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

United States Patient Care Summary (US-PCS) Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions

Example Bundle: Example US-PCS Bundle with Data in All 7 Sections

Document Details

Document Subject

Language: en

Profile: US Core Patient Profile

John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))

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 Individual Sex ExtensionSNOMED CT: 248153007 (Male)
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false

Document Content

Problem List

Allergies and Intolerances

Medication Summary

Immunizations

Results

History of Procedures

Encounters

Additional Resources Included in Document

Entry 2 - fullUrl = https://fhir.example.org/fhir/Patient/DEF1234

Resource Patient:

Language: en

Profile: US Core Patient Profile

John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))

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 Individual Sex ExtensionSNOMED CT: 248153007 (Male)
US Core Race Extension:
US Core Tribal Affiliation Extension:
  • tribalAffiliation: Shoshone
  • isEnrolled: false

Entry 3 - fullUrl = https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522

Resource Organization:

Language: en

Profile: US Core Organization Profile version: 6.1.0

identifier: United States National Provider Identifier/1407071236

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/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743

Resource PractitionerRole:

Language: en

Profile: US Core PractitionerRole Profile version: 6.1.0

practitioner: Brenda Jennings Richard MD

organization: Acme Lab

code: primary care physician

specialty: Family practice

location: Health Level Seven International

endpoint:

Entry 5 - fullUrl = https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1

Resource Practitioner:

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)

Entry 6 - fullUrl = https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81

Resource AllergyIntolerance:

Language: en

Profile: US Core AllergyIntolerance Profile version: 6.1.0

clinicalStatus: Active

verificationStatus: Confirmed

category: Medication

criticality: High Risk

code: sulfonamide antibacterial

patient: John Shaw

Reactions

-ManifestationSeverity
*No display for AllergyIntolerance.reaction.manifestation (concept: skin rash)Mild

Entry 7 - fullUrl = https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b

Resource Condition:

Condition Asserted Date: 2016-08-10

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Active Duodenal Ulcer

subject: John Shaw

recordedDate: 2016-08-10 07:15:07-0800

Entry 8 - fullUrl = https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1

Resource Condition:

Condition Asserted Date: 2016-08-10

clinicalStatus: Active

verificationStatus: Confirmed

category: Problem List Item

code: Diabetes mellitus type 2 (disorder)

subject: John Shaw

recordedDate: 2016-08-10 07:15:07-0800

Entry 9 - fullUrl = https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa

Resource MedicationRequest:

status: Active

intent: Order

subject: Amy Shaw

authoredOn: 2008-04-05

requester: Ronald Bone, MD

dosageInstruction

text: 10 mL bid

timing: 2 per 1 day

DoseAndRates

-Dose[x]
*10 ml (Details: UCUM codemL = 'mL')

dispenseRequest

numberOfRepeatsAllowed: 1

quantity: 480 mL (Details: UCUM codemL = 'mL')

ExpectedSupplyDurations

-ValueUnitSystemCode
*30dayshttp://unitsofmeasure.orgd

Entry 10 - fullUrl = https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce

Resource Immunization:

Language: en

Profile: US Core Immunization Profile

status: Completed

vaccineCode: Influenza, high-dose, quadrivalent, PF

patient: John Shaw

occurrence: 2020-11-19 12:46:57-0800

primarySource: false

Entry 11 - fullUrl = https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a

Resource Observation:

version: 914; Last updated: 2016-03-09 15:29:57+0000; Language: en

Profile: US Core Laboratory Result Observation Profile

status: Final

category: Laboratory

code: Sodium SerPl-sCnc

subject: John Shaw

effective: 2005-07-05

performer: Ronald Bone, MD

value: 137 mmol/L

specimen: Serum specimen

ReferenceRanges

-LowHighType
*135 mmol/L (Details: UCUM codemmol/L = 'mmol/L')145 mmol/L (Details: UCUM codemmol/L = 'mmol/L')Normal Range

Entry 12 - fullUrl = https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658

Resource Procedure:

Language: en

Profile: US Core Procedure Profile version: 6.1.0

identifier: Uniform Resource Identifier (URI)/urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff

basedOn: https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47

status: Completed

code: Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber

subject: John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))

Performers

-Actor
*Practitioner Brenda Richard

FocalDevices

-Manipulated
*https://fhir.example.org/fhir/Device/udi-2

Entry 13 - fullUrl = https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b

Resource Encounter:

Last updated: 2024-01-28 16:06:21-0800; Language: en

Profile: US Core Encounter Profile version: 6.1.0

US Core Interpreter Needed Extension: SNOMED CT: 373066001 (Yes)

status: completed

class: ambulatory

type: Office Visit

subject: John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))

Locations

-Location
*HL7 East Ambulatory

Entry 14 - fullUrl = https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0

Resource Encounter:

Last updated: 2024-01-28 16:06:21-0800; Language: en

Profile: US Core Encounter Profile version: 6.1.0

status: completed

class: inpatient encounter

type: Hospitalization

subject: John Shaw (old) Male, DoB: 1986-02-21 ( Medical Record Number: 3104721 (use: usual, ))

Locations

-Location
*Holy Family Hospital