{
  "resourceType" : "Bundle",
  "id" : "US-PCS-Bundle-No-Info-Required-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" : "59f51f0b-2005-485c-858e-3d3ae9657287"
  },
  "type" : "document",
  "timestamp" : "2026-02-02T20:42:11+00:00",
  "entry" : [{
    "fullUrl" : "https://fhir.example.org/fhir/Composition/e8549cb6-20ee-4c21-89c7-dd02f605a57c",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "e8549cb6-20ee-4c21-89c7-dd02f605a57c",
      "meta" : {
        "versionId" : "1",
        "profile" : ["http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs"]
      },
      "language" : "en-US",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Composition_e8549cb6-20ee-4c21-89c7-dd02f605a57c\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition e8549cb6-20ee-4c21-89c7-dd02f605a57c</b></p><a name=\"e8549cb6-20ee-4c21-89c7-dd02f605a57c\"> </a><a name=\"hce8549cb6-20ee-4c21-89c7-dd02f605a57c\"> </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: 1; Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-us-pcs.html\">Composition (US-PCS)</a></p></div><p><b>identifier</b>: <code>https://example.org/fhir/identifier/composition-id</code>/59f51f0b-2005-485c-858e-3d3ae9657287</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 60591-5}\">Patient summary Document</span></p><p><b>category</b>: <span title=\"Codes:{http://loinc.org 107903-7}\">Clinical note</span></p><p><b>date</b>: 2026-02-01 20:43:11+0000</p><p><b>author</b>: <a href=\"Bundle-US-PCS-Bundle-No-Info-Required-Sections.html#Organization_d9b97b04-b606-4f07-baf2-7eb3dcae0a2a\">Organization Acme Clinic</a></p><p><b>title</b>: US Patient Care Summary Generated 2026-02-01</p><p><b>confidentiality</b>: normal</p><h3>Attesters</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Mode</b></td><td><b>Time</b></td><td><b>Party</b></td></tr><tr><td style=\"display: none\">*</td><td>Professional</td><td>2026-02-01 20:42:11+0000</td><td><a href=\"Bundle-US-PCS-Bundle-No-Info-Required-Sections.html#Practitioner_aede2fef-ac9d-4a06-b2ed-40868ed7e93d\">Practitioner Ronald Bone </a></td></tr></table><p><b>custodian</b>: <a href=\"Bundle-US-PCS-Bundle-No-Info-Required-Sections.html#Organization_d9b97b04-b606-4f07-baf2-7eb3dcae0a2a\">Organization Acme Clinic</a></p><h3>Events</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Period</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActClass PCPR}\">care provision</span></td><td>?? --&gt; 2026-02-01</td></tr></table></div>"
      },
      "identifier" : {
        "system" : "https://example.org/fhir/identifier/composition-id",
        "value" : "59f51f0b-2005-485c-858e-3d3ae9657287"
      },
      "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" : "Patient/ABC4321"
      },
      "date" : "2026-02-01T20:43:11+00:00",
      "author" : [{
        "reference" : "Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"
      }],
      "title" : "US Patient Care Summary Generated 2026-02-01",
      "confidentiality" : "N",
      "attester" : [{
        "mode" : "professional",
        "time" : "2026-02-01T20:42:11+00:00",
        "party" : {
          "reference" : "Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d"
        }
      }],
      "custodian" : {
        "reference" : "Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"
      },
      "event" : [{
        "code" : [{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
            "code" : "PCPR"
          }]
        }],
        "period" : {
          "end" : "2026-02-01"
        }
      }],
      "section" : [{
        "title" : "Problem List",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "11450-4",
            "display" : "Problem list - Reported"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\" xml:lang=\"en-US\">There is no information available about the subject's health problems or disabilities.</div>"
        },
        "emptyReason" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
            "code" : "unavailable",
            "display" : "Unavailable"
          }],
          "text" : "No information available"
        }
      },
      {
        "title" : "Allergies and Intolerances",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "48765-2",
            "display" : "Allergies and adverse reactions Document"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\" xml:lang=\"en-US\">There is no information available regarding the subject's allergies.</div>"
        },
        "emptyReason" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
            "code" : "unavailable",
            "display" : "Unavailable"
          }],
          "text" : "No information available"
        }
      },
      {
        "title" : "Medication Summary",
        "code" : {
          "coding" : [{
            "system" : "http://loinc.org",
            "code" : "10160-0",
            "display" : "History of Medication use Narrative"
          }]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en-US\" xml:lang=\"en-US\">There is no information available about the subject's medication use or administration.</div>"
        },
        "emptyReason" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
            "code" : "unavailable",
            "display" : "Unavailable"
          }],
          "text" : "No information available"
        }
      }]
    }
  },
  {
