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

## : VioletGartner01-SMP-Bundle-ED-01 - XML Representation

Raw xml | Download

    <Bundle xmlns="http://hl7.org/fhir">
      <id value="VioletGartner01-SMP-Bundle-ED-01"/>
      <meta>
        <profile
                 value="http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"/>
      </meta>
      <type value="collection"/>
      <timestamp value="2026-01-10T14:35:00-05:00"/>
      <entry>
        <fullUrl value="urn:patient-VioletGartner01"/>
        <resource>
          <Patient>
            <id value="patient-VioletGartner01"/>
            <meta>
              <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-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: SSN#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>
            </text>
            <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="111-45-6677"/>
            </identifier>
            <active value="true"/>
            <name>
              <use value="usual"/>
              <text value="Gartner, Violet"/>
              <family value="Gartner"/>
              <given value="Violet"/>
            </name>
            <telecom>
              <system value="phone"/>
              <value value="(555) 333-4444"/>
              <use value="mobile"/>
            </telecom>
            <gender value="female"/>
            <birthDate value="2008-10-01"/>
            <address>
              <text value="15935 Mack Avenue, Detroit, MI 48224"/>
              <line value="15935 Mack Avenue"/>
              <city value="Detroit"/>
              <state value="MI"/>
              <postalCode value="48224"/>
              <country value="US"/>
            </address>
          </Patient>
        </resource>
      </entry>
      <entry>
        <fullUrl value="urn:VioletGartner01-smp-medListED-01"/>
        <resource>
          <List>
            <id value="VioletGartner01-smp-medListED-01"/>
            <text>
              <status value="generated"/>
              <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>
            </text>
            <status value="current"/>
            <mode value="working"/>
            <title value="MedicationList for ED"/>
            <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-VioletGartner01"/>
              <display value="Violet Gartner"/>
            </subject>
            <date value="2026-01-10T14:35:00-05:00"/>
            <source>🔗
              <reference
                         value="PractitionerRole/PractitionerRole-Physician-PriyaSarkar"/>
            </source>
            <entry>
              <item>🔗
                <reference
                           value="MedicationStatement/VioletGartner01-smp-medstmt-sennas-01"/>
                <display value="Senna-S 8.6 MG Oral Tablet"/>
              </item>
            </entry>
            <entry>
              <item>🔗
                <reference
                           value="MedicationStatement/VioletGartner01-smp-medstmt-hydrocodoneacetaminophen-01"/>
                <display
                         value="Hydrocodone 5 MG / Acetaminophen 325 MG Oral Tablet"/>
              </item>
            </entry>
          </List>
        </resource>
      </entry>
    </Bundle>