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

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/US-PCS-Bundle-All-7-Sections> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "US-PCS-Bundle-All-7-Sections"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/pcs/StructureDefinition/Bundle-us-pcs>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "https://example.org/fhir/identifier/bundle-id" ] ;
     fhir:Identifier.value [ fhir:value "ac7a747c-a2c9-493c-ba39-4ac6997eed1e" ]
  ] ;
  fhir:Bundle.type [ fhir:value "document"] ;
  fhir:Bundle.timestamp [ fhir:value "2026-03-21T18:53:00.8116604+00:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Patient/DEF1234>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0>
  ] .

<https://fhir.example.org/fhir/Composition/514af4c1-194d-48b4-8afe-7be09d3f895a> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "514af4c1-194d-48b4-8afe-7be09d3f895a"] ;
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "1" ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/pcs/StructureDefinition/Composition-us-pcs>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "https://example.org/fhir/identifier/composition-id" ] ;
     fhir:Identifier.value [ fhir:value "ac7a747c-a2c9-493c-ba39-4ac6997eed1e" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:60591-5 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "60591-5" ] ;
       fhir:Coding.display [ fhir:value "Patient summary Document" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ]
  ] ;
  fhir:Composition.date [ fhir:value "2026-03-21T18:53:00.8116604+00:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:link <https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522" ]
  ] ;
  fhir:Composition.title [ fhir:value "US Patient Care Summary"] ;
  fhir:Composition.confidentiality [ fhir:value "N"] ;
  fhir:Composition.attester [
     fhir:index -1 ;
     fhir:Composition.attester.mode [ fhir:value "professional" ] ;
     fhir:Composition.attester.time [ fhir:value "2026-03-21T18:53:00.8116604+00:00"^^xsd:dateTime ] ;
     fhir:Composition.attester.party [
       fhir:link <https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743" ]
     ]
  ] ;
  fhir:Composition.custodian [
     fhir:link <https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522" ]
  ] ;
  fhir:Composition.event [
     fhir:index -1 ;
     fhir:Composition.event.code [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActClass" ] ;
         fhir:Coding.code [ fhir:value "PCPR" ]
       ]
     ] ;
     fhir:Composition.event.period [
       fhir:Period.end [ fhir:value "2026-03-21T18:53:00.8116604+00:00"^^xsd:dateTime ]
     ]
  ] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes Condition.clinicalStatus of: active, recurrence, relapse or remission; Excludes Condition.verificationStatus of entered-in-error" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Problem List" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:11450-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "11450-4" ] ;
         fhir:Coding.display [ fhir:value "Problem list - Reported" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "8039e4a7-d459-454c-92a5-6c17ca2a824b" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b" ]
     ], [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes AllergyIntolerance.clinicalStatus of active; Excludes AllergyIntolerance.verificationStatus of entered-in-error" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Allergies and Intolerances" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:48765-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "48765-2" ] ;
         fhir:Coding.display [ fhir:value "Allergies and adverse reactions Document" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "9838cf73-c30d-4aa5-8ed8-36a079060b81" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes MedicationRequest.status of active and MedicationRequest.intent of order or plan. Excludes MedicationRequest.doNotPerform is true" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Medication Summary" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:10160-0 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "10160-0" ] ;
         fhir:Coding.display [ fhir:value "History of Medication use Narrative" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes short-term immunizations within past 24 months. Includes lifetime immunizations with long duration" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Immunizations" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:11369-6 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "11369-6" ] ;
         fhir:Coding.display [ fhir:value "History of Immunization note" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "17b5a6d7-307b-4726-8c8c-0031e61582ce" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes diagnostic reports, laboratory and imaging observations from the past 90 days" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Results" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:30954-2 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "30954-2" ] ;
         fhir:Coding.display [ fhir:value "Relevant diagnostic tests/laboratory data note" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "b0187efd-5f9b-474d-87bc-efebf877449a" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Includes all major procedures with lasting clinical implications and all procedures from last 90 days" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "History of Procedures" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:47519-4 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "47519-4" ] ;
         fhir:Coding.display [ fhir:value "History of Procedures Document" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "fb04f2f5-d5b6-4031-85e9-547c78deb658" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658" ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/note" ] ;
       fhir:Extension.valueAnnotation [
         fhir:Annotation.text [ fhir:value "Include all emergency room and inpatient encounters in the past 12 months. Include all ambulatory encounters in the past 6 months" ]
       ]
     ] ;
     fhir:Composition.section.title [ fhir:value "Encounters" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:46240-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "46240-8" ] ;
         fhir:Coding.display [ fhir:value "History of Hospitalizations+Outpatient visits Narrative" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Element.extension [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "e8be20b8-6f24-4204-8eca-6bc8ecd2b26b" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ], [
         fhir:index -1 ;
         fhir:Element.extension [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "htmlid" ] ;
           fhir:Extension.valueString [ fhir:value "e11bfacd-557d-416b-bb7f-165afc68bca0" ]
         ], [
           fhir:index -1 ;
           fhir:Extension.url [ fhir:value "data" ] ;
           fhir:Extension.valueUri [ fhir:value "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0" ]
         ] ;
         fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/textLink" ]
       ] ;
       fhir:Narrative.status [ fhir:value "generated" ]
     ] ;
     fhir:Composition.section.entry [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b" ]
     ], [
       fhir:index -1 ;
       fhir:link <https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0" ]
     ]
  ] .

