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Composition/ee05e1da-df1b-7f7e-166c-e182e1d39f86

{
  "date" : "2023-02-02",
  "encounter" : {
    "reference" : "urn:uuid:d6c3788c-ed93-1199-a863-346caccfa5e4"
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  "section" : [ {
    "title" : "Medications",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Medications List</caption>\n                     <thead>\n                        <tr>\n                           <th>Medication</th>\n                           <th>Timing</th>\n                           <th>Route</th>\n                           <th>Freq</th>\n                           <th>Dose</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Tylenol 500mg</td>\n                           <td>~</td>\n                           <td>Oral</td>\n                           <td>Oral, as needed, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Aranesp 0.5 MG/ML</td>\n                           <td>~</td>\n                           <td>Injection</td>\n                           <td>Injectable, once a week, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Clindamycin 300mg</td>\n                           <td>06/23/2015 12:00AM UTC - 06/30/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>Oral, three times daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Torsemide 20mg</td>\n                           <td>06/23/2015 12:00AM UTC - 06/30/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>Oral, daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>FenoFibric Acid 35 mg</td>\n                           <td>06/24/2015 12:00AM UTC - 07/04/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>At the hour of sleep</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Mycophenolic Acid 360mg</td>\n                           <td>06/24/2015 12:00AM UTC - 06/27/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>Oral, two times daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Everolimus 0.5mg</td>\n                           <td>06/24/2015 12:00AM UTC - 07/20/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>Oral, two times daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Ciprofloxacin 250mg</td>\n                           <td>06/24/2015 12:00AM UTC - 07/24/2015 12:00AM UTC</td>\n                           <td>Oral</td>\n                           <td>Oral, three times daily, 1 unit</td>\n                           <td>1 </td>\n                        </tr>\n                        <tr>\n                           <td>Ceftriaxone 100 MG/ML</td>\n                           <td>~</td>\n                           <td>Injection</td>\n                           <td>~</td>\n                           <td>1 </td>\n                        </tr>\n                     </tbody>\n                  </table>\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Administered Medications</caption>\n                     <thead>\n                        <tr>\n                           <th>Medication</th>\n                           <th>Date</th>\n                           <th>Route</th>\n                           <th>Dose</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td colspan=\"4\">No records</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
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      "reference" : "urn:uuid:6d3690b1-4caa-8965-4735-f5e9b85aa6c9"
    }, {
      "reference" : "urn:uuid:5fab3741-b848-64a8-009d-e306fcf718c8"
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    "code" : {
      "text" : "History of Medication use",
      "coding" : [ {
        "code" : "10160-0",
        "display" : "History of Medication use",
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  }, {
    "title" : "Problems",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Active Problems</caption>\n                     <thead>\n                        <tr>\n                           <th>Problem</th>\n                           <th>Noted Date</th>\n                           <th>Diagnosed Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Severe hypothyroidism</td>\n                           <td>12/31/2006 12:00AM UTC</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Chronic rejection of renal transplant</td>\n                           <td>12/31/2011 12:00AM UTC</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Iron deficiency anemia</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Interstitial pneumonia</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Essential hypertension</td>\n                           <td>05/10/2015 12:00AM UTC</td>\n                           <td>~</td>\n                        </tr>\n                     </tbody>\n                  </table>\n                  <table border=\"1\" width=\"100%\">\n                     <caption>Resolved Problems</caption>\n                     <thead>\n                        <tr>\n                           <th>Problem</th>\n                           <th>Noted Date</th>\n                           <th>Diagnosed Date</th>\n                           <th>Resolved Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Overweight</td>\n                           <td>12/31/2006 12:00AM UTC</td>\n                           <td>~</td>\n                           <td>06/01/2007 12:00AM UTC</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
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      "text" : "Problems",
      "coding" : [ {
        "code" : "11450-4",
        "display" : "Problems",
        "system" : "http://loinc.org"
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    }
  }, {
    "title" : "Goals",
    "text" : {
      "div" : "a. Need to gain more energy to do regular activities.\nb. Negotiated Goal to keep Body Temperature at 98-99 degrees Fahrenheit with regular\nmonitoring",
      "status" : "generated"
    },
    "code" : {
      "text" : "Goals",
      "coding" : [ {
        "code" : "61146-7",
        "display" : "Goals",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Results",
    "text" : {
      "div" : "\n                  <list>\n                     <item>\n                        <caption>Urinanalysis macro (dipstick) panel, No performer ID, No Lab, No Lab Address</caption>\n                        <table border=\"1\" width=\"100%\">\n                           <thead>\n                              <tr>\n                                 <th>Code</th>\n                                 <th>Value</th>\n                                 <th>Date</th>\n                              </tr>\n                           </thead>\n                           <tbody>\n                              <tr>\n                                 <td>Color of urine</td>\n                                 <td>YELLOW</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Appearance of urine</td>\n                                 <td>CLEAR</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Specific gravity of urine by test strip</td>\n                                 <td>1.015 1</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>pH of Urine by Test strip</td>\n                                 <td>5.0 [pH]</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Glucose [Mass/volume] in urine by test strip</td>\n                                 <td>50 mg/dL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Ketones [Mass/Volume] in urine by test strip</td>\n                                 <td>Negative</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Protein [Mass/Volume] in urine by test strip</td>\n                                 <td>100 mg/dL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                           </tbody>\n                        </table>\n                     </item>\n                     <item>\n                        <caption>CBC, No performer ID, No Lab, No Lab Address</caption>\n                        <table border=\"1\" width=\"100%\">\n                           <thead>\n                              <tr>\n                                 <th>Code</th>\n                                 <th>Value</th>\n                                 <th>Date</th>\n                              </tr>\n                           </thead>\n                           <tbody>\n                              <tr>\n                                 <td>HGB</td>\n                                 <td>10.2 g/dL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>WBC</td>\n                                 <td>12.3 10*3/uL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>PLT</td>\n                                 <td>123 10*3/ul</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                              <tr>\n                                 <td>Everolimus Blood</td>\n                                 <td>10 ng/mL</td>\n                                 <td>06/22/2015 12:00AM UTC</td>\n                              </tr>\n                           </tbody>\n                        </table>\n                     </item>\n                  </list>\n               ",
      "status" : "generated"
