{ "resourceType" : "Bundle", "id" : "US-PCS-Bundle-All-7-Sections", "meta" : { "profile" : ["http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs"] }, "language" : "en", "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", "text" : { "status" : "generated" }, "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" }] }, "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" }, "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 AllergyIntolerance.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" }, "entry" : [{ "reference" : "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81" }] }, { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/note", "valueAnnotation" : { "text" : "Includes 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" }, "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-term immunizations within past 24 months. Includes lifetime immunizations 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" }, "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" }, "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" }, "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" }, "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" : "

Generated Narrative: Patient DEF1234

Language: en

Profile: US Core Patient Profile

John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number:\u00a03104721\u00a0(use:\u00a0usual,\u00a0))

Active:true
Contact Detail
  • ph: 555-555-5555(Home)
  • john.shaw@example.com
  • 49 Meadow St Mounds OK 74047 US (old)
  • 183 Mountain View St Mounds OK 74048 US
US Core Ethnicity Extension:
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false
" }, "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" : "248153007", "display" : "Male" } }], "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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://snomed.info/sct", "code" : "446050000", "display" : "Primary care physician" }] }], "specialty" : [{ "coding" : [{ "system" : "http://snomed.info/sct", "code" : "419772000", "display" : "Family practice" }] }], "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" : "

Generated Narrative: Practitioner 19c24876-ccf8-45e7-8b66-462317e970f1

Language: en

Profile: US Core Practitioner Profile version: 6.1.0

identifier: United States National Provider Identifier/9941339100

name: Brenda Richard

address: 1003 HEALTHCARE DR AMHERST MA 01002 (work)

" }, "identifier" : [{ "system" : "http://hl7.org/fhir/sid/us-npi", "value" : "9941339100" }], "name" : [{ "family" : "Richard", "given" : ["Brenda"], "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "extensions" }, "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"] }, "language" : "en", "text" : { "status" : "extensions" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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"] }, "language" : "en", "text" : { "status" : "extensions" }, "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"] }, "language" : "en", "text" : { "status" : "generated" }, "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" }, "location" : [{ "location" : { "reference" : "https://fhir.example.org/fhir/Location/hospital", "display" : "Holy Family Hospital" } }] } }] }