FHIR IG analytics| Package | hl7.fhir.us.pcs |
| Resource Type | Bundle |
| Id | Bundle-US-PCS-Bundle-All-7-Sections.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "US-PCS-Bundle-All-7-Sections",
"meta": {
"profile": [
"http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs"
]
},
"language": "en-US",
"identifier": {
"system": "https://example.org/fhir/identifier/bundle-id",
"value": "ac7a747c-a2c9-493c-ba39-4ac6997eed1e"
},
"type": "document",
"timestamp": "2026-03-21T18:53:00.8116604+00:00",
"entry": [
{
"fullUrl": "https://fhir.example.org/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a",
"resource": {
"resourceType": "Composition",
"id": "514af4c1-194d-48b4-8afe-7be09d3f895a",
"meta": {
"versionId": "1",
"profile": [
"http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs"
]
},
"language": "en-US",
"text": {
"status": "generated",
"div": "<div xml:lang=\"en-US\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\"><a name=\"Composition_514af4c1-194d-48b4-8afe-7be09d3f895a\"> </a>US Patient Care Summary for John Shaw</div>"
},
"identifier": {
"system": "https://example.org/fhir/identifier/composition-id",
"value": "ac7a747c-a2c9-493c-ba39-4ac6997eed1e"
},
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "60591-5",
"display": "Patient summary Document"
}
]
},
"category": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "107903-7",
"display": "Clinical note"
}
]
}
],
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234"
},
"date": "2026-03-21T18:53:00.8116604+00:00",
"author": [
{
"reference": "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"
}
],
"title": "US Patient Care Summary",
"confidentiality": "N",
"attester": [
{
"mode": "professional",
"time": "2026-03-21T18:53:00.8116604+00:00",
"party": {
"reference": "https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"
}
}
],
"custodian": {
"reference": "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"
},
"event": [
{
"code": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"code": "PCPR"
}
]
}
],
"period": {
"end": "2026-03-21T18:53:00.8116604+00:00"
}
}
],
"section": [
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Includes Condition.clinicalStatus of: active, recurrence, relapse or remission; Excludes Condition.verificationStatus of entered-in-error"
}
}
],
"title": "Problem List",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11450-4",
"display": "Problem list - Reported"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "8039e4a7-d459-454c-92a5-6c17ca2a824b"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
},
{
"extension": [
{
"url": "htmlid",
"valueString": "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes Condition.clinicalStatus of: active, recurrence, relapse or remission; Excludes Condition.verificationStatus of entered-in-error</div><table border=\"1\"><tr><th>Problem</th><th>Onset</th><th>Clinical Status</th><th>Verification Status</th><th>Severity</th></tr><tr id=\"8039e4a7-d459-454c-92a5-6c17ca2a824b\"><td>Active Duodenal Ulcer</td><td/><td>Active</td><td>Confirmed</td><td/></tr><tr id=\"f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1\"><td>Active Duodenal Ulcer</td><td/><td>Active</td><td>Confirmed</td><td/></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"
},
{
"reference": "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Includes AllergyIntolerance.clinicalStatus of active; Excludes AllergyIntorlance.verificationStatus of entered-in-error"
}
}
],
"title": "Allergies and Intolerances",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "48765-2",
"display": "Allergies and adverse reactions Document"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "9838cf73-c30d-4aa5-8ed8-36a079060b81"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes AllergyIntolerance.clinicalStatus of active; Excludes AllergyIntorlance.verificationStatus of entered-in-error</div><table border=\"1\"><tr><th>Allergy Type</th><th>Substance</th><th>Onset</th><th>Clinical Status</th><th>Verification Status</th><th>Reaction</th></tr><tr id=\"9838cf73-c30d-4aa5-8ed8-36a079060b81\"><td/><td>sulfonamide antibacterial</td><td/><td/><td/><td>skin rash: mild<br/></td></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Include MedicationRequest.status of active and MedicationRequest.intent of order or plan. Excludes MedicationRequest.doNotPerform is true"
}
}
],
"title": "Medication Summary",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "10160-0",