<https://fhir.example.org/fhir/Patient/DEF1234> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "DEF1234"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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: 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:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - 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>"
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "ombCategory" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2106-3" ] ;
         fhir:Coding.display [ fhir:value "White" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "ombCategory" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "1002-5" ] ;
         fhir:Coding.display [ fhir:value "American Indian or Alaska Native" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "ombCategory" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2028-9" ] ;
         fhir:Coding.display [ fhir:value "Asian" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "Mixed" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "ombCategory" ] ;
       fhir:Extension.valueCoding [
         fhir:Coding.system [ fhir:value "urn:oid:2.16.840.1.113883.6.238" ] ;
         fhir:Coding.code [ fhir:value "2135-2" ] ;
         fhir:Coding.display [ fhir:value "Hispanic or Latino" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "text" ] ;
       fhir:Extension.valueString [ fhir:value "Hispanic or Latino" ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity" ]
  ], [
     fhir:index -1 ;
     fhir:Element.extension [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "tribalAffiliation" ] ;
       fhir:Extension.valueCodeableConcept [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-TribalEntityUS" ] ;
           fhir:Coding.code [ fhir:value "187" ] ;
           fhir:Coding.display [ fhir:value "Paiute-Shoshone Tribe of the Fallon Reservation and Colony, Nevada" ]
         ] ;
         fhir:CodeableConcept.text [ fhir:value "Shoshone" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:Extension.url [ fhir:value "isEnrolled" ] ;
       fhir:Extension.valueBoolean [ fhir:value "false"^^xsd:boolean ]
     ] ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-tribal-affiliation" ]
  ], [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-individual-sex" ] ;
     fhir:Extension.valueCoding [
       a sct:248153007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "248153007" ] ;
       fhir:Coding.display [ fhir:value "Male" ]
     ]
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.use [ fhir:value "usual" ] ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "MR" ] ;
         fhir:Coding.display [ fhir:value "Medical Record Number" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Medical Record Number" ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://example.org/fhir/identifier/medical-record-number" ] ;
     fhir:Identifier.value [ fhir:value "3104721" ]
  ] ;
  fhir:Patient.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.use [ fhir:value "old" ] ;
     fhir:HumanName.family [ fhir:value "Shaw" ] ;
     fhir:HumanName.given [
       fhir:value "John" ;
       fhir:index -1
     ] ;
     fhir:HumanName.period [
       fhir:Period.start [ fhir:value "1986-02-21"^^xsd:date ]
     ]
  ] ;
  fhir:Patient.telecom [
     fhir:index -1 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "555-555-5555" ] ;
     fhir:ContactPoint.use [ fhir:value "home" ]
  ], [
     fhir:index -1 ;
     fhir:ContactPoint.system [ fhir:value "email" ] ;
     fhir:ContactPoint.value [ fhir:value "john.shaw@example.com" ]
  ] ;
  fhir:Patient.gender [ fhir:value "male"] ;
  fhir:Patient.birthDate [ fhir:value "1986-02-21"^^xsd:date] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Address.use [ fhir:value "old" ] ;
     fhir:Address.line [
       fhir:value "49 Meadow St" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "Mounds" ] ;
     fhir:Address.state [ fhir:value "OK" ] ;
     fhir:Address.postalCode [ fhir:value "74047" ] ;
     fhir:Address.country [ fhir:value "US" ] ;
     fhir:Address.period [
       fhir:Period.start [ fhir:value "2016-12-06"^^xsd:date ] ;
       fhir:Period.end [ fhir:value "2020-07-22"^^xsd:date ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Address.line [
       fhir:value "183 Mountain View St" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "Mounds" ] ;
     fhir:Address.state [ fhir:value "OK" ] ;
     fhir:Address.postalCode [ fhir:value "74048" ] ;
     fhir:Address.country [ fhir:value "US" ] ;
     fhir:Address.period [
       fhir:Period.start [ fhir:value "2020-07-22"^^xsd:date ]
     ]
  ] .

