United States Patient Care Summary (US-PCS) Implementation Guide
1.0.0 - STU 1
United States Patient Care Summary (US-PCS) Implementation Guide
1.0.0 - STU 1
This page is part of the US Patient Care Summary (US-PCS) Implementation Guide (v1.0.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
{
"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" : "<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:\u00a03104721\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=\"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:\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" : "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" : "<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>"
},
"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"
}
}
]
}
}
]
}
IG © 2026+ HL7 International / Cross-Group Projects.
Package hl7.fhir.us.pcs#1.0.0 based on FHIR 4.0.1.
Generated
2026-09-15
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