US Patient Care Summary for John Shaw
 <confidentiality value="N"/> <attester> <mode value="professional"/> <time value="2026-03-21T18:53:00.8116604+00:00"/> <party> <reference value="https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/> </party> </attester> <custodian> <reference value="https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"/> </custodian> <event> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/> <code value="PCPR"/> </coding> </code> <period> <end value="2026-03-21T18:53:00.8116604+00:00"/> </period> </event> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes Condition.clinicalStatus of: active, recurrence, relapse or remission; Excludes Condition.verificationStatus of entered-in-error"/> </valueAnnotation> </extension> <title value="Problem List"/> <code> <coding> <system value="http://loinc.org"/> <code value="11450-4"/> <display value="Problem list - Reported"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="8039e4a7-d459-454c-92a5-6c17ca2a824b"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/> </extension> </extension> <status value="generated"/><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> </text> <entry> <reference value="https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"/> </entry> <entry> <reference value="https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes AllergyIntolerance.clinicalStatus of active; Excludes AllergyIntolerance.verificationStatus of entered-in-error"/> </valueAnnotation> </extension> <title value="Allergies and Intolerances"/> <code> <coding> <system value="http://loinc.org"/> <code value="48765-2"/> <display value="Allergies and adverse reactions Document"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="9838cf73-c30d-4aa5-8ed8-36a079060b81"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/> </extension> </extension> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div>Includes AllergyIntolerance.clinicalStatus of active; Excludes AllergyIntolerance.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> </text> <entry> <reference value="https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes MedicationRequest.status of active and MedicationRequest.intent of order or plan. Excludes MedicationRequest.doNotPerform is true"/> </valueAnnotation> </extension> <title value="Medication Summary"/> <code> <coding> <system value="http://loinc.org"/> <code value="10160-0"/> <display value="History of Medication use Narrative"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/> </extension> </extension> <status value="generated"/><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> </text> <entry> <reference value="https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes short-term immunizations within past 24 months. Includes lifetime immunizations with long duration"/> </valueAnnotation> </extension> <title value="Immunizations"/> <code> <coding> <system value="http://loinc.org"/> <code value="11369-6"/> <display value="History of Immunization note"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="17b5a6d7-307b-4726-8c8c-0031e61582ce"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"/> </extension> </extension> <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><div>Includes short-term immunizations within past 24 months. Includes lifetime immunizations 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> </text> <entry> <reference value="https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes diagnostic reports, laboratory and imaging observations from the past 90 days"/> </valueAnnotation> </extension> <title value="Results"/> <code> <coding> <system value="http://loinc.org"/> <code value="30954-2"/> <display value="Relevant diagnostic tests/laboratory data note"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="b0187efd-5f9b-474d-87bc-efebf877449a"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"/> </extension> </extension> <status value="generated"/><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> </text> <entry> <reference value="https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Includes all major procedures with lasting clinical implications and all procedures from last 90 days"/> </valueAnnotation> </extension> <title value="History of Procedures"/> <code> <coding> <system value="http://loinc.org"/> <code value="47519-4"/> <display value="History of Procedures Document"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="fb04f2f5-d5b6-4031-85e9-547c78deb658"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658"/> </extension> </extension> <status value="generated"/><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> </text> <entry> <reference value="https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658"/> </entry> </section> <section> <extension url="http://hl7.org/fhir/StructureDefinition/note"> <valueAnnotation> <text value="Include all emergency room and inpatient encounters in the past 12 months. Include all ambulatory encounters in the past 6 months"/> </valueAnnotation> </extension> <title value="Encounters"/> <code> <coding> <system value="http://loinc.org"/> <code value="46240-8"/> <display value="History of Hospitalizations+Outpatient visits Narrative"/> </coding> </code> <text> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"/> </extension> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/textLink"> <extension url="htmlid"> <valueString value="e11bfacd-557d-416b-bb7f-165afc68bca0"/> </extension> <extension url="data"> <valueUri value="https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0"/> </extension> </extension> <status value="generated"/><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> </text> <entry> <reference value="https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"/> </entry> <entry> <reference value="https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0"/> </entry> </section> </Composition> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Patient/DEF1234"/> <resource> <Patient> <id value="DEF1234"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/> </meta> <language value="en"/> <text> <status value="generated"/><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="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/6.2.0/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="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: - American Indian or Alaska Native - Asian - Black or African American - Native Hawaiian or Other Pacific Islander - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/6.2.