{"entry":[{"resource":{"active":true,"address":[{"city":"TROY","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":"41","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"666040323"},{"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":"41"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"ZZZRETSIXFORTYTWO","given":["PATIENT"],"period":{"start":"1935-04-07"},"text":"ZZZRETSIXFORTYTWO,PATIENT","use":"official"}],"resourceType":"Patient","text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">ZZZRETSIXFORTYTWO,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":11}],"id":"diagnostic-report-terminology-loinc-suggestions","issued":"2026-10-17T05:07:05.069+00:00","presentedForm":[{"contentType":"text\/markdown","data":"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","title":"LOINC coding suggestions"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/LCH-7039179.897467-9"},{"reference":"Observation\/LCH-7039179.897477-2"},{"reference":"Observation\/LCH-7039182.876-9"},{"reference":"Observation\/LCH-7039182.894466-2"},{"reference":"Observation\/LCH-7039184.877-9"},{"reference":"Observation\/LCH-7039184.907-2"},{"reference":"Observation\/LCH-7039669.897061-2"},{"reference":"Observation\/LCH-7049168.907785-2"},{"reference":"Observation\/LCH-7049494.868573-2"},{"reference":"Observation\/LCH-7049494.868573-8"},{"reference":"Observation\/LCH-7058973.918-2"}],"status":"final","subject":{"reference":"Patient\/41"}}},{"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":"23560001","display":"Asperger's disorder","system":"http:\/\/snomed.info\/sct"}],"text":"Asperger's disorder"},{"coding":[{"code":"73430006","display":"Sleep apnea","system":"http:\/\/snomed.info\/sct"}],"text":"Sleep apnea"},{"coding":[{"code":"309.81","display":"POSTTRAUMATIC STRESS DISORDER","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"POSTTRAUMATIC STRESS DISORDER"},{"coding":[{"code":"309529002","display":"Lung mass","system":"http:\/\/snomed.info\/sct"}],"text":"Lung mass"},{"coding":[{"code":"296.20","display":"MAJOR DEPRESSIVE AFFECTIVE DISORDER, SINGLE EPISODE, UNSPECIFIED DEGREE","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}],"text":"MAJOR DEPRESSIVE AFFECTIVE DISORDER, SINGLE EPISODE, UNSPECIFIED DEGREE"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"23560001","display":"Asperger's disorder","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Asperger's disorder"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Asperger's disorder. 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":"73430006","display":"Sleep apnea","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Sleep apnea"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Sleep apnea. 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":"309.81","display":"POSTTRAUMATIC STRESS DISORDER","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"POSTTRAUMATIC STRESS DISORDER"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: POSTTRAUMATIC STRESS DISORDER. 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":"309529002","display":"Lung mass","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Lung mass"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Lung mass. 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":"296.20","display":"MAJOR DEPRESSIVE AFFECTIVE DISORDER, SINGLE EPISODE, UNSPECIFIED DEGREE","system":"http:\/\/hl7.org\/fhir\/sid\/icd-9-cm"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"MAJOR DEPRESSIVE AFFECTIVE DISORDER, SINGLE EPISODE, UNSPECIFIED DEGREE"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: MAJOR DEPRESSIVE AFFECTIVE DISORDER, SINGLE EPISODE, UNSPECIFIED DEGREE. 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":"2026-10-17T05:07:05.069+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/41"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=skipped","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}