<https://fhir.example.org/fhir/Organization/8dcf67a5-b677-4c4f-94c6-a4cf41c9a522> a fhir:Organization ;
  fhir:Resource.id [ fhir:value "8dcf67a5-b677-4c4f-94c6-a4cf41c9a522"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-organization|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Organization.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "1407071236" ]
  ] ;
  fhir:Organization.active [ fhir:value "true"^^xsd:boolean] ;
  fhir:Organization.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/organization-type" ] ;
       fhir:Coding.code [ fhir:value "prov" ] ;
       fhir:Coding.display [ fhir:value "Healthcare Provider" ]
     ]
  ] ;
  fhir:Organization.name [ fhir:value "Acme Clinic"] ;
  fhir:Organization.telecom [
     fhir:index -1 ;
     fhir:ContactPoint.system [ fhir:value "phone" ] ;
     fhir:ContactPoint.value [ fhir:value "(+1) 734-677-7777" ]
  ], [
     fhir:index -1 ;
     fhir:ContactPoint.system [ fhir:value "email" ] ;
     fhir:ContactPoint.value [ fhir:value "customer-service@acme-clinic.org" ]
  ] ;
  fhir:Organization.address [
     fhir:index -1 ;
     fhir:Address.line [
       fhir:value "3300 WASHTENAW AVE STE 227" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "AMHERST" ] ;
     fhir:Address.state [ fhir:value "MA" ] ;
     fhir:Address.postalCode [ fhir:value "01002" ] ;
     fhir:Address.country [ fhir:value "USA" ]
  ] .

<https://fhir.example.org/fhir/PractitionerRole/75ed6f24-9a7e-4568-9c05-91b6d4786743> a fhir:PractitionerRole ;
  fhir:Resource.id [ fhir:value "75ed6f24-9a7e-4568-9c05-91b6d4786743"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitionerrole|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:PractitionerRole.practitioner [
     fhir:link <https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1" ] ;
     fhir:Reference.display [ fhir:value "Brenda Jennings Richard MD" ]
  ] ;
  fhir:PractitionerRole.organization [
     fhir:link <https://fhir.example.org/fhir/Organization/acme-lab> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Organization/acme-lab" ] ;
     fhir:Reference.display [ fhir:value "Acme Lab" ]
  ] ;
  fhir:PractitionerRole.code [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction" ] ;
       fhir:Coding.code [ fhir:value "PCP" ] ;
       fhir:Coding.display [ fhir:value "primary care physician" ]
     ], [
       fhir:index -1 ;
       a sct:446050000 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "446050000" ] ;
       fhir:Coding.display [ fhir:value "Primary care physician" ]
     ]
  ] ;
  fhir:PractitionerRole.specialty [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:419772000 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "419772000" ] ;
       fhir:Coding.display [ fhir:value "Family practice" ]
     ]
  ] ;
  fhir:PractitionerRole.location [
     fhir:index -1 ;
     fhir:link <https://fhir.example.org/fhir/Location/hl7east> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Location/hl7east" ] ;
     fhir:Reference.display [ fhir:value "Health Level Seven International" ]
  ] ;
  fhir:PractitionerRole.endpoint [
     fhir:index -1 ;
     fhir:link <https://fhir1.example.org/fhir/Endpoint/Endpoint-71> ;
     fhir:Reference.reference [ fhir:value "https://fhir1.example.org/fhir/Endpoint/Endpoint-71" ] ;
     fhir:Reference.display [ fhir:value "Westwood Physicians Organization ADT" ]
  ], [
     fhir:index -1 ;
     fhir:link <https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71> ;
     fhir:Reference.reference [ fhir:value "https://fhir2.example.org/fhir/R4/Endpoint/Endpoint-71" ] ;
     fhir:Reference.display [ fhir:value "Brenda.Jennings.Richard.MD@direct.example.org" ]
  ] .

