{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"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/2"}, "occurrenceDateTime": null, "primarySource": null, "occurrenceString": "2018-08-18"}}, {"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Walker", "given": ["Karrie", "Carma"], "prefix": ["Mrs."]}, {"use": "maiden", "family": "Ratke", "given": ["Karrie", "Carma"], "prefix": ["Mrs."]}], "telecom": null, "gender": "female", "birthDate": null, "address": null, "maritalStatus": null, "multipleBirthBoolean": false, "communication": [{"language": {"coding": [{"system": "urn:ietf:bcp:47", "code": "en-US", "display": "English (United States)"}], "text": "English (United States)"}}]}}, {"resource": {"resourceType": "Encounter", "id": "1", "status": "finished", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "EMER"}, "type": [{"coding": [{"system": "http://snomed.info/sct", "code": "185347001", "display": "Encounter for problem"}], "text": "Encounter for problem"}], "subject": {"reference": "Patient/1", "display": "Mrs. Karrie Carma Walker"}, "participant": [{"type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType", "code": "PPRF", "display": "primary performer"}], "text": "primary performer"}], "period": {"start": "2012-05-22T05:28:39+02:00", "end": "2012-05-29T00:28:39+02:00"}, "individual": {"reference": "Practitioner/1", "display": "Dr. Christopher Fisher"}}], "period": {"start": "2012-05-22T05:28:39+02:00", "end": "2012-05-29T00:28:39+02:00"}, "reasonCode": null, "hospitalization": {"dischargeDisposition": {"coding": [{"system": "http://www.nubc.org/patient-discharge", "code": "1", "display": "Discharge to home"}], "text": "Discharge to home"}}, "serviceProvider": {"reference": "Organization/2", "display": "HUNT NURSING & REHAB CENTER"}}}, {"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": "Mrs. Karrie Carma Walker"}, "participant": null, "period": {"start": "2018-08-18T05:28:39+02:00", "end": "2018-08-18T05:59:07+02:00"}, "serviceProvider": null}}, {"resource": {"resourceType": "Organization", "id": "2", "active": null, "type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/organization-type", "code": "prov", "display": "Healthcare Provider"}], "text": "Healthcare Provider"}], "name": "HUNT NURSING & REHAB CENTER", "telecom": [{"system": "phone", "value": "9787773740"}], "address": [{"line": ["90 LINDALL STREET"], "city": "DANVERS", "state": "MA", "postalCode": "019232125", "country": "US"}]}}, {"resource": {"resourceType": "Organization", "id": "1", "active": null, "type": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/organization-type", "code": "prov", "display": "Healthcare Provider"}], "text": "Healthcare Provider"}], "name": "FAMILY MEDICINE ASSOCIATES LLC", "telecom": [{"system": "phone", "value": "9874687381"}], "address": [{"line": ["15 RAILROAD AVE"], "city": "TOPSFIELD", "state": "MA", "postalCode": "01983", "country": "US"}]}}, {"resource": {"resourceType": "Observation", "id": "3", "status": "unknown", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "32623-1", "display": "Platelet mean volume [Entitic volume] in Blood by Automated count"}], "text": "Platelet mean volume [Entitic volume] in Blood by Automated count"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": null, "issued": null, "valueQuantity": {"value": 9.8984, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL"}}}, {"resource": {"resourceType": "Observation", "id": "2", "status": "unknown", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "49765-1", "display": "Calcium [Mass/volume] in Blood"}], "text": "Calcium [Mass/volume] in Blood"}, "subject": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/2"}, "effectiveDateTime": null, "issued": null, "valueQuantity": null}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "final", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "8867-4", "display": "Heart rate"}], "text": "Heart rate"}, "subject": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/2"}, "effectiveDateTime": "2018-08-18T05:28:39+02:00", "issued": null, "valueQuantity": {"value": 93, "unit": "/min", "system": "http://unitsofmeasure.org", "code": "/min"}}}]}
Clinical Note:

On the 18th of August 2018 at 05:28:39 GMT+02:00, Mrs. Karrie Carma Walker, had an out-patient visit. The treatment administered was an influenza seasonal vaccine, injectable and preservative free. 

During this visit, her heart rate was measured, showing a value of 93 beats per minute. 

Mrs. Walker is fluent in English, ascertained from her official language of communication. 

Prior to this encounter in August 2018, Mrs. Walker had a visit on 22nd May 2012 at 05:28:39 GMT+02:00, which ended on 29th May 2012 at 00:28:39 GMT+02:00. It was an emergency-related encounter for a problem that took place at the HUNT NURSING & REHAB CENTER located in Danvers, Massachusetts. This healthcenter can be contacted via a phone on 9787773740. The center holds the status of a healthcare provider. She was the primary focus by a prominent performer, Dr. Christopher Fisher, during her stay there. The discharge from the hospital was planned for her to return home.

Apart from this, significant lab results were noted. The mean volume of her platelets, measured by automated count, was 9.8984 femtoliters. Unspecified observations related to calcium content by mass/volume in her blood were also made.

Relevant notes about the health care providers were recollected. Mrs. Walker was previously under the care of FAMILY MEDICINE ASSOCIATES LLC, another health care provider situated in Topsfield, Massachusetts, reachable at 9874687381.

All of these observations were made and the data entered without any placeholders or imputation.

Clinical Note:

On the XXXXX at XXXXXGMT+XXXXX, XXXXXXX. XXXXXXXXXXXXXX, had an out-patient visit. The treatment administered was an influenza seasonal vaccine, injectable and preservative free. 

During this visit, XXXXXXX heart rate was measured, showing a value of 93 beats per minute. 

XXXXXXX. XXXXXXX is fluent in English, ascertained from XXXXXXX official language of communication. 

Prior to this encounter in August 2018, XXXXXXX. XXXXXXX had a visit on XXXXX at XXXXXGMT+XXXXX, which ended on XXXXX at XXXXXGMT+XXXXX. It was an emergency-related encounter for a problem that took place at the HUNXXXXXXX XXXXXXX CENTER located in XXXXXXX, XXXXXXX. This healthcenter can be contacted via a phone on XXXXXXX. The center holds the status of a healthcare provider. XXXXXXX was the primary focus by a prominent performer, Dr. XXXXXXX, during XXXXXXX stay there. The discharge from the hospital was planned for XXXXXXX to return home.

Apart from this, significant lab results were noted. The mean volume of XXXXXXX platelets, measured by automated count, was 9.8984 femtoliters. Unspecified observations related to calcium content by mass/volume in XXXXXXX blood were also made.

Relevant notes about the health care providers were recollected. XXXXXXX. XXXXXXX was previously under the care of XXXXXXXXXXXXXX, another health care provider situated in XXXXXXX, XXXXXXX, reachable at XXXXXXX.

All of these observations were made and the data entered without any placeholders or imputation.