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity: 2106-3</a> (White)</li><li>ombCategory: <a href="http://terminology.hl7.org/6.2.0/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/6.2.0/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></table></div> </text> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238"/> <code value="2106-3"/> <display value="White"/> </valueCoding> </extension> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238"/> <code value="1002-5"/> <display value="American Indian or Alaska Native"/> </valueCoding> </extension> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238"/> <code value="2028-9"/> <display value="Asian"/> </valueCoding> </extension> <extension url="text"> <valueString value="Mixed"/> </extension> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"> <extension url="ombCategory"> <valueCoding> <system value="urn:oid:2.16.840.1.113883.6.238"/> <code value="2135-2"/> <display value="Hispanic or Latino"/> </valueCoding> </extension> <extension url="text"> <valueString value="Hispanic or Latino"/> </extension> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"> <extension url="tribalAffiliation"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS"/> <code value="187"/> <display value="Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"/> </coding> <text value="Shoshone"/> </valueCodeableConcept> </extension> <extension url="isEnrolled"> <valueBoolean value="false"/> </extension> </extension> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-individual-sex"> <valueCoding> <system value="http://snomed.info/sct"/> <code value="248153007"/> <display value="Male"/> </valueCoding> </extension> <identifier> <use value="usual"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/> <code value="MR"/> <display value="Medical Record Number"/> </coding> <text value="Medical Record Number"/> </type> <system value="https://example.org/fhir/identifier/medical-record-number"/> <value value="3104721"/> </identifier> <active value="true"/> <name> <use value="old"/> <family value="Shaw"/> <given value="John"/> <period> <start value="1986-02-21"/> </period> </name> <telecom> <system value="phone"/> <value value="555-555-5555"/> <use value="home"/> </telecom> <telecom> <system value="email"/> <value value="john.shaw@example.com"/> </telecom> <gender value="male"/> <birthDate value="1986-02-21"/> <address> <use value="old"/> <line value="49 Meadow St"/> <city value="Mounds"/> <state value="OK"/> <postalCode value="74047"/> <country value="US"/> <period> <start value="2016-12-06"/> <end value="2020-07-22"/> </period> </address> <address> <line value="183 Mountain View St"/> <city value="Mounds"/> <state value="OK"/> <postalCode value="74048"/> <country value="US"/> <period> <start value="2020-07-22"/> </period> </address> </Patient> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"/> <resource> <Organization> <id value="8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"/> </meta> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/7.2.0/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> </text> <identifier> <system value="http://hl7.org/fhir/sid/us-npi"/> <value value="1407071236"/> </identifier> <active value="true"/> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/organization-type"/> <code value="prov"/> <display value="Healthcare Provider"/> </coding> </type> <name value="Acme Clinic"/> <telecom> <system value="phone"/> <value value="(+1) 734-677-7777"/> </telecom> <telecom> <system value="email"/> <value value="customer-service@acme-clinic.org"/> </telecom> <address> <line value="3300 WASHTENAW AVE STE 227"/> <city value="AMHERST"/> <state value="MA"/> <postalCode value="01002"/> <country value="USA"/> </address> </Organization> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743"/> <resource> <PractitionerRole> <id value="75ed6f24-9a7e-4568-9c05-91b6d4786743"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0"/> </meta> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</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://snomed.info/sct 446050000}">primary care physician</span></p><p><b>specialty</b>: <span title="Codes:{http://snomed.info/sct 419772000}">Family practice</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> </text> <practitioner> <reference value="https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"/> <display value="Brenda Jennings Richard MD"/> </practitioner> <organization> <reference value="https://fhir.example.org/fhir/Organization/acme-lab"/> <display value="Acme Lab"/> </organization> <code> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction"/> <code value="PCP"/> <display value="primary care physician"/> </coding> <coding> <system value="http://snomed.info/sct"/> <code value="446050000"/> <display value="Primary care physician"/> </coding> </code> <specialty> <coding> <system value="http://snomed.info/sct"/> <code value="419772000"/> <display value="Family practice"/> </coding> </specialty> <location> <reference value="https://fhir.example.org/fhir/Location/hl7east"/> <display value="Health Level Seven International"/> </location> <endpoint> <reference value="https://fhir1.example.org/fhir/Endpoint/Endpoint-71"/> <display value="Westwood Physicians Organization ADT"/> </endpoint> <endpoint> <reference value="https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71"/> <display value="Brenda.Jennings.Richard.MD@direct.example.org"/> </endpoint> </PractitionerRole> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"/> <resource> <Practitioner> <id value="19c24876-ccf8-45e7-8b66-462317e970f1"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/> </meta> <language value="en"/> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/7.2.