United States Patient Care Summary (US-PCS) Implementation Guide
1.0.0 - STU 1 United States of America flag

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

Example Bundle: Example US-PCS Bundle with No Information in Required Sections

Document Details

Document Subject

Language: en

Profile: US Core Patient Profile

Amy V. Baxter Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

Active:true
Alt. Name:Amy V. Shaw (Old)
Contact Detail
  • ph: 555-555-5555(Home)
  • amy.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 Individual Sex ExtensionSNOMED CT: 248152002 (Female)
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false

Document Content

Problem List

Allergies and Intolerances

Medication Summary

Additional Resources Included in Document

Entry 2 - fullUrl = https://fhir.example.org/fhir/Patient/ABC4321

Resource Patient:

Language: en

Profile: US Core Patient Profile

Amy V. Baxter Female, DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

Active:true
Alt. Name:Amy V. Shaw (Old)
Contact Detail
  • ph: 555-555-5555(Home)
  • amy.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 Individual Sex ExtensionSNOMED CT: 248152002 (Female)
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false

Entry 3 - fullUrl = https://fhir.example.org/fhir/Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a

Resource Organization:

Language: en

Profile: US Core Organization Profile version: 6.1.0

identifier: United States National Provider Identifier/1407071236, National Association of Insurance Commissioners (NAIC) Company Codes/55555, Clinical Laboratory Improvement Amendments/66D6666666

active: true

type: Healthcare Provider

name: Acme Clinic

contact

telecom: ph: (+1) 734-677-7777, customer-service@acme-clinic.org

address: 3300 WASHTENAW AVE STE 227 AMHERST MA 01002 USA

Entry 4 - fullUrl = https://fhir.example.org/fhir/Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d

Resource Practitioner:

Language: en

Profile: US Core Practitioner Profile version: 6.1.0

identifier: United States National Provider Identifier/9941339100

name: Ronald Bone

address: 1003 HEALTHCARE DR AMHERST MA 01002 (work)