FHIR IG analytics| Package | fhir.paciosampledata |
| Resource Type | Bundle |
| Id | Bundle-betsysmith-johnson01-SMP-Bundle-03-PCP.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "betsysmith-johnson01-SMP-Bundle-03-PCP",
"meta": {
"profile": [
"http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"
]
},
"type": "collection",
"timestamp": "2025-07-16T11:00:00Z",
"entry": [
{
"fullUrl": "urn:patient-betsysmith-johnson01",
"resource": {
"resourceType": "Patient",
"id": "patient-betsysmith-johnson01",
"meta": {
"lastUpdated": "2021-03-29T14:25:34.001-05:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"language": "en-US",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Patient_patient-betsysmith-johnson01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-betsysmith-johnson01</b></p><a name=\"patient-betsysmith-johnson01\"> </a><a name=\"hcpatient-betsysmith-johnson01\"> </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\">Last updated: 2021-03-29 14:25:34-0500; Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical Record Number/1032702 (use: usual, )</li><li><a href=\"http://terminology.hl7.org/6.1.0/NamingSystem-ssn.html\" title=\"United States Social Security Number (SSN). Assigned by the U.S. Social Security Administration. Note: IRS assigned ITINs are often used as drop-ins for social security numbers. The SSN is represented in resources with dashes removed. See http://www.ssa.gov/.\">United States Social Security Number</a>/SS</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-555-1111(Mobile)</li><li><a href=\"mailto:mmoen+betsysmithjohnson@mydirectives.com\">mmoen+betsysmithjohnson@mydirectives.com</a></li><li>17040 E Warren Avenue, Detroit, MI 48224</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Language spoken\">Language:</td><td colspan=\"3\"><span title=\"Codes:{urn:ietf:bcp:47 en}\">English</span> (preferred)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: son\">son:</td><td colspan=\"3\"><ul><li>Charles Johnson</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-2222</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Nominated Contact: daughter in-law\">daughter in-law:</td><td colspan=\"3\"><ul><li>Lisa Johnson</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-3333</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality. The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3\">Race & Ethnicity - CDC: 2106-3</a> (White)</li><li>text: White</li></ul></td></tr></table></div>"
},
"extension": [
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2106-3",
"display": "White"
}
},
{
"url": "text",
"valueString": "White"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical Record Number"
}
],
"text": "Medical Record Number"
},
"system": "http://hospital.smarthealthit.org",
"value": "1032702"
},
{
"system": "http://hl7.org/fhir/sid/us-medicare",
"value": "1PA3D58WH16",
"assigner": {
"display": "Medicare"
}
},
{
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "SS"
}
],
"active": true,
"name": [
{
"use": "usual",
"text": "Smith-Johnson, Betsy",
"family": "Smith-Johnson",
"given": [
"Betsy"
]
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-1111",
"use": "mobile"
},
{
"system": "email",
"value": "mmoen+betsysmithjohnson@mydirectives.com",
"use": "mobile"
}
],
"gender": "female",
"birthDate": "1950-11-15",
"address": [
{
"text": "17040 E Warren Avenue, Detroit, MI 48224",
"line": [
"17040 E Warren Avenue"
],
"city": "Detroit",
"state": "MI",
"postalCode": "48224",
"country": "US",
"period": {
"start": "2016-12-06"
}
}
],
"maritalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "UNK"
}
]
},
"contact": [
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "SONC"
}
]
}
],
"name": {
"text": "Charles Johnson"
},
"telecom": [
{
"system": "phone",
"value": "(555) 555-2222"
}
],
"address": {
"text": "17040 E Warren Avenue, Detroit, MI 48224"
}
},
{
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "DAUINLAW"
}
]
}
],
"name": {
"text": "Lisa Johnson"
},
"telecom": [
{
"system": "phone",
"value": "(555) 555-3333"
}
],
"address": {
"text": "17040 E Warren Avenue, Detroit, MI 48224"
}
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "urn:ietf:bcp:47",
"code": "en",
"display": "English"
}
]
},
"preferred": true
}
]
}
},
{
"fullUrl": "urn:bsj1-smp-medListNew-3",
"resource": {
"resourceType": "List",
"id": "bsj1-smp-medListNew-3",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_bsj1-smp-medListNew-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List bsj1-smp-medListNew-3</b></p><a name=\"bsj1-smp-medListNew-3\"> </a><a name=\"hcbsj1-smp-medListNew-3\"> </a><h2>MedicationList for scene 3 - HHA</h2><table class=\"clstu\"><tr><td>Date: 2025-07-04 13:00:00-0800 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: Reconciled medication list [Identifier] Episode Pharmacy </td></tr><tr><td>Subject: <a href=\"Patient-patient-betsysmith-johnson01.html\">Betsy Smith-Johnson</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-lipitor-3-1.html\">Lipitor 40 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-metformin-3-2.html\">metFORMIN hydrochloride 500 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-metformin-3-3.html\">metFORMIN hydrochloride 500 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-polyethylene-3-4.html\">polyethylene glycol 3350 17000 MG Powder for Oral Solution</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-sertraline-3-5.html\">sertraline 25 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-sitagliptin-3-6.html\">sitagliptin 50 MG Oral Tablet</a></td></tr></table></div>"
},
"status": "current",
"mode": "working",
"title": "MedicationList for scene 3 - HHA",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "104203-5",
"display": "Reconciled medication list [Identifier] Episode Pharmacy"
}
]
},
"subject": {
"reference": "Patient/patient-betsysmith-johnson01",
"display": "Betsy Smith-Johnson"
},
"date": "2025-07-04T13:00:00-08:00",
"source": {
"reference": "PractitionerRole/PractitionerRole-DNP-JudySalas"
},
"entry": [
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-lipitor-3-1",
"display": "Lipitor 40 MG Oral Tablet"
}
},
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-metformin-3-2",
"display": "metFORMIN hydrochloride 500 MG Oral Tablet"
}
},
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-metformin-3-3",
"display": "metFORMIN hydrochloride 500 MG Oral Tablet"
}
},
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-polyethylene-3-4",
"display": "polyethylene glycol 3350 17000 MG Powder for Oral Solution"
}
},
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-sertraline-3-5",
"display": "sertraline 25 MG Oral Tablet"
}
},
{
"item": {
"reference": "MedicationStatement/bsj1-smp-medstmt-sitagliptin-3-6",
"display": "sitagliptin 50 MG Oral Tablet"
}
}
]
}
}
]
}