<?xml version="1.0" encoding="UTF-8"?>

<Bundle xmlns="http://hl7.org/fhir">
  <id value="wilmamarina01-SMP-Bundle-0-HomeMeds"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"/>
  </meta>
  <type value="collection"/>
  <timestamp value="2025-04-22T09:30:00-08:00"/>
  <entry>
    <fullUrl value="urn:patient-wilmamarina01"/>
    <resource>
      <Patient>
        <id value="patient-wilmamarina01"/>
        <meta>
          <lastUpdated value="2021-03-29T14:25:34.001-05:00"/>
          <profile value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <language value="en-US"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><a name="Patient_patient-wilmamarina01"> </a><p class="res-header-id"><b>Generated Narrative: Patient patient-wilmamarina01</b></p><a name="patient-wilmamarina01"> </a><a name="hcpatient-wilmamarina01"> </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">Last updated: 2021-03-29 14:25:34-0500; Language: en-US</p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU9/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Marina, Wilma Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH17)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Record is active">Active:</td><td>true</td><td style="background-color: #f3f5da" title="Known Marital status of Patient">Marital Status:</td><td colspan="3"><span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}">unknown</span></td></tr><tr><td style="background-color: #f3f5da" title="Other Ids (see the one above)">Other Ids:</td><td colspan="3"><ul><li>Medical Record Number/1032703 (use: usual, )</li><li>Social Security Number/123-00-0001</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 555-555-1111(Mobile)</li><li>17040 E Warren Avenue, Detroit, MI 48224</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Language spoken">Language:</td><td colspan="3"><span title="Codes:{urn:ietf:bcp:47 en}">English</span> (preferred)</td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: son">son:</td><td colspan="3"><ul><li>Charles Marina</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-2222</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Nominated Contact: daughter in-law">daughter in-law:</td><td colspan="3"><ul><li>Lisa Marina</li><li>17040 E Warren Avenue, Detroit, MI 48224</li><li>ph: (555) 555-3333</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 [Race &amp; Ethnicity - CDC (CDCREC)](https://phinvads.cdc.gov/vads/ViewCodeSystem.action?id=2.16.840.1.113883.6.238) code system. Detailed race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://hl7.org/fhir/us/core/STU4/CodeSystem-cdcrec.html#cdcrec-2106-3">Race &amp; Ethnicity - CDC: 2106-3</a> (White)</li><li>text: White</li></ul></td></tr></table></div>
        </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="text">
            <valueString value="White"/>
          </extension>
        </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="http://hospital.smarthealthit.org"/>
          <value value="1032703"/>
        </identifier>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-medicare"/>
          <value value="1PA3D58WH17"/>
          <assigner>
            <display value="Medicare"/>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="SS"/>
              <display value="Social Security Number"/>
            </coding>
            <text value="Social Security Number"/>
          </type>
          <system value="http://hl7.org/fhir/sid/us-ssn"/>
          <value value="123-00-0001"/>
        </identifier>
        <active value="true"/>
        <name>
          <use value="usual"/>
          <text value="Marina, Wilma"/>
          <family value="Marina"/>
          <given value="Wilma"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="555-555-1111"/>
          <use value="mobile"/>
        </telecom>
        <gender value="female"/>
        <birthDate value="1950-11-15"/>
        <address>
          <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
          <line value="17040 E Warren Avenue"/>
          <city value="Detroit"/>
          <state value="MI"/>
          <postalCode value="48224"/>
          <country value="US"/>
          <period>
            <start value="2016-12-06"/>
          </period>
        </address>
        <maritalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
            <code value="UNK"/>
          </coding>
        </maritalStatus>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="SONC"/>
            </coding>
          </relationship>
          <name>
            <text value="Charles Marina"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="(555) 555-2222"/>
          </telecom>
          <address>
            <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
          </address>
        </contact>
        <contact>
          <relationship>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
              <code value="DAUINLAW"/>
            </coding>
          </relationship>
          <name>
            <text value="Lisa Marina"/>
          </name>
          <telecom>
            <system value="phone"/>
            <value value="(555) 555-3333"/>
          </telecom>
          <address>
            <text value="17040 E Warren Avenue, Detroit, MI 48224"/>
          </address>
        </contact>
        <communication>
          <language>
            <coding>
              <system value="urn:ietf:bcp:47"/>
              <code value="en"/>
              <display value="English"/>
            </coding>
          </language>
          <preferred value="true"/>
        </communication>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:wm1-smp-medListNew-0"/>
    <resource>
      <List>
        <id value="wm1-smp-medListNew-0"/>
        <text>
          <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><a name="List_wm1-smp-medListNew-0"> </a><p class="res-header-id"><b>Generated Narrative: List wm1-smp-medListNew-0</b></p><a name="wm1-smp-medListNew-0"> </a><a name="hcwm1-smp-medListNew-0"> </a><h2>Home Health Medication List</h2><table class="clstu"><tr><td>Date: 2025-10-16 11:02:40+0000 </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-wilmamarina01.html">Wilma Marina</a>Source: </td></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="MedicationStatement-wm1-smp-medstmt-jardiance-5-1.html">Jardiance 10 MG Oral Tablet</a></td></tr><tr><td><a href="MedicationStatement-wm1-smp-medstmt-sertraline-5-2.html">sertraline 25 MG Oral Tablet</a></td></tr><tr><td><a href="MedicationStatement-wm1-smp-medstmt-lipitor-5-3.html">Lipitor 40 MG Oral Tablet</a></td></tr></table></div>
        </text>
        <status value="current"/>
        <mode value="working"/>
        <title value="Home Health Medication List"/>
        <code>
          <coding>
            <system value="http://loinc.org"/>
            <code value="104203-5"/>
            <display value="Reconciled medication list [Identifier] Episode Pharmacy"/>
          </coding>
        </code>
        <subject>
          <reference value="Patient/patient-wilmamarina01"/>
          <display value="Wilma Marina"/>
        </subject>
        <date value="2025-10-16T11:02:40.456Z"/>
        <source>
          <reference value="PractitionerRole/Role-IMMD-AnitaChu"/>
        </source>
        <entry>
          <item>
            <reference value="MedicationStatement/wm1-smp-medstmt-jardiance-5-1"/>
            <display value="Jardiance 10 MG Oral Tablet"/>
          </item>
        </entry>
        <entry>
          <item>
            <reference value="MedicationStatement/wm1-smp-medstmt-sertraline-5-2"/>
            <display value="sertraline 25 MG Oral Tablet"/>
          </item>
        </entry>
        <entry>
          <item>
            <reference value="MedicationStatement/wm1-smp-medstmt-lipitor-5-3"/>
            <display value="Lipitor 40 MG Oral Tablet"/>
          </item>
        </entry>
      </List>
    </resource>
  </entry>
</Bundle>