"display": "History of Medication use Narrative"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes MedicationRequest.status of active and MedicationRequest.intent of order or plan. Excludes MedicationRequest.doNotPerform is true</div><table border=\"1\"><tr><th>Medication</th><th>Dates</th><th>Dosage-Timing</th><th>Status</th><th>Route</th></tr><tr id=\"c3d31980-2a88-45b6-a7af-3fe8d32cc6fa\"><td>Nizatidine 15 MG/ML Oral Solution [Axid]</td><td/><td>active</td><td/></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Includes short-terms immunizations within past 24 months. Includes lifetime of immunization with long-duration"
}
}
],
"title": "Immunizations",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "11369-6",
"display": "History of Immunization note"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "17b5a6d7-307b-4726-8c8c-0031e61582ce"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes short-terms immunizations within past 24 months. Includes lifetime of immunization with long-duration</div><table border=\"1\"><tr><th>Vaccine</th><th>Date</th><th>Status</th><th>Lot Number</th></tr><tr id=\"17b5a6d7-307b-4726-8c8c-0031e61582ce\"><td>Influenza, high-dose, quadrivalent, PF</td><td>Nov 19 2020 15:46</td><td>Completed</td><td/></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Includes diagnostic reports, laboratory and imaging observations from the past 90 days"
}
}
],
"title": "Results",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "30954-2",
"display": "Relevant diagnostic tests/laboratory data note"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "b0187efd-5f9b-474d-87bc-efebf877449a"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes diagnostic reports, laboratory and imaging observations from the past 90 days</div><table border=\"1\"><tr><th>Result</th><th>Value</th><th>Date</th><th>Status</th></tr><tr id=\"b0187efd-5f9b-474d-87bc-efebf877449a\"><td>Sodium SerPl-sCnc</td><td>137 mmol/L</td><td>Jul 4 2005 20:00</td><td>final</td></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Includes all major procedures with lasting clinical implications and all procedures from last 90 days"
}
}
],
"title": "History of Procedures",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "History of Procedures Document"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "fb04f2f5-d5b6-4031-85e9-547c78deb658"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes all major procedures with lasting clinical implications and all procedures from last 90 days</div><table border=\"1\"><tr><th>Procedure</th><th>Date</th><th>Status</th></tr><tr id=\"fb04f2f5-d5b6-4031-85e9-547c78deb658\"><td>Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber</td><td/><td>Completed</td></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658"
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/note",
"valueAnnotation": {
"text": "Include all emergency room and inpatient encounters in the past 12 months. Include all ambulatory encounters in the past 6 months"
}
}
],
"title": "Encounters",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "46240-8",
"display": "History of Hospitalizations+Outpatient visits Narrative"
}
]
},
"text": {
"extension": [
{
"extension": [
{
"url": "htmlid",
"valueString": "e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
},
{
"extension": [
{
"url": "htmlid",
"valueString": "e11bfacd-557d-416b-bb7f-165afc68bca0"
},
{
"url": "data",
"valueUri": "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0"
}
],
"url": "http://hl7.org/fhir/StructureDefinition/textLink"
}
],
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><div>Includes all emergency room and inpatient encounters in the past 12 months. Includes all ambulatory encounters in the past 6 months</div><table border=\"1\"><tr><th>Encounter Type</th><th>Description</th><th>Date</th><th>Location</th></tr><tr id=\"e8be20b8-6f24-4204-8eca-6bc8ecd2b26b\"><td>Ambulatory</td><td>Office Visit</td><td>2026-03-17</td><td>HL7 East Ambulatory</td></tr><tr id=\"e11bfacd-557d-416b-bb7f-165afc68bca0\"><td>Inpatient</td><td>Hospitalization</td><td>2026-01-17 to 2026-01-20</td><td>Holy Family Hospital</td></tr></table></div>"
},
"entry": [
{
"reference": "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"
},
{
"reference": "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0"
}
]
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Patient/DEF1234",
"resource": {
"resourceType": "Patient",
