{ "resourceType" : "Bundle", "id" : "betsysmith-johnson01-SMP-Bundle-02-SNFDischarge", "meta" : { "profile" : ["http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"] }, "type" : "collection", "timestamp" : "2025-07-02T09:00:00Z", "entry" : [{ "fullUrl" : "urn:patient-betsysmith-johnson01", "resource" : { "resourceType" : "Patient", "id" : "patient-betsysmith-johnson01", "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-betsysmith-johnson01

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:trueMarital Status:unknown
Other Ids:
  • Medical Record Number/1032702\u00a0(use:\u00a0usual,\u00a0)
  • Social Security Number/123-45-9999
Contact Detail
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:
" }, "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" : "1032702" }, { "system" : "http://hl7.org/fhir/sid/us-medicare", "value" : "1PA3D58WH16", "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" : "123-45-9999" }], "active" : true, "name" : [{ "use" : "usual", "text" : "Smith-Johnson, Betsy", "family" : "Smith-Johnson", "given" : ["Betsy"] }], "telecom" : [{ "system" : "phone", "value" : "555-555-1111", "use" : "mobile" }, { "system" : "email", "value" : "mmoen+betsysmithjohnson@mydirectives.com", "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 Johnson" }, "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 Johnson" }, "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:bsj1-smp-medListNew-2", "resource" : { "resourceType" : "List", "id" : "bsj1-smp-medListNew-2", "text" : { "status" : "generated", "div" : "

Generated Narrative: List bsj1-smp-medListNew-2

MedicationList for scene 2 - SNF

Date: 2025-07-01 16:15:00-0800 Mode: Working List Status: Current Code: Reconciled medication list [Identifier] Episode Pharmacy
Subject: Betsy Smith-JohnsonSource:
Items
Jardiance 10 MG Oral Tablet
Lipitor 40 MG Oral Tablet
metFORMIN hydrochloride 500 MG Oral Tablet
polyethylene glycol 3350 17000 MG Powder for Oral Solution
sertraline 25 MG Oral Tablet
acetaminophen 325 MG Oral Tablet
carvedilol 6.25 MG Oral Tablet
clopidogrel 75 MG Oral Tablet
ferrous gluconate 240 MG Oral Tablet
ferrous sulfate 44 MG/ML Oral Solution
insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension
Jardiance 10 MG Oral Tablet
" }, "status" : "current", "mode" : "working", "title" : "MedicationList for scene 2 - SNF", "code" : { "coding" : [{ "system" : "http://loinc.org", "code" : "104203-5", "display" : "Reconciled medication list [Identifier] Episode Pharmacy" }] }, "subject" : { "reference" : "Patient/patient-betsysmith-johnson01", "display" : "Betsy Smith-Johnson" }, "date" : "2025-07-01T16:15:00-08:00", "source" : { "reference" : "PractitionerRole/PractitionerRole-MD-HemaOnko" }, "entry" : [{ "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-jardiance-2-1", "display" : "Jardiance 10 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-lipitor-2-2", "display" : "Lipitor 40 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-metformin-2-3", "display" : "metFORMIN hydrochloride 500 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-polyethylene-2-4", "display" : "polyethylene glycol 3350 17000 MG Powder for Oral Solution" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-sertraline-2-5", "display" : "sertraline 25 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-acetaminophen-2-6", "display" : "acetaminophen 325 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-carvedilol-2-7", "display" : "carvedilol 6.25 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-clopidogrel-2-8", "display" : "clopidogrel 75 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-ferrous-2-9", "display" : "ferrous gluconate 240 MG Oral Tablet" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-ferrous-2-10", "display" : "ferrous sulfate 44 MG/ML Oral Solution" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-insulin-2-11", "display" : "insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension" } }, { "item" : { "reference" : "MedicationStatement/bsj1-smp-medstmt-jardiance-2-12", "display" : "Jardiance 10 MG Oral Tablet" } }] } }] }