PACIO Sample Data Depot, published by MITRE. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/paciowg/sample-data-fsh/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON

: VioletGartner01-SMP-Bundle-ED-01 - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "VioletGartner01-SMP-Bundle-ED-01",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"
    ]
  },
  "type" : "collection",
  "timestamp" : "2026-01-10T14:35:00-05:00",
  "entry" : [
    {
      "fullUrl" : "urn:patient-VioletGartner01",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "patient-VioletGartner01",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
          ]
        },
        "language" : "en-US",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Patient_patient-VioletGartner01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-VioletGartner01</b></p><a name=\"patient-VioletGartner01\"> </a><a name=\"hcpatient-VioletGartner01\"> </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-US</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;\">Gartner, Violet Female, DoB: 2008-10-01 ( Social Security Number:\u00a0SSN#111-45-6677)</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) 333-4444(Mobile)</li><li>15935 Mack Avenue, Detroit, MI 48224</li></ul></td></tr></table></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "SS",
                  "display" : "Social Security Number"
                }
              ],
              "text" : "Social Security Number"
            },
            "system" : "http://hl7.org/fhir/sid/us-ssn",
            "value" : "111-45-6677"
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "usual",
            "text" : "Gartner, Violet",
            "family" : "Gartner",
            "given" : [
              "Violet"
            ]
          }
        ],
        "telecom" : [
          {
            "system" : "phone",
            "value" : "(555) 333-4444",
            "use" : "mobile"
          }
        ],
        "gender" : "female",
        "birthDate" : "2008-10-01",
        "address" : [
          {
            "text" : "15935 Mack Avenue, Detroit, MI 48224",
            "line" : [
              "15935 Mack Avenue"
            ],
            "city" : "Detroit",
            "state" : "MI",
            "postalCode" : "48224",
            "country" : "US"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:VioletGartner01-smp-medListED-01",
      "resource" : {
        "resourceType" : "List",
        "id" : "VioletGartner01-smp-medListED-01",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_VioletGartner01-smp-medListED-01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List VioletGartner01-smp-medListED-01</b></p><a name=\"VioletGartner01-smp-medListED-01\"> </a><a name=\"hcVioletGartner01-smp-medListED-01\"> </a><h2>MedicationList for ED</h2><table class=\"clstu\"><tr><td>Date: 2026-01-10 14:35:00-0500 </td><td>Mode: Working List </td><td>Status: Current </td><td>Code: Reconciled medication list [Identifier] Episode Pharmacy </td></tr><tr><td>Subject: <a href=\"Patient-patient-VioletGartner01.html\">Violet Gartner</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MedicationStatement-VioletGartner01-smp-medstmt-sennas-01.html\">Senna-S 8.6 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-VioletGartner01-smp-medstmt-hydrocodoneacetaminophen-01.html\">Hydrocodone 5 MG / Acetaminophen 325 MG Oral Tablet</a></td></tr></table></div>"
        },
        "status" : "current",
        "mode" : "working",
        "title" : "MedicationList for ED",
        "code" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "104203-5",
              "display" : "Reconciled medication list [Identifier] Episode Pharmacy"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/patient-VioletGartner01",
          "display" : "Violet Gartner"
        },
        "date" : "2026-01-10T14:35:00-05:00",
        "source" : {
          🔗 "reference" : "PractitionerRole/PractitionerRole-Physician-PriyaSarkar"
        },
        "entry" : [
          {
            "item" : {
              🔗 "reference" : "MedicationStatement/VioletGartner01-smp-medstmt-sennas-01",
              "display" : "Senna-S 8.6 MG Oral Tablet"
            }
          },
          {
            "item" : {
              🔗 "reference" : "MedicationStatement/VioletGartner01-smp-medstmt-hydrocodoneacetaminophen-01",
              "display" : "Hydrocodone 5 MG / Acetaminophen 325 MG Oral Tablet"
            }
          }
        ]
      }
    }
  ]
}