"id": "DEF1234",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"Patient_DEF1234\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient DEF1234</b></p><a name=\"DEF1234\"> </a><a name=\"hcDEF1234\"> </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\">Language: en</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;\">John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: 555-555-5555(Home)</li><li><a href=\"mailto:john.shaw@example.com\">john.shaw@example.com</a></li><li>49 Meadow St Mounds OK 74047 US (old)</li><li>183 Mountain View St Mounds OK 74048 US </li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The Sex Extension is used to reflect the documentation of a person's sex. Systems choosing to record sources of information should use the [Provenance resource](basic-provenance.html#element-level-provenance).\n \nUSCDI v3 includes a data element for sex, intended to support the exchange of a sex value that is not characterized as sex assigned at birth or birth sex. This Sex extension supports USCDI v3. Sex assigned at birth or birth sex can be recorded using the more specific [US Core Birth Sex Extension](http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex).\nFuture versions of this extension may be informed by the content of the HL7 Cross Paradigm IG: Gender Harmony - Sex and Gender Representation, which may include additional guidance on its relationship to administrative gender ([Patient.gender](StructureDefinition-us-core-patient-definitions.html#Patient.gender)).\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-sex.html\">US Core Sex Extension</a></td><td colspan=\"3\">248152002</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 ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity. The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2\">CDC Race and Ethnicity: 2135-2</a> (Hispanic or Latino)</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"A code classifying the person's sex assigned at birth as specified by the [Office of the National Coordinator for Health IT (ONC)](https://www.healthit.gov/newsroom/about-onc). This extension aligns with the C-CDA Birth Sex Observation (LOINC 76689-9). After version 6.0.0, this extension is no longer a *USCDI Requirement*.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-birthsex.html\">US Core Birth Sex Extension</a></td><td colspan=\"3\">F</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://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3\">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5\">CDC Race and Ethnicity: 1002-5</a> (American Indian or Alaska Native)</li><li>ombCategory: <a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9\">CDC Race and Ethnicity: 2028-9</a> (Asian)</li><li>text: Mixed</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This Extension profile represents a tribe or band with which a person associates and, optionally, whether they are enrolled.\">US Core Tribal Affiliation Extension:</td><td colspan=\"3\"><ul><li>tribalAffiliation: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS 187}\">Shoshone</span></li><li>isEnrolled: false</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"This extension represents an individual's sense of being a man, woman, boy, girl, nonbinary, or something else, ascertained by asking them what that identity is. Systems requiring multiple gender identities and associated dates **SHOULD** use the FHIR R5 [genderIdentity extension](http://hl7.org/fhir/extensions/StructureDefinition-individual-genderIdentity.html). When future versions of US Core are based on FHIR R5, the FHIR R5 extension will supersede this extension.\"><a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-genderIdentity.html\">US Core Gender Identity Extension</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">Unknown</span></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": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "1002-5",
"display": "American Indian or Alaska Native"
}
},
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2028-9",
"display": "Asian"
}
},
{
"url": "text",
"valueString": "Mixed"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension": [
{
"url": "ombCategory",
"valueCoding": {
"system": "urn:oid:2.16.840.1.113883.6.238",
"code": "2135-2",
"display": "Hispanic or Latino"
}
},
{
"url": "text",
"valueString": "Hispanic or Latino"
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"extension": [
{
"url": "tribalAffiliation",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
"code": "187",
"display": "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"
}
],
"text": "Shoshone"
}
},
{
"url": "isEnrolled",
"valueBoolean": false
}
],
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
"valueCode": "F"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-sex",
"valueCode": "248152002"
},
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-genderIdentity",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "UNK",
"display": "Unknown"
}
],
"text": "Unknown"
}
}
],
"identifier": [
{
"use": "usual",
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR",
"display": "Medical Record Number"
}
],
"text": "Medical Record Number"
},
"system": "https://example.org/fhir/identifier/medical-record-number",