<https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1> a fhir:Practitioner ;
  fhir:Resource.id [ fhir:value "19c24876-ccf8-45e7-8b66-462317e970f1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Practitioner.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "http://hl7.org/fhir/sid/us-npi" ] ;
     fhir:Identifier.value [ fhir:value "9941339100" ]
  ] ;
  fhir:Practitioner.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Richard" ] ;
     fhir:HumanName.given [
       fhir:value "Brenda" ;
       fhir:index -1
     ] ;
     fhir:HumanName.prefix [
       fhir:value "Dr" ;
       fhir:index -1
     ]
  ] ;
  fhir:Practitioner.address [
     fhir:index -1 ;
     fhir:Address.use [ fhir:value "work" ] ;
     fhir:Address.line [
       fhir:value "1003 HEALTHCARE DR" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "AMHERST" ] ;
     fhir:Address.state [ fhir:value "MA" ] ;
     fhir:Address.postalCode [ fhir:value "01002" ]
  ] .

<https://fhir.example.org/fhir/AllergyIntolerance/9838cf73-c30d-4aa5-8ed8-36a079060b81> a fhir:AllergyIntolerance ;
  fhir:Resource.id [ fhir:value "9838cf73-c30d-4aa5-8ed8-36a079060b81"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:AllergyIntolerance.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ]
     ]
  ] ;
  fhir:AllergyIntolerance.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ]
     ]
  ] ;
  fhir:AllergyIntolerance.category [
     fhir:value "medication" ;
     fhir:index -1
  ] ;
  fhir:AllergyIntolerance.criticality [ fhir:value "high"] ;
  fhir:AllergyIntolerance.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:763875007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108" ] ;
       fhir:Coding.code [ fhir:value "763875007" ] ;
       fhir:Coding.display [ fhir:value "Product containing sulfonamide (product)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "sulfonamide antibacterial" ]
  ] ;
  fhir:AllergyIntolerance.patient [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "John Shaw" ]
  ] ;
  fhir:AllergyIntolerance.reaction [
     fhir:index -1 ;
     fhir:AllergyIntolerance.reaction.manifestation [
       fhir:index -1 ;
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a sct:271807003 ;
         fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
         fhir:Coding.version [ fhir:value "http://snomed.info/sct/731000124108" ] ;
         fhir:Coding.code [ fhir:value "271807003" ] ;
         fhir:Coding.display [ fhir:value "skin rash" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "skin rash" ]
     ] ;
     fhir:AllergyIntolerance.reaction.severity [ fhir:value "mild" ]
  ] .

<https://fhir.example.org/fhir/Condition/8039e4a7-d459-454c-92a5-6c17ca2a824b> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "8039e4a7-d459-454c-92a5-6c17ca2a824b"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2016-08-10"^^xsd:date ]
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ] ;
       fhir:Coding.display [ fhir:value "Active" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ] ;
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ] ;
       fhir:Coding.display [ fhir:value "Confirmed" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ] ;
  fhir:Condition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ] ;
       fhir:Coding.code [ fhir:value "problem-list-item" ] ;
       fhir:Coding.display [ fhir:value "Problem List Item" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Problem List Item" ]
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:51868009 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "51868009" ] ;
       fhir:Coding.display [ fhir:value "Ulcer of duodenum (disorder)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active Duodenal Ulcer" ]
  ] ;
  fhir:Condition.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "John Shaw" ]
  ] ;
  fhir:Condition.recordedDate [ fhir:value "2016-08-10T07:15:07-08:00"^^xsd:dateTime] .

