{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "MacGyver", "given": ["Celina", "Gilma"], "prefix": ["Ms."]}], "telecom": [{"system": "phone", "value": "555-331-9412", "use": "home"}], "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": "2015-07-12T13:43:55+02:00"}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "final", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "72166-2", "display": "Tobacco smoking status"}], "text": "Tobacco smoking status"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": "2020-07-26T13:43:55+02:00", "issued": null, "valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct", "code": "266919005", "display": "Never smoked tobacco (finding)"}], "text": "Never smoked tobacco (finding)"}}}, {"resource": {"resourceType": "Observation", "id": "2", "status": "final", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "85354-9", "display": "Blood pressure panel with all children optional"}], "text": "Blood pressure panel with all children optional"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": "2016-07-17T13:43:55+02:00", "issued": "2016-07-17T13:43:55.541+02:00", "component": [{"code": {"coding": [{"system": "http://loinc.org", "code": "8462-4", "display": "Diastolic Blood Pressure"}], "text": "Diastolic Blood Pressure"}, "valueQuantity": {"value": 77, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]"}}, {"code": {"coding": [{"system": "http://loinc.org", "code": "8480-6", "display": "Systolic Blood Pressure"}], "text": "Systolic Blood Pressure"}, "valueQuantity": {"value": 115, "unit": "mm[Hg]", "system": "http://unitsofmeasure.org", "code": "mm[Hg]"}}]}}, {"resource": {"resourceType": "Condition", "id": "1", "clinicalStatus": null, "verificationStatus": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed"}]}, "code": {"coding": [{"system": "http://snomed.info/sct", "code": "160968000", "display": "Risk activity involvement (finding)"}], "text": "Risk activity involvement (finding)"}, "subject": {"reference": "Patient/1"}, "encounter": {"reference": "Encounter/1"}, "onsetDateTime": "2015-07-12T14:24:48+02:00", "recordedDate": null}}]}
Clinical Note:

Patient Ms. Celina Gilma MacGyver prefers to be contacted at home via phone number 555-331-9412. It is noteworthy that she is a single birth individual.

There is an unknown status regarding an immunization administered to her on 12th of July, 2015 at 13:43:55, Central European Summer Time (CEST). This was a seasonal Influenza injectable vaccine, administered without preservatives.

Four observations were made about Ms. MacGyver's health status recently. First, as of 26th of July, 2020 at the time of 13:43:55 (CEST), it was confirmed that she has never smoked tobacco, which is indeed a beneficial factor considering health risk factors. 

The second observation involves her blood pressure, which was taken on 17th of July, 2016 at 13:43:55 (CEST). Her diastolic blood pressure was recorded at 77 mmHg, and her systolic blood pressure read at 115 mmHg. These figures are well within the normal range, indicating no apparent issues with her cardiovascular health at that time.

Finally, an essential finding was made on the 12th of July, 2015, at approximately 14:24:48 (CEST). Ms. MacGyver had been found to have involvement in risk activities. This could potentially lead to health implications in the future, hence should be monitored closely moving forward.
Clinical Note:

Patient XXXXXXX. XXXXXXXXXXXXXX prefers to be contacted at home via phone number XXXXXXX. It is noteworthy that XXXXXXX is a single birth individual.

There is an unknown status regarding an immunization administered to XXXXXXX on XXXXX at XXXXX, Central European Summer Time (CEST). This was a seasonal Influenza injectable vaccine, administered without preservatives.

Four observations were made about XXXXXXX. XXXXXXX's health status recently. First, as of XXXXX at the time of XXXXX(CEST), it was confirmed that XXXXXXX has never smoked tobacco, which is indeed a beneficial factor considering health risk factors. 

The second observation involves XXXXXXX blood pressure, which was taken on XXXXX at XXXXX(CEST). XXXXXXX diastolic blood pressure was recorded at 77 mmHg, and XXXXXXX systolic blood pressure read at 115 mmHg. These figures are well within the normal range, indicating no apparent issues with XXXXXXX cardiovascular health at that time.

Finally, an essential finding was made on the XXXXX, at approximately XXXXX(CEST). XXXXXXX. XXXXXXX had been found to have involvement in risk activities. This could potentially lead to health implications in the future, hence should be monitored closely moving forward.