"value": "3104721"
}
],
"active": true,
"name": [
{
"use": "old",
"family": "Shaw",
"given": [
"John"
],
"period": {
"start": "1986-02-21"
}
}
],
"telecom": [
{
"system": "phone",
"value": "555-555-5555",
"use": "home"
},
{
"system": "email",
"value": "john.shaw@example.com"
}
],
"gender": "male",
"birthDate": "1986-02-21",
"address": [
{
"use": "old",
"line": [
"49 Meadow St"
],
"city": "Mounds",
"state": "OK",
"postalCode": "74047",
"country": "US",
"period": {
"start": "2016-12-06",
"end": "2020-07-22"
}
},
{
"line": [
"183 Mountain View St"
],
"city": "Mounds",
"state": "OK",
"postalCode": "74048",
"country": "US",
"period": {
"start": "2020-07-22"
}
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522",
"resource": {
"resourceType": "Organization",
"id": "8dcf67a5-b677-4c4f-94c6-a4cf41c9a522",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_8dcf67a5-b677-4c4f-94c6-a4cf41c9a522\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization 8dcf67a5-b677-4c4f-94c6-a4cf41c9a522</b></p><a name=\"8dcf67a5-b677-4c4f-94c6-a4cf41c9a522\"> </a><a name=\"hc8dcf67a5-b677-4c4f-94c6-a4cf41c9a522\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-organization.html\">US Core Organization Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/1407071236</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>: Acme Clinic</p><p><b>telecom</b>: ph: (+1) 734-677-7777, <a href=\"mailto:customer-service@acme-clinic.org\">customer-service@acme-clinic.org</a></p><p><b>address</b>: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA </p></div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "1407071236"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/organization-type",
"code": "prov",
"display": "Healthcare Provider"
}
]
}
],
"name": "Acme Clinic",
"telecom": [
{
"system": "phone",
"value": "(+1) 734-677-7777"
},
{
"system": "email",
"value": "customer-service@acme-clinic.org"
}
],
"address": [
{
"line": [
"3300 WASHTENAW AVE STE 227"
],
"city": "AMHERST",
"state": "MA",
"postalCode": "01002",
"country": "USA"
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743",
"resource": {
"resourceType": "PractitionerRole",
"id": "75ed6f24-9a7e-4568-9c05-91b6d4786743",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_75ed6f24-9a7e-4568-9c05-91b6d4786743\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole 75ed6f24-9a7e-4568-9c05-91b6d4786743</b></p><a name=\"75ed6f24-9a7e-4568-9c05-91b6d4786743\"> </a><a name=\"hc75ed6f24-9a7e-4568-9c05-91b6d4786743\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitionerrole.html\">US Core PractitionerRole Profileversion: null6.1.0)</a></p></div><p><b>practitioner</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1\">Brenda Jennings Richard MD</a></p><p><b>organization</b>: <a href=\"https://fhir.example.org/fhir/Organization/acme-lab\">Acme Lab</a></p><p><b>code</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction PCP}, {http://nucc.org/provider-taxonomy 261QP2300X}\">primary care physician</span></p><p><b>specialty</b>: <span title=\"Codes:{http://nucc.org/provider-taxonomy 208D00000X}\">General Practice Physician</span></p><p><b>location</b>: <a href=\"https://fhir.example.org/fhir/Location/hl7east\">Health Level Seven International</a></p><p><b>endpoint</b>: </p><ul><li><a href=\"https://fhir1.example.org/fhir/Endpoint/Endpoint-71\">Westwood Physicians Organization ADT</a></li><li><a href=\"https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71\">Brenda.Jennings.Richard.MD@direct.example.org</a></li></ul></div>"
},
"practitioner": {
"reference": "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1",
"display": "Brenda Jennings Richard MD"
},
"organization": {
"reference": "https://fhir.example.org/fhir/Organization/acme-lab",
"display": "Acme Lab"
},
"code": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
"code": "PCP",
"display": "primary care physician"
},
{
"system": "http://nucc.org/provider-taxonomy",
"code": "261QP2300X",
"display": "Primary Care Clinic/Center"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "http://nucc.org/provider-taxonomy",
"code": "208D00000X",
"display": "General Practice Physician"
}
]
}
],
"location": [
{
"reference": "https://fhir.example.org/fhir/Location/hl7east",
"display": "Health Level Seven International"
}
],
"endpoint": [
{
"reference": "https://fhir1.example.org/fhir/Endpoint/Endpoint-71",
"display": "Westwood Physicians Organization ADT"
},
{
"reference": "https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71",
"display": "Brenda.Jennings.Richard.MD@direct.example.org"
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1",
"resource": {
"resourceType": "Practitioner",
"id": "19c24876-ccf8-45e7-8b66-462317e970f1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
