PACIO Sample Data Depot
0.1.0 - draft
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
Bundle betsysmith-johnson01-SMP-Bundle-03-PCP of type collection
Entry 1 - fullUrl = urn:patient-betsysmith-johnson01
Resource Patient:
Last updated: 2021-03-29 14:25:34-0500; Language: en-US
Profile: US Core Patient Profile
Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)
Active: true Marital Status: unknown Other Ids:
- Medical Record Number/1032702 (use: usual, )
- United States Social Security Number/SS
Contact Detail
- ph: 555-555-1111(Mobile)
- mmoen+betsysmithjohnson@mydirectives.com
- 17040 E Warren Avenue, Detroit, MI 48224
Language: English (preferred) son:
- Charles Johnson
- 17040 E Warren Avenue, Detroit, MI 48224
- ph: (555) 555-2222
daughter in-law:
- Lisa Johnson
- 17040 E Warren Avenue, Detroit, MI 48224
- ph: (555) 555-3333
US Core Race Extension:
- ombCategory: Race & Ethnicity - CDC 2106-3: White
- text: White
Entry 2 - fullUrl = urn:bsj1-smp-medListNew-3
Resource List:
MedicationList for scene 3 - HHA
Date: 2025-07-04 13:00:00-0800 Mode: Working List Status: Current Code: Reconciled medication list [Identifier] Episode Pharmacy Subject: Betsy Smith-JohnsonSource: