{"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": null, "subject": {"reference": "Patient/1", "display": "Mrs. Helene Dion Kovacek"}, "participant": null, "period": null, "reasonCode": null, "serviceProvider": null}}, {"resource": {"resourceType": "Encounter", "id": "2", "status": "unknown", "class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB"}, "type": null, "subject": {"reference": "Patient/1", "display": "Mrs. Helene Dion Kovacek"}, "participant": null, "period": null, "reasonCode": null, "serviceProvider": null}}, {"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Kovacek", "given": ["Helene", "Dion"], "prefix": ["Mrs."]}, {"use": "maiden", "family": "Hermiston", "given": ["Helene", "Dion"], "prefix": ["Mrs."]}], "telecom": null, "gender": null, "birthDate": null, "address": [{"line": ["251 McGlynn Bay"], "city": "Falmouth", "state": "Massachusetts", "postalCode": "02540", "country": "US"}], "maritalStatus": null, "multipleBirthBoolean": null, "communication": null}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "final", "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory"}]}], "code": {"coding": [{"system": "http://loinc.org", "code": "787-2", "display": "MCV [Entitic volume] by Automated count"}], "text": "MCV [Entitic volume] by Automated count"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": "2017-09-20T06:45:37+02:00", "issued": null, "valueQuantity": {"value": 90.01, "unit": "fL", "system": "http://unitsofmeasure.org", "code": "fL"}}}, {"resource": {"resourceType": "Observation", "id": "4", "status": "final", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "8302-2", "display": "Body Height"}], "text": "Body Height"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": null, "issued": "2023-09-27T06:45:37.889+02:00", "valueQuantity": {"value": 161.4, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm"}}}, {"resource": {"resourceType": "Observation", "id": "3", "status": "unknown", "category": [{"coding": [{"system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory"}]}], "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": "2017-09-20T06:45:37.889+02:00", "valueQuantity": null}}, {"resource": {"resourceType": "Observation", "id": "2", "status": "final", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "39156-5", "display": "Body mass index (BMI) [Ratio]"}], "text": "Body mass index (BMI) [Ratio]"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": null, "issued": null, "valueQuantity": null}}]}
Clinical Note:

Mrs. Helene Dion Kovacek, officially known as Helene Dion Kovacek (maiden name: Hermiston) resides at 251 McGlynn Bay, Falmouth, Massachusetts, 02540, USA. She had two encounters of which the nature is yet unknown. It was recorded in an ambulatory capacity.

On the 20th of September 2017 at 06:45:37 +02:00, Mrs. Kovacek undertook a laboratory test where her MCV (Mean Corpuscular Volume) was measured. The MCV, a value indicating the average volume of red blood cells, was determined by automated count to be 90.01 femtoliters (fL). 

On the 27th of September 2023 at 06:45:37.889 +02:00, her height was measured and recorded at 161.4 cm. 

There were also additional observations conducted. Unfortunately, the specific status and results of these observations remain unknown. One observation included assessing the Platelet Mean Volume (PMV) in her blood using an automated count. This measurement helps in evaluating the average volume of platelets in the blood. 

Moreover, her Body Mass Index (BMI), a key ratio of weight to height, has been calculated but the specific values remain undisclosed. The BMI helps in assessing a person's body size and whether it falls within a healthy range. 

This integrates all the data from this set of clinical encounters.

Clinical Note:

XXXXXXX. XXXXXXX, officially known as XXXXXXX (maiden name: XXXXXXX) resides at 251 XXXXXXX, XXXXXXX, XXXXXXX, 02540, USA. XXXXXXX had two encounters of which the nature is yet unknown. It was recorded in an ambulatory capacity.

On the XXXXX at XXXXX+XXXXX, XXXXXXX. XXXXXXX undertook a laboratory test where XXXXXXX MCV (Mean Corpuscular Volume) was measured. The MCV, a value indicating the average volume of red blood cells, was determined by automated count to be 90.01 femtoliters (fL). 

On the XXXXX at XXXXX.889 +XXXXX, XXXXXXX height was measured and recorded at 161.4 cm. 

There were also additional observations conducted. Unfortunately, the specific status and results of these observations remain unknown. One observation included assessing the Platelet Mean Volume (PMV) in XXXXXXX blood using an automated count. This measurement helps in evaluating the average volume of platelets in the blood. 

Moreover, XXXXXXX Body Mass Index (BMI), a key ratio of weight to height, has been calculated but the specific values remain undisclosed. The BMI helps in assessing a person's body size and whether it falls within a healthy range. 

This integrates all the data from this set of clinical encounters.
