{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Quitzon", "given": ["Kiesha", "Keely"], "prefix": ["Mrs."]}, {"use": "maiden", "family": "Moen", "given": null, "prefix": ["Mrs."]}], "telecom": [{"system": "phone", "value": "555-971-7387", "use": "home"}], "gender": "female", "birthDate": "1977-01-07", "address": [{"line": null, "city": "Stoneham", "state": "Massachusetts", "postalCode": "02180", "country": "US"}], "maritalStatus": null, "multipleBirthBoolean": false, "communication": null}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "final", "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs", "display": "Vital signs"}]}], "code": {"coding": [{"system": "http://loinc.org", "code": "8867-4", "display": "Heart rate"}], "text": "Heart rate"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": "2018-04-20T14:09:38+02:00", "issued": null, "valueQuantity": null}}]}
Clinical Note:

Patient: Mrs. Kiesha Keely Quitzon, born Jan 7, 1977. Formerly known as Mrs. Moen. Female. Lives in Stoneham, Massachusetts, 02180, US. Contact number - Home: 555-971-7387. No twins or triplets.

Medical update: Final observation was on April 20, 2018 at 14:09:38 (UTC +02:00). Vital signs checked, specifically heart rate.
Clinical Note:

Patient: XXXXXXX. XXXXXXXXXXXXXXXXXXXXX, born Jan 7, 1977. Formerly known as XXXXXXX. XXXXXXX. XXXXXXX. Lives in XXXXXXX, XXXXXXX, 02180, US. Contact number - Home: XXXXXXX. No twins or triplets.

Medical update: Final observation was on XXXXX at XXXXX(UTC +XXXXX). Vital signs checked, specifically heart rate.