{
  "resourceType" : "Bundle",
  "id" : "HollyHereditary",
  "type" : "collection",
  "entry" : [{
    "resource" : {
      "resourceType" : "Patient",
      "id" : "HollyHereditary",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_HollyHereditary\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient HollyHereditary</b></p><a name=\"HollyHereditary\"> </a><a name=\"hcHollyHereditary\"> </a><a name=\"HollyHereditary-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Holly Hereditary  Female, DoB: 1995-07-01 ( Medical Record Number: 428-354-558)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.\">US Core Ethnicity Extension:</td><td colspan=\"3\"><ul><li>text: Not Hispanic or Latino</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:\n\n - American Indian or Alaska Native\n - Asian\n - Black or African American\n - Native Hawaiian or Other Pacific Islander\n - White.\">US Core Race Extension:</td><td colspan=\"3\"><ul><li>text: Black or African American</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "text",
          "valueString" : "Black or African American"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
      },
      {
        "extension" : [{
          "url" : "text",
          "valueString" : "Not Hispanic or Latino"
        }],
        "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
      }],
      "identifier" : [{
        "type" : {
          "coding" : [{
            "code" : "MR",
            "display" : "Medical Record Number"
          }]
        },
        "value" : "428-354-558"
      }],
      "name" : [{
        "family" : "Hereditary",
        "given" : ["Holly"]
      }],
      "gender" : "female",
      "birthDate" : "1995-07-01"
    }
  },
  {
    "resource" : {
      "resourceType" : "Condition",
      "id" : "lynch-syndrome-active",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_lynch-syndrome-active\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition lynch-syndrome-active</b></p><a name=\"lynch-syndrome-active\"> </a><a name=\"hclynch-syndrome-active\"> </a><a name=\"lynch-syndrome-active-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 716318002}\">Lynch syndrome</span></p><p><b>subject</b>: <a href=\"Bundle-HollyHereditary.html#Patient_HollyHereditary\">Bundle: type = collection</a></p><p><b>onset</b>: 2014-10-01</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "active",
          "display" : "Active"
        }]
      },
      "verificationStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
          "code" : "confirmed",
          "display" : "Confirmed"
        }]
      },
      "category" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-category",
          "code" : "problem-list-item",
          "display" : "Problem List Item"
        }]
      }],
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "716318002",
          "display" : "Lynch syndrome (disorder)"
        }],
        "text" : "Lynch syndrome"
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "onsetDateTime" : "2014-10-01"
    }
  },
  {
    "resource" : {
      "resourceType" : "FamilyMemberHistory",
      "id" : "e99729f4-ad2d-4f28-a2d6-ccb914b13541",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"FamilyMemberHistory_e99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><p class=\"res-header-id\"><b>Generated Narrative: FamilyMemberHistory e99729f4-ad2d-4f28-a2d6-ccb914b13541</b></p><a name=\"e99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><a name=\"hce99729f4-ad2d-4f28-a2d6-ccb914b13541\"> </a><a name=\"e99729f4-ad2d-4f28-a2d6-ccb914b13541-en-US\"> </a><p><b>status</b>: Completed</p><p><b>patient</b>: <a href=\"Bundle-HollyHereditary.html#Patient_HollyHereditary\">Bundle: type = collection</a></p><p><b>name</b>: Unknown</p><p><b>relationship</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleCode MTH}\">Mother</span></p><h3>Conditions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Onset[x]</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://snomed.info/sct 716318002}\">Lynch syndrome</span></td><td> </td></tr><tr><td style=\"display: none\">*</td><td> </td><td>30 a<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></td></tr></table></div>"
      },
      "status" : "completed",
      "patient" : {
        "reference" : "Patient/HollyHereditary"
      },
      "name" : "Unknown",
      "relationship" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
          "code" : "MTH",
          "display" : "Mother"
        }]
      },
      "condition" : [{
        "code" : {
          "coding" : [{
            "system" : "http://snomed.info/sct",
            "code" : "716318002",
            "display" : "Lynch syndrome (disorder)"
          }],
          "text" : "Lynch syndrome"
        }
      },
      {
        "onsetAge" : {
          "value" : 30,
          "system" : "http://unitsofmeasure.org",
          "code" : "a"
        }
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-1</b></p><a name=\"colonoscopy-report-neg-1\"> </a><a name=\"hccolonoscopy-report-neg-1\"> </a><a name=\"colonoscopy-report-neg-1-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2015-08-05 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2015-08-05T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-2",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-2</b></p><a name=\"colonoscopy-report-neg-2\"> </a><a name=\"hccolonoscopy-report-neg-2\"> </a><a name=\"colonoscopy-report-neg-2-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2016-08-11 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2016-08-11T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-polyp",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-polyp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><a name=\"colonoscopy-report-polyp\"> </a><a name=\"hccolonoscopy-report-polyp\"> </a><a name=\"colonoscopy-report-polyp-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2018-06-11 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 428054006}\">Adenomatous polyp of colon (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2018-06-11T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "428054006",
          "display" : "Adenomatous polyp of colon (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-3</b></p><a name=\"colonoscopy-report-neg-3\"> </a><a name=\"hccolonoscopy-report-neg-3\"> </a><a name=\"colonoscopy-report-neg-3-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2019-07-03 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2019-07-03T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-4",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-4\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-4</b></p><a name=\"colonoscopy-report-neg-4\"> </a><a name=\"hccolonoscopy-report-neg-4\"> </a><a name=\"colonoscopy-report-neg-4-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2020-06-13 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2020-06-13T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-malignant",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-malignant\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-malignant</b></p><a name=\"colonoscopy-report-malignant\"> </a><a name=\"hccolonoscopy-report-malignant\"> </a><a name=\"colonoscopy-report-malignant-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2021-06-16 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 1259398000}\">Primary carcinoma of cecum (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2021-06-16T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "1259398000",
          "display" : "Primary carcinoma of cecum (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-polyp",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-polyp\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-polyp</b></p><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2021-12-11 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 428054006}\">Adenomatous polyp of colon (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2021-12-11T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "428054006",
          "display" : "Adenomatous polyp of colon (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-5",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-5</b></p><a name=\"colonoscopy-report-neg-5\"> </a><a name=\"hccolonoscopy-report-neg-5\"> </a><a name=\"colonoscopy-report-neg-5-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2022-12-18 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2022-12-18T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-neg-6",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-neg-6\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-neg-6</b></p><a name=\"colonoscopy-report-neg-6\"> </a><a name=\"hccolonoscopy-report-neg-6\"> </a><a name=\"colonoscopy-report-neg-6-en-US\"> </a><h2><span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span> </h2><table class=\"grid\"><tr><td>Subject</td><td>Not done yet</td></tr><tr><td>When For</td><td>2023-12-08 14:30:00+0000</td></tr></table><p><b>Report Details</b></p><p><b>Coded Conclusions:</b></p><ul><li><span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/HollyHereditary"
      },
      "effectiveDateTime" : "2023-12-08T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  }]
}