{"entry":[{"resource":{"active":true,"address":[{"period":{"start":"1935-04-07"},"postalCode":"99998","state":"NY","use":"home"}],"birthDate":"1935-04-07","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":"4","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666965487"},{"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":"4"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"ZZZRETIREDZERO","given":["PATIENT"],"period":{"start":"1935-04-07"},"text":"ZZZRETIREDZERO,PATIENT","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"222-555-8235"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">ZZZRETIREDZERO,PATIENT<\/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":23}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-17T05:06:51.209+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBMT0lOQyBjb2Rpbmcgc3VnZ2VzdGlvbnMKClRoZSBzdWJtaXR0ZWQgYnVuZGxlIGluY2x1ZGVzIGxhYm9yYXRvcnkgT2JzZXJ2YXRpb25zIHdpdGhvdXQgYGh0dHA6Ly9sb2luYy5vcmdgIGNvZGluZy4gVGhlc2Ugc3VnZ2VzdGlvbnMgY29tZSBmcm9tIHRoZSBTWU4gbGFiLW5hbWUgbWFwIGFuZCByZXF1aXJlIHRlcm1pbm9sb2d5IHJldmlldyBiZWZvcmUgc291cmNlIGRhdGEgaXMgY2hhbmdlZC4KCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDE0NCBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDQ5MTY4LjkwODc2MS0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiAxNDUgbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA0OTE3My45MDY1NTYtMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMTMzIG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwNDkxODAuODM5Mzc3LTJdCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDQwMCBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDY4Nzk1Ljg0NDMtMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMTg4IG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODkwNzQuOTE4NS0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiAxOTkgbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA4OTA3OC45MTY5LTJdCi0gQ08yIC0+IExPSU5DIDIwNTY1LTggQ2FyYm9uIERpb3hpZGUgKHZhbHVlOiAzOSBtZXEvTCkgW09ic2VydmF0aW9uL0xDSC03MDg5MDc4LjkxNjktOF0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMjIyIG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODkzNzIuOTItMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMjAzIG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODkzNzMuODQ1LTJdCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDIwMSBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDg5MzczLjg0NjItMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMTk4IG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODkzNzMuODQ4NS0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiAxOTggbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA4OTM3My44NDk2LTJdCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDE0MyBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDg5Mzk0Ljg0NDgtMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMTI5IG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODk0NjkuODg5MS0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiA5OSBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDg5NDY5LjkxNDYtMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogOTEgbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA4OTU5My44NC0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiAxMTYgbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA4OTU5NC44NDU5LTJdCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDkyIG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODk1OTUuODc3Mi0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiA5NyBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDg5NTk2LjgzNzYtMl0KLSBHTFVDT1NFIC0+IExPSU5DIDIzMzktMCBHbHVjb3NlICh2YWx1ZTogMjMyIG1nL2RMKSBbT2JzZXJ2YXRpb24vTENILTcwODk3OTcuOTI2LTJdCi0gR0xVQ09TRSAtPiBMT0lOQyAyMzM5LTAgR2x1Y29zZSAodmFsdWU6IDIyMiBtZy9kTCkgW09ic2VydmF0aW9uL0xDSC03MDg5ODg0Ljg0Ni0yXQotIEdMVUNPU0UgLT4gTE9JTkMgMjMzOS0wIEdsdWNvc2UgKHZhbHVlOiAxMzMgbWcvZEwpIFtPYnNlcnZhdGlvbi9MQ0gtNzA5ODk2Ny44NTctMl0KLSBDTzIgLT4gTE9JTkMgMjA1NjUtOCBDYXJib24gRGlveGlkZSAodmFsdWU6IDIzIG1lcS9MKSBbT2JzZXJ2YXRpb24vTENILTcwOTg5NjcuODU3LThdCgpObyBhdXRvbWF0aWMgbWVkaWNhbC1yZWNvcmQgdXBkYXRlIHdhcyBwZXJmb3JtZWQuCg==","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-7049168.908761-2"},{"reference":"Observation\/LCH-7049173.906556-2"},{"reference":"Observation\/LCH-7049180.839377-2"},{"reference":"Observation\/LCH-7068795.8443-2"},{"reference":"Observation\/LCH-7089074.9185-2"},{"reference":"Observation\/LCH-7089078.9169-2"},{"reference":"Observation\/LCH-7089078.9169-8"},{"reference":"Observation\/LCH-7089372.92-2"},{"reference":"Observation\/LCH-7089373.845-2"},{"reference":"Observation\/LCH-7089373.8462-2"},{"reference":"Observation\/LCH-7089373.8485-2"},{"reference":"Observation\/LCH-7089373.8496-2"},{"reference":"Observation\/LCH-7089394.8448-2"},{"reference":"Observation\/LCH-7089469.8891-2"},{"reference":"Observation\/LCH-7089469.9146-2"},{"reference":"Observation\/LCH-7089593.84-2"},{"reference":"Observation\/LCH-7089594.8459-2"},{"reference":"Observation\/LCH-7089595.8772-2"},{"reference":"Observation\/LCH-7089596.8376-2"},{"reference":"Observation\/LCH-7089797.926-2"},{"reference":"Observation\/LCH-7089884.846-2"},{"reference":"Observation\/LCH-7098967.857-2"},{"reference":"Observation\/LCH-7098967.857-8"}],"status":"final","subject":{"reference":"Patient\/4"}}},{"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":"428.0","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"N\/A"},{"coding":[{"code":"065.0","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"N\/A"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"428.0","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"N\/A"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: N\/A. 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":"065.0","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"N\/A"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: N\/A. 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":2}],"id":"diagnostic-report-problem-list-pick-list","issued":"2026-10-17T05:06:51.209+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDIgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/4"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}