{
  "resourceType" : "Bundle",
  "id" : "IsaacBrown",
  "type" : "collection",
  "entry" : [{
    "resource" : {
      "resourceType" : "Patient",
      "id" : "IsaacBrown",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_IsaacBrown\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient IsaacBrown</b></p><a name=\"IsaacBrown\"> </a><a name=\"hcIsaacBrown\"> </a><a name=\"IsaacBrown-en-US\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Isaac Brown  Male, DoB: 1997-06-19 ( Medical Record Number: 294-129-859)</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: White</li></ul></td></tr></table></div>"
      },
      "extension" : [{
        "extension" : [{
          "url" : "text",
          "valueString" : "White"
        }],
        "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" : "294-129-859"
      }],
      "name" : [{
        "family" : "Brown",
        "given" : ["Isaac"]
      }],
      "gender" : "male",
      "birthDate" : "1997-06-19"
    }
  },
  {
    "resource" : {
      "resourceType" : "Condition",
      "id" : "ulcerative-colitis-active",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ulcerative-colitis-active\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ulcerative-colitis-active</b></p><a name=\"ulcerative-colitis-active\"> </a><a name=\"hculcerative-colitis-active\"> </a><a name=\"ulcerative-colitis-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 64766004}\">Ulcerative colitis (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-IsaacBrown.html#Patient_IsaacBrown\">Bundle: type = collection</a></p><p><b>onset</b>: 2012-10-01</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" : "64766004",
          "display" : "Ulcerative colitis (disorder)"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "onsetDateTime" : "2012-10-01"
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-1</b></p><a name=\"colonoscopy-report-1\"> </a><a name=\"hccolonoscopy-report-1\"> </a><a name=\"colonoscopy-report-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>2012-10-01 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 78712000}\">Moderate chronic ulcerative colitis (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2012-10-01T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "78712000",
          "display" : "Moderate chronic ulcerative colitis (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-2",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-2</b></p><a name=\"colonoscopy-report-2\"> </a><a name=\"hccolonoscopy-report-2\"> </a><a name=\"colonoscopy-report-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>2013-11-01 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 78712000}\">Moderate chronic ulcerative colitis (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2013-11-01T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "78712000",
          "display" : "Moderate chronic ulcerative colitis (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-3",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-3</b></p><a name=\"colonoscopy-report-3\"> </a><a name=\"hccolonoscopy-report-3\"> </a><a name=\"colonoscopy-report-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>2015-11-06 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 78712000}\">Moderate chronic ulcerative colitis (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2015-11-06T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "78712000",
          "display" : "Moderate chronic ulcerative colitis (disorder)"
        }]
      }]
    }
  },
  {
    "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>2018-10-01 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 697969008}\">Ulcerative colitis in remission (disorder)</span></li></ul></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2018-10-01T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "697969008",
          "display" : "Ulcerative colitis in remission (disorder)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Condition",
      "id" : "ulcerative-colitis-remission",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ulcerative-colitis-remission\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ulcerative-colitis-remission</b></p><a name=\"ulcerative-colitis-remission\"> </a><a name=\"hculcerative-colitis-remission\"> </a><a name=\"ulcerative-colitis-remission-en-US\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical remission}\">Remission</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 64766004}\">Ulcerative colitis (disorder)</span></p><p><b>subject</b>: <a href=\"Bundle-IsaacBrown.html#Patient_IsaacBrown\">Bundle: type = collection</a></p><p><b>onset</b>: 2018-10-01</p></div>"
      },
      "clinicalStatus" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
          "code" : "remission",
          "display" : "Remission"
        }]
      },
      "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" : "64766004",
          "display" : "Ulcerative colitis (disorder)"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "onsetDateTime" : "2018-10-01"
    }
  },
  {
    "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>2021-10-01 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/IsaacBrown"
      },
      "effectiveDateTime" : "2021-10-01T14:30:00.000Z",
      "conclusionCode" : [{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "DiagnosticReport",
      "id" : "colonoscopy-report-with-followup",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DiagnosticReport_colonoscopy-report-with-followup\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DiagnosticReport colonoscopy-report-with-followup</b></p><a name=\"colonoscopy-report-with-followup\"> </a><a name=\"hccolonoscopy-report-with-followup\"> </a><a name=\"colonoscopy-report-with-followup-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>2023-10-07 00:00:00+0000</td></tr></table><p><b>Report Details</b></p><table class=\"grid\"><tr><td><b>Code</b></td><td><b>Value</b></td></tr><tr><td/><td/></tr></table></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2023-10-07T00:00:00.000Z",
      "result" : [{
        "reference" : "Observation/observation-1"
      }]
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-1",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-1</b></p><a name=\"observation-1\"> </a><a name=\"hcobservation-1\"> </a><a name=\"observation-1-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 470191000124102}\">Colorectal cancer screening follow-up planning (procedure)</span></p><p><b>subject</b>: <a href=\"Bundle-IsaacBrown.html#Patient_IsaacBrown\">Bundle: type = collection</a></p><p><b>effective</b>: 2023-10-07 00:00:00+0000</p><p><b>value</b>: 3 years<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM  codea = 'a')</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "470191000124102",
          "display" : "Colorectal cancer screening follow-up planning (procedure)"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2023-10-07T00:00:00.000Z",
      "valueQuantity" : {
        "value" : 3,
        "unit" : "years",
        "system" : "http://unitsofmeasure.org",
        "code" : "a"
      }
    }
  },
  {
    "resource" : {
      "resourceType" : "Observation",
      "id" : "observation-2",
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_observation-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation observation-2</b></p><a name=\"observation-2\"> </a><a name=\"hcobservation-2\"> </a><a name=\"observation-2-en-US\"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 18746-8}\">Colonoscopy study</span></p><p><b>subject</b>: <a href=\"Bundle-IsaacBrown.html#Patient_IsaacBrown\">Bundle: type = collection</a></p><p><b>effective</b>: 2023-10-07 00:00:00+0000</p><p><b>value</b>: <span title=\"Codes:{http://snomed.info/sct 260385009}\">Negative (qualifier value)</span></p></div>"
      },
      "status" : "final",
      "code" : {
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "18746-8",
          "display" : "Colonoscopy study"
        }]
      },
      "subject" : {
        "reference" : "Patient/IsaacBrown"
      },
      "effectiveDateTime" : "2023-10-07T00:00:00.000Z",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "260385009",
          "display" : "Negative (qualifier value)"
        }]
      }
    }
  }]
}