]
},
"language": "en",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><a name=\"Practitioner_19c24876-ccf8-45e7-8b66-462317e970f1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner 19c24876-ccf8-45e7-8b66-462317e970f1</b></p><a name=\"19c24876-ccf8-45e7-8b66-462317e970f1\"> </a><a name=\"hc19c24876-ccf8-45e7-8b66-462317e970f1\"> </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\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-practitioner.html\">US Core Practitioner Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/6.2.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: Ronald Bone </p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (work)</p></div>"
},
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-npi",
"value": "9941339100"
}
],
"name": [
{
"family": "Bone",
"given": [
"Ronald"
],
"prefix": [
"Dr"
]
}
],
"address": [
{
"use": "work",
"line": [
"1003 HEALTHCARE DR"
],
"city": "AMHERST",
"state": "MA",
"postalCode": "01002"
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81",
"resource": {
"resourceType": "AllergyIntolerance",
"id": "9838cf73-c30d-4aa5-8ed8-36a079060b81",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_9838cf73-c30d-4aa5-8ed8-36a079060b81\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 9838cf73-c30d-4aa5-8ed8-36a079060b81</b></p><a name=\"9838cf73-c30d-4aa5-8ed8-36a079060b81\"> </a><a name=\"hc9838cf73-c30d-4aa5-8ed8-36a079060b81\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-allergyintolerance.html\">US Core AllergyIntolerance Profileversion: null6.1.0)</a></p></div><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span></p><p><b>category</b>: Medication</p><p><b>criticality</b>: High Risk</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 763875007}\">sulfonamide antibacterial</span></p><p><b>patient</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw</a></p><h3>Reactions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manifestation</b></td><td><b>Severity</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 271807003}\">skin rash</span></td><td>Mild</td></tr></table></div>"
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed"
}
]
},
"category": [
"medication"
],
"criticality": "high",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/731000124108",
"code": "763875007",
"display": "Product containing sulfonamide (product)"
}
],
"text": "sulfonamide antibacterial"
},
"patient": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "John Shaw"
},
"reaction": [
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/731000124108",
"code": "271807003",
"display": "skin rash"
}
],
"text": "skin rash"
}
],
"severity": "mild"
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b",
"resource": {
"resourceType": "Condition",
"id": "8039e4a7-d459-454c-92a5-6c17ca2a824b",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_8039e4a7-d459-454c-92a5-6c17ca2a824b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition 8039e4a7-d459-454c-92a5-6c17ca2a824b</b></p><a name=\"8039e4a7-d459-454c-92a5-6c17ca2a824b\"> </a><a name=\"hc8039e4a7-d459-454c-92a5-6c17ca2a824b\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns Profile</a></p></div><p><b>Condition Asserted Date</b>: 2016-08-10</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 51868009}\">Active Duodenal Ulcer</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw</a></p><p><b>recordedDate</b>: 2016-08-10 07:15:07-0800</p></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime": "2016-08-10"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
],
"text": "Active"
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
],
"text": "Confirmed"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
],
"text": "Problem List Item"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "51868009",
"display": "Ulcer of duodenum (disorder)"
}
],
"text": "Active Duodenal Ulcer"
},
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "John Shaw"
},
"recordedDate": "2016-08-10T07:15:07-08:00"
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
"resource": {
"resourceType": "Condition",
"id": "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1</b></p><a name=\"f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1\"> </a><a name=\"hcf8ab8ac1-56d1-4239-8303-dc70c1a3d0e1\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-condition-problems-health-concerns.html\">US Core Condition Problems and Health Concerns Profile</a></p></div><p><b>Condition Asserted Date</b>: 2016-08-10</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 44054006}\">Diabetes mellitus type 2 (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw</a></p><p><b>recordedDate</b>: 2016-08-10 07:15:07-0800</p></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/condition-assertedDate",
