{"entry":[{"resource":{"active":true,"address":[{"city":"Boston","line":["711 Skiles Course"],"period":{"start":"1979-04-05"},"postalCode":"02215","state":"MA","use":"home"}],"birthDate":"1979-04-05","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":"101219","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-ssn","value":"800000729"},{"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":"101219"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-patient"]},"name":[{"family":"RUNOLFSSON901","given":["BRITT177"],"period":{"start":"1979-04-05"},"text":"RUNOLFSSON901,BRITT177","use":"official"}],"resourceType":"Patient","telecom":[{"system":"phone","use":"home","value":"555-600-8280"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">RUNOLFSSON901,BRITT177<\/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":"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":"105531004","display":"Housing problem","system":"http:\/\/snomed.info\/sct"}],"text":"Housing problem"},{"coding":[{"code":"161744009","display":"Past pregnancy history of miscarriage","system":"http:\/\/snomed.info\/sct"}],"text":"Past pregnancy history of miscarriage"},{"coding":[{"code":"714628002","display":"Prediabetes","system":"http:\/\/snomed.info\/sct"}],"text":"Prediabetes"},{"coding":[{"code":"267020005","display":"H\/O: tubal ligation","system":"http:\/\/snomed.info\/sct"}],"text":"H\/O: tubal ligation"},{"coding":[{"code":"59621000","display":"Essential hypertension","system":"http:\/\/snomed.info\/sct"}],"text":"Essential hypertension"}],"extension":[{"extension":[{"url":"code","valueCoding":{"code":"105531004","display":"Housing problem","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Housing problem"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Housing problem. 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":"161744009","display":"Past pregnancy history of miscarriage","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Past pregnancy history of miscarriage"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Past pregnancy history of miscarriage. 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":"714628002","display":"Prediabetes","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Prediabetes"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Prediabetes. 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":"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":"59621000","display":"Essential hypertension","system":"http:\/\/snomed.info\/sct"}},{"url":"role","valueCode":"problem-list-candidate"},{"url":"display","valueString":"Essential hypertension"},{"url":"supportText","valueString":"AI Consult selected existing problem-list condition: Essential hypertension. 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":"2026-09-28T17:36:08.665+00:00","presentedForm":[{"contentType":"text\/markdown","data":"IyBBSSBDb25zdWx0IFByb2JsZW0gTGlzdCBQaWNrIExpc3QKClNlbGVjdGVkIDUgZXhpc3RpbmcgcHJvYmxlbS1saXN0IGNvbmRpdGlvbihzKSBhcyB2aXNpdC1wdXJwb3NlIGNhbmRpZGF0ZXMuIFRoaXMgbmVhci10ZXJtIG1lY2hhbmlzbSBpbnRlbnRpb25hbGx5IHVzZXMgb25seSBzdWJtaXR0ZWQgQ29uZGl0aW9ucywgbm90IHRoZSB3aG9sZSBwYXRpZW50IGNoYXJ0LgoKTm8gYXV0b21hdGljIG1lZGljYWwtcmVjb3JkIHVwZGF0ZSB3YXMgcGVyZm9ybWVkLgo=","title":"Problem-list AI Consult pick list"}],"resourceType":"DiagnosticReport","status":"final","subject":{"reference":"Patient\/101219"}}},{"resource":{"issue":[{"code":"informational","diagnostics":"AI Consult filing attempted through native \/updatepatient; loadStatus=loaded","severity":"information"}],"resourceType":"OperationOutcome"}},{"fullUrl":"urn:uuid:f06f180e-5918-4741-8196-887614a06504","resource":{"active":true,"address":[{"city":"Albuquerque","country":"US","line":["1501 San Pedro Dr SE"],"postalCode":"87108","state":"NM"}],"id":"usqualitycore-organization","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-npi","use":"official","value":"1144221847"},{"system":"http:\/\/terminology.hl7.org\/NamingSystem\/CMSCertificationNumber","use":"official","value":"320001"},{"system":"urn:oid:2.16.840.1.113883.4.4","use":"official","value":"12-3456789"},{"system":"urn:ietf:rfc:3986","value":"urn:oid:2.16.840.1.113883.3.42.10001.100001.12"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-organization"]},"name":"VistA FHIR Quality Testing","resourceType":"Organization","telecom":[{"system":"phone","value":"505-265-1711"}]}},{"fullUrl":"urn:uuid:2c8d7bc5-1583-4d72-a402-f3798aa2d600","resource":{"address":[{"city":"Albuquerque","country":"US","line":["1501 San Pedro Dr SE"],"postalCode":"87108","state":"NM"}],"id":"usqualitycore-practitioner","identifier":[{"system":"http:\/\/hl7.org\/fhir\/sid\/us-npi","use":"official","value":"1245319599"},{"system":"urn:oid:2.16.840.1.113883.4.4","use":"official","value":"12-3456789"},{"system":"urn:va:user","value":"usqualitycore-practitioner"}],"meta":{"profile":["http:\/\/fhir.org\/guides\/onc\/us-quality-core\/StructureDefinition\/us-quality-core-practitioner"]},"name":[{"family":"Quality","given":["FHIR"],"text":"FHIR Quality"}],"resourceType":"Practitioner","telecom":[{"system":"phone","value":"505-265-1711"}]}},{"fullUrl":"urn:uuid:0c9366a9-8a8b-4db1-95fe-33db0c3a225b","resource":{"agent":[{"onBehalfOf":{"reference":"Organization\/usqualitycore-organization"},"type":{"coding":[{"code":"author","display":"Author","system":"http:\/\/terminology.hl7.org\/CodeSystem\/provenance-participant-type"}]},"who":{"reference":"Practitioner\/usqualitycore-practitioner"}},{"type":{"coding":[{"code":"transmitter","display":"Transmitter","system":"http:\/\/hl7.org\/fhir\/us\/core\/CodeSystem\/us-core-provenance-participant-type"}]},"who":{"reference":"Organization\/usqualitycore-organization"}}],"entity":[{"role":"source","what":{"reference":"Patient\/101219"}}],"id":"usqualitycore-provenance","meta":{"profile":["http:\/\/hl7.org\/fhir\/us\/core\/StructureDefinition\/us-core-provenance|6.1.0"]},"recorded":"2026-09-28T17:36:08Z","resourceType":"Provenance","target":[{"reference":"Patient\/101219"},{"reference":"DiagnosticReport\/diagnostic-report-problem-list-pick-list"}],"text":{"div":"<div xmlns=\"http:\/\/www.w3.org\/1999\/xhtml\">Generated Narrative: usqualitycore-provenance<\/div>","status":"generated"}}}],"resourceType":"Bundle","type":"collection"}