{"entry":[{"resource":{"active":true,"address":[{"city":"Any Town","line":["Any Street"],"period":{"start":"1935-04-07"},"state":"WV","use":"home"}],"birthDate":"1935-04-07","communication":[{"language":{"text":"English"}}],"deceasedBoolean":false,"extension":[{"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-birthsex","valueCode":"M"},{"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-sex","valueCode":"248153007"},{"extension":[{"url":"ombCategory","valueCoding":{"code":"UNK","display":"Unknown","system":"http:\/\/terminology.hl7.org\/CodeSystem\/v3-NullFlavor"}},{"url":"text","valueString":"Unknown"}],"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-race"},{"extension":[{"url":"ombCategory","valueCoding":{"code":"UNK","display":"Unknown","system":"http:\/\/terminology.hl7.org\/CodeSystem\/v3-NullFlavor"}},{"url":"text","valueString":"Unknown"}],"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-ethnicity"}],"gender":"male","id":"100156","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666000210"},{"system":"http:\/\/vistafhir.org\/fhir\/sid\/500\/mrn","type":{"coding":[{"code":"MR","system":"http:\/\/terminology.hl7.org\/CodeSystem\/v2-0203"}],"text":"Medical record number"},"value":"100156"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"TWOHUNDREDTEN","given":["PATIENT"],"period":{"start":"1935-04-07"},"text":"TWOHUNDREDTEN,PATIENT","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"222-555-8235"},{"system":"phone","use":"work","value":"222-555-7720"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">TWOHUNDREDTEN,PATIENT<\/div>","status":"generated"}}},{"resource":{"category":[{"coding":[{"code":"ai-consult","display":"AI Consult","system":"http:\/\/vistaplex.org\/fhir\/CodeSystem\/report-category"}],"text":"AI Consult"}],"code":{"coding":[{"code":"htn-structured","display":"Essential hypertension structured evidence review","system":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/case\/stage2"}],"text":"AI Consult - Essential hypertension structured evidence review"},"conclusion":"Submitted bundle contains structured evidence relevant to Essential hypertension. Provider review is required before chart inclusion.","conclusionCode":[{"coding":[{"code":"38341003","display":"Essential hypertension","system":"http:\/\/snomed.info\/sct"},{"code":"I10","display":"Essential (primary) hypertension","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}],"text":"Essential hypertension"},{"coding":[{"code":"24184005","display":"Blood pressure above reference range","system":"http:\/\/snomed.info\/sct"}],"text":"Blood pressure above reference range"},{"coding":[{"code":"330007","display":"Occipital headache","system":"http:\/\/snomed.info\/sct"}],"text":"Occipital headache"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"38341003","display":"Essential hypertension","system":"http:\/\/snomed.info\/sct"}},{"url":"icd10","valueCoding":{"code":"I10","display":"Essential (primary) hypertension","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}},{"url":"role","valueCode":"suggested-diagnosis"},{"url":"display","valueString":"Essential hypertension"},{"url":"supportText","valueString":"AI Consult suggested diagnosis: Essential hypertension. Provider review is required before chart inclusion."},{"url":"defaultPov","valueBoolean":true},{"url":"defaultProblemList","valueBoolean":true}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"24184005","display":"Blood pressure above reference range","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"supporting-finding"},{"url":"display","valueString":"Blood pressure above reference range"},{"url":"supportText","valueString":"AI Consult supporting finding: Blood pressure above reference range. Include as provider-reviewed support text if clinically relevant."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"330007","display":"Occipital headache","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"supporting-finding"},{"url":"display","valueString":"Occipital headache"},{"url":"supportText","valueString":"AI Consult supporting finding: Occipital headache. Include as provider-reviewed support text if clinically relevant."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/stage","valueString":"stage-2-structured-evidence"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/rule-id","valueString":"htn-structured"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/evidence-count","valueInteger":2}],"id":"diagnostic-report-htn-structured","issued":"2026-10-17T05:08:15.901+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBFc3NlbnRpYWwgaHlwZXJ0ZW5zaW9uCgpUaGlzIFN0YWdlIDIgc3RydWN0dXJlZCBhZHZpc29yeSBtYXRjaGVkIDIgZXZpZGVuY2UgaXRlbShzKS4KCi0gTWF0Y2hlZCBzdHJ1Y3R1cmVkIGV2aWRlbmNlOiBTeXN0b2xpYyBibG9vZCBwcmVzc3VyZSAxNDYgbW1bSGddID49IDE0MAotIE1hdGNoZWQgc3RydWN0dXJlZCBldmlkZW5jZTogRGlhc3RvbGljIGJsb29kIHByZXNzdXJlIDkyIG1tW0hnXSA+PSA5MAoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Essential hypertension structured evidence"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/V9685"},{"reference":"Observation\/V9685"}],"status":"final","subject":{"reference":"Patient\/100156"}}},{"resource":{"category":[{"coding":[{"code":"ai-consult","display":"AI