    "fullUrl" : "https://fhir.example.org/fhir/Patient/ABC4321",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "ABC4321",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_ABC4321\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient ABC4321</b></p><a name=\"ABC4321\"> </a><a name=\"hcABC4321\"> </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-patient.html\">US Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Amy V. Baxter  Female, DoB: 1987-02-20 ( Medical Record Number:\u00a01032702\u00a0(use:\u00a0usual,\u00a0))</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=\"Alternate names (see the one above)\">Alt. Name:</td><td colspan=\"3\">Amy V. Shaw (Old)</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:amy.shaw@example.com\">amy.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:\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/6.2.0/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>"
      },
      "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-individual-sex",
        "valueCoding" : {
          "system" : "http://snomed.info/sct",
          "code" : "248152002",
          "display" : "Female"
        }
      }],
      "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" : "1032702"
      }],
      "active" : true,
      "name" : [{
        "use" : "old",
        "family" : "Shaw",
        "given" : ["Amy",
        "V."],
        "period" : {
          "start" : "2016-12-06",
          "end" : "2020-07-22"
        }
      },
      {
        "family" : "Baxter",
        "given" : ["Amy",
        "V."],
        "suffix" : ["PharmD"],
        "period" : {
          "start" : "2020-07-22"
        }
      }],
      "telecom" : [{
        "system" : "phone",
        "value" : "555-555-5555",
        "use" : "home"
      },
      {
        "system" : "email",
        "value" : "amy.shaw@example.com"
      }],
      "gender" : "female",
      "birthDate" : "1987-02-20",
      "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/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
    "resource" : {
      "resourceType" : "Organization",
      "id" : "d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
      "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_d9b97b04-b606-4f07-baf2-7eb3dcae0a2a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization d9b97b04-b606-4f07-baf2-7eb3dcae0a2a</b></p><a name=\"d9b97b04-b606-4f07-baf2-7eb3dcae0a2a\"> </a><a name=\"hcd9b97b04-b606-4f07-baf2-7eb3dcae0a2a\"> </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, <a href=\"http://terminology.hl7.org/7.1.0/NamingSystem-NAICCompanyCodes.html\" title=\"NAIC company codes, also referred to as NAIC numbers, are five-digit identification codes assigned by the National Association of Insurance Commissioners (NAIC) to every insurance company to identify them. NAIC maintains a list of all lines of insurance the company sells and a list of all jurisdictions in which the company is licensed.\r\n\r\nFor more information, see [https://content.naic.org/cis_consumer_information.htm](https://content.naic.org/cis_consumer_information.htm)\">National Association of Insurance Commissioners (NAIC) Company Codes</a>/55555, <a href=\"http://terminology.hl7.org/7.3.0/NamingSystem-CLIA.html\" title=\"&quot;The Centers for Medicare &amp; Medicaid Services (CMS) regulates all laboratory testing (except research) performed on humans in the U.S. through the Clinical Laboratory Improvement Amendments (CLIA). In total, CLIA covers approximately 330,000 laboratory entities. The Division of Clinical Laboratory Improvement &amp; Quality, within the Quality, Safety &amp; Oversight Group, under the Center for Clinical Standards and Quality (CCSQ) has the responsibility for implementing the CLIA Program.\r\n\r\nThe objective of the CLIA program is to ensure quality laboratory testing. Although all clinical laboratories must be properly certified to receive Medicare or Medicaid payments, CLIA has no direct Medicare or Medicaid program responsibilities.&quot;\r\n\r\nCMS CLIA certified laboratories will be assigned a10-digit alphanumeric CLIA identification number, with the &quot;D&quot; in the third position identifying the provider/supplier as a laboratory certified under CLIA.&quot;\r\n\r\nCLIA is maintained by CMS. It is in the public domain and free to use without restriction.\r\n\r\nSee http://cms.gov/regulations-and-guidance/legislation/clia.\">Clinical Laboratory Improvement Amendments</a>/66D6666666</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"
      },
      {
        "system" : "urn:oid:2.16.840.1.113883.6.300",
        "value" : "55555"
      },
      {
        "system" : "urn:oid:2.16.840.1.113883.4.7",
        "value" : "66D6666666"
      }],
      "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/Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d",
    "resource" : {
      "resourceType" : "Practitioner",
      "id" : "aede2fef-ac9d-4a06-b2ed-40868ed7e93d",
      "meta" : {
        "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_aede2fef-ac9d-4a06-b2ed-40868ed7e93d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner aede2fef-ac9d-4a06-b2ed-40868ed7e93d</b></p><a name=\"aede2fef-ac9d-4a06-b2ed-40868ed7e93d\"> </a><a name=\"hcaede2fef-ac9d-4a06-b2ed-40868ed7e93d\"> </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-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>: 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"
      }]
    }
  }]
}