{
  "type": "collection",
  "entry": [
    {
      "fullUrl": "urn:uuid:5c647efa-f469-47c3-99cc-39a16434b828",
      "resource": {
        "id": "5c647efa-f469-47c3-99cc-39a16434b828",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-actor-Organization"
          ]
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/ValueSet/organization-type",
                "code": "prov",
                "display": "Healthcare Provider"
              }
            ],
            "text": "Healthcare Provider"
          }
        ],
        "name": "ANNA JAQUES HOSPITAL AQUATIC REHABI",
        "resourceType": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c",
      "resource": {
        "id": "d746015e-35b1-479c-9d95-54247ed0da2c",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-demographics-PersonOfRecord"
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Generated by <a href=\"https://github.com/synthetichealth/synthea\">Synthea</a>. Version identifier: 164fab4d501414d13774483b93584d802c0010ee</div>"
        },
        "extension": [
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-race",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/Race",
                  "code": "2106-3",
                  "display": "White"
                }
              ],
              "text": "race"
            }
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v3/Ethnicity",
                  "code": "2186-5",
                  "display": "Nonhispanic"
                }
              ],
              "text": "ethnicity"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/birthPlace",
            "valueAddress": {
              "city": "Winthrop Town",
              "state": "MA",
              "country": "US"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Fawn554 Johnston490"
          },
          {
            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-birthsex",
            "valueCode": "F"
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired",
            "valueBoolean": false
          },
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-actor-FictionalPerson-extension",
            "valueBoolean": true
          },
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-demographics-FathersName-extension",
            "valueHumanName": {
              "text": "Waylon618 Bahringer368"
            }
          },
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-demographics-SocialSecurityNumber-extension",
            "valueString": "999-37-4465"
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "8279f5a0-9ca5-4d87-931d-be1862af5867"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/identifier-type",
                  "code": "SB"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999374465"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "DL"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99976158"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "PPN"
                }
              ]
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X58885588X"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "8279f5a0-9ca5-4d87-931d-be1862af5867"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Ortiz174",
            "given": [
              "Madelyn30"
            ],
            "prefix": [
              "Mrs."
            ]
          },
          {
            "use": "maiden",
            "family": "Bahringer368",
            "given": [
              "Madelyn30"
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "122-245-2603 x0616",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1935-03-15",
        "deceasedDateTime": "1986-10-17T02:08:47+00:00",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.802950972403494
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.83397850332457
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "196 Dietrich Knoll",
              "Apt. 375"
            ],
            "city": "Newburyport",
            "state": "MA",
            "postalCode": "01951",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/v3/MaritalStatus",
              "code": "M"
            }
          ],
          "text": "M"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/ValueSet/languages",
                  "code": "en-US",
                  "display": "English (United States)"
                }
              ]
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "urn:uuid:5c647efa-f469-47c3-99cc-39a16434b828"
          }
        ],
        "resourceType": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56",
      "resource": {
        "id": "7960ecfb-96e1-4f1b-bdfc-1e8bd887db56",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-encounter-Encounter"
          ]
        },
        "status": "finished",
        "class": {
          "code": "ambulatory"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "308646001"
              }
            ],
            "text": "Death Certification"
          }
        ],
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "period": {
          "start": "1986-10-17T02:08:47+00:00",
          "end": "1986-10-17T02:23:47+00:00"
        },
        "serviceProvider": {
          "reference": "urn:uuid:5c647efa-f469-47c3-99cc-39a16434b828"
        },
        "resourceType": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:dbd4c9f7-0c0f-4d06-a041-7408c0f94d76",
      "resource": {
        "id": "dbd4c9f7-0c0f-4d06-a041-7408c0f94d76",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "74400008",
              "display": "Appendicitis"
            }
          ],
          "text": "Appendicitis"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "onsetDateTime": "1946-02-12T03:36:05+00:00",
        "assertedDate": "1946-02-12",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:958e1e8d-d398-4aec-b6cd-05b76257ef90",
      "resource": {
        "id": "958e1e8d-d398-4aec-b6cd-05b76257ef90",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "428251008",
              "display": "History of appendectomy"
            }
          ],
          "text": "History of appendectomy"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "onsetDateTime": "1946-02-12T03:36:05+00:00",
        "assertedDate": "1946-02-12",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:b4a26017-4a38-4267-a667-3966078605b0",
      "resource": {
        "id": "b4a26017-4a38-4267-a667-3966078605b0",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "87433001",
              "display": "Pulmonary emphysema (disorder)"
            }
          ],
          "text": "Pulmonary emphysema (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "onsetDateTime": "1958-10-23T19:36:12+00:00",
        "assertedDate": "1958-10-24",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:8eb11272-9a38-41fe-89ed-76e3c869016c",
      "resource": {
        "id": "8eb11272-9a38-41fe-89ed-76e3c869016c",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-observation-Observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/observation-category"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "69453-9",
              "display": "Cause of Death [US Standard Certificate of Death]"
            }
          ],
          "text": "Cause of Death [US Standard Certificate of Death]"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "effectiveDateTime": "1986-10-17T02:08:47+00:00",
