{"entry":[{"resource":{"active":true,"address":[{"city":"ANN ARBOR","line":["12345 ANY STREET"],"period":{"start":"1960-03-03"},"postalCode":"48103","state":"MI","use":"home"}],"birthDate":"1960-03-03","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":"101068","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666110036"},{"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":"101068"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"EHMP","given":["ONEHUNDREDTHREE"],"period":{"start":"1960-03-03"},"text":"EHMP,ONEHUNDREDTHREE","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-555-1234"},{"system":"phone","use":"mobile","value":"555-555-1122"},{"system":"phone","use":"work","value":"555-555-4321"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">EHMP,ONEHUNDREDTHREE<\/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":"2026-10-17T06:11:23.239+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBFc3NlbnRpYWwgaHlwZXJ0ZW5zaW9uCgpUaGlzIFN0YWdlIDIgc3RydWN0dXJlZCBhZHZpc29yeSBtYXRjaGVkIDIgZXZpZGVuY2UgaXRlbShzKS4KCi0gTWF0Y2hlZCBzdHJ1Y3R1cmVkIGV2aWRlbmNlOiBTeXN0b2xpYyBibG9vZCBwcmVzc3VyZSAxNjAgbW1bSGddID49IDE0MAotIE1hdGNoZWQgc3RydWN0dXJlZCBldmlkZW5jZTogRGlhc3RvbGljIGJsb29kIHByZXNzdXJlIDkyIG1tW0hnXSA+PSA5MAoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Essential hypertension structured evidence"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/V51882"},{"reference":"Observation\/V51882"}],"status":"final","subject":{"reference":"Patient\/101068"}}},{"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":"373621006","display":"Chronic pain syndrome","system":"http:\/\/snomed.info\/sct"}],"text":"Chronic pain syndrome"},{"coding":[{"code":"84757009","display":"Epilepsy","system":"http:\/\/snomed.info\/sct"}],"text":"Epilepsy"},{"coding":[{"code":"57406009","display":"Carpal tunnel syndrome","system":"http:\/\/snomed.info\/sct"}],"text":"Carpal tunnel syndrome"},{"coding":[{"code":"15167005","display":"Alcohol abuse","system":"http:\/\/snomed.info\/sct"}],"text":"Alcohol abuse"},{"coding":[{"code":"372244006","display":"Malignant melanoma","system":"http:\/\/snomed.info\/sct"}],"text":"Malignant melanoma"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"373621006","display":"Chronic pain syndrome","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Chronic pain syndrome"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Chronic pain syndrome. 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":"84757009","display":"Epilepsy","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Epilepsy"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Epilepsy. 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":"57406009","display":"Carpal tunnel syndrome","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Carpal tunnel syndrome"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Carpal tunnel syndrome. 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":"15167005","display":"Alcohol abuse","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Alcohol abuse"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Alcohol abuse. 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":"372244006","display":"Malignant melanoma","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Malignant melanoma"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Malignant melanoma. 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":"2026-10-17T06:11:23.239+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/101068"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}