<https://fhir.example.org/fhir/Condition/f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "f8ab8ac1-56d1-4239-8303-dc70c1a3d0e1"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/condition-assertedDate" ] ;
     fhir:Extension.valueDateTime [ fhir:value "2016-08-10"^^xsd:date ]
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ] ;
       fhir:Coding.display [ fhir:value "Active" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active" ]
  ] ;
  fhir:Condition.verificationStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-ver-status" ] ;
       fhir:Coding.code [ fhir:value "confirmed" ] ;
       fhir:Coding.display [ fhir:value "Confirmed" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Confirmed" ]
  ] ;
  fhir:Condition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ] ;
       fhir:Coding.code [ fhir:value "problem-list-item" ] ;
       fhir:Coding.display [ fhir:value "Problem List Item" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Problem List Item" ]
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:44054006 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "44054006" ] ;
       fhir:Coding.display [ fhir:value "Diabetes mellitus type 2 (disorder)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Diabetes mellitus type 2 (disorder)" ]
  ] ;
  fhir:Condition.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "John Shaw" ]
  ] ;
  fhir:Condition.recordedDate [ fhir:value "2016-08-10T07:15:07-08:00"^^xsd:dateTime] .

<https://fhir.example.org/fhir/MedicationRequest/c3d31980-2a88-45b6-a7af-3fe8d32cc6fa> a fhir:MedicationRequest ;
  fhir:Resource.id [ fhir:value "c3d31980-2a88-45b6-a7af-3fe8d32cc6fa"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:MedicationRequest.status [ fhir:value "active"] ;
  fhir:MedicationRequest.intent [ fhir:value "order"] ;
  fhir:MedicationRequest.medicationCodeableConcept [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.nlm.nih.gov/research/umls/rxnorm" ] ;
       fhir:Coding.code [ fhir:value "582620" ] ;
       fhir:Coding.display [ fhir:value "Nizatidine 15 MG/ML Oral Solution [Axid]" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Nizatidine 15 MG/ML Oral Solution [Axid]" ]
  ] ;
  fhir:MedicationRequest.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "Amy Shaw" ]
  ] ;
  fhir:MedicationRequest.authoredOn [ fhir:value "2008-04-05"^^xsd:date] ;
  fhir:MedicationRequest.requester [
     fhir:link <https://fhir.example.org/fhir/Practitioner/practitioner-1> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Practitioner/practitioner-1" ] ;
     fhir:Reference.display [ fhir:value "Ronald Bone, MD" ]
  ] ;
  fhir:MedicationRequest.reasonCode [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:51868009 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "51868009" ] ;
       fhir:Coding.display [ fhir:value "Ulcer of duodenum (disorder)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Active Duodenal Ulcer" ]
  ] ;
  fhir:MedicationRequest.dosageInstruction [
     fhir:index -1 ;
     fhir:Dosage.text [ fhir:value "10 mL bid" ] ;
     fhir:Dosage.timing [
       fhir:Timing.repeat [
         fhir:Timing.repeat.boundsPeriod [
           fhir:Period.start [ fhir:value "2008-04-05"^^xsd:date ]
         ] ;
         fhir:Timing.repeat.frequency [ fhir:value "2"^^xsd:positiveInteger ] ;
         fhir:Timing.repeat.period [ fhir:value "1"^^xsd:decimal ] ;
         fhir:Timing.repeat.periodUnit [ fhir:value "d" ]
       ]
     ] ;
     fhir:Dosage.doseAndRate [
       fhir:index -1 ;
       fhir:Dosage.doseAndRate.doseQuantity [
         fhir:Quantity.value [ fhir:value "10"^^xsd:decimal ] ;
         fhir:Quantity.unit [ fhir:value "ml" ] ;
         fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
         fhir:Quantity.code [ fhir:value "mL" ]
       ]
     ]
  ] ;
  fhir:MedicationRequest.dispenseRequest [
     fhir:MedicationRequest.dispenseRequest.numberOfRepeatsAllowed [ fhir:value "1"^^xsd:nonNegativeInteger ] ;
     fhir:MedicationRequest.dispenseRequest.quantity [
       fhir:Quantity.value [ fhir:value "480"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "mL" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "mL" ]
     ] ;
     fhir:MedicationRequest.dispenseRequest.expectedSupplyDuration [
       fhir:Quantity.value [ fhir:value "30"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "days" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "d" ]
     ]
  ] .

