{
  "type": "collection",
  "entry": [
    {
      "fullUrl": "urn:uuid:801940bd-75c9-472b-a88a-20dacca24597",
      "resource": {
        "id": "801940bd-75c9-472b-a88a-20dacca24597",
        "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": "WINTHROP COMM HEALTH CENTER",
        "resourceType": "Organization"
      }
    },
    {
      "fullUrl": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74",
      "resource": {
        "id": "f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74",
        "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": "Boston",
              "state": "MA",
              "country": "US"
            }
          },
          {
            "url": "http://hl7.org/fhir/StructureDefinition/patient-mothersMaidenName",
            "valueString": "Clarence956 O'Connell539"
          },
          {
            "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": "Damon260 Johnson873"
            }
          },
          {
            "url": "http://standardhealthrecord.org/fhir/StructureDefinition/shr-demographics-SocialSecurityNumber-extension",
            "valueString": "999-42-2098"
          }
        ],
        "identifier": [
          {
            "system": "https://github.com/synthetichealth/synthea",
            "value": "078a1f16-21d3-45fb-95b7-142d9e057094"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/identifier-type",
                  "code": "SB"
                }
              ]
            },
            "system": "http://hl7.org/fhir/sid/us-ssn",
            "value": "999422098"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "DL"
                }
              ]
            },
            "system": "urn:oid:2.16.840.1.113883.4.3.25",
            "value": "S99948668"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "PPN"
                }
              ]
            },
            "system": "http://standardhealthrecord.org/fhir/StructureDefinition/passportNumber",
            "value": "X48204650X"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/v2/0203",
                  "code": "MR"
                }
              ]
            },
            "system": "http://hospital.smarthealthit.org",
            "value": "078a1f16-21d3-45fb-95b7-142d9e057094"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Johnson873",
            "given": [
              "Tommy122"
            ],
            "prefix": [
              "Ms."
            ]
          }
        ],
        "telecom": [
          {
            "system": "phone",
            "value": "1-340-982-5865",
            "use": "home"
          }
        ],
        "gender": "female",
        "birthDate": "1947-03-18",
        "deceasedDateTime": "2003-01-02T20:39:44+00:00",
        "address": [
          {
            "extension": [
              {
                "extension": [
                  {
                    "url": "latitude",
                    "valueDecimal": 42.32594544647134
                  },
                  {
                    "url": "longitude",
                    "valueDecimal": -70.93742357908008
                  }
                ],
                "url": "http://hl7.org/fhir/StructureDefinition/geolocation"
              }
            ],
            "line": [
              "14375 Mellie Keys",
              "Suite 700"
            ],
            "city": "Boston",
            "state": "MA",
            "postalCode": "02124",
            "country": "US"
          }
        ],
        "maritalStatus": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/v3/MaritalStatus",
              "code": "S"
            }
          ],
          "text": "S"
        },
        "multipleBirthBoolean": false,
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/ValueSet/languages",
                  "code": "en-US",
                  "display": "English (United States)"
                }
              ]
            }
          }
        ],
        "generalPractitioner": [
          {
            "reference": "urn:uuid:801940bd-75c9-472b-a88a-20dacca24597"
          }
        ],
        "resourceType": "Patient"
      }
    },
    {
      "fullUrl": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea",
      "resource": {
        "id": "7ac63908-36ae-4575-9e8f-f6ede8f49cea",
        "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:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "period": {
          "start": "2003-01-02T20:39:44+00:00",
          "end": "2003-01-02T20:54:44+00:00"
        },
        "serviceProvider": {
          "reference": "urn:uuid:801940bd-75c9-472b-a88a-20dacca24597"
        },
        "resourceType": "Encounter"
      }
    },
    {
      "fullUrl": "urn:uuid:8f764be5-c8e4-46a7-9117-8c095e577a6e",
      "resource": {
        "id": "8f764be5-c8e4-46a7-9117-8c095e577a6e",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "38341003",
              "display": "Hypertension"
            }
          ],
          "text": "Hypertension"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1965-07-14T06:47:53+00:00",
        "assertedDate": "1965-07-14",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:a2feaf4e-9878-4db1-b146-3504cc11260e",
      "resource": {
        "id": "a2feaf4e-9878-4db1-b146-3504cc11260e",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "40055000",
              "display": "Chronic sinusitis (disorder)"
            }
          ],
