{"entry":[{"resource":{"active":true,"address":[{"city":"Leicester","line":["883 Senger Center"],"period":{"start":"2017-12-07"},"state":"MA","use":"home"}],"birthDate":"2017-12-07","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":"101171","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"800000679"},{"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":"101171"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"DONNELLY343","given":["ASHLEA10"],"period":{"start":"2017-12-07"},"text":"DONNELLY343,ASHLEA10","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-853-9765"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">DONNELLY343,ASHLEA10<\/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":"2026-09-28T18:22:08.841+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBFc3NlbnRpYWwgaHlwZXJ0ZW5zaW9uCgpUaGlzIFN0YWdlIDIgc3RydWN0dXJlZCBhZHZpc29yeSBtYXRjaGVkIDIgZXZpZGVuY2UgaXRlbShzKS4KCi0gTWF0Y2hlZCBzdHJ1Y3R1cmVkIGV2aWRlbmNlOiBTeXN0b2xpYyBibG9vZCBwcmVzc3VyZSAxNDEgbW1bSGddID49IDE0MAotIE1hdGNoZWQgc3RydWN0dXJlZCBldmlkZW5jZTogRGlhc3RvbGljIGJsb29kIHByZXNzdXJlIDk2IG1tW0hnXSA+PSA5MAoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Essential hypertension structured evidence"}],"resourceType":"DiagnosticReport","result":[{"reference":"Observation\/V65180"},{"reference":"Observation\/V65270"}],"status":"final","subject":{"reference":"Patient\/101171"}}},{"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":"65363002","display":"Otitis media","system":"http:\/\/snomed.info\/sct"}],"text":"Otitis media"},{"coding":[{"code":"195662009","display":"Acute viral pharyngitis","system":"http:\/\/snomed.info\/sct"}],"text":"Acute viral pharyngitis"},{"coding":[{"code":"J02.9","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}],"text":"Acute viral pharyngitis (disorder)"},{"coding":[{"code":"H66.90","system":"http:\/\/hl7.org\/fhir\/sid\/icd-10-cm"}],"text":"Otitis media (disorder)"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"65363002","display":"Otitis media","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Otitis media"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Otitis media. 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Provider should edit the wording before inserting into the note."},{"url":"defaultPov","valueBoolean":true},{"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":4}],"id":"diagnostic-report-problem-list-pick-list","issued":"2026-09-28T18:22:08.841+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDQgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/101171"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=loaded","severity":"information"}],"resourceType":"OperationOutcome"}}],"resourceType":"Bundle","type":"collection"}