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      "reference" : "urn:uuid:32c36070-73e0-f945-9887-f285af21855d"
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    "code" : {
      "text" : "Results",
      "coding" : [ {
        "code" : "30954-2",
        "display" : "Results",
        "system" : "http://loinc.org"
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  }, {
    "title" : "Social History",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Element</th>\n                           <th>Date</th>\n                           <th>Value</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Tobacco smoking status NHIS</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>Current every day smoker</td>\n                        </tr>\n                        <tr>\n                           <td>Sex Assigned At Birth</td>\n                           <td>~</td>\n                           <td>Female</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:bff8d2d0-493b-357f-bf50-68bc353f15da"
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      "reference" : "urn:uuid:391d399b-f9c4-36eb-2943-ce5e0a189e32"
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    "code" : {
      "text" : "Social History",
      "coding" : [ {
        "code" : "29762-2",
        "display" : "Social History",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Vital Signs",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Vital sign</th>\n                           <th>Date</th>\n                           <th>Value and units</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Blood Pressure Systolic</td>\n                           <td>06/22/2015 3:08PM UTC</td>\n                           <td>145 mm[Hg]</td>\n                        </tr>\n                        <tr>\n                           <td>Blood Pressure Diastolic</td>\n                           <td>06/22/2015 3:08PM UTC</td>\n                           <td>88 mm[Hg]</td>\n                        </tr>\n                        <tr>\n                           <td>Heart Rate</td>\n                           <td>06/22/2015 3:10PM UTC</td>\n                           <td>80 /min</td>\n                        </tr>\n                        <tr>\n                           <td>Body Temperature</td>\n                           <td>06/22/2015 3:15PM UTC</td>\n                           <td>38 Cel</td>\n                        </tr>\n                        <tr>\n                           <td>Respiratory Rate</td>\n                           <td>06/22/2015 3:15PM UTC</td>\n                           <td>18 /min</td>\n                        </tr>\n                        <tr>\n                           <td>O2 % BldC Oximetry</td>\n                           <td>06/22/2015 3:12PM UTC</td>\n                           <td>95 %</td>\n                        </tr>\n                        <tr>\n                           <td>Inhaled Oxygen Concentration</td>\n                           <td>06/22/2015 3:12PM UTC</td>\n                           <td>36 %</td>\n                        </tr>\n                        <tr>\n                           <td>Weight</td>\n                           <td>06/22/2015 3:05PM UTC</td>\n                           <td>88 kg</td>\n                        </tr>\n                        <tr>\n                           <td>Height</td>\n                           <td>06/22/2015 3:05PM UTC</td>\n                           <td>177 cm</td>\n                        </tr>\n                        <tr>\n                           <td>BMI</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                        <tr>\n                           <td>Head Occipital Circumference</td>\n                           <td>~</td>\n                           <td>~</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
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      "reference" : "urn:uuid:e4b7937b-4e50-aa99-cffd-b3812c0b1268"
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      "reference" : "urn:uuid:098cac4e-e065-6d2f-1f0e-98eae8dc6e61"
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      "reference" : "urn:uuid:60fd3d3c-8a3b-5cdf-d02d-e9a1705030d8"
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      "reference" : "urn:uuid:db6b8a63-4e38-7c3d-f699-2b651584492d"
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    "code" : {
      "text" : "Vitals",
      "coding" : [ {
        "code" : "8716-3",
        "display" : "Vitals",
        "system" : "http://loinc.org"
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  }, {
    "title" : "Allergies and Intolerances",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Type</th>\n                           <th>Substance</th>\n                           <th>Onset</th>\n                           <th>Reactions</th>\n                           <th>Status</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>allergy</td>\n                           <td>Ampicillin</td>\n                           <td>05/10/1980 12:00AM UTC</td>\n                           <td>\n                              <paragraph>05/10/1980 12:00AM UTC - Hives - moderate</paragraph>\n                           </td>\n                           <td>active</td>\n                        </tr>\n                        <tr>\n                           <td>N/A</td>\n                           <td>Penicillin G</td>\n                           <td>05/10/1980 12:00AM UTC</td>\n                           <td>\n                              <paragraph>05/10/1980 12:00AM UTC - Hives - moderate</paragraph>\n                           </td>\n                           <td>active</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
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    "entry" : [ {
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    }, {
      "reference" : "urn:uuid:ba493a82-b6cf-aada-dd3e-64f71508b850"
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    "code" : {
      "text" : "Allergies",
      "coding" : [ {
        "code" : "48765-2",
        "display" : "Allergies",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Encounters",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Date</th>\n                           <th>Type</th>\n                           <th>Department</th>\n                           <th>CareTeam</th>\n                           <th>Description</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td colspan=\"5\">No records</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
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    "code" : {
      "text" : "Encounters",
      "coding" : [ {
        "code" : "46240-8",
        "display" : "Encounters",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Functional Status",
    "text" : {
      "div" : "No data for section Functional Status",
      "status" : "generated"
    },
    "code" : {
      "text" : "Functional Status",
      "coding" : [ {
        "code" : "47420-5",
        "display" : "Functional Status",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Immunizations",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Vaccine</th>\n                           <th>Date</th>\n                           <th>Status</th>\n                           <th>Lot</th>\n                           <th>Notes</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Tetanus and diphtheria toxoids</td>\n                           <td>01/04/2012 12:00AM UTC</td>\n                           <td>completed</td>\n                           <td>N/A</td>\n                           <td>Immunization was not given - Patient rejected immunization</td>\n                        </tr>\n                        <tr>\n                           <td>Influenza, intradermal, quadrivalent, preservative-free</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>not-done</td>\n                           <td>No Lot number provided</td>\n                           <td>Immunization was not given - Patient rejected immunization</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
      "valueBoolean" : true,
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    "entry" : [ {
      "reference" : "urn:uuid:32cbec8b-79d2-ad29-5d9d-2cede9065931"
    }, {
      "reference" : "urn:uuid:4563330c-19a4-70d6-edd2-3f9ba865de7f"
    } ],
    "code" : {
      "text" : "History of Immunization Narrative",
      "coding" : [ {
        "code" : "11369-6",
        "display" : "History of Immunization Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Medical Equipment",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>ID</th>\n                           <th>Assigning Auth</th>\n                           <th>Code</th>\n                           <th>Date</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>(01)00643169007222(17)160128(21)BLC200461H</td>\n                           <td>FDA</td>\n                           <td>Cardiac resynchronization therapy implantable pacemaker</td>\n                           <td>10/05/2011 12:00AM UTC</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:3d6268e8-ea91-1319-a885-b208f36fbbe6"