"valueDateTime": "2016-08-10"
}
],
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active",
"display": "Active"
}
],
"text": "Active"
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
"code": "confirmed",
"display": "Confirmed"
}
],
"text": "Confirmed"
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-category",
"code": "problem-list-item",
"display": "Problem List Item"
}
],
"text": "Problem List Item"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "44054006",
"display": "Diabetes mellitus type 2 (disorder)"
}
],
"text": "Diabetes mellitus type 2 (disorder)"
},
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "John Shaw"
},
"recordedDate": "2016-08-10T07:15:07-08:00"
}
},
{
"fullUrl": "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
"resource": {
"resourceType": "MedicationRequest",
"id": "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_c3d31980-2a88-45b6-a7af-3fe8d32cc6fa\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest c3d31980-2a88-45b6-a7af-3fe8d32cc6fa</b></p><a name=\"c3d31980-2a88-45b6-a7af-3fe8d32cc6fa\"> </a><a name=\"hcc3d31980-2a88-45b6-a7af-3fe8d32cc6fa\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-medicationrequest.html\">US Core MedicationRequest Profile</a></p></div><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 582620}\">Nizatidine 15 MG/ML Oral Solution [Axid]</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">Amy Shaw</a></p><p><b>authoredOn</b>: 2008-04-05</p><p><b>requester</b>: <a href=\"https://fhir.example.org/fhir/Practitioner/practitioner-1\">Ronald Bone, MD</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 51868009}\">Active Duodenal Ulcer</span></p><blockquote><p><b>dosageInstruction</b></p><p><b>text</b>: 10 mL bid</p><p><b>timing</b>: 2 per 1 day</p><h3>DoseAndRates</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Dose[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>10 ml<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL = 'mL')</span></td></tr></table></blockquote><blockquote><p><b>dispenseRequest</b></p><p><b>numberOfRepeatsAllowed</b>: 1</p><p><b>quantity</b>: 480 mL<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemL = 'mL')</span></p><h3>ExpectedSupplyDurations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Value</b></td><td><b>Unit</b></td><td><b>System</b></td><td><b>Code</b></td></tr><tr><td style=\"display: none\">*</td><td>30</td><td>days</td><td><a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ucum.html\">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote></div>"
},
"status": "active",
"intent": "order",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://www.nlm.nih.gov/research/umls/rxnorm",
"code": "582620",
"display": "Nizatidine 15 MG/ML Oral Solution [Axid]"
}
],
"text": "Nizatidine 15 MG/ML Oral Solution [Axid]"
},
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "Amy Shaw"
},
"authoredOn": "2008-04-05",
"requester": {
"reference": "https://fhir.example.org/fhir/Practitioner/practitioner-1",
"display": "Ronald Bone, MD"
},
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "51868009",
"display": "Ulcer of duodenum (disorder)"
}
],
"text": "Active Duodenal Ulcer"
}
],
"dosageInstruction": [
{
"text": "10 mL bid",
"timing": {
"repeat": {
"boundsPeriod": {
"start": "2008-04-05"
},
"frequency": 2,
"period": 1,
"periodUnit": "d"
}
},
"doseAndRate": [
{
"doseQuantity": {
"value": 10,
"unit": "ml",
"system": "http://unitsofmeasure.org",
"code": "mL"
}
}
]
}
],
"dispenseRequest": {
"numberOfRepeatsAllowed": 1,
"quantity": {
"value": 480,
"unit": "mL",
"system": "http://unitsofmeasure.org",
"code": "mL"
},
"expectedSupplyDuration": {
"value": 30,
"unit": "days",
"system": "http://unitsofmeasure.org",
"code": "d"
}
}
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce",
"resource": {
"resourceType": "Immunization",
"id": "17b5a6d7-307b-4726-8c8c-0031e61582ce",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Immunization_17b5a6d7-307b-4726-8c8c-0031e61582ce\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Immunization 17b5a6d7-307b-4726-8c8c-0031e61582ce</b></p><a name=\"17b5a6d7-307b-4726-8c8c-0031e61582ce\"> </a><a name=\"hc17b5a6d7-307b-4726-8c8c-0031e61582ce\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-immunization.html\">US Core Immunization Profile</a></p></div><p><b>status</b>: Completed</p><p><b>vaccineCode</b>: <span title=\"Codes:{http://hl7.org/fhir/sid/cvx 197}\">Influenza, high-dose, quadrivalent, PF</span></p><p><b>patient</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw</a></p><p><b>occurrence</b>: 2020-11-19 12:46:57-0800</p><p><b>primarySource</b>: false</p></div>"