<https://fhir.example.org/fhir/Immunization/17b5a6d7-307b-4726-8c8c-0031e61582ce> a fhir:Immunization ;
  fhir:Resource.id [ fhir:value "17b5a6d7-307b-4726-8c8c-0031e61582ce"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Immunization.status [ fhir:value "completed"] ;
  fhir:Immunization.vaccineCode [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://hl7.org/fhir/sid/cvx" ] ;
       fhir:Coding.code [ fhir:value "197" ] ;
       fhir:Coding.display [ fhir:value "Influenza, high-dose, quadrivalent, PF" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Influenza, high-dose, quadrivalent, PF" ]
  ] ;
  fhir:Immunization.patient [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "John Shaw" ]
  ] ;
  fhir:Immunization.occurrenceDateTime [ fhir:value "2020-11-19T12:46:57-08:00"^^xsd:dateTime] ;
  fhir:Immunization.primarySource [ fhir:value "false"^^xsd:boolean] .

<https://fhir.example.org/fhir/Observation/b0187efd-5f9b-474d-87bc-efebf877449a> a fhir:Observation ;
  fhir:Resource.id [ fhir:value "b0187efd-5f9b-474d-87bc-efebf877449a"] ;
  fhir:Resource.meta [
     fhir:Meta.versionId [ fhir:value "914" ] ;
     fhir:Meta.lastUpdated [ fhir:value "2016-03-09T15:29:57.277+00:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Observation.status [ fhir:value "final"] ;
  fhir:Observation.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/observation-category" ] ;
       fhir:Coding.code [ fhir:value "laboratory" ] ;
       fhir:Coding.display [ fhir:value "Laboratory" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Laboratory" ]
  ] ;
  fhir:Observation.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:2951-2 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "2951-2" ] ;
       fhir:Coding.display [ fhir:value "Sodium SerPl-sCnc" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Sodium SerPl-sCnc" ]
  ] ;
  fhir:Observation.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ] ;
     fhir:Reference.display [ fhir:value "John Shaw" ]
  ] ;
  fhir:Observation.effectiveDateTime [ fhir:value "2005-07-05"^^xsd:date] ;
  fhir:Observation.performer [
     fhir:index -1 ;
     fhir:link <https://fhir.example.org/fhir/Practitioner/practitioner-1> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Practitioner/practitioner-1" ] ;
     fhir:Reference.display [ fhir:value "Ronald Bone, MD" ]
  ] ;
  fhir:Observation.valueQuantity [
     fhir:Quantity.value [ fhir:value "137"^^xsd:decimal ] ;
     fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
     fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ]
  ] ;
  fhir:Observation.specimen [
     fhir:link <https://fhir.example.org/fhir/Specimen/specimen-example-serum> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Specimen/specimen-example-serum" ] ;
     fhir:Reference.display [ fhir:value "Serum specimen" ]
  ] ;
  fhir:Observation.referenceRange [
     fhir:index -1 ;
     fhir:Observation.referenceRange.low [
       fhir:Quantity.value [ fhir:value "135"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "mmol/L" ]
     ] ;
     fhir:Observation.referenceRange.high [
       fhir:Quantity.value [ fhir:value "145"^^xsd:decimal ] ;
       fhir:Quantity.unit [ fhir:value "mmol/L" ] ;
       fhir:Quantity.system [ fhir:value "http://unitsofmeasure.org" ] ;
       fhir:Quantity.code [ fhir:value "mmol/L" ]
     ] ;
     fhir:Observation.referenceRange.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/referencerange-meaning" ] ;
         fhir:Coding.code [ fhir:value "normal" ] ;
         fhir:Coding.display [ fhir:value "Normal Range" ]
       ] ;
       fhir:CodeableConcept.text [ fhir:value "Normal Range" ]
     ]
  ] .