    } ],
    "code" : {
      "text" : "History of Medical Device Use",
      "coding" : [ {
        "code" : "46264-8",
        "display" : "History of Medical Device Use",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Mental Status",
    "text" : {
      "div" : "No data for section Mental Status",
      "status" : "generated"
    },
    "code" : {
      "text" : "Mental Status Narrative",
      "coding" : [ {
        "code" : "10190-7",
        "display" : "Mental Status Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Payers",
    "text" : {
      "div" : "No data for section Payers",
      "status" : "generated"
    },
    "code" : {
      "text" : "Payment Sources Narrative",
      "coding" : [ {
        "code" : "48768-6",
        "display" : "Payment Sources Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Procedures",
    "text" : {
      "div" : "\n                  <table border=\"1\" width=\"100%\">\n                     <thead>\n                        <tr>\n                           <th>Procedures</th>\n                           <th>Date</th>\n                           <th>Status</th>\n                        </tr>\n                     </thead>\n                     <tbody>\n                        <tr>\n                           <td>Bronchoscopy</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>completed</td>\n                        </tr>\n                        <tr>\n                           <td>Chest X-Ray, PA and Lateral Views</td>\n                           <td>06/22/2015 12:00AM UTC</td>\n                           <td>completed</td>\n                        </tr>\n                        <tr>\n                           <td>Introduction of cardiac pacemaker system via vein</td>\n                           <td>10/05/2011 12:00AM UTC</td>\n                           <td>completed</td>\n                        </tr>\n                     </tbody>\n                  </table>\n               ",
      "status" : "generated"
    },
    "extension" : [ {
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    "entry" : [ {
      "reference" : "urn:uuid:e6f51902-ed1d-4c9c-1ea0-7700f99456e5"
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      "reference" : "urn:uuid:62584a0a-793c-4846-e92d-7f2a7a2bce7f"
    }, {
      "reference" : "urn:uuid:3d6268e8-ea91-1319-a885-b208f36fbbe6"
    } ],
    "code" : {
      "text" : "History of Procedures Document",
      "coding" : [ {
        "code" : "47519-4",
        "display" : "History of Procedures Document",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Hospital Course",
    "text" : {
      "div" : "Ms. Rebecca Larson is a 45 year old female with a history of Hypertension, Hypothyroidism, Iron\ndeficiency and is a recipient of Renal Allograft is admitted on 6/22/2015 at 10 am EST to Community\nHealth and Hospitals with history of intermittent fever for 2 days. The patient disclosed history of\nnausea, loose stools and weakness. She was found to have Anemia secondary to iron deficiency and\nCKD. After conducting multiple tests and administering necessary medications, the patient was\ndischarged to Ambulatory facility to follow up with immunosuppression as an out-patient. The\ncondition of the patient at discharge was stable, with controlled blood sugar levels and a pain score\nbelow 3. Additional follow up instructions have been provided to the patient. ",
      "status" : "generated"
    },
    "code" : {
      "text" : "Hospital course Narrative",
      "coding" : [ {
        "code" : "8648-8",
        "display" : "Hospital course Narrative",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Assesments",
    "text" : {
      "div" : "The patient was found to have Anemia and Dr Seven and his staff diagnosed\nthe condition and treated Ms Rebecca for Anemia during the 2 day stay at\nCommunity Health Hospitals. Ms Rebecca recovered from Anemia during\nthe stay and is being discharged in a stable condition. If there is fever\ngreater than 101.5 F or onset of chest pain/breathlessness the patient is\nadvised to contact emergency",
      "status" : "generated"
    },
    "code" : {
      "text" : "Assessments",
      "coding" : [ {
        "code" : "51848-0",
        "display" : "Assessments",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Procedures Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Henry Seven - 06/22/2015 12:00AM UTC</caption>Dr Seven examined Ms Rebecca Larson and found that the pacemaker is operating properly and the\nbreathlessness is due to high fever and anxiety.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:21a0e458-6891-f769-1633-a3c149edb9db"
    } ],
    "code" : {
      "text" : "Procedures Note",
      "coding" : [ {
        "code" : "28570-0",
        "display" : "Procedures Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "History And Physical Notes",
    "text" : {
      "div" : "No data for section History And Physical Notes",
      "status" : "generated"
    },
    "code" : {
      "text" : "History And Physical Note",
      "coding" : [ {
        "code" : "34117-2",
        "display" : "History And Physical Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Consultation Notes",
    "text" : {
      "div" : "No data for section Consultation Notes",
      "status" : "generated"
    },
    "code" : {
      "text" : "Consultation note",
      "coding" : [ {
        "code" : "11488-4",
        "display" : "Consultation note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Progress Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Henry Seven - 06/22/2015 12:00AM UTC</caption>Ms Rebecca Larson got admitted due to developing high fever and since has shown considerable\nimprovement and can be discharged shortly.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:c3780ee7-514b-dc3c-91bb-2d376bd486f7"
    } ],
    "code" : {
      "text" : "Progress Note",
      "coding" : [ {
        "code" : "11506-3",
        "display" : "Progress Note",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Plan of treatment",
    "text" : {
      "div" : "i. Schedule an appointment with Dr Seven after 1 week for Follow up with\nOutpatient facility for Immunosuppressive therapy.",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:6d63ac66-6837-748d-8c31-d06338e86647"
    } ],
    "code" : {
      "text" : "Plan of treatment",
      "coding" : [ {
        "code" : "18776-5",
        "display" : "Plan of treatment",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Health Concerns",
    "text" : {
      "div" : "a. Chronic Sickness exhibited by patient\nb. HealthCare Concerns refer to underlying clinical facts\ni. Documented HyperTension problem\nii. Documented HypoThyroidism problem\niii. Watch Weight of patient\niv. Documented Anemia problem",
      "status" : "generated"
    },
    "code" : {
      "text" : "Health Concerns",
      "coding" : [ {
        "code" : "75310-3",
        "display" : "Health Concerns",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Laboratory Notes",
    "text" : {
      "div" : "\n                  <paragraph>\n                     <caption>Henry Seven - 06/22/2015 12:00AM UTC</caption>Ms Rebecca Larson was tested for the Urinanalysis macro panel and CBC and the results have been\nfound to be normal.</paragraph>\n               ",
      "status" : "generated"
    },
    "entry" : [ {
      "reference" : "urn:uuid:759dff78-ea64-297e-c79d-a5993b72ed59"
    } ],
    "code" : {
      "text" : "Laboratory Report",
      "coding" : [ {
        "code" : "11502-2",
        "display" : "Laboratory Report",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Discharge Instructions",
    "text" : {
      "div" : "a. Diet: Diabetic low salt diet\nb. Medications: Take prescribed medications as advised.\nc. Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up\nwith Outpatient facility for Immunosuppression treatment.\nd. For Fever of &gt; 101.5 F, or onset of chest pain/breathlessness contact Emergency.",
      "status" : "generated"
    },
    "code" : {
      "text" : "Discharge instructions",
      "coding" : [ {
        "code" : "8653-8",
        "display" : "Discharge instructions",
        "system" : "http://loinc.org"
      } ]
    }
  }, {
    "title" : "Discharge Summary",
    "text" : {
      "div" : "No data for section Discharge Summary",
      "status" : "generated"
    },
    "code" : {
      "text" : "Discharge Summary",
      "coding" : [ {
        "code" : "18842-5",
        "display" : "Discharge Summary",
        "system" : "http://loinc.org"
      } ]
    }
  } ],
  "type" : {
    "text" : "Summarization of Episode Note",
    "coding" : [ {
      "code" : "34133-9",
      "display" : "Summarization of Episode Note",
      "system" : "http://loinc.org"
    } ]
  },
  "resourceType" : "Composition",
  "title" : "Summarization of Episode Note",
  "author" : [ {
    "reference" : "urn:uuid:ada42cdd-ed1d-da17-4de7-267d7a3ffef6"
  } ],
  "custodian" : {
    "reference" : "urn:uuid:63f4567c-487e-bf07-1867-f4b907251f43"
  },
  "status" : "final",
  "id" : "ee05e1da-df1b-7f7e-166c-e182e1d39f86",
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