},
"status": "completed",
"vaccineCode": {
"coding": [
{
"system": "http://hl7.org/fhir/sid/cvx",
"code": "197",
"display": "Influenza, high-dose, quadrivalent, PF"
}
],
"text": "Influenza, high-dose, quadrivalent, PF"
},
"patient": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "John Shaw"
},
"occurrenceDateTime": "2020-11-19T12:46:57-08:00",
"primarySource": false
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a",
"resource": {
"resourceType": "Observation",
"id": "b0187efd-5f9b-474d-87bc-efebf877449a",
"meta": {
"versionId": "914",
"lastUpdated": "2016-03-09T15:29:57.277+00:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_b0187efd-5f9b-474d-87bc-efebf877449a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation b0187efd-5f9b-474d-87bc-efebf877449a</b></p><a name=\"b0187efd-5f9b-474d-87bc-efebf877449a\"> </a><a name=\"hcb0187efd-5f9b-474d-87bc-efebf877449a\"> </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\">version: 914; Last updated: 2016-03-09 15:29:57+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-observation-lab.html\">US Core Laboratory Result Observation Profile</a></p></div><p><b>status</b>: Final</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 2951-2}\">Sodium SerPl-sCnc</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw</a></p><p><b>effective</b>: 2005-07-05</p><p><b>performer</b>: <a href=\"https://fhir.example.org/fhir/Practitioner/practitioner-1\">Ronald Bone, MD</a></p><p><b>value</b>: 137 mmol/L</p><p><b>specimen</b>: <a href=\"https://fhir.example.org/fhir/Specimen/specimen-example-serum\">Serum specimen</a></p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Low</b></td><td><b>High</b></td><td><b>Type</b></td></tr><tr><td style=\"display: none\">*</td><td>135 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td>145 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/referencerange-meaning normal}\">Normal Range</span></td></tr></table></div>"
},
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "laboratory",
"display": "Laboratory"
}
],
"text": "Laboratory"
}
],
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "2951-2",
"display": "Sodium SerPl-sCnc"
}
],
"text": "Sodium SerPl-sCnc"
},
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234",
"display": "John Shaw"
},
"effectiveDateTime": "2005-07-05",
"performer": [
{
"reference": "https://fhir.example.org/fhir/Practitioner/practitioner-1",
"display": "Ronald Bone, MD"
}
],
"valueQuantity": {
"value": 137,
"unit": "mmol/L",
"system": "http://unitsofmeasure.org"
},
"specimen": {
"reference": "https://fhir.example.org/fhir/Specimen/specimen-example-serum",
"display": "Serum specimen"
},
"referenceRange": [
{
"low": {
"value": 135,
"unit": "mmol/L",
"system": "http://unitsofmeasure.org",
"code": "mmol/L"
},
"high": {
"value": 145,
"unit": "mmol/L",
"system": "http://unitsofmeasure.org",
"code": "mmol/L"
},
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/referencerange-meaning",
"code": "normal",
"display": "Normal Range"
}
],
"text": "Normal Range"
}
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658",
"resource": {
"resourceType": "Procedure",
"id": "fb04f2f5-d5b6-4031-85e9-547c78deb658",
"meta": {
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Procedure_fb04f2f5-d5b6-4031-85e9-547c78deb658\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Procedure fb04f2f5-d5b6-4031-85e9-547c78deb658</b></p><a name=\"fb04f2f5-d5b6-4031-85e9-547c78deb658\"> </a><a name=\"hcfb04f2f5-d5b6-4031-85e9-547c78deb658\"> </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=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-procedure.html\">US Core Procedure Profileversion: null6.1.0)</a></p></div><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/7.0.1/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">Uniform Resource Identifier (URI)</a>/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff</p><p><b>basedOn</b>: <a href=\"https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47\">https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47</a></p><p><b>status</b>: Completed</p><p><b>code</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 33249}\">Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))</a></p><p><b>performed</b>: 2019-03-26 12:55:26-0700 --> 2019-03-26 13:25:26-0700</p><h3>Performers</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Actor</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1\">Practitioner Ronald Bone </a></td></tr></table><h3>FocalDevices</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Manipulated</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://fhir.example.org/fhir/Device/udi-2\">https://fhir.example.org/fhir/Device/udi-2</a></td></tr></table></div>"
