{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Encounter", "id": "1", "status": "unknown", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": [{"coding": [{"system": "http://snomed.info/sct", "code": "410620009", "display": "Well child visit (procedure)"}], "text": "Well child visit (procedure)"}], "subject": {"reference": "Patient/1", "display": "Derick Jed Lemke"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF", "display": "primary performer"}], "text": "primary performer"}], "period": {"start": "2021-11-17T02:37:00+01:00", "end": "2021-11-17T02:52:53+01:00"}, "individual": {"reference": "Practitioner/2", "display": "Dr. Carlota Bravo"}}], "period": {"start": "2021-11-17T02:37:00+01:00", "end": "2021-11-17T02:52:53+01:00"}, "serviceProvider": {"reference": "Organization/1", "display": "GARDNER FAMILY MEDICINE INC"}}}, {"resource": {"resourceType": "Encounter", "id": "2", "status": "finished", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": null, "subject": {"reference": "Patient/1", "display": "Derick Jed Lemke"}, "participant": null, "period": null, "reasonCode": [{"coding": [{"system": "http://snomed.info/sct", "code": "10509002", "display": "Acute bronchitis (disorder)"}]}], "serviceProvider": null}}, {"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Lemke", "given": ["Derick", "Jed"]}], "telecom": null, "gender": null, "birthDate": null, "address": null, "maritalStatus": null, "multipleBirthBoolean": false, "communication": null}}, {"resource": {"resourceType": "Immunization", "id": "1", "status": "unknown", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "140", "display": "Influenza, seasonal, injectable, preservative free"}], "text": "Influenza, seasonal, injectable, preservative free"}, "patient": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/1"}, "occurrenceDateTime": null, "primarySource": null, "occurrenceString": "2021-11-17T02:37:00+01:00"}}, {"resource": {"resourceType": "Immunization", "id": "2", "status": "unknown", "vaccineCode": {"coding": [{"system": "http://hl7.org/fhir/sid/cvx", "code": "62", "display": "HPV, quadrivalent"}], "text": "HPV, quadrivalent"}, "patient": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/1"}, "occurrenceDateTime": null, "primarySource": true, "occurrenceString": "2021-11-17T02:37:00+01:00"}}, {"resource": {"resourceType": "Organization", "id": "1", "active": true, "type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/organization-type", "code": "prov", "display": "Healthcare Provider"}], "text": "Healthcare Provider"}], "name": "GARDNER FAMILY MEDICINE INC", "telecom": [{"system": "phone", "value": "9786303862"}], "address": null}}, {"resource": {"resourceType": "Organization", "id": "2", "active": true, "type": null, "name": null, "telecom": [{"system": "phone", "value": "9786323420"}], "address": null}}, {"resource": {"resourceType": "Practitioner", "id": "2", "active": true, "name": [{"family": "Bravo", "given": ["Carlota"], "prefix": ["Dr."]}], "telecom": [{"system": "email", "value": "Carlota980.Bravo546@example.com", "use": "work"}], "address": null, "gender": "female"}}, {"resource": {"resourceType": "Practitioner", "id": "1", "active": null, "name": [{"family": "Bashirian", "given": ["Rayford"], "prefix": ["Dr."]}], "telecom": null, "address": null, "gender": "male"}}]}
Clinical Note:

- Patient: Mr. Derick Jed Lemke had a well child visit at GARDNER FAMILY MEDICINE INC on the 17th of November, 2021 from 02:37 AM to 02:52 AM (Central European Standard Time). The visit was overseen by Dr. Carlota Bravo as the primary performer.

- Mr. Lemke also had another visit that has been concluded. The reason for this visit was acute bronchitis.

- Information about his birth reveals that he is not a part of multiple births.

- During the well child visit on the 17th of November, 2021 at 02:37 AM (Central European Standard Time), Mr. Lemke received two immunizations:
  - The first one was a seasonal influenza shot that is injectable and free of preservatives.
  - The second immunization was a quadrivalent HPV vaccine.

- The healthcare organization handling Mr. Lemke's care is GARDNER FAMILY MEDICINE INC. They are an active healthcare provider and you can reach them at this phone number: 9786303862.  
  - Dr. Carlota Bravo, female, is a part of their team. You can reach her on her work email, Carlota980.Bravo546@example.com.

- Dr. Rayford Bashirian is another practitioner available. He is a male.

Note: Dr. Bravo and Dr. Bashirian are both active practitioners. 

(Special Note: This clinical note has been generated from health-related data of Mr. Lemke, coded using the HL7 FHIR R4 standard, without mentioning any identifiers.)
Clinical Note:

- Patient: XXXXXXX. XXXXXXXXXXXXXX had a well child visit at XXXXXXXXXXXXXX on the XXXXX from XXXXX to XXXXX (XXXXXXX XXXXXXX XXXXXXX). The visit was overseen by Dr. XXXXXXX as the primary performer.

- XXXXXXX. XXXXXXX also had another visit that has been concluded. The reason for this visit was acute bronchitis.

- Information about XXXXXXX birth reveals that XXXXXXX is not a part of multiple births.

- During the well child visit on the XXXXX at XXXXX (XXXXXXX), XXXXXXX. XXXXXXX received two immunizations:
  - The first one was a seasonal influenza shot that is injectable and free of preservatives.
  - The second immunization was a quadrivalent HPV vaccine.

- The healthcare organization handling XXXXXXX. XXXXXXX's care is XXXXXXXXXXXXXX. They are an active healthcare provider and you can reach them at this phone number: XXXXXXX.  
  - Dr. XXXXXXX, XXXXXXX, is a part of their team. You can reach XXXXXXX on XXXXXXX work email, XXXXXXXta980.XXXXXXX546@example.com.

- Dr. XXXXXXX is another practitioner available. XXXXXXX is a XXXXXXX.

Note: Dr. XXXXXXX and Dr. XXXXXXX are both active practitioners. 

(Special Note: This clinical note has been generated from health-related data of XXXXXXX. XXXXXXX, coded using the HL7 FHIR R4 standard, without mentioning any identifiers.)