Patient/patient

{
  "address" : [ {
    "line" : [ "1357 Amber Dr" ],
    "use" : "home",
    "city" : "Beaverton",
    "state" : "OR",
    "postalCode" : "97006",
    "country" : "USA"
  } ],
  "name" : [ {
    "given" : [ "Rebecca", "Jones" ],
    "family" : "Larson",
    "use" : "official"
  }, {
    "given" : [ "Robin", "Jones" ],
    "family" : "Larson",
    "use" : "old"
  } ],
  "birthDate" : "1970-05-01",
  "resourceType" : "Patient",
  "extension" : [ {
    "extension" : [ {
      "valueCoding" : {
        "code" : "2106-3",
        "display" : "White",
        "system" : "urn:oid:2.16.840.1.113883.6.238"
      },
      "url" : "ombCategory"
    }, {
      "valueCoding" : {
        "code" : "2108-9",
        "display" : "White European",
        "system" : "urn:oid:2.16.840.1.113883.6.238"
      },
      "url" : "detailed"
    } ],
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race"
  }, {
    "valueCoding" : {
      "code" : "2186-5",
      "display" : "Not Hispanic or Latino",
      "system" : "urn:oid:2.16.840.1.113883.6.238"
    },
    "url" : "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity"
  } ],
  "communication" : [ {
    "language" : {
      "coding" : [ {
        "code" : "en",
        "display" : "en",
        "system" : "urn:oid:"
      } ]
    },
    "preferred" : true
  } ],
  "id" : "patient",
  "telecom" : [ {
    "system" : "phone",
    "value" : "+1-555-777-1234",
    "use" : "mobile"
  }, {
    "system" : "phone",
    "value" : "+1-555-723-1544",
    "use" : "home"
  } ],
  "gender" : "female",
  "maritalStatus" : {
    "coding" : [ {
      "code" : "UNK",
      "display" : "Unknown",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus"
    } ]
  }
}

