{"resourceType": "Bundle", "id": "1", "type": "collection", "entry": [{"resource": {"resourceType": "Patient", "id": "1", "name": [{"use": "official", "family": "Kutch", "given": ["Darrick", "Shannon"]}], "telecom": null, "gender": "male", "birthDate": "2015-09-14", "address": null, "maritalStatus": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-MaritalStatus", "code": "S", "display": "Never Married"}], "text": "Never Married"}, "multipleBirthBoolean": null, "communication": null}}, {"resource": {"resourceType": "Observation", "id": "1", "status": "unknown", "category": null, "code": {"coding": [{"system": "http://loinc.org", "code": "72514-3", "display": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"}], "text": "Pain severity - 0-10 verbal numeric rating [Score] - Reported"}, "subject": {"reference": "Patient/1"}, "effectiveDateTime": null, "issued": null, "valueQuantity": null}}, {"resource": {"resourceType": "Observation", "id": "2", "status": "unknown", "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": null, "issued": "2015-09-14T18:47:53.979+02:00", "valueQuantity": null}}]}
CLINICAL NOTE:

I HAPPENED UPON A MALE PATIENT NAMED DARRICK SHANNON KUTCH, WHO WAS BORN ON SEPTEMBER 14, 2015, MARKING HIM A YOUNG BOY. AS ONE MIGHT EXPECT FROM HIS AGE, HE HAS NEVER MARRIED. 

IN ASSESSING HIS CONDITION, I ATTEMPTED TO UNDERSTAND HIS REPORTED PAIN SEVERITY BASED ON A VERBAL NUMERIC RATING, SCALED FROM ZERO TO TEN. UNFORTUNATELY, THE STATUS OF THIS OBSERVATION REMAINS UNKNOWN. EVIDENTLY, GAINING A CLEAR INDICATION OF PAIN SEVERITY FROM SUCH A YOUNG PATIENT DOES NOT ALWAYS YIELD DEFINITIVE RESULTS.

TO GAIN MORE PHYSIOLOGICAL INSIGHT, I ALSO MONITORED HIS VITAL SIGNS, PRIMARILY FOCUSING ON HIS HEART RATE. AGAIN, THE DEFINITIVE STATUS OF THIS OBSERVATION REMAINS ELUSIVE. PLEASE NOTE THAT THIS PARTICULAR OBSERVATION WAS ATTEMPTED ON SEPTEMBER 14, 2015, AT PRECISELY 18:47:53, CENTRAL EUROPEAN SUMMER TIME. 

IN SUMMATION, WHILST THE NAMED QUERIES REMAIN UNCLEAR AT THIS TIME, FURTHER FOLLOW-UPS ARE ADVISABLE. HOWEVER, DO TAKE INTO ACCOUNT YOUNG KUTCH'S AGE, AS IT COULD POTENTIALLY IMPACT STANDARD READINGS AND INTERPRETATIONS.

RESPECTFULLY DOCUMENTED,

[HEALTHCARE PROFESSIONAL]

CLINICAL NOTE:

I HAPPENED UPON A XXXXXXX PATIENT NAMED DARRIXXXXXXX, WHO WAS BORN ON SEPTEMBER 14, 2015, MARKING XXXXXXX A YOUNG XXXXXXX. AS ONE MIGHT EXPECT FROM XXXXXXX AGE, XXXXXXX HAS NEVER MARRIED. 

IN ASSESSING XXXXXXX CONDITION, I ATTEMPTED TO UNDERSTAND XXXXXXX REPORTED PAIN SEVERITY BASED ON A VERBAL NUMERIC RATING, SCALED FROM ZERO TO TEN. UNFORTUNATELY, THE STATUS OF THIS OBSERVATION REMAINS UNKNOWN. EVIDENTLY, GAINING A CLEAR INDICATION OF PAIN SEVERITY FROM SUCH A YOUNG PATIENT DOES NOT ALWAYS YIELD DEFINITIVE RESULTS.

TO GAIN MORE PHYSIOLOGICAL INSIGHT, I ALSO MONITORED XXXXXXX VITAL SIGNS, PRIMARILY FOCUSING ON XXXXXXX HEART RATE. AGAIN, THE DEFINITIVE STATUS OF THIS OBSERVATION REMAINS ELUSIVE. PLEASE NOTE THAT THIS PARTICULAR OBSERVATION WAS ATTEMPTED ON SEPTEMBER 14, 2015, AT PRECISELY XXXXX, CENTRAL XXXXXXXPEAN SUMMER TIME. 

IN SUMMATION, WHILST THE NAMED QUERIES REMAIN UNCLEAR AT THIS TIME, FURTHER FOLLOW-UPS ARE ADVISABLE. HOWEVER, DO TAKE INTO ACCOUNT YOUNG XXXXXXXCH'S AGE, AS IT COULD POTENTIALLY IMPACT STANDARD READINGS AND INTERPRETATIONS.

RESPECTFULLY DOCUMENTED,

[HEALTHCARE PROFESSIONAL]