        "issued": "1986-10-17T02:08:47+00:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "87433001",
              "display": "Pulmonary emphysema (disorder)"
            }
          ],
          "text": "Pulmonary emphysema (disorder)"
        },
        "resourceType": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:de56be33-2a51-4d16-92a8-a69c2bb49092",
      "resource": {
        "id": "de56be33-2a51-4d16-92a8-a69c2bb49092",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-observation-Panel"
          ]
        },
        "status": "final",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "69409-1",
              "display": "U.S. standard certificate of death - 2003 revision"
            }
          ]
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "effectiveDateTime": "1986-10-17T02:08:47+00:00",
        "issued": "1986-10-17T02:08:47+00:00",
        "result": [
          {
            "reference": "urn:uuid:8eb11272-9a38-41fe-89ed-76e3c869016c",
            "display": "Cause of Death [US Standard Certificate of Death]"
          }
        ],
        "resourceType": "DiagnosticReport"
      }
    },
    {
      "resource": {
        "status": "active",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "412776001",
                "display": "Chronic obstructive pulmonary disease clinical management plan"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "period": {
          "start": "1958-10-24"
        },
        "addresses": [
          {
            "reference": "urn:uuid:b4a26017-4a38-4267-a667-3966078605b0"
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "710081004",
                    "display": "Smoking cessation therapy"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "426990007",
                    "display": "Home oxygen therapy (procedure)"
                  }
                ]
              },
              "status": "in-progress"
            }
          }
        ],
        "resourceType": "CarePlan"
      }
    },
    {
      "fullUrl": "urn:uuid:530376fc-7c79-4884-953c-22abc815e77f",
      "resource": {
        "id": "530376fc-7c79-4884-953c-22abc815e77f",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "1049221",
              "display": "Acetaminophen 325 MG / oxyCODONE Hydrochloride 5 MG Oral Tablet"
            }
          ],
          "text": "Acetaminophen 325 MG / oxyCODONE Hydrochloride 5 MG Oral Tablet"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:f5ffd2a3-ff79-46d8-a97e-4c41698b52df",
      "resource": {
        "id": "f5ffd2a3-ff79-46d8-a97e-4c41698b52df",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-MedicationPrescription"
          ]
        },
        "extension": [
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-ActionCode-extension",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "33633005",
                  "display": "Prescription of drug (procedure)"
                }
              ],
              "text": "Prescription of drug (procedure)"
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "medicationReference": {
          "reference": "urn:uuid:530376fc-7c79-4884-953c-22abc815e77f"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "authoredOn": "1954-04-06",
        "dosageInstruction": [
          {
            "sequence": 1,
            "timing": {
              "repeat": {
                "frequency": 1,
                "period": 6,
                "periodUnit": "h"
              }
            },
            "asNeededBoolean": false,
            "doseQuantity": {
              "value": 1
            }
          }
        ],
        "dispenseRequest": {
          "numberOfRepeatsAllowed": 0,
          "quantity": {
            "value": 56,
            "unit": "doses"
          },
          "expectedSupplyDuration": {
            "value": 2,
            "unit": "weeks",
            "system": "http://unitsofmeasure.org",
            "code": "wk"
          }
        },
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:fe72f18c-e88d-49e8-b00f-01507c8e3b3d",
      "resource": {
        "id": "fe72f18c-e88d-49e8-b00f-01507c8e3b3d",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "896188",
              "display": "Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT [Advair]"
            }
          ],
          "text": "Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT [Advair]"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:6a61ece2-81a3-413a-a9c5-5c11523d7469",
      "resource": {
        "id": "6a61ece2-81a3-413a-a9c5-5c11523d7469",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-MedicationPrescription"
          ]
        },
        "extension": [
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-base-ActionCode-extension",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "33633005",
                  "display": "Prescription of drug (procedure)"
                }
              ],
              "text": "Prescription of drug (procedure)"
            }
          }
        ],
        "status": "active",
        "intent": "order",
        "medicationReference": {
          "reference": "urn:uuid:fe72f18c-e88d-49e8-b00f-01507c8e3b3d"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "context": {
          "reference": "urn:uuid:7960ecfb-96e1-4f1b-bdfc-1e8bd887db56"
        },
        "authoredOn": "1961-11-25",
        "reasonReference": [
          {
            "reference": "urn:uuid:b4a26017-4a38-4267-a667-3966078605b0"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:8ca0f06e-3b74-49c4-97bd-2c333abe3601",
      "resource": {
        "id": "8ca0f06e-3b74-49c4-97bd-2c333abe3601",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-observation-Observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/observation-category",
                "code": "survey"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "273724008",
              "display": "Quality adjusted life years"
            }
          ],
          "text": "Quality adjusted life years"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "effectiveDateTime": "2017-09-18T08:07:09+00:00",
        "issued": "2017-09-18T08:07:09+00:00",
        "valueQuantity": {
          "value": 32.453307128136366,
          "unit": "years",
          "system": "http://unitsofmeasure.org/",
          "code": "years"
        },
        "resourceType": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:ec916947-6e43-4c1b-ab19-82d80c7bf708",
      "resource": {
        "id": "ec916947-6e43-4c1b-ab19-82d80c7bf708",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-observation-Observation"
          ]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/observation-category",
                "code": "survey"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "273421001",
              "display": "Disability rating scale"
            }
          ],
          "text": "Disability rating scale"
        },
        "subject": {
          "reference": "urn:uuid:d746015e-35b1-479c-9d95-54247ed0da2c"
        },
        "effectiveDateTime": "2017-09-18T08:07:09+00:00",
        "issued": "2017-09-18T08:07:09+00:00",
        "valueQuantity": {
          "value": 55.26015287186363,
          "unit": "years",
          "system": "http://unitsofmeasure.org/",
          "code": "years"
        },
        "resourceType": "Observation"
      }
    }
  ],
  "resourceType": "Bundle"
}