PractitionerRole/1d4a6865-54a5-63fb-0b62-203037254391

{
  "practitioner" : {
    "reference" : "urn:uuid:48a2209a-478c-fa48-2e15-51e323854be3"
  },
  "id" : "1d4a6865-54a5-63fb-0b62-203037254391",
  "organization" : {
    "reference" : "urn:uuid:63f4567c-487e-bf07-1867-f4b907251f43"
  },
  "resourceType" : "PractitionerRole",
  "period" : {
    "start" : "2015-06-22"
  }
}

Encounter/07edd8a4-d933-6a04-c81b-3f9bd5a8ed81

{
  "period" : {
    "start" : "2015-06-22",
    "end" : "2015-06-24"
  },
  "resourceType" : "Encounter",
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "AMB",
    "display" : "AMB"
  },
  "id" : "07edd8a4-d933-6a04-c81b-3f9bd5a8ed81",
  "participant" : [ {
    "individual" : {
      "reference" : "urn:uuid:ada42cdd-ed1d-da17-4de7-267d7a3ffef6"
    }
  }, {
    "individual" : {
      "reference" : "urn:uuid:cf44ec5a-c00d-e99d-1645-d044281d1151"
    }
  } ]
}

Medications (9 entries)

Medications List
Medication Timing Route Freq Dose
Tylenol 500mg ~ Oral Oral, as needed, 1 unit 1
Aranesp 0.5 MG/ML ~ Injection Injectable, once a week, 1 unit 1
Clindamycin 300mg 06/23/2015 12:00AM UTC - 06/30/2015 12:00AM UTC Oral Oral, three times daily, 1 unit 1
Torsemide 20mg 06/23/2015 12:00AM UTC - 06/30/2015 12:00AM UTC Oral Oral, daily, 1 unit 1
FenoFibric Acid 35 mg 06/24/2015 12:00AM UTC - 07/04/2015 12:00AM UTC Oral At the hour of sleep 1
Mycophenolic Acid 360mg 06/24/2015 12:00AM UTC - 06/27/2015 12:00AM UTC Oral Oral, two times daily, 1 unit 1
Everolimus 0.5mg 06/24/2015 12:00AM UTC - 07/20/2015 12:00AM UTC Oral Oral, two times daily, 1 unit 1
Ciprofloxacin 250mg 06/24/2015 12:00AM UTC - 07/24/2015 12:00AM UTC Oral Oral, three times daily, 1 unit 1
Ceftriaxone 100 MG/ML ~ Injection ~ 1
Administered Medications
Medication Date Route Dose
No records

MedicationStatement/5a789ca4-7f48-4d27-4fda-72650448fd30

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Everolimus 0.5mg",
    "coding" : [ {
      "code" : "977434",
      "display" : "Everolimus 0.5mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "5a789ca4-7f48-4d27-4fda-72650448fd30",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, two times daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "effectivePeriod" : {
    "start" : "2015-06-24",
    "end" : "2015-07-20"
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/83c904e0-564f-a456-b740-961dd52ca76a

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Mycophenolic Acid 360mg",
    "coding" : [ {
      "code" : "485023",
      "display" : "Mycophenolic Acid 360mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "83c904e0-564f-a456-b740-961dd52ca76a",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, two times daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "effectivePeriod" : {
    "start" : "2015-06-24",
    "end" : "2015-06-27"
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/1d29419f-8015-b19c-8b1f-f6c4be327837

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Tylenol 500mg",
    "coding" : [ {
      "code" : "209459",
      "display" : "Tylenol 500mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "1d29419f-8015-b19c-8b1f-f6c4be327837",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, as needed, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/d0a69d4d-a77c-d4db-b991-62847fc881f4

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Aranesp 0.5 MG/ML",
    "coding" : [ {
      "code" : "731241",
      "display" : "Aranesp 0.5 MG/ML",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "d0a69d4d-a77c-d4db-b991-62847fc881f4",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Injection",
      "coding" : [ {
        "code" : "C38276",
        "display" : "Injection",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Injectable, once a week, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/b270d9fa-a4d7-fdff-20f0-edc8ce118f62

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Ciprofloxacin 250mg",
    "coding" : [ {
      "code" : "197511",
      "display" : "Ciprofloxacin 250mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "b270d9fa-a4d7-fdff-20f0-edc8ce118f62",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, three times daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "effectivePeriod" : {
    "start" : "2015-06-24",
    "end" : "2015-07-24"
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/74f7d1c1-3744-1d28-c6ac-63e33107dbc1

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "FenoFibric Acid 35 mg",
    "coding" : [ {
      "code" : "860886",
      "display" : "FenoFibric Acid 35 mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "74f7d1c1-3744-1d28-c6ac-63e33107dbc1",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "At the hour of sleep",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "effectivePeriod" : {
    "start" : "2015-06-24",
    "end" : "2015-07-04"
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/10951dcd-7b2a-645e-b455-89125db8c249