<https://fhir.example.org/fhir/Procedure/fb04f2f5-d5b6-4031-85e9-547c78deb658> a fhir:Procedure ;
  fhir:Resource.id [ fhir:value "fb04f2f5-d5b6-4031-85e9-547c78deb658"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Procedure.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "urn:ietf:rfc:3986" ] ;
     fhir:Identifier.value [ fhir:value "urn:uuid:b2a737f2-2fdb-49c1-b097-dac173d07aff" ]
  ] ;
  fhir:Procedure.basedOn [
     fhir:index -1 ;
     fhir:link <https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/ServiceRequest/34c2af5e-14e3-41c0-9f65-4e5128e48e47" ]
  ] ;
  fhir:Procedure.status [ fhir:value "completed"] ;
  fhir:Procedure.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "33249" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber" ]
  ] ;
  fhir:Procedure.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ]
  ] ;
  fhir:Procedure.performedPeriod [
     fhir:Period.start [ fhir:value "2019-03-26T12:55:26-07:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2019-03-26T13:25:26-07:00"^^xsd:dateTime ]
  ] ;
  fhir:Procedure.performer [
     fhir:index -1 ;
     fhir:Procedure.performer.actor [
       fhir:link <https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Practitioner/19c24876-ccf8-45e7-8b66-462317e970f1" ]
     ]
  ] ;
  fhir:Procedure.focalDevice [
     fhir:index -1 ;
     fhir:Procedure.focalDevice.manipulated [
       fhir:link <https://fhir.example.org/fhir/Device/udi-2> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Device/udi-2" ]
     ]
  ] .

<https://fhir.example.org/fhir/Encounter/e8be20b8-6f24-4204-8eca-6bc8ecd2b26b> a fhir:Encounter ;
  fhir:Resource.id [ fhir:value "e8be20b8-6f24-4204-8eca-6bc8ecd2b26b"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2024-01-28T16:06:21-08:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "extensions" ]
  ] ;
  fhir:DomainResource.extension [
     fhir:index -1 ;
     fhir:Extension.url [ fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-interpreter-needed" ] ;
     fhir:Extension.valueCoding [
       a sct:373066001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "373066001" ]
     ]
  ] ;
  fhir:Encounter.status [ fhir:value "finished"] ;
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
     fhir:Coding.code [ fhir:value "AMB" ] ;
     fhir:Coding.display [ fhir:value "ambulatory" ]
  ] ;
  fhir:Encounter.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://www.ama-assn.org/go/cpt" ] ;
       fhir:Coding.code [ fhir:value "99211" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Office Visit" ]
  ] ;
  fhir:Encounter.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2026-03-17T17:00:14-05:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2026-03-17T18:00:14-05:00"^^xsd:dateTime ]
  ] ;
  fhir:Encounter.location [
     fhir:index -1 ;
     fhir:Encounter.location.location [
       fhir:link <https://fhir.example.org/fhir/Location/hl7east> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Location/hl7east" ] ;
       fhir:Reference.display [ fhir:value "HL7 East Ambulatory" ]
     ]
  ] .

<https://fhir.example.org/fhir/Encounter/e11bfacd-557d-416b-bb7f-165afc68bca0> a fhir:Encounter ;
  fhir:Resource.id [ fhir:value "e11bfacd-557d-416b-bb7f-165afc68bca0"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2024-01-28T16:06:21-08:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0" ;
       fhir:index -1 ;
       fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter|6.1.0>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ]
  ] ;
  fhir:Encounter.status [ fhir:value "finished"] ;
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
     fhir:Coding.code [ fhir:value "IMP" ] ;
     fhir:Coding.display [ fhir:value "inpatient encounter" ]
  ] ;
  fhir:Encounter.type [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:261665006 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "261665006" ] ;
       fhir:Coding.display [ fhir:value "Unknown (qualifier value)" ]
     ] ;
     fhir:CodeableConcept.text [ fhir:value "Hospitalization" ]
  ] ;
  fhir:Encounter.subject [
     fhir:link <https://fhir.example.org/fhir/Patient/DEF1234> ;
     fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Patient/DEF1234" ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2026-01-17T17:00:14-05:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2026-01-20T18:00:14-05:00"^^xsd:dateTime ]
  ] ;
  fhir:Encounter.location [
     fhir:index -1 ;
     fhir:Encounter.location.location [
       fhir:link <https://fhir.example.org/fhir/Location/hospital> ;
       fhir:Reference.reference [ fhir:value "https://fhir.example.org/fhir/Location/hospital" ] ;
       fhir:Reference.display [ fhir:value "Holy Family Hospital" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/US-PCS-Bundle-All-7-Sections.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/US-PCS-Bundle-All-7-Sections.ttl> .