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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "betsysmith-johnson01-SMP-Bundle-01-HospDischarge"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/smp/StructureDefinition/smp-bundle> ] )
] ; #
fhir:type [ fhir:v "collection"] ; #
fhir:timestamp [ fhir:v "2025-05-04T08:00:00Z"^^xsd:dateTime] ; #
fhir:entry ( [
fhir:fullUrl [ fhir:v "urn:patient-betsysmith-johnson01"^^xsd:anyURI ] ;
( fhir:resource <urn:patient-betsysmith-johnson01> )
] [
fhir:fullUrl [ fhir:v "urn:bsj1-smp-medListNew-1"^^xsd:anyURI ] ;
( fhir:resource <urn:bsj1-smp-medListNew-1> )
] ) . #
<urn:patient-betsysmith-johnson01> a fhir:Patient ;
fhir:id [ fhir:v "patient-betsysmith-johnson01"] ; #
fhir:meta [
fhir:lastUpdated [ fhir:v "2021-03-29T14:25:34.001-05:00"^^xsd:dateTime ] ;
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient> ] )
] ; #
fhir:language [ fhir:v "en-US"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Patient_patient-betsysmith-johnson01\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient patient-betsysmith-johnson01</b></p><a name=\"patient-betsysmith-johnson01\"> </a><a name=\"hcpatient-betsysmith-johnson01\"> </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/STU8/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Smith-Johnson, Betsy Female, DoB: 1950-11-15 ( http://hl7.org/fhir/sid/us-medicare#United States Medicare Number#1PA3D58WH16)</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/1032702 (use: usual, )</li><li><a href=\"http://terminology.hl7.org/6.1.0/NamingSystem-ssn.html\" title=\"United States Social Security Number (SSN). Assigned by the U.S. Social Security Administration. Note: IRS assigned ITINs are often used as drop-ins for social security numbers. The SSN is represented in resources with dashes removed. See http://www.ssa.gov/.\">United States Social Security Number</a>/SS</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><a href=\"mailto:mmoen+betsysmithjohnson@mydirectives.com\">mmoen+betsysmithjohnson@mydirectives.com</a></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 Johnson</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 Johnson</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 [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race. The race concepts are grouped by and pre-mapped to the 5 OMB race categories:#xA;#xA; - American Indian or Alaska Native#xA; - Asian#xA; - Black or African American#xA; - Native Hawaiian or Other Pacific Islander#xA; - 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 & Ethnicity - CDC 2106-3</a>: White</li><li>text: White</li></ul></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:extension ( [
( fhir:extension [
fhir:url [ fhir:v "ombCategory"^^xsd:anyURI ] ;
fhir:value [
a fhir:Coding ;
fhir:system [ fhir:v "urn:oid:2.16.840.1.113883.6.238"^^xsd:anyURI ] ;
fhir:code [ fhir:v "2106-3" ] ;
fhir:display [ fhir:v "White" ] ] ] [
fhir:url [ fhir:v "text"^^xsd:anyURI ] ;
fhir:value [
a fhir:string ;
fhir:v "White" ] ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"^^xsd:anyURI ]
] ) ; #
fhir:identifier ( [
fhir:use [ fhir:v "usual" ] ;
fhir:type [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v2-0203"^^xsd:anyURI ] ;
fhir:code [ fhir:v "MR" ] ;
fhir:display [ fhir:v "Medical Record Number" ] ] ) ;
fhir:text [ fhir:v "Medical Record Number" ] ] ;
fhir:system [ fhir:v "http://hospital.smarthealthit.org"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1032702" ]
] [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-medicare"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1PA3D58WH16" ] ;
fhir:assigner [
fhir:display [ fhir:v "Medicare" ] ]
] [
fhir:system [ fhir:v "http://hl7.org/fhir/sid/us-ssn"^^xsd:anyURI ] ;
fhir:value [ fhir:v "SS" ]
] ) ; #
fhir:active [ fhir:v true] ; #
fhir:name ( [
fhir:use [ fhir:v "usual" ] ;
fhir:text [ fhir:v "Smith-Johnson, Betsy" ] ;
fhir:family [ fhir:v "Smith-Johnson" ] ;
( fhir:given [ fhir:v "Betsy" ] )
] ) ; #
fhir:telecom ( [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "555-555-1111" ] ;
fhir:use [ fhir:v "mobile" ]
] [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "mmoen+betsysmithjohnson@mydirectives.com" ] ;
fhir:use [ fhir:v "mobile" ]
] ) ; #
fhir:gender [ fhir:v "female"] ; #
fhir:birthDate [ fhir:v "1950-11-15"^^xsd:date] ; #
fhir:address ( [
fhir:text [ fhir:v "17040 E Warren Avenue, Detroit, MI 48224" ] ;
( fhir:line [ fhir:v "17040 E Warren Avenue" ] ) ;
fhir:city [ fhir:v "Detroit" ] ;
fhir:state [ fhir:v "MI" ] ;
fhir:postalCode [ fhir:v "48224" ] ;
fhir:country [ fhir:v "US" ] ;
fhir:period [
fhir:start [ fhir:v "2016-12-06"^^xsd:date ] ]
] ) ; #
fhir:maritalStatus [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-NullFlavor"^^xsd:anyURI ] ;
fhir:code [ fhir:v "UNK" ] ] )
] ; #
fhir:contact ( [
( fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SONC" ] ] ) ] ) ;
fhir:name [
fhir:text [ fhir:v "Charles Johnson" ] ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(555) 555-2222" ] ] ) ;
