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-No-Info-Required-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" : "59f51f0b-2005-485c-858e-3d3ae9657287"
},
"type" : "document",
"timestamp" : "2026-02-02T20:42:11+00:00",
"entry" : [
{
"fullUrl" : "https://fhir.example.org/fhir/Composition/e8549cb6-20ee-4c21-89c7-dd02f605a57c",
"resource" : {
"resourceType" : "Composition",
"id" : "e8549cb6-20ee-4c21-89c7-dd02f605a57c",
"meta" : {
"versionId" : "1",
"profile" : [
🔗 "http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : {
"system" : "https://example.org/fhir/identifier/composition-id",
"value" : "59f51f0b-2005-485c-858e-3d3ae9657287"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "60591-5",
"display" : "Patient summary Document"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://loinc.org",
"code" : "107903-7",
"display" : "Clinical note"
}
]
}
],
"subject" : {
"reference" : "Patient/ABC4321"
},
"date" : "2026-02-01T20:43:11+00:00",
"author" : [
{
"reference" : "Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"
}
],
"title" : "US Patient Care Summary Generated 2026-02-01",
"confidentiality" : "N",
"attester" : [
{
"mode" : "professional",
"time" : "2026-02-01T20:42:11+00:00",
"party" : {
"reference" : "Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d"
}
}
],
"custodian" : {
"reference" : "Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"
},
"event" : [
{
"code" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActClass",
"code" : "PCPR"
}
]
}
],
"period" : {
"end" : "2026-02-01"
}
}
],
"section" : [
{
"title" : "Problem List",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "11450-4",
"display" : "Problem list - Reported"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
],
"text" : "No information available"
}
},
{
"title" : "Allergies and Intolerances",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "48765-2",
"display" : "Allergies and adverse reactions Document"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
],
"text" : "No information available"
}
},
{
"title" : "Medication Summary",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "10160-0",
"display" : "History of Medication use Narrative"
}
]
},
"text" : {
"status" : "generated"
},
"emptyReason" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/list-empty-reason",
"code" : "unavailable",
"display" : "Unavailable"
}
],
"text" : "No information available"
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.org/fhir/Patient/ABC4321",
"resource" : {
"resourceType" : "Patient",
"id" : "ABC4321",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"extension" : [
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2106-3",
"display" : "White"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "1002-5",
"display" : "American Indian or Alaska Native"
}
},
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2028-9",
"display" : "Asian"
}
},
{
"url" : "text",
"valueString" : "Mixed"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
},
{
"extension" : [
{
"url" : "ombCategory",
"valueCoding" : {
"system" : "urn:oid:2.16.840.1.113883.6.238",
"code" : "2135-2",
"display" : "Hispanic or Latino"
}
},
{
"url" : "text",
"valueString" : "Hispanic or Latino"
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
},
{
"extension" : [
{
"url" : "tribalAffiliation",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS",
"code" : "187",
"display" : "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada"
}
],
"text" : "Shoshone"
}
},
{
"url" : "isEnrolled",
"valueBoolean" : false
}
],
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation"
},
{
"url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-individual-sex",
"valueCoding" : {
"system" : "http://snomed.info/sct",
"code" : "248152002",
"display" : "Female"
}
}
],
"identifier" : [
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR",
"display" : "Medical Record Number"
}
],
"text" : "Medical Record Number"
},
"system" : "https://example.org/fhir/identifier/medical-record-number",
"value" : "1032702"
}
],
"active" : true,
"name" : [
{
"use" : "old",
"family" : "Shaw",
"given" : [
"Amy",
"V."
],
"period" : {
"start" : "2016-12-06",
"end" : "2020-07-22"
}
},
{
"family" : "Baxter",
"given" : [
"Amy",
"V."
],
"suffix" : [
"PharmD"
],
"period" : {
"start" : "2020-07-22"
}
}
],
"telecom" : [
{
"system" : "phone",
"value" : "555-555-5555",
"use" : "home"
},
{
"system" : "email",
"value" : "amy.shaw@example.com"
}
],
"gender" : "female",
"birthDate" : "1987-02-20",
"address" : [
{
"use" : "old",
"line" : [
"49 Meadow St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74047",
"country" : "US",
"period" : {
"start" : "2016-12-06",
"end" : "2020-07-22"
}
},
{
"line" : [
"183 Mountain View St"
],
"city" : "Mounds",
"state" : "OK",
"postalCode" : "74048",
"country" : "US",
"period" : {
"start" : "2020-07-22"
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.org/fhir/Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
"resource" : {
"resourceType" : "Organization",
"id" : "d9b97b04-b606-4f07-baf2-7eb3dcae0a2a",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "1407071236"
},
{
"system" : "urn:oid:2.16.840.1.113883.6.300",
"value" : "55555"
},
{
"system" : "urn:oid:2.16.840.1.113883.4.7",
"value" : "66D6666666"
}
],
"active" : true,
"type" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/organization-type",
"code" : "prov",
"display" : "Healthcare Provider"
}
]
}
],
"name" : "Acme Clinic",
"telecom" : [
{
"system" : "phone",
"value" : "(+1) 734-677-7777"
},
{
"system" : "email",
"value" : "customer-service@acme-clinic.org"
}
],
"address" : [
{
"line" : [
"3300 WASHTENAW AVE STE 227"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002",
"country" : "USA"
}
]
}
},
{
"fullUrl" : "https://fhir.example.org/fhir/Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d",
"resource" : {
"resourceType" : "Practitioner",
"id" : "aede2fef-ac9d-4a06-b2ed-40868ed7e93d",
"meta" : {
"profile" : [
🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"
]
},
"language" : "en",
"text" : {
"status" : "generated"
},
"identifier" : [
{
"system" : "http://hl7.org/fhir/sid/us-npi",
"value" : "9941339100"
}
],
"name" : [
{
"family" : "Bone",
"given" : [
"Ronald"
],
"prefix" : [
"Dr"
]
}
],
"address" : [
{
"use" : "work",
"line" : [
"1003 HEALTHCARE DR"
],
"city" : "AMHERST",
"state" : "MA",
"postalCode" : "01002"
}
]
}
}
]
}
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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