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/9941339100</p><p><b>name</b>: Brenda Richard </p><p><b>address</b>: 1003 HEALTHCARE DR AMHERST MA 01002 (work)</p></div> </text> <identifier> <system value="http://hl7.org/fhir/sid/us-npi"/> <value value="9941339100"/> </identifier> <name> <family value="Richard"/> <given value="Brenda"/> <prefix value="Dr"/> </name> <address> <use value="work"/> <line value="1003 HEALTHCARE DR"/> <city value="AMHERST"/> <state value="MA"/> <postalCode value="01002"/> </address> </Practitioner> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81"/> <resource> <AllergyIntolerance> <id value="9838cf73-c30d-4aa5-8ed8-36a079060b81"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|6.1.0"/> </meta> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</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> </text> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/> <code value="active"/> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/> <code value="confirmed"/> </coding> </verificationStatus> <category value="medication"/> <criticality value="high"/> <code> <coding> <system value="http://snomed.info/sct"/> <version value="http://snomed.info/sct/731000124108"/> <code value="763875007"/> <display value="Product containing sulfonamide (product)"/> </coding> <text value="sulfonamide antibacterial"/> </code> <patient> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="John Shaw"/> </patient> <reaction> <manifestation> <coding> <system value="http://snomed.info/sct"/> <version value="http://snomed.info/sct/731000124108"/> <code value="271807003"/> <display value="skin rash"/> </coding> <text value="skin rash"/> </manifestation> <severity value="mild"/> </reaction> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b"/> <resource> <Condition> <id value="8039e4a7-d459-454c-92a5-6c17ca2a824b"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"/> </meta> <text> <status value="extensions"/><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> </text> <extension url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"> <valueDateTime value="2016-08-10"/> </extension> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> <display value="Active"/> </coding> <text value="Active"/> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/> <code value="confirmed"/> <display value="Confirmed"/> </coding> <text value="Confirmed"/> </verificationStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> <text value="Problem List Item"/> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="51868009"/> <display value="Ulcer of duodenum (disorder)"/> </coding> <text value="Active Duodenal Ulcer"/> </code> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="John Shaw"/> </subject> <recordedDate value="2016-08-10T07:15:07-08:00"/> </Condition> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/> <resource> <Condition> <id value="f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns"/> </meta> <text> <status value="extensions"/><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> </text> <extension url="http://hl7.org/fhir/StructureDefinition/condition-assertedDate"> <valueDateTime value="2016-08-10"/> </extension> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> <code value="active"/> <display value="Active"/> </coding> <text value="Active"/> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/> <code value="confirmed"/> <display value="Confirmed"/> </coding> <text value="Confirmed"/> </verificationStatus> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> <code value="problem-list-item"/> <display value="Problem List Item"/> </coding> <text value="Problem List Item"/> </category> <code> <coding> <system value="http://snomed.info/sct"/> <code value="44054006"/> <display value="Diabetes mellitus type 2 (disorder)"/> </coding> <text value="Diabetes mellitus type 2 (disorder)"/> </code> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="John Shaw"/> </subject> <recordedDate value="2016-08-10T07:15:07-08:00"/> </Condition> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/> <resource> <MedicationRequest> <id value="c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest"/> </meta> <text> <status value="generated"/><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://hl7.org/fhir/uv/xver-r5.r4/0.1.0/CodeSystem-v3-ucum.html">http://unitsofmeasure.org</a></td><td>d</td></tr></table></blockquote></div> </text> <status value="active"/> <intent value="order"/> <medicationCodeableConcept> <coding> <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/> <code value="582620"/> <display value="Nizatidine 15 MG/ML Oral Solution [Axid]"/> </coding> <text value="Nizatidine 15 MG/ML Oral Solution [Axid]"/> </medicationCodeableConcept> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="Amy Shaw"/> </subject> <authoredOn value="2008-04-05"/> <requester> <reference value="https://fhir.example.org/fhir/Practitioner/practitioner-1"/> <display value="Ronald Bone, MD"/> </requester> <reasonCode> <coding> <system value="http://snomed.info/sct"/> <code value="51868009"/> <display value="Ulcer of duodenum (disorder)"/> </coding> <text value="Active Duodenal Ulcer"/> </reasonCode> <dosageInstruction> <text value="10 mL bid"/> <timing> <repeat> <boundsPeriod> <start value="2008-04-05"/> </boundsPeriod> <frequency value="2"/> <period value="1"/> <periodUnit value="d"/> </repeat> </timing> <doseAndRate> <doseQuantity> <value value="10"/> <unit value="ml"/> <system value="http://unitsofmeasure.org"/> <code value="mL"/> </doseQuantity> </doseAndRate> </dosageInstruction> <dispenseRequest> <numberOfRepeatsAllowed value="1"/> <quantity> <value value="480"/> <unit value="mL"/> <system value="http://unitsofmeasure.org"/> <code value="mL"/> </quantity> <expectedSupplyDuration> <value value="30"/> <unit value="days"/> <system value="http://unitsofmeasure.org"/> <code value="d"/> </expectedSupplyDuration> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce"/> <resource> <Immunization> <id value="17b5a6d7-307b-4726-8c8c-0031e61582ce"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization"/> </meta> <text> <status value="generated"/><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> </text> <status value="completed"/> <vaccineCode> <coding> <system value="http://hl7.org/fhir/sid/cvx"/> <code