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
<Bundle xmlns="http://hl7.org/fhir">
<id value="US-PCS-Bundle-All-7-Sections"/>
<meta>
<profile
value="http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://example.org/fhir/identifier/bundle-id"/>
<value value="ac7a747c-a2c9-493c-ba39-4ac6997eed1e"/>
</identifier>
<type value="document"/>
<timestamp value="2026-03-21T18:53:00.8116604+00:00"/>
<entry>
<fullUrl
value="https://fhir.example.org/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a"/>
<resource>
<Composition>
<id value="514af4c1-194d-48b4-8afe-7be09d3f895a"/>
<meta>
<versionId value="1"/>
<profile
value="http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
</text>
<identifier>
<system value="https://example.org/fhir/identifier/composition-id"/>
<value value="ac7a747c-a2c9-493c-ba39-4ac6997eed1e"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
</coding>
</type>
<subject>
<reference value="https://fhir.example.org/fhir/Patient/DEF1234"/>
</subject>
<date value="2026-03-21T18:53:00.8116604+00:00"/>
<author>
<reference
value="https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"/>
</author>
<title value="US Patient Care Summary"/>
<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"/>
</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"/>
</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"/>
</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"/>
</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"/>
</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"/>
</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"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="extensions"/>
</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>
<language value="en"/>
<text>
<status value="extensions"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
<language value="en"/>
<text>
<status value="extensions"/>
</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>
<language value="en"/>
<text>
<status value="generated"/>
</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>
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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