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{
"resourceType": "Bundle",
"type": "document",
"entry": [
{
"resource": {
"resourceType": "Composition",
"id": "978a95c6-248e-49d1-b5dd-7c13282bd938",
"language": "en-US",
"status": "final",
"type": {
"coding": [
{
"system": "http://loinc.org",
"code": "34133-9",
"display": "Summarization of Episode Note"
}
],
"text": "Summarization of Episode Note"
},
"author": [
{
"display": "Medplum"
}
],
"date": "2025-01-01T00:00:00-05:00",
"title": "Medical Summary",
"section": [
{
"title": "Procedures",
"code": {
"coding": [
{
"system": "http://loinc.org",
"code": "47519-4",
"display": "HISTORY OF PROCEDURES"
}
],
"text": "HISTORY OF PROCEDURES"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><thead><tr><th>Description</th><th>Date and Time (Range)</th><th>Status</th></tr></thead><tbody><tr ID=\"Procedure2\"><td ID=\"ProcedureDesc2\">Electrocardiogram (12-Lead)</td><td>29 Mar 2014 09:15am</td><td>Completed</td></tr></tbody></table></div>"
},
"entry": [
{
"reference": "Observation/c03e5445-af1b-4911-a419-e2782f21448c",
"display": "12 lead electrocardiogram"
}
]
}
]
}
},
{
"resource": {
"resourceType": "Patient",
"id": "d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"identifier": [
{
"system": "http://hl7.org/fhir/sid/us-ssn",
"value": "111223333"
}
],
"name": [
{
"use": "official",
"family": "Madison",
"given": [
"Katherine"
]
}
]
}
},
{
"resource": {
"resourceType": "Observation",
"id": "c03e5445-af1b-4911-a419-e2782f21448c",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "exam",
"display": "Procedure Activity Observation"
}
],
"text": "Procedure Activity Observation"
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "268400002",
"display": "12 lead electrocardiogram"
}
],
"text": "12 lead electrocardiogram"
},
"subject": {
"reference": "Patient/d7830f15-e2c8-4cee-aa2d-a24b36080d53",
"display": "Katherine Madison"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "251135002",
"display": "Borderline normal electrocardiogram"
}
],
"text": "Borderline normal electrocardiogram"
},
"effectiveDateTime": "2014-03-29T09:15:22-05:00",
"extension": [
{
"url": "https://medplum.com/fhir/StructureDefinition/ccda-narrative-reference",
"valueString": "#Procedure2"
}
]
}
}
]
}