United States Patient Care Summary (US-PCS) Implementation Guide - Downloaded Version 1.0.0 See the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="US-PCS-Bundle-No-Info-Required-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="59f51f0b-2005-485c-858e-3d3ae9657287"/>
</identifier>
<type value="document"/>
<timestamp value="2026-02-02T20:42:11+00:00"/>
<entry>
<fullUrl
value="https://fhir.example.org/fhir/Composition/e8549cb6-20ee-4c21-89c7-dd02f605a57c"/>
<resource>
<Composition>
<id value="e8549cb6-20ee-4c21-89c7-dd02f605a57c"/>
<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="59f51f0b-2005-485c-858e-3d3ae9657287"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="60591-5"/>
<display value="Patient summary Document"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="107903-7"/>
<display value="Clinical note"/>
</coding>
</category>
<subject>
<reference value="Patient/ABC4321"/>
</subject>
<date value="2026-02-01T20:43:11+00:00"/>
<author>
<reference
value="Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
</author>
<title value="US Patient Care Summary Generated 2026-02-01"/>
<confidentiality value="N"/>
<attester>
<mode value="professional"/>
<time value="2026-02-01T20:42:11+00:00"/>
<party>
<reference
value="Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d"/>
</party>
</attester>
<custodian>
<reference
value="Organization/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
</custodian>
<event>
<code>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActClass"/>
<code value="PCPR"/>
</coding>
</code>
<period>
<end value="2026-02-01"/>
</period>
</event>
<section>
<title value="Problem List"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
<display value="Problem list - Reported"/>
</coding>
</code>
<text>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
<section>
<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>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
<section>
<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>
<status value="generated"/>
</text>
<emptyReason>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/list-empty-reason"/>
<code value="unavailable"/>
<display value="Unavailable"/>
</coding>
<text value="No information available"/>
</emptyReason>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="https://fhir.example.org/fhir/Patient/ABC4321"/>
<resource>
<Patient>
<id value="ABC4321"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
</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="248152002"/>
<display value="Female"/>
</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="1032702"/>
</identifier>
<active value="true"/>
<name>
<use value="old"/>
<family value="Shaw"/>
<given value="Amy"/>
<given value="V."/>
<period>
<start value="2016-12-06"/>
<end value="2020-07-22"/>
</period>
</name>
<name>
<family value="Baxter"/>
<given value="Amy"/>
<given value="V."/>
<suffix value="PharmD"/>
<period>
<start value="2020-07-22"/>
</period>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-5555"/>
<use value="home"/>
</telecom>
<telecom>
<system value="email"/>
<value value="amy.shaw@example.com"/>
</telecom>
<gender value="female"/>
<birthDate value="1987-02-20"/>
<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/d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
<resource>
<Organization>
<id value="d9b97b04-b606-4f07-baf2-7eb3dcae0a2a"/>
<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>
<identifier>
<system value="urn:oid:2.16.840.1.113883.6.300"/>
<value value="55555"/>
</identifier>
<identifier>
<system value="urn:oid:2.16.840.1.113883.4.7"/>
<value value="66D6666666"/>
</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/Practitioner/aede2fef-ac9d-4a06-b2ed-40868ed7e93d"/>
<resource>
<Practitioner>
<id value="aede2fef-ac9d-4a06-b2ed-40868ed7e93d"/>
<meta>
<profile
value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-practitioner|6.1.0"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
</text>
<identifier>
<system value="http://hl7.org/fhir/sid/us-npi"/>
<value value="9941339100"/>
</identifier>
<name>
<family value="Bone"/>
<given value="Ronald"/>
<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>
</Bundle>