{"entry":[{"resource":{"active":true,"address":[{"city":"South Yarmouth","line":["675 Hahn Forge"],"period":{"start":"1980-11-01"},"postalCode":"02664","state":"MA","use":"home"}],"birthDate":"1980-11-01","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":"101099","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"800000024"},{"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":"101099"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"HOEGER474","given":["ALANE21"],"period":{"start":"1980-11-01"},"text":"HOEGER474,ALANE21","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-607-9601"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">HOEGER474,ALANE21<\/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":"t2dm-structured","display":"Type 2 diabetes mellitus structured evidence review","system":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/case\/stage2"}],"text":"AI Consult - Type 2 diabetes mellitus structured evidence review"},"conclusion":"Submitted bundle contains structured evidence relevant to Type 2 diabetes mellitus. Provider review is required before chart inclusion.","conclusionCode":[{"coding":[{"code":"44054006","display":"Type 2 diabetes mellitus","system":"http:\/\/snomed.info\/sct"},{"code":"E11.9","display":"Type 2 diabetes mellitus without complications","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}],"text":"Type 2 diabetes mellitus"},{"coding":[{"code":"56574000","display":"Polyuria","system":"http:\/\/snomed.info\/sct"}],"text":"Polyuria"},{"coding":[{"code":"17173007","display":"Polydipsia","system":"http:\/\/snomed.info\/sct"}],"text":"Polydipsia"},{"coding":[{"code":"414916001","display":"Obesity","system":"http:\/\/snomed.info\/sct"}],"text":"Obesity"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"44054006","display":"Type 2 diabetes mellitus","system":"http:\/\/snomed.info\/sct"}},{"url":"icd10","valueCoding":{"code":"E11.9","display":"Type 2 diabetes mellitus without complications","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}},{"url":"role","valueCode":"suggested-diagnosis"},{"url":"display","valueString":"Type 2 diabetes mellitus"},{"url":"supportText","valueString":"AI Consult suggested diagnosis: Type 2 diabetes mellitus. 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":"56574000","display":"Polyuria","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"supporting-finding"},{"url":"display","valueString":"Polyuria"},{"url":"supportText","valueString":"AI Consult supporting finding: Polyuria. 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":"17173007","display":"Polydipsia","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"supporting-finding"},{"url":"display","valueString":"Polydipsia"},{"url":"supportText","valueString":"AI Consult supporting finding: Polydipsia. 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":"414916001","display":"Obesity","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"supporting-finding"},{"url":"display","valueString":"Obesity"},{"url":"supportText","valueString":"AI Consult supporting finding: Obesity. 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":"t2dm-structured"},{"url":"https:\/\/github.com\/glilly\/cds-hooks-on-fhir\/StructureDefinition\/evidence-count","valueInteger":2}],"id":"diagnostic-report-t2dm-structured","issued":"2026-10-17T05:07:41.584+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBUeXBlIDIgZGlhYmV0ZXMgbWVsbGl0dXMKClRoaXMgU3RhZ2UgMiBzdHJ1Y3R1cmVkIGFkdmlzb3J5IG1hdGNoZWQgMiBldmlkZW5jZSBpdGVtKHMpLgoKLSBNYXRjaGVkIHN0cnVjdHVyZWQgZXZpZGVuY2U6IEhlbW9nbG9iaW4gQTFjL0hlbW9nbG9iaW4udG90YWwgaW4gQmxvb2QgNy4wNiAlID49IDYuNQotIE1hdGNoZWQgc3RydWN0dXJlZCBldmlkZW5jZTogQm9keSBtYXNzIGluZGV4IChCTUkpIFtSYXRpb10gMzAuMzUga2cvbTIgPj0gMzAKCk5vIGF1dG9tYXRpYyBtZWRpY2FsLXJlY29yZCB1cGRhdGUgd2FzIHBlcmZvcm1lZC4K","title":"Type 2 diabetes mellitus structured evidence"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/urn:uuid:d292fb17-8589-99e1-5054-3e48a12f3ce0"},{"reference":"Observation\/urn:uuid:d292fb17-8589-99e1-6017-cb524ca8f827"}],"status":"final","subject":{"reference":"Patient\/101099"}}},{"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":"267020005","display":"H\/O: tubal ligation","system":"http:\/\/snomed.info\/sct"}],"text":"H\/O: tubal ligation"},{"coding":[{"code":"162864005","display":"Body mass index 30+ - obesity","system":"http:\/\/snomed.info\/sct"}],"text":"Body mass index 30+ - obesity"},{"coding":[{"code":"44054006","display":"Type 2 diabetes mellitus","system":"http:\/\/snomed.info\/sct"}],"text":"Type 2 diabetes mellitus"},{"coding":[{"code":"271737000","display":"Anemia","system":"http:\/\/snomed.info\/sct"}],"text":"Anemia"},{"coding":[{"code":"73438004","display":"Unemployed","system":"http:\/\/snomed.info\/sct"}],"text":"Unemployed"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"267020005","display":"H\/O: tubal ligation","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"H\/O: tubal ligation"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: H\/O: tubal ligation. 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":"162864005","display":"Body mass index 30+ - obesity","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Body mass index 30+ - obesity"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Body mass index 30+ - obesity. 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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"},{"extension":[{"url":"code","valueCoding":{"code":"73438004","display":"Unemployed","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Unemployed"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Unemployed. 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":"2026-10-17T05:07:41.584+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/101099"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}