          "text": "Chronic sinusitis (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1969-11-25T21:54:59+00:00",
        "assertedDate": "1969-11-26",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e",
      "resource": {
        "id": "484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "44054006",
              "display": "Diabetes"
            }
          ],
          "text": "Diabetes"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1970-10-22T05:05:44+00:00",
        "assertedDate": "1970-10-22",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:6091c0b5-71ba-4798-9abd-7a5900a9e574",
      "resource": {
        "id": "6091c0b5-71ba-4798-9abd-7a5900a9e574",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "422034002",
              "display": "Diabetic retinopathy associated with type II diabetes mellitus (disorder)"
            }
          ],
          "text": "Diabetic retinopathy associated with type II diabetes mellitus (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1995-07-11T06:01:47+00:00",
        "assertedDate": "1995-07-11",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:5ae8c3f9-15aa-4362-8d6e-9c7d3d752f83",
      "resource": {
        "id": "5ae8c3f9-15aa-4362-8d6e-9c7d3d752f83",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "1551000119108",
              "display": "Nonproliferative diabetic retinopathy due to type 2 diabetes mellitus (disorder)"
            }
          ],
          "text": "Nonproliferative diabetic retinopathy due to type 2 diabetes mellitus (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1995-07-11T06:01:47+00:00",
        "assertedDate": "1995-07-11",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:92c123e5-d558-4292-a415-af0bde4c0687",
      "resource": {
        "id": "92c123e5-d558-4292-a415-af0bde4c0687",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "162573006",
              "display": "Suspected lung cancer (situation)"
            }
          ],
          "text": "Suspected lung cancer (situation)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1997-12-13T02:27:00+00:00",
        "assertedDate": "1997-12-13",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:174b299a-cf2e-4994-8ad0-211a6f1f1f78",
      "resource": {
        "id": "174b299a-cf2e-4994-8ad0-211a6f1f1f78",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "254637007",
              "display": "Non-small cell lung cancer (disorder)"
            }
          ],
          "text": "Non-small cell lung cancer (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1997-12-26T11:03:29+00:00",
        "assertedDate": "1997-12-26",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:0c05d317-f00f-4e3a-a86f-d225be5afde9",
      "resource": {
        "id": "0c05d317-f00f-4e3a-a86f-d225be5afde9",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "424132000",
              "display": "Non-small cell carcinoma of lung, TNM stage 1 (disorder)"
            }
          ],
          "text": "Non-small cell carcinoma of lung, TNM stage 1 (disorder)"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "1997-12-27T21:31:11+00:00",
        "assertedDate": "1997-12-28",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61",
      "resource": {
        "id": "9af9e671-7a0e-4535-847d-7bb771279f61",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-problem-Problem"
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "53741008",
              "display": "Coronary Heart Disease"
            }
          ],
          "text": "Coronary Heart Disease"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "onsetDateTime": "2001-02-11T16:44:56+00:00",
        "assertedDate": "2001-02-11",
        "resourceType": "Condition"
      }
    },
    {
      "fullUrl": "urn:uuid:e1bec226-190d-4fb2-92f8-24f116fad234",
      "resource": {
        "id": "e1bec226-190d-4fb2-92f8-24f116fad234",
        "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:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "effectiveDateTime": "2003-01-02T20:39:44+00:00",
        "issued": "2003-01-02T20:39:44+00:00",
        "valueCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "254637007",
              "display": "Non-small cell lung cancer (disorder)"
            }
          ],
          "text": "Non-small cell lung cancer (disorder)"
        },
        "resourceType": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:66b7e263-a68c-4a04-ba03-252412128591",
      "resource": {
        "id": "66b7e263-a68c-4a04-ba03-252412128591",
        "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:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "effectiveDateTime": "2003-01-02T20:39:44+00:00",
        "issued": "2003-01-02T20:39:44+00:00",
        "result": [
          {
            "reference": "urn:uuid:e1bec226-190d-4fb2-92f8-24f116fad234",
            "display": "Cause of Death [US Standard Certificate of Death]"
          }
        ],
        "resourceType": "DiagnosticReport"
      }
    },
    {
      "fullUrl": "urn:uuid:e1abc696-edbc-4fda-b44d-b8583f54fb02",
      "resource": {
        "id": "e1abc696-edbc-4fda-b44d-b8583f54fb02",
        "status": "in-progress",
        "description": {
          "text": "Hemoglobin A1c total in Blood < 7.0"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "Goal"
      }
    },
    {
      "fullUrl": "urn:uuid:29d1ffb0-7531-4d60-bd95-577a7c64d38e",
      "resource": {
        "id": "29d1ffb0-7531-4d60-bd95-577a7c64d38e",
        "status": "in-progress",