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Ceftriaxone 100 MG/ML",
    "coding" : [ {
      "code" : "309090",
      "display" : "Ceftriaxone 100 MG/ML",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "10951dcd-7b2a-645e-b455-89125db8c249",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Injection",
      "coding" : [ {
        "code" : "C38276",
        "display" : "Injection",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/d9f5ff93-557f-e20d-1717-339350fa8573

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Clindamycin 300mg",
    "coding" : [ {
      "code" : "284215",
      "display" : "Clindamycin 300mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "d9f5ff93-557f-e20d-1717-339350fa8573",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, three times daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
      }
    } ],
    "asNeededBoolean" : true
  } ],
  "effectivePeriod" : {
    "start" : "2015-06-23",
    "end" : "2015-06-30"
  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
}

MedicationStatement/51994ad8-eeb7-5aef-5ff8-0999b809bd08

{
  "resourceType" : "MedicationStatement",
  "medicationCodeableConcept" : {
    "text" : "Torsemide 20mg",
    "coding" : [ {
      "code" : "198371",
      "display" : "Torsemide 20mg",
      "system" : "http://www.nlm.nih.gov/research/umls/rxnorm"
    } ]
  },
  "id" : "51994ad8-eeb7-5aef-5ff8-0999b809bd08",
  "status" : "active",
  "dosage" : [ {
    "route" : {
      "text" : "Oral",
      "coding" : [ {
        "code" : "C38288",
        "display" : "Oral",
        "system" : "http://ncithesaurus-stage.nci.nih.gov"
      } ]
    },
    "text" : "Oral, daily, 1 unit",
    "doseAndRate" : [ {
      "doseQuantity" : {
        "value" : 1.0
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    "asNeededBoolean" : true
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  "effectivePeriod" : {
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Problems (6 entries)

Active Problems
Problem Noted Date Diagnosed Date
Severe hypothyroidism 12/31/2006 12:00AM UTC ~
Chronic rejection of renal transplant 12/31/2011 12:00AM UTC ~
Iron deficiency anemia 06/22/2015 12:00AM UTC ~
Interstitial pneumonia 06/22/2015 12:00AM UTC ~
Essential hypertension 05/10/2015 12:00AM UTC ~
Resolved Problems
Problem Noted Date Diagnosed Date Resolved Date
Overweight 12/31/2006 12:00AM UTC ~ 06/01/2007 12:00AM UTC

Condition/7740e669-ed03-fd4a-a5c1-94f71e3a3679

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Condition/a7ff5e25-3fbb-eb1b-7ff1-80be1cfcf2a3

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Condition/646bbecc-42ea-b60b-3f73-85b07ccd3f57

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  },
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Condition/96ded1d1-7fe4-e744-3c79-e8c7366d6075

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  },
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Condition/79624cdf-12eb-942f-034e-2d084de3b67f

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  },
  "onsetDateTime" : "2006-12-31",
  "abatementDateTime" : "2007-06-01",
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Condition/51c647e9-fe88-fc17-9c59-7b9e80aa144f

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Goals (0 entries)

a. Need to gain more energy to do regular activities. b. Negotiated Goal to keep Body Temperature at 98-99 degrees Fahrenheit with regular monitoring

Results (2 entries)

Urinanalysis macro (dipstick) panel, No performer ID, No Lab, No Lab Address
Code Value Date
Color of urine YELLOW 06/22/2015 12:00AM UTC
Appearance of urine CLEAR 06/22/2015 12:00AM UTC
Specific gravity of urine by test strip 1.015 1 06/22/2015 12:00AM UTC
pH of Urine by Test strip 5.0 [pH] 06/22/2015 12:00AM UTC
Glucose [Mass/volume] in urine by test strip 50 mg/dL 06/22/2015 12:00AM UTC
Ketones [Mass/Volume] in urine by test strip Negative 06/22/2015 12:00AM UTC
Protein [Mass/Volume] in urine by test strip 100 mg/dL 06/22/2015 12:00AM UTC
CBC, No performer ID, No Lab, No Lab Address
Code Value Date
HGB 10.2 g/dL 06/22/2015 12:00AM UTC
WBC 12.3 10*3/uL 06/22/2015 12:00AM UTC
PLT 123 10*3/ul 06/22/2015 12:00AM UTC
Everolimus Blood 10 ng/mL 06/22/2015 12:00AM UTC

Observation/d584d35d-72a6-c23c-bbb4-52fd3527c1e4

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Observation/b326c75f-a458-370b-51d9-217751f7c66b

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Social History (2 entries)

Element Date Value
Tobacco smoking status NHIS 06/22/2015 12:00AM UTC Current every day smoker
Sex Assigned At Birth ~ Female

Observation/86c0580c-ee2e-70be-2664-ac9d50c89aae

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Observation/98f0cb44-e7cc-135f-2005-3489c60656e3

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    "text" : "Tobacco smoking status NHIS",
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Vital Signs (9 entries)

Vital sign Date Value and units
Blood Pressure Systolic 06/22/2015 3:08PM UTC 145 mm[Hg]
Blood Pressure Diastolic 06/22/2015 3:08PM UTC 88 mm[Hg]
Heart Rate 06/22/2015 3:10PM UTC 80 /min
Body Temperature 06/22/2015 3:15PM UTC 38 Cel
Respiratory Rate 06/22/2015 3:15PM UTC 18 /min
O2 % BldC Oximetry 06/22/2015 3:12PM UTC 95 %
Inhaled Oxygen Concentration 06/22/2015 3:12PM UTC 36 %
Weight 06/22/2015 3:05PM UTC 88 kg
Height 06/22/2015 3:05PM UTC 177 cm
BMI ~ ~
Head Occipital Circumference ~ ~

