{ "resourceType" : "Bundle", "id" : "wilmamarina01-SMP-Bundle-0-HomeMeds", "meta" : { "profile" : ["http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"] }, "type" : "collection", "timestamp" : "2025-04-22T09:30:00-08:00", "entry" : [{ "fullUrl" : "urn:patient-wilmamarina01", "resource" : { "resourceType" : "Patient", "id" : "patient-wilmamarina01", "meta" : { "lastUpdated" : "2021-03-29T14:25:34.001-05:00", "profile" : ["http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"] }, "language" : "en-US", "text" : { "status" : "generated", "div" : "

Generated Narrative: Patient patient-wilmamarina01

Last updated: 2021-03-29 14:25:34-0500; Language: en-US

Profile: US Core Patient Profile

Marina, Wilma Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH17)

Active:trueMarital Status:unknown
Other Ids:
  • Medical Record Number/1032703\u00a0(use:\u00a0usual,\u00a0)
  • Social Security Number/123-00-0001
Contact Detail
  • ph: 555-555-1111(Mobile)
  • 17040 E Warren Avenue, Detroit, MI 48224
Language:English (preferred)
son:
  • Charles Marina
  • 17040 E Warren Avenue, Detroit, MI 48224
  • ph: (555) 555-2222
daughter in-law:
  • Lisa Marina
  • 17040 E Warren Avenue, Detroit, MI 48224
  • ph: (555) 555-3333
US Core Race Extension:
" }, "extension" : [{ "extension" : [{ "url" : "ombCategory", "valueCoding" : { "system" : "urn:oid:2.16.840.1.113883.6.238", "code" : "2106-3", "display" : "White" } }, { "url" : "text", "valueString" : "White" }], "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race" }], "identifier" : [{ "use" : "usual", "type" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v2-0203", "code" : "MR", "display" : "Medical Record Number" }], "text" : "Medical Record Number" }, "system" : "http://hospital.smarthealthit.org", "value" : "1032703" }, { "system" : "http://hl7.org/fhir/sid/us-medicare", "value" : "1PA3D58WH17", "assigner" : { "display" : "Medicare" } }, { "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" : "123-00-0001" }], "active" : true, "name" : [{ "use" : "usual", "text" : "Marina, Wilma", "family" : "Marina", "given" : ["Wilma"] }], "telecom" : [{ "system" : "phone", "value" : "555-555-1111", "use" : "mobile" }], "gender" : "female", "birthDate" : "1950-11-15", "address" : [{ "text" : "17040 E Warren Avenue, Detroit, MI 48224", "line" : ["17040 E Warren Avenue"], "city" : "Detroit", "state" : "MI", "postalCode" : "48224", "country" : "US", "period" : { "start" : "2016-12-06" } }], "maritalStatus" : { "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor", "code" : "UNK" }] }, "contact" : [{ "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "SONC" }] }], "name" : { "text" : "Charles Marina" }, "telecom" : [{ "system" : "phone", "value" : "(555) 555-2222" }], "address" : { "text" : "17040 E Warren Avenue, Detroit, MI 48224" } }, { "relationship" : [{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode", "code" : "DAUINLAW" }] }], "name" : { "text" : "Lisa Marina" }, "telecom" : [{ "system" : "phone", "value" : "(555) 555-3333" }], "address" : { "text" : "17040 E Warren Avenue, Detroit, MI 48224" } }], "communication" : [{ "language" : { "coding" : [{ "system" : "urn:ietf:bcp:47", "code" : "en", "display" : "English" }] }, "preferred" : true }] } }, { "fullUrl" : "urn:wm1-smp-medListNew-0", "resource" : { "resourceType" : "List", "id" : "wm1-smp-medListNew-0", "text" : { "status" : "generated", "div" : "

Generated Narrative: List wm1-smp-medListNew-0

Home Health Medication List

Date: 2025-10-16 11:02:40+0000 Mode: Working List Status: Current Code: Reconciled medication list [Identifier] Episode Pharmacy
Subject: Wilma MarinaSource:
Items
Jardiance 10 MG Oral Tablet
sertraline 25 MG Oral Tablet
Lipitor 40 MG Oral Tablet
" }, "status" : "current", "mode" : "working", "title" : "Home Health Medication List", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "104203-5", "display" : "Reconciled medication list [Identifier] Episode Pharmacy" }] }, "subject" : { "reference" : "Patient/patient-wilmamarina01", "display" : "Wilma Marina" }, "date" : "2025-10-16T11:02:40.456Z", "source" : { "reference" : "PractitionerRole/Role-IMMD-AnitaChu" }, "entry" : [{ "item" : { "reference" : "MedicationStatement/wm1-smp-medstmt-jardiance-5-1", "display" : "Jardiance 10 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/wm1-smp-medstmt-sertraline-5-2", "display" : "sertraline 25 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/wm1-smp-medstmt-lipitor-5-3", "display" : "Lipitor 40 MG Oral Tablet" } }] } }] }