value="197"/> <display value="Influenza, high-dose, quadrivalent, PF"/> </coding> <text value="Influenza, high-dose, quadrivalent, PF"/> </vaccineCode> <patient> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="John Shaw"/> </patient> <occurrenceDateTime value="2020-11-19T12:46:57-08:00"/> <primarySource value="false"/> </Immunization> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a"/> <resource> <Observation> <id value="b0187efd-5f9b-474d-87bc-efebf877449a"/> <meta> <versionId value="914"/> <lastUpdated value="2016-03-09T15:29:57.277+00:00"/> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab"/> </meta> <text> <status value="generated"/><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> </text> <status value="final"/> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category"/> <code value="laboratory"/> <display value="Laboratory"/> </coding> <text value="Laboratory"/> </category> <code> <coding> <system value="http://loinc.org"/> <code value="2951-2"/> <display value="Sodium SerPl-sCnc"/> </coding> <text value="Sodium SerPl-sCnc"/> </code> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> <display value="John Shaw"/> </subject> <effectiveDateTime value="2005-07-05"/> <performer> <reference value="https://fhir.example.org/fhir/Practitioner/practitioner-1"/> <display value="Ronald Bone, MD"/> </performer> <valueQuantity> <value value="137"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> </valueQuantity> <specimen> <reference value="https://fhir.example.org/fhir/Specimen/specimen-example-serum"/> <display value="Serum specimen"/> </specimen> <referenceRange> <low> <value value="135"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </low> <high> <value value="145"/> <unit value="mmol/L"/> <system value="http://unitsofmeasure.org"/> <code value="mmol/L"/> </high> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/referencerange-meaning"/> <code value="normal"/> <display value="Normal Range"/> </coding> <text value="Normal Range"/> </type> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658"/> <resource> <Procedure> <id value="fb04f2f5-d5b6-4031-85e9-547c78deb658"/> <meta> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0"/> </meta> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</p></div><p><b>identifier</b>: <a href="http://terminology.hl7.org/6.2.0/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 This 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: Note 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. This 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 Brenda Richard </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> </text> <identifier> <system value="urn:ietf:rfc:3986"/> <value value="urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff"/> </identifier> <basedOn> <reference value="https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47"/> </basedOn> <status value="completed"/> <code> <coding> <system value="http://www.ama-assn.org/go/cpt"/> <code value="33249"/> </coding> <text value="Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber"/> </code> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> </subject> <performedPeriod> <start value="2019-03-26T12:55:26-07:00"/> <end value="2019-03-26T13:25:26-07:00"/> </performedPeriod> <performer> <actor> <reference value="https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1"/> </actor> </performer> <focalDevice> <manipulated> <reference value="https://fhir.example.org/fhir/Device/udi-2"/> </manipulated> </focalDevice> </Procedure> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"/> <resource> <Encounter> <id value="e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"/> <meta> <lastUpdated value="2024-01-28T16:06:21-08:00"/> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0"/> </meta> <text> <status value="extensions"/><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 Profile</a> version: 6.1.0</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)</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.3.0/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> </text> <extension url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed"> <valueCoding> <system value="http://snomed.info/sct"/> <code value="373066001"/> </valueCoding> </extension> <status value="finished"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="AMB"/> <display value="ambulatory"/> </class> <type> <coding> <system value="http://www.ama-assn.org/go/cpt"/> <code value="99211"/> </coding> <text value="Office Visit"/> </type> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> </subject> <period> <start value="2026-03-17T17:00:14-05:00"/> <end value="2026-03-17T18:00:14-05:00"/> </period> <location> <location> <reference value="https://fhir.example.org/fhir/Location/hl7east"/> <display value="HL7 East Ambulatory"/> </location> </location> </Encounter> </resource> </entry> <entry> <fullUrl value="https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0"/> <resource> <Encounter> <id value="e11bfacd-557d-416b-bb7f-165afc68bca0"/> <meta> <lastUpdated value="2024-01-28T16:06:21-08:00"/> <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0"/> </meta> <text> <status value="generated"/><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 Profile</a> version: 6.1.0</p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href="http://terminology.hl7.org/7.3.0/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>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> </text> <status value="finished"/> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="IMP"/> <display value="inpatient encounter"/> </class> <type> <coding> <system value="http://snomed.info/sct"/> <code value="261665006"/> <display value="Unknown (qualifier value)"/> </coding> <text value="Hospitalization"/> </type> <subject> <reference value="https://fhir.example.org/fhir/Patient/DEF1234"/> </subject> <period> <start value="2026-01-17T17:00:14-05:00"/> <end value="2026-01-20T18:00:14-05:00"/> </period> <location> <location> <reference value="https://fhir.example.org/fhir/Location/hospital"/> <display value="Holy Family Hospital"/> </location> </location> </Encounter> </resource> </entry> </Bundle>