Observation/15b8f969-61e4-2fc0-cb69-15681e436b91

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Observation/23314b89-9e8f-585a-3657-55172c993cff

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Observation/53736391-0171-91b8-44be-e65e4f71432d

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  "valueQuantity" : {
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  "issued" : "2015-06-22T00:00:00Z",
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Observation/e4d0d986-62db-1dac-7352-2a60f367589b

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  "valueQuantity" : {
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  "issued" : "2015-06-22T00:00:00Z",
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Observation/0a8bdbbc-9522-b556-b81f-b0445f663d69

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Observation/2fbe1166-7cca-53e8-0012-f4f49cb480b5

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Observation/d3c1d944-0c3b-923d-bf73-edd2c76e5864

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  "valueQuantity" : {
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    "text" : "Blood Pressure Diastolic",
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  },
  "issued" : "2015-06-22T00:00:00Z",
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Observation/69c21bb0-c013-826e-18fd-34c1050aa2e4

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Observation/4a67b1f7-e4b2-0569-a40f-18b636cfc295

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  "code" : {
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  "issued" : "2015-06-22T00:00:00Z",
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Allergies and Intolerances (2 entries)

Type Substance Onset Reactions Status
allergy Ampicillin 05/10/1980 12:00AM UTC 05/10/1980 12:00AM UTC - Hives - moderate active
N/A Penicillin G 05/10/1980 12:00AM UTC 05/10/1980 12:00AM UTC - Hives - moderate active

AllergyIntolerance/ce1c9378-522a-8ba6-9bcc-dd57604ed893

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    "fhir/value" : "food"
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  "criticality" : "high",
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      "coding" : [ {
        "code" : "CONC",
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    "url" : "http://onc.org/allergy-act-code"
  } ],
  "recordedDate" : "1980-05-10",
  "id" : "ce1c9378-522a-8ba6-9bcc-dd57604ed893",
  "code" : {
    "text" : "Ampicillin",
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      "code" : "733",
      "display" : "Ampicillin",
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  },
  "onsetDateTime" : "1980-05-10",
  "reaction" : [ {
    "manifestation" : [ {
      "text" : "Hives",
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        "code" : "247472004",
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    } ],
    "onset" : "1980-05-10",
    "severity" : "moderate"
  } ]
}

AllergyIntolerance/8d92fb85-a24c-9a8d-8e3a-d609c203bbbd

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  "criticality" : "unable-to-assess",
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  "recordedDate" : "1980-05-10",
  "id" : "8d92fb85-a24c-9a8d-8e3a-d609c203bbbd",
  "code" : {
    "text" : "Penicillin G",
    "coding" : [ {
      "code" : "7980",
      "display" : "Penicillin G",
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  },
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      } ]
    } ],
    "onset" : "1980-05-10",
    "severity" : "moderate"
  } ]
}

Encounters (0 entries)

Date Type Department CareTeam Description
No records

Functional Status (0 entries)

No data for section Functional Status

Immunizations (2 entries)

Vaccine Date Status Lot Notes
Tetanus and diphtheria toxoids 01/04/2012 12:00AM UTC completed N/A Immunization was not given - Patient rejected immunization
Influenza, intradermal, quadrivalent, preservative-free 06/22/2015 12:00AM UTC not-done No Lot number provided Immunization was not given - Patient rejected immunization

Immunization/928d8642-b6f0-9aa4-63bc-0ade244ff102

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  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
  },
  "vaccineCode" : {
    "text" : "Tetanus and diphtheria toxoids",
    "coding" : [ {
      "code" : "106",
      "display" : "Tetanus and diphtheria toxoids",
      "system" : "http://hl7.org/fhir/sid/cvx"
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  },
  "resourceType" : "Immunization",
  "primarySource" : false,
  "status" : "completed",
  "id" : "928d8642-b6f0-9aa4-63bc-0ade244ff102",
  "lotNumber" : "N/A",
  "occurrenceDateTime" : "2012-01-04"
}

Immunization/1a0a96d2-b799-60f0-ff7b-5ed21f916529

{
  "patient" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  },
  "meta" : {
    "profile" : [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-immunization" ]
  },
  "vaccineCode" : {
    "text" : "Influenza, intradermal, quadrivalent, preservative-free",
    "coding" : [ {
      "code" : "166",
      "display" : "Influenza, intradermal, quadrivalent, preservative-free",
      "system" : "http://hl7.org/fhir/sid/cvx"
    } ]
  },
  "statusReason" : {
    "text" : "patient objection",
    "coding" : [ {
      "code" : "PATOBJ",
      "display" : "patient objection",
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason"
    } ]
  },
  "resourceType" : "Immunization",
  "primarySource" : false,
  "status" : "not-done",
  "id" : "1a0a96d2-b799-60f0-ff7b-5ed21f916529",
  "lotNumber" : "No Lot number provided",
  "occurrenceDateTime" : "2015-06-22"
}

Medical Equipment (1 entries)

ID Assigning Auth Code Date
(01)00643169007222(17)160128(21)BLC200461H FDA Cardiac resynchronization therapy implantable pacemaker 10/05/2011 12:00AM UTC

