tr><td>Evaluated as of</td><td>2026-09-25T12:00:00Z</td></tr><tr><td>Assembler</td><td>haau3 (a contained Organization)</td></tr><tr><td>Rule-set version</td><td>2026-09-25.v1</td></tr><tr><td>RxNorm release</td><td>09082026</td></tr></table><table class=\"grid\"><tr><th>Source record</th><th>Elements it supplied</th></tr><tr><td>http://example.org/fhir/MedicationStatement/lisinopril-statement</td><td>medicationCodeableConcept.coding, medicationCodeableConcept.text, dosageInstruction.text, reportedReference, requester</td></tr></table></div>"
        },
        "contained" : [
          {
            "resourceType" : "Organization",
            "id" : "haau3",
            "meta" : {
              "profile" : [
                🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
              ]
            },
            "active" : true,
            "name" : "haau3",
            "telecom" : [
              {
                "system" : "url",
                "value" : "https://haau3.com"
              }
            ]
          }
        ],
        "extension" : [
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-ruleset-version",
            "valueString" : "2026-09-25.v1"
          },
          {
            "url" : "https://haau3.com/fhir/StructureDefinition/medlist-rxnorm-release",
            "valueString" : "09082026"
          }
        ],
        "target" : [
          {
            "reference" : "urn:uuid:6ed091b4-5154-4341-a5a0-db38571c584b"
          }
        ],
        "occurredDateTime" : "2026-09-25T12:00:00Z",
        "recorded" : "2026-09-25T12:00:00Z",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "assembler",
                  "display" : "Assembler"
                }
              ]
            },
            "who" : {
              "reference" : "#haau3"
            }
          }
        ],
        "entity" : [
          {
            "extension" : [
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "medicationCodeableConcept.coding"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "medicationCodeableConcept.text"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "dosageInstruction.text"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "reportedReference"
              },
              {
                "url" : "https://haau3.com/fhir/StructureDefinition/medlist-supplied-elements",
                "valueString" : "requester"
              }
            ],
            "role" : "source",
            "what" : {
              "reference" : "http://example.org/fhir/MedicationStatement/lisinopril-statement"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:8f0d3f75-6138-4cb4-bea4-6b539e3c2894",
      "resource" : {
        "resourceType" : "OperationOutcome",
        "id" : "medlist-skipped-record-outcome",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"OperationOutcome_medlist-skipped-record-outcome\"> </a><p class=\"res-header-id\"><b>Generated Narrative: OperationOutcome medlist-skipped-record-outcome</b></p><a name=\"medlist-skipped-record-outcome\"> </a><a name=\"hcmedlist-skipped-record-outcome\"> </a><h3>Issues</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Severity</b></td><td><b>Code</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td></tr><tr><td style=\"display: none\">*</td><td>Warning</td><td>Required element missing</td><td><span title=\"Codes:\">This record names no medication and was not reconciled.</span></td><td>http://example.org/fhir/MedicationRequest/unnamed-order</td></tr></table></div>"
        },
        "issue" : [
          {
            "severity" : "warning",
            "code" : "required",
            "details" : {
              "text" : "This record names no medication and was not reconciled."
            },
            "diagnostics" : "http://example.org/fhir/MedicationRequest/unnamed-order"
          }
        ]
      }
    }
  ]
}