        "description": {
          "text": "Glucose [Mass/volume] in Blood < 108"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "Goal"
      }
    },
    {
      "fullUrl": "urn:uuid:cf58a244-d40f-4b15-91b5-69e4da2e6857",
      "resource": {
        "id": "cf58a244-d40f-4b15-91b5-69e4da2e6857",
        "status": "in-progress",
        "description": {
          "text": "Maintain blood pressure below 140/90 mmHg"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "Goal"
      }
    },
    {
      "fullUrl": "urn:uuid:93dac0a5-4197-433f-beaa-1e378b11a8b3",
      "resource": {
        "id": "93dac0a5-4197-433f-beaa-1e378b11a8b3",
        "status": "in-progress",
        "description": {
          "text": "Improve and maintenance of optimal foot health: aim at early detection of peripheral vascular problems and neuropathy presumed due to diabetes; and prevention of diabetic foot ulcer, gangrene"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "Goal"
      }
    },
    {
      "fullUrl": "urn:uuid:f0c1ad30-bc0d-4165-a637-da2dfb07a28a",
      "resource": {
        "id": "f0c1ad30-bc0d-4165-a637-da2dfb07a28a",
        "status": "in-progress",
        "description": {
          "text": "Address patient knowledge deficit on diabetic self-care"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "Goal"
      }
    },
    {
      "resource": {
        "status": "active",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "698360004",
                "display": "Diabetes self management plan"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "period": {
          "start": "1970-10-22"
        },
        "addresses": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "goal": [
          {
            "reference": "urn:uuid:e1abc696-edbc-4fda-b44d-b8583f54fb02"
          },
          {
            "reference": "urn:uuid:29d1ffb0-7531-4d60-bd95-577a7c64d38e"
          },
          {
            "reference": "urn:uuid:cf58a244-d40f-4b15-91b5-69e4da2e6857"
          },
          {
            "reference": "urn:uuid:93dac0a5-4197-433f-beaa-1e378b11a8b3"
          },
          {
            "reference": "urn:uuid:f0c1ad30-bc0d-4165-a637-da2dfb07a28a"
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "160670007",
                    "display": "Diabetic diet"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "229065009",
                    "display": "Exercise therapy"
                  }
                ]
              },
              "status": "in-progress"
            }
          }
        ],
        "resourceType": "CarePlan"
      }
    },
    {
      "resource": {
        "status": "active",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "182964004",
                "display": "Terminal care"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "period": {
          "start": "1997-12-28"
        },
        "addresses": [
          {
            "reference": "urn:uuid:0c05d317-f00f-4e3a-a86f-d225be5afde9"
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "133918004",
                    "display": "Comfort measures"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "408957008",
                    "display": "Chronic pain control management"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "243072006",
                    "display": "Cancer education"
                  }
                ]
              },
              "status": "in-progress"
            }
          }
        ],
        "resourceType": "CarePlan"
      }
    },
    {
      "resource": {
        "status": "active",
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "698358001",
                "display": "Angina self management plan"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "period": {
          "start": "2001-02-11"
        },
        "addresses": [
          {
            "reference": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61"
          }
        ],
        "activity": [
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "229065009",
                    "display": "Exercise therapy"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "detail": {
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "226060000",
                    "display": "Stress management"
                  }
                ]
              },
              "status": "in-progress"
            }
          },
          {
            "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": "226234005",
                    "display": "Healthy diet"
                  }
                ]
              },
              "status": "in-progress"
            }
          }
        ],
        "resourceType": "CarePlan"
      }
    },
    {
      "fullUrl": "urn:uuid:ab936ab2-1083-4c3a-9f7f-2833e55f770b",
      "resource": {
        "id": "ab936ab2-1083-4c3a-9f7f-2833e55f770b",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "834060",
              "display": "Penicillin V Potassium 250 MG"
            }
          ],
          "text": "Penicillin V Potassium 250 MG"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:74c17349-2006-4afe-816a-62403b3d5307",
      "resource": {
        "id": "74c17349-2006-4afe-816a-62403b3d5307",
        "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:ab936ab2-1083-4c3a-9f7f-2833e55f770b"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "1955-05-19",
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:b181ba13-2314-4121-b7ad-e4c6e1b8bde1",
      "resource": {
