{"entry":[{"resource":{"active":true,"address":[{"city":"Worcester","line":["558 Nicolas Mill Suite 36"],"period":{"start":"1982-09-27"},"postalCode":"01603","state":"MA","use":"home"}],"birthDate":"1982-09-27","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":"101093","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"800000018"},{"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":"101093"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"ROBLES531","given":["ADáN600"],"period":{"start":"1982-09-27"},"text":"ROBLES531,ADáN600","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-754-9529"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">ROBLES531,ADáN600<\/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":3}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-18T06:15:31.474+00:00","presentedForm":[{"contentType":"text\/markdown","data":"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","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-6758990.939099-9"},{"reference":"Observation\/LCH-6778994.939099-9"},{"reference":"Observation\/LCH-6808781.939096-8"}],"status":"final","subject":{"reference":"Patient\/101093"}}},{"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":"428251008","display":"History of appendectomy","system":"http:\/\/snomed.info\/sct"}],"text":"History of appendectomy"},{"coding":[{"code":"266934004","display":"Transport problem","system":"http:\/\/snomed.info\/sct"}],"text":"Transport problem"},{"coding":[{"code":"714628002","display":"Prediabetes","system":"http:\/\/snomed.info\/sct"}],"text":"Prediabetes"},{"coding":[{"code":"271737000","display":"Anemia","system":"http:\/\/snomed.info\/sct"}],"text":"Anemia"},{"coding":[{"code":"162864005","display":"Body mass index 30+ - obesity","system":"http:\/\/snomed.info\/sct"}],"text":"Body mass index 30+ - obesity"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"428251008","display":"History of appendectomy","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"History of appendectomy"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: History of appendectomy. 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":"266934004","display":"Transport problem","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Transport problem"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Transport problem. 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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":"2026-10-18T06:15:31.474+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/101093"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}