{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "McDermott", "given": ["Vince", "Lanny"], "prefix": ["Mr."]}], "telecom": null, "gender": "male", "birthDate": null, "address": null, "maritalStatus": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code": "M", "display": "Married"}], "text": "Married"}, "multipleBirthBoolean": null, "communication": null}}, {"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": "185347001", "display": "Encounter for problem (procedure)"}], "text": "Encounter for problem (procedure)"}], "subject": {"reference": "Patient/1", "display": "Mr. Vince Lanny McDermott"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF", "display": "primary performer"}], "text": "primary performer"}], "period": {"start": "2020-03-07T06:14:54+01:00", "end": "2020-03-07T06:29:54+01:00"}, "individual": {"reference": "Practitioner/1", "display": "Dr. Maryann Hintz"}}], "period": {"start": "2020-03-07T06:14:54+01:00", "end": "2020-03-07T06:29:54+01:00"}, "reasonCode": [{"coding": [{"system": "http://snomed.info/sct", "code": "431857002", "display": "Chronic kidney disease stage 4 (disorder)"}]}], "serviceProvider": {"reference": "Organization/1", "display": "BERKSHIRE MEDICAL CENTER INC - 1"}}}, {"resource": {"resourceType": "Encounter", "id": "2", "status": "finished", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": [{"coding": [{"system": "http://snomed.info/sct", "code": "185347001", "display": "Encounter for problem (procedure)"}], "text": "Encounter for problem (procedure)"}], "subject": {"reference": "Patient/1", "display": "Mr. Vince Lanny McDermott"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF", "display": "primary performer"}], "text": "primary performer"}], "period": {"start": "2023-09-20T09:13:54+02:00", "end": "2023-09-20T12:33:54+02:00"}, "individual": {"reference": "Practitioner/1", "display": "Dr. Maryann Hintz"}}], "period": null, "reasonCode": [{"coding": [{"system": "http://snomed.info/sct", "code": "46177005", "display": "End-stage renal disease (disorder)"}]}], "serviceProvider": {"reference": "Organization/1", "display": "BERKSHIRE MEDICAL CENTER INC - 1"}}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "unknown", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "20565-8", "display": "Carbon dioxide, total [Moles/volume] in Blood"}], "text": "Carbon dioxide, total [Moles/volume] in Blood"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": null, "issued": "2020-08-16T01:59:54.300+02:00", "valueQuantity": {"value": 25.8, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L"}}}]}
Mr. Vince Lanny McDermott, a married male, had an encounter with Dr. Maryann Hintz at the BERKSHIRE MEDICAL CENTER INC - 1 for the problem of Chronic kidney disease stage 4 on 7th March 2020 beginning at 06:14:54 and ending at 06:29:54 (timezone +01:00). His medical status was unknown at the time. 

Mr. McDermott had another encounter with Dr. Maryann Hintz at the same medical center for End-stage renal disease. This took place on 20th September 2023 from 09:13:54 until 12:33:54 (timezone +02:00), at which point the encounter had finished.

On 16th August 2020 at 01:59:54 (timezone +02:00), an observation was made on his blood's carbon dioxide levels, which measured 25.8 mmol/L. However, it was unknown at the time what this meant for his overall health.

XXXXXXX. XXXXXXXXXXXXXX, a married XXXXXXX, had an encounter with Dr. XXXXXXX at the XXXXXXXXXXXXXX XXXXXXX CENTER XXXXXXXC - XXXXXXX for the problem of Chronic kidney disease stage 4 on XXXXX beginning at XXXXXand ending at XXXXX(timezone +XXXXX). XXXXXXX medical status was unknown at the time. 

XXXXXXX. XXXXXXX had another encounter with Dr. XXXXXXX at the same medical center for End-stage renal disease. This took place on XXXXX from XXXXXuntil XXXXX(timezone +XXXXX), at which point the encounter had finished.

On XXXXX at XXXXX(timezone +XXXXX), an observation was made on XXXXXXX blood's carbon dioxide levels, which measured 25.8 mmol/L. However, it was unknown at the time what this meant for XXXXXXX overall health.