Consult","system":"http:\/\/vistaplex.org\/fhir\/CodeSystem\/report-category"}],"text":"AI Consult"}],"code":{"coding":[{"code":"terminology-loinc-suggestions","display":"LOINC coding suggestions","system":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/terminology-review\/stage2"}],"text":"AI Consult - LOINC coding suggestions"},"conclusion":"Submitted bundle contains laboratory Observations without portable LOINC coding. Suggested mappings are advisory and should be reviewed before changing source data.","extension":[{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/stage","valueString":"stage-2-structured-evidence"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/rule-id","valueString":"terminology-loinc-suggestions"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/evidence-count","valueInteger":9}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-17T05:08:15.901+00:00","presentedForm":[{"contentType":"text\/markdown","data":"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","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-6839467.845343-2"},{"reference":"Observation\/LCH-6839467.845344-2"},{"reference":"Observation\/LCH-6839467.845345-2"},{"reference":"Observation\/LCH-6839467.84599-2"},{"reference":"Observation\/LCH-6839467.845991-2"},{"reference":"Observation\/LCH-6839467.845992-2"},{"reference":"Observation\/LCH-6839467.846581-2"},{"reference":"Observation\/LCH-6839467.846582-2"},{"reference":"Observation\/LCH-6839467.846583-2"}],"status":"final","subject":{"reference":"Patient\/100156"}}},{"resource":{"category":[{"coding":[{"code":"ai-consult","display":"AI Consult","system":"http:\/\/vistaplex.org\/fhir\/CodeSystem\/report-category"}],"text":"AI Consult"}],"code":{"coding":[{"code":"problem-list-pick-list","display":"Problem-list AI Consult pick list","system":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/terminology-review\/stage2"}],"text":"AI Consult - Problem List Pick List"},"conclusion":"Submitted bundle was limited to Patient and problem-list Conditions. These candidates are normalized for provider review and note insertion; no whole-chart analysis was performed.","conclusionCode":[{"coding":[{"code":"R69.","display":"Illness, unspecified","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}],"text":"Illness, unspecified"},{"coding":[{"code":"73211009","display":"Diabetes mellitus","system":"http:\/\/snomed.info\/sct"}],"text":"Diabetes mellitus"},{"coding":[{"code":"111552007","display":"Diabetes mellitus without complication","system":"http:\/\/snomed.info\/sct"}],"text":"Diabetes mellitus without complication"},{"coding":[{"code":"35489007","display":"Depressive disorder","system":"http:\/\/snomed.info\/sct"}],"text":"Depressive disorder"},{"coding":[{"code":"38341003","display":"Hypertensive disorder","system":"http:\/\/snomed.info\/sct"}],"text":"Hypertensive disorder"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"R69.","display":"Illness, unspecified","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}},{"url":"icd10","valueCoding":{"code":"R69.","display":"Illness, unspecified","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Illness, unspecified"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Illness, unspecified. Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":true},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"73211009","display":"Diabetes mellitus","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Diabetes mellitus"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Diabetes mellitus. Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"111552007","display":"Diabetes mellitus without complication","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Diabetes mellitus without complication"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Diabetes mellitus without complication. Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"35489007","display":"Depressive disorder","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Depressive disorder"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Depressive disorder. Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"extension":[{"url":"code","valueCoding":{"code":"38341003","display":"Hypertensive disorder","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Hypertensive disorder"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Hypertensive disorder. Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":false},{"url":"defaultProblemList","valueBoolean":false}],"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/advisory-pick-list"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/stage","valueString":"stage-2-problem-list-pick-list"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/rule-id","valueString":"problem-list-pick-list"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/evidence-count","valueInteger":5}],"id":"diagnostic-report-problem-list-pick-list","issued":"2026-10-17T05:08:15.901+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/100156"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}