},
"identifier": [
{
"system": "urn:ietf:rfc:3986",
"value": "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff"
}
],
"basedOn": [
{
"reference": "https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47"
}
],
"status": "completed",
"code": {
"coding": [
{
"system": "http://www.ama-assn.org/go/cpt",
"code": "33249"
}
],
"text": "Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber"
},
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234"
},
"performedPeriod": {
"start": "2019-03-26T12:55:26-07:00",
"end": "2019-03-26T13:25:26-07:00"
},
"performer": [
{
"actor": {
"reference": "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"
}
}
],
"focalDevice": [
{
"manipulated": {
"reference": "https://fhir.example.org/fhir/Device/udi-2"
}
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b",
"resource": {
"resourceType": "Encounter",
"id": "e8be20b8-6f24-4204-8eca-6bc8ecd2b26b",
"meta": {
"lastUpdated": "2024-01-28T16:06:21-08:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0"
]
},
"text": {
"status": "extensions",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_e8be20b8-6f24-4204-8eca-6bc8ecd2b26b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter e8be20b8-6f24-4204-8eca-6bc8ecd2b26b</b></p><a name=\"e8be20b8-6f24-4204-8eca-6bc8ecd2b26b\"> </a><a name=\"hce8be20b8-6f24-4204-8eca-6bc8ecd2b26b\"> </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: 2024-01-28 16:06:21-0800</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profileversion: null6.1.0)</a></p></div><p><b>org/fhir/us/core/StructureDefinition/us-core-interpreter-needed</b>: <a href=\"http://snomed.info/id/373066001\">SNOMED CT: 373066001</a> (Yes (qualifier value))</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://www.ama-assn.org/go/cpt 99211}\">Office Visit</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))</a></p><p><b>period</b>: 2026-03-17 17:00:14-0500 --> 2026-03-17 18:00:14-0500</p><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://fhir.example.org/fhir/Location/hl7east\">HL7 East Ambulatory</a></td></tr></table></div>"
},
"extension": [
{
"url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed",
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "373066001"
}
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://www.ama-assn.org/go/cpt",
"code": "99211"
}
],
"text": "Office Visit"
}
],
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234"
},
"period": {
"start": "2026-03-17T17:00:14-05:00",
"end": "2026-03-17T18:00:14-05:00"
},
"location": [
{
"location": {
"reference": "https://fhir.example.org/fhir/Location/hl7east",
"display": "HL7 East Ambulatory"
}
}
]
}
},
{
"fullUrl": "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0",
"resource": {
"resourceType": "Encounter",
"id": "e11bfacd-557d-416b-bb7f-165afc68bca0",
"meta": {
"lastUpdated": "2024-01-28T16:06:21-08:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_e11bfacd-557d-416b-bb7f-165afc68bca0\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter e11bfacd-557d-416b-bb7f-165afc68bca0</b></p><a name=\"e11bfacd-557d-416b-bb7f-165afc68bca0\"> </a><a name=\"hce11bfacd-557d-416b-bb7f-165afc68bca0\"> </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: 2024-01-28 16:06:21-0800</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html\">US Core Encounter Profileversion: null6.1.0)</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.1.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 261665006}\">Hospitalization</span></p><p><b>subject</b>: <a href=\"Bundle-US-PCS-Bundle-All-7-Sections.html#https-//fhir.example.org/fhir/Patient/DEF1234\">John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))</a></p><p><b>period</b>: 2026-01-17 17:00:14-0500 --> 2026-01-20 18:00:14-0500</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://www.nubc.org/CodeSystem/PatDischargeStatus 01}\">Discharged to Home</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://fhir.example.org/fhir/Location/hospital\">Holy Family Hospital</a></td></tr></table></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMP",
"display": "inpatient encounter"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "261665006",
"display": "Unknown (qualifier value)"
}
],
"text": "Hospitalization"
}
],
"subject": {
"reference": "https://fhir.example.org/fhir/Patient/DEF1234"
},
"period": {
"start": "2026-01-17T17:00:14-05:00",
"end": "2026-01-20T18:00:14-05:00"
},
"hospitalization": {
"dischargeDisposition": {
"coding": [
{
"system": "https://www.nubc.org/CodeSystem/PatDischargeStatus",
"code": "01",
"display": "Discharged to Home"
}
]
}
},
"location": [
{
"location": {
"reference": "https://fhir.example.org/fhir/Location/hospital",
"display": "Holy Family Hospital"
}
}
]
}
}
]
}