{"entry":[{"resource":{"active":true,"address":[{"city":"ALBANY","line":["9876 Street st.","APT C-21"],"period":{"start":"1962-02-02"},"postalCode":"12222","state":"NY","use":"home"}],"birthDate":"1962-02-02","communication":[{"language":{"text":"English"}}],"deceasedBoolean":false,"extension":[{"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-birthsex","valueCode":"F"},{"url":"http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-sex","valueCode":"248152002"},{"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":"female","id":"100880","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666111962"},{"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":"100880"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"DEPRESSION","given":["PATIENT FEMALE"],"period":{"start":"1962-02-02"},"text":"DEPRESSION,PATIENT FEMALE","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-555-1962"},{"system":"phone","use":"work","value":"555-555-2691"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">DEPRESSION,PATIENT FEMALE<\/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":"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":12}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-17T06:12:40.586+00:00","presentedForm":[{"contentType":"text\/markdown","data":"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","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-6849278.916099-2"},{"reference":"Observation\/LCH-6849278.916099-8"},{"reference":"Observation\/LCH-6849278.916099-9"},{"reference":"Observation\/LCH-6849685.865599-2"},{"reference":"Observation\/LCH-6849685.865599-8"},{"reference":"Observation\/LCH-6849685.865599-9"},{"reference":"Observation\/LCH-6859069.874299-2"},{"reference":"Observation\/LCH-6859069.874299-8"},{"reference":"Observation\/LCH-6859069.874299-9"},{"reference":"Observation\/LCH-6868879.907299-2"},{"reference":"Observation\/LCH-6868879.907299-8"},{"reference":"Observation\/LCH-6868879.907299-9"}],"status":"final","subject":{"reference":"Patient\/100880"}}},{"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":"250.00","display":"DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED"},{"coding":[{"code":"311.","display":"DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED"},{"coding":[{"code":"38341003","display":"Hypertensive disorder","system":"http:\/\/snomed.info\/sct"}],"text":"Hypertensive disorder"},{"coding":[{"code":"55822004","display":"Hyperlipidemia","system":"http:\/\/snomed.info\/sct"}],"text":"Hyperlipidemia"},{"coding":[{"code":"312894000","display":"Osteopenia","system":"http:\/\/snomed.info\/sct"}],"text":"Osteopenia"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"250.00","display":"DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED. 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":"311.","display":"DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED. 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"},{"extension":[{"url":"code","valueCoding":{"code":"55822004","display":"Hyperlipidemia","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Hyperlipidemia"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Hyperlipidemia. 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":"312894000","display":"Osteopenia","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Osteopenia"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Osteopenia. 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":"2026-10-17T06:12:40.587+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/100880"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}