{"entry":[{"resource":{"active":true,"address":[{"city":"CENTER LINE","line":["1234 5th Street","APT 6"],"period":{"start":"1945-01-10"},"postalCode":"48015","state":"MI","use":"home"}],"birthDate":"1945-01-10","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":"100885","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666111945"},{"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":"100885"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"HYPOTHYROID","given":["PATIENT FEMALE"],"period":{"start":"1945-01-10"},"text":"HYPOTHYROID,PATIENT FEMALE","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"mobile","value":"555-555-1945"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">HYPOTHYROID,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":9}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-17T05:09:01.982+00:00","presentedForm":[{"contentType":"text\/markdown","data":"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","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-6849276.897455-2"},{"reference":"Observation\/LCH-6849276.897455-8"},{"reference":"Observation\/LCH-6849276.897455-9"},{"reference":"Observation\/LCH-6859274.898799-2"},{"reference":"Observation\/LCH-6859274.898799-8"},{"reference":"Observation\/LCH-6859274.898799-9"},{"reference":"Observation\/LCH-6869384.854899-2"},{"reference":"Observation\/LCH-6869384.854899-8"},{"reference":"Observation\/LCH-6869384.854899-9"}],"status":"final","subject":{"reference":"Patient\/100885"}}},{"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":"40930008","display":"Hypothyroidism","system":"http:\/\/snomed.info\/sct"}],"text":"Hypothyroidism"},{"coding":[{"code":"56218007","display":"Systolic hypertension","system":"http:\/\/snomed.info\/sct"}],"text":"Systolic hypertension"},{"coding":[{"code":"73211009","display":"Diabetes mellitus","system":"http:\/\/snomed.info\/sct"}],"text":"Diabetes mellitus"},{"coding":[{"code":"403202002","display":"Multiple actinic keratoses","system":"http:\/\/snomed.info\/sct"}],"text":"Multiple actinic keratoses"},{"coding":[{"code":"13645005","display":"COPD - Chronic obstructive pulmonary disease","system":"http:\/\/snomed.info\/sct"}],"text":"COPD - Chronic obstructive pulmonary disease"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"40930008","display":"Hypothyroidism","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Hypothyroidism"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Hypothyroidism. 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":"56218007","display":"Systolic hypertension","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Systolic hypertension"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Systolic hypertension. 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":"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":"403202002","display":"Multiple actinic keratoses","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Multiple actinic keratoses"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Multiple actinic keratoses. 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":"13645005","display":"COPD - Chronic obstructive pulmonary disease","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"COPD - Chronic obstructive pulmonary disease"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: COPD - Chronic obstructive pulmonary disease. 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":"2026-10-17T05:09:01.982+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/100885"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}