        "id": "b181ba13-2314-4121-b7ad-e4c6e1b8bde1",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "860975",
              "display": "24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet"
            }
          ],
          "text": "24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:b1751326-092f-4ae4-847f-e171aee4639d",
      "resource": {
        "id": "b1751326-092f-4ae4-847f-e171aee4639d",
        "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:b181ba13-2314-4121-b7ad-e4c6e1b8bde1"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "1983-05-16",
        "reasonReference": [
          {
            "reference": "urn:uuid:484c3e53-2ef9-4b80-b5e3-36d4f0b58c5e"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:4f49f468-4cb4-4983-b4a2-49dee29f739b",
      "resource": {
        "id": "4f49f468-4cb4-4983-b4a2-49dee29f739b",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "309362",
              "display": "Clopidogrel 75 MG Oral Tablet"
            }
          ],
          "text": "Clopidogrel 75 MG Oral Tablet"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:83b777cb-f79e-4d7e-947a-353202232d9e",
      "resource": {
        "id": "83b777cb-f79e-4d7e-947a-353202232d9e",
        "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:4f49f468-4cb4-4983-b4a2-49dee29f739b"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "2001-02-11",
        "reasonReference": [
          {
            "reference": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:df565683-bd22-4d52-9ad5-e3fbc5898c2c",
      "resource": {
        "id": "df565683-bd22-4d52-9ad5-e3fbc5898c2c",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "312961",
              "display": "Simvastatin 20 MG Oral Tablet"
            }
          ],
          "text": "Simvastatin 20 MG Oral Tablet"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:0b99d14a-f1bd-4358-8de5-0ff850ddcde5",
      "resource": {
        "id": "0b99d14a-f1bd-4358-8de5-0ff850ddcde5",
        "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:df565683-bd22-4d52-9ad5-e3fbc5898c2c"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "2001-02-11",
        "reasonReference": [
          {
            "reference": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:b818c5c1-7f07-4e9e-a8c6-de3368e39ecf",
      "resource": {
        "id": "b818c5c1-7f07-4e9e-a8c6-de3368e39ecf",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "197361",
              "display": "Amlodipine 5 MG Oral Tablet"
            }
          ],
          "text": "Amlodipine 5 MG Oral Tablet"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:ef461ee7-8389-494c-98e5-dc40eae35316",
      "resource": {
        "id": "ef461ee7-8389-494c-98e5-dc40eae35316",
        "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:b818c5c1-7f07-4e9e-a8c6-de3368e39ecf"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "2001-02-11",
        "reasonReference": [
          {
            "reference": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:d0088002-c533-473a-b4f3-473ebb5d7154",
      "resource": {
        "id": "d0088002-c533-473a-b4f3-473ebb5d7154",
        "meta": {
          "profile": [
            "http://standardhealthrecord.org/fhir/StructureDefinition/shr-medication-Medication"
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "564666",
              "display": "Nitroglycerin 0.4 MG/ACTUAT [Nitrolingual]"
            }
          ],
          "text": "Nitroglycerin 0.4 MG/ACTUAT [Nitrolingual]"
        },
        "resourceType": "Medication"
      }
    },
    {
      "fullUrl": "urn:uuid:0ee8461c-3682-4929-a1f7-c077dc8ee7b2",
      "resource": {
        "id": "0ee8461c-3682-4929-a1f7-c077dc8ee7b2",
        "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:d0088002-c533-473a-b4f3-473ebb5d7154"
        },
        "subject": {
          "reference": "urn:uuid:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "context": {
          "reference": "urn:uuid:7ac63908-36ae-4575-9e8f-f6ede8f49cea"
        },
        "authoredOn": "2001-02-11",
        "reasonReference": [
          {
            "reference": "urn:uuid:9af9e671-7a0e-4535-847d-7bb771279f61"
          }
        ],
        "resourceType": "MedicationRequest"
      }
    },
    {
      "fullUrl": "urn:uuid:4c309edf-85e1-409b-a6cf-2bbfb8c5d76a",
      "resource": {
        "id": "4c309edf-85e1-409b-a6cf-2bbfb8c5d76a",
        "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:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "effectiveDateTime": "2017-09-18T08:07:09+00:00",
        "issued": "2017-09-18T08:07:09+00:00",
        "valueQuantity": {
          "value": 50.554491747388894,
          "unit": "years",
          "system": "http://unitsofmeasure.org/",
          "code": "years"
        },
        "resourceType": "Observation"
      }
    },
    {
      "fullUrl": "urn:uuid:cd058b03-2653-4a2a-b69c-e57ca963d220",
      "resource": {
        "id": "cd058b03-2653-4a2a-b69c-e57ca963d220",
        "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:f0142ca2-f005-4e9e-ae8f-48cc3a4a1f74"
        },
        "effectiveDateTime": "2017-09-18T08:07:09+00:00",
        "issued": "2017-09-18T08:07:09+00:00",
        "valueQuantity": {
          "value": 37.49200825261111,
          "unit": "years",
          "system": "http://unitsofmeasure.org/",
          "code": "years"
        },
        "resourceType": "Observation"
      }
    }
  ],
  "resourceType": "Bundle"
}