Procedure/1ab0b7c4-55ac-127a-ce21-c25338f1e377

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      "reference" : "urn:uuid:96367297-2eac-9b27-bf43-6b5071a1b82f"
    },
    "action" : {
      "text" : "Cardiac resynchronization therapy implantable pacemaker",
      "coding" : [ {
        "code" : "704708004",
        "display" : "Cardiac resynchronization therapy implantable pacemaker",
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  "status" : "completed",
  "id" : "1ab0b7c4-55ac-127a-ce21-c25338f1e377",
  "performedDateTime" : "2011-10-05T00:00:00Z",
  "code" : {
    "text" : "Introduction of cardiac pacemaker system via vein",
    "coding" : [ {
      "code" : "175135009",
      "display" : "Introduction of cardiac pacemaker system via vein",
      "system" : "http://snomed.info/sct"
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  },
  "bodySite" : [ {
    "text" : "Structure of subclavian vein",
    "coding" : [ {
      "code" : "9454009",
      "display" : "Structure of subclavian vein",
      "system" : "http://snomed.info/sct"
    } ]
  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
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Mental Status (0 entries)

No data for section Mental Status

Payers (0 entries)

No data for section Payers

Procedures (3 entries)

Procedures Date Status
Bronchoscopy 06/22/2015 12:00AM UTC completed
Chest X-Ray, PA and Lateral Views 06/22/2015 12:00AM UTC completed
Introduction of cardiac pacemaker system via vein 10/05/2011 12:00AM UTC completed

Procedure/1ab0b7c4-55ac-127a-ce21-c25338f1e377

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  "performedDateTime" : "2011-10-05T00:00:00Z",
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    "text" : "Introduction of cardiac pacemaker system via vein",
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  },
  "bodySite" : [ {
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  } ],
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
  }
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Procedure/8985bf1f-fba5-a0f5-24f0-35afad2854fa

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  "status" : "completed",
  "id" : "8985bf1f-fba5-a0f5-24f0-35afad2854fa",
  "code" : {
    "text" : "Bronchoscopy",
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      "code" : "10847001",
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  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
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Procedure/ae257d95-22f4-a228-cb43-efb5a0e0c1ed

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  "code" : {
    "text" : "Chest X-Ray, PA and Lateral Views",
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  },
  "subject" : {
    "reference" : "urn:uuid:9f8231b9-aa93-0d4b-04a7-44e76a7a0a5b"
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Hospital Course (0 entries)

Ms. Rebecca Larson is a 45 year old female with a history of Hypertension, Hypothyroidism, Iron deficiency and is a recipient of Renal Allograft is admitted on 6/22/2015 at 10 am EST to Community Health and Hospitals with history of intermittent fever for 2 days. The patient disclosed history of nausea, loose stools and weakness. She was found to have Anemia secondary to iron deficiency and CKD. After conducting multiple tests and administering necessary medications, the patient was discharged to Ambulatory facility to follow up with immunosuppression as an out-patient. The condition of the patient at discharge was stable, with controlled blood sugar levels and a pain score below 3. Additional follow up instructions have been provided to the patient.

Assesments (0 entries)

The patient was found to have Anemia and Dr Seven and his staff diagnosed the condition and treated Ms Rebecca for Anemia during the 2 day stay at Community Health Hospitals. Ms Rebecca recovered from Anemia during the stay and is being discharged in a stable condition. If there is fever greater than 101.5 F or onset of chest pain/breathlessness the patient is advised to contact emergency

Procedures Notes (1 entries)

Henry Seven - 06/22/2015 12:00AM UTCDr Seven examined Ms Rebecca Larson and found that the pacemaker is operating properly and the breathlessness is due to high fever and anxiety.

Observation/8b0eb636-db07-05d6-232d-14e6f14bb259

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  "note" : [ {
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History And Physical Notes (0 entries)

No data for section History And Physical Notes

Consultation Notes (0 entries)

No data for section Consultation Notes

Progress Notes (1 entries)

Henry Seven - 06/22/2015 12:00AM UTCMs Rebecca Larson got admitted due to developing high fever and since has shown considerable improvement and can be discharged shortly.

Observation/85db410f-2083-f426-0cac-8e69fcc6fa42

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  "note" : [ {
    "text" : "Ms Rebecca Larson got admitted due to developing high fever and since has shown considerable\nimprovement and can be discharged shortly."
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  "resourceType" : "Observation",
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Plan of treatment (1 entries)

i. Schedule an appointment with Dr Seven after 1 week for Follow up with Outpatient facility for Immunosuppressive therapy.

Observation/6af0f406-49fb-6b27-5566-fe8e85e1c0b8

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  "id" : "6af0f406-49fb-6b27-5566-fe8e85e1c0b8",
  "code" : {
    "text" : "Urinanalysis macro (dipstick) panel",
    "coding" : [ {
      "code" : "24356-8",
      "display" : "Urinanalysis macro (dipstick) panel",
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Health Concerns (0 entries)

a. Chronic Sickness exhibited by patient b. HealthCare Concerns refer to underlying clinical facts i. Documented HyperTension problem ii. Documented HypoThyroidism problem iii. Watch Weight of patient iv. Documented Anemia problem

Laboratory Notes (1 entries)

Henry Seven - 06/22/2015 12:00AM UTCMs Rebecca Larson was tested for the Urinanalysis macro panel and CBC and the results have been found to be normal.

Observation/a7c25cd7-2698-7b7c-ce39-f1c2a46cc640

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  "note" : [ {
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  "resourceType" : "Observation",
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Discharge Instructions (0 entries)

a. Diet: Diabetic low salt diet b. Medications: Take prescribed medications as advised. c. Appointments: Schedule an appointment with Dr Seven after 1 week. Follow up with Outpatient facility for Immunosuppression treatment. d. For Fever of > 101.5 F, or onset of chest pain/breathlessness contact Emergency.

Discharge Summary (0 entries)

No data for section Discharge Summary