fhir:address [
fhir:text [ fhir:v "17040 E Warren Avenue, Detroit, MI 48224" ] ]
] [
( fhir:relationship [
( fhir:coding [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "DAUINLAW" ] ] ) ] ) ;
fhir:name [
fhir:text [ fhir:v "Lisa Johnson" ] ] ;
( fhir:telecom [
fhir:system [ fhir:v "phone" ] ;
fhir:value [ fhir:v "(555) 555-3333" ] ] ) ;
fhir:address [
fhir:text [ fhir:v "17040 E Warren Avenue, Detroit, MI 48224" ] ]
] ) ; #
fhir:communication ( [
fhir:language [
( fhir:coding [
fhir:system [ fhir:v "urn:ietf:bcp:47"^^xsd:anyURI ] ;
fhir:code [ fhir:v "en" ] ;
fhir:display [ fhir:v "English" ] ] ) ] ;
fhir:preferred [ fhir:v true ]
] ) . #
<urn:bsj1-smp-medListNew-1> a fhir:List ;
fhir:id [ fhir:v "bsj1-smp-medListNew-1"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"List_bsj1-smp-medListNew-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: List bsj1-smp-medListNew-1</b></p><a name=\"bsj1-smp-medListNew-1\"> </a><a name=\"hcbsj1-smp-medListNew-1\"> </a><h2>MedicationList for scene 1 - ED / Hospital</h2><table class=\"clstu\"><tr><td>Date: 2025-05-04 15:00:00-0800 </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-betsysmith-johnson01.html\">Betsy Smith-Johnson</a>Source: </td></tr></table><table class=\"grid\"><tr style=\"backgound-color: #eeeeee\"><td><b>Items</b></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-acetaminophen-1-1.html\">acetaminophen 325 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-carvedilol-1-2.html\">carvedilol 6.25 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-clopidogrel-1-3.html\">clopidogrel 75 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-ferrous-1-4.html\">ferrous gluconate 240 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-jardiance-1-5.html\">Jardiance 10 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-lipitor-1-6.html\">Lipitor 40 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-metformin-1-7.html\">metFORMIN hydrochloride 500 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-sertraline-1-8.html\">sertraline 25 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-acetaminophen-1-9.html\">acetaminophen 325 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-carvedilol-1-10.html\">carvedilol 6.25 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-clopidogrel-1-11.html\">clopidogrel 75 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-ferrous-1-12.html\">ferrous gluconate 240 MG Oral Tablet</a></td></tr><tr><td><a href=\"MedicationStatement-bsj1-smp-medstmt-ferrous-1-13.html\">ferrous gluconate 240 MG Oral Tablet</a></td></tr></table></div>"^^rdf:XMLLiteral
] ; #
fhir:status [ fhir:v "current"] ; #
fhir:mode [ fhir:v "working"] ; #
fhir:title [ fhir:v "MedicationList for scene 1 - ED / Hospital"] ; #
fhir:code [
( fhir:coding [
a loinc:104203-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "104203-5" ] ;
fhir:display [ fhir:v "Reconciled medication list [Identifier] Episode Pharmacy" ] ] )
] ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/patient-betsysmith-johnson01" ] ;
fhir:display [ fhir:v "Betsy Smith-Johnson" ]
] ; #
fhir:date [ fhir:v "2025-05-04T15:00:00-08:00"^^xsd:dateTime] ; #
fhir:source [
fhir:reference [ fhir:v "PractitionerRole/PractitionerRole-Physician-PriyaSarkar" ]
] ; #
fhir:entry ( [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-acetaminophen-1-1" ] ;
fhir:display [ fhir:v "acetaminophen 325 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-carvedilol-1-2" ] ;
fhir:display [ fhir:v "carvedilol 6.25 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-clopidogrel-1-3" ] ;
fhir:display [ fhir:v "clopidogrel 75 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-ferrous-1-4" ] ;
fhir:display [ fhir:v "ferrous gluconate 240 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-jardiance-1-5" ] ;
fhir:display [ fhir:v "Jardiance 10 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-lipitor-1-6" ] ;
fhir:display [ fhir:v "Lipitor 40 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-metformin-1-7" ] ;
fhir:display [ fhir:v "metFORMIN hydrochloride 500 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-sertraline-1-8" ] ;
fhir:display [ fhir:v "sertraline 25 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-acetaminophen-1-9" ] ;
fhir:display [ fhir:v "acetaminophen 325 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-carvedilol-1-10" ] ;
fhir:display [ fhir:v "carvedilol 6.25 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-clopidogrel-1-11" ] ;
fhir:display [ fhir:v "clopidogrel 75 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-ferrous-1-12" ] ;
fhir:display [ fhir:v "ferrous gluconate 240 MG Oral Tablet" ] ]
] [
fhir:item [
fhir:reference [ fhir:v "MedicationStatement/bsj1-smp-medstmt-ferrous-1-13" ] ;
fhir:display [ fhir:v "ferrous gluconate 240 MG Oral Tablet" ] ]
] ) . #
IG © 2023+ MITRE. Package fhir.paciosampledata#0.1.0 based on FHIR 4.0.1. Generated 2025-08-26
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