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        ],
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "39937",
              "display": "Cholecalciferol"
            }
          ],
          "text": "Cholecalciferol"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "authoredOn": "2023-09-01",
        "reasonCode": [
          {
            "text": "Vitamin D maintenance"
          }
        ],
        "dosageInstruction": [
          {
            "text": "1000 IU PO DAILY",
            "timing": {
              "code": {
                "text": "DAILY"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral route"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 1000.0,
                  "unit": "IU"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "MedicationRequest/demo-med-loraz",
      "resource": {
        "resourceType": "MedicationRequest",
        "id": "demo-med-loraz",
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
                "code": "outpatient",
                "display": "Outpatient"
              }
            ]
          }
        ],
        "medicationCodeableConcept": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "6470",
              "display": "Lorazepam"
            }
          ],
          "text": "Lorazepam"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "authoredOn": "2023-09-01",
        "reasonCode": [
          {
            "text": "Anxiety / dyspnea"
          }
        ],
        "dosageInstruction": [
          {
            "text": "0.5 mg PO Q6H PRN",
            "timing": {
              "code": {
                "text": "Q6H PRN"
              }
            },
            "route": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "26643006",
                  "display": "Oral route"
                }
              ]
            },
            "doseAndRate": [
              {
                "doseQuantity": {
                  "value": 0.5,
                  "unit": "mg"
                }
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Procedure/demo-proc-emg",
      "resource": {
        "resourceType": "Procedure",
        "id": "demo-proc-emg",
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "387713003",
              "display": "Surgical procedure"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "401066007",
              "display": "Electromyography"
            },
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "95860",
              "display": "Needle electromyography; 1 extremity"
            }
          ],
          "text": "Electromyography"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "performedDateTime": "2023-04-25",
        "outcome": {
          "text": "Successful"
        },
        "note": [
          {
            "text": "Findings consistent with motor neuron disease - widespread denervation in upper and lower extremities"
          }
        ]
      }
    },
    {
      "fullUrl": "Procedure/demo-proc-mri",
      "resource": {
        "resourceType": "Procedure",
        "id": "demo-proc-mri",
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "387713003",
              "display": "Surgical procedure"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "113091000",
              "display": "Magnetic resonance imaging"
            },
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "70551",
              "display": "MRI brain without contrast material"
            }
          ],
          "text": "Magnetic resonance imaging"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "performedDateTime": "2023-05-02",
        "outcome": {
          "text": "Successful"
        },
        "note": [
          {
            "text": "No abnormality. Excludes structural cause for symptoms."
          }
        ]
      }
    },
    {
      "fullUrl": "Procedure/demo-proc-peg",
      "resource": {
        "resourceType": "Procedure",
        "id": "demo-proc-peg",
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "387713003",
              "display": "Surgical procedure"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "76151005",
              "display": "Percutaneous endoscopic gastrostomy"
            },
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "43246",
              "display": "EGD with directed placement of percutaneous gastrostomy tube"
            }
          ],
          "text": "Percutaneous endoscopic gastrostomy"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "performedDateTime": "2024-01-11",
        "outcome": {
          "text": "Successful"
        },
        "note": [
          {
            "text": "PEG tube placed without complication. Tolerated procedure well."
          }
        ]
      }
    },
    {
      "fullUrl": "Procedure/demo-proc-bipap",
      "resource": {
        "resourceType": "Procedure",
        "id": "demo-proc-bipap",
        "status": "completed",
        "category": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "387713003",
              "display": "Surgical procedure"
            }
          ]
        },
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "371077005",
              "display": "Non-invasive ventilation initiation"
            },
            {
              "system": "http://www.ama-assn.org/go/cpt",
              "code": "94660",
              "display": "CPAP/BiPAP initiation and management"
            }
          ],
          "text": "Non-invasive ventilation initiation"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "performedDateTime": "2023-12-01",
        "outcome": {
          "text": "Successful"
        },
        "note": [
          {
            "text": "BiPAP initiated for nocturnal hypoventilation. IPAP 14, EPAP 6."
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-bp-sys",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-bp-sys",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8480-6",
              "display": "Systolic blood pressure"
            }
          ],
          "text": "Systolic blood pressure"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 122,
          "unit": "mm[Hg]",
          "system": "http://unitsofmeasure.org",
          "code": "mm[Hg]"
        },
        "referenceRange": [
          {
            "text": "100-130"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-bp-dia",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-bp-dia",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "8462-4",
              "display": "Diastolic blood pressure"
            }
          ],
          "text": "Diastolic blood pressure"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 78,
          "unit": "mm[Hg]",
          "system": "http://unitsofmeasure.org",
          "code": "mm[Hg]"
        },
        "referenceRange": [
          {
            "text": "60-80"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-hr",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-hr",
        "status": "final",
        "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/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 76,
          "unit": "/min",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        },
        "referenceRange": [
          {
            "text": "60-100"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-rr",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-rr",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "9279-1",
              "display": "Respiratory rate"
            }
          ],
          "text": "Respiratory rate"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 18,
          "unit": "/min",
          "system": "http://unitsofmeasure.org",
          "code": "/min"
        },
        "referenceRange": [
          {
            "text": "12-20"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-wt",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-wt",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "29463-7",
              "display": "Body weight"
            }
          ],
          "text": "Body weight"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 58.2,
          "unit": "kg",
          "system": "http://unitsofmeasure.org",
          "code": "kg"
        },
        "referenceRange": [
          {
            "text": "previously 64 kg"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-spo2",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-spo2",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "59408-5",
              "display": "Oxygen saturation in Arterial blood by Pulse oximetry"
            }
          ],
          "text": "Oxygen saturation in Arterial blood by Pulse oximetry"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 96,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "referenceRange": [
          {
            "text": "95-100"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-fvc",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-fvc",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital Signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "19868-9",
              "display": "FVC -- predicted"
            }
          ],
          "text": "FVC -- predicted"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-15",
        "valueQuantity": {
          "value": 62,
          "unit": "%",
          "system": "http://unitsofmeasure.org",
          "code": "%"
        },
        "referenceRange": [
          {
            "text": "predicted normal"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-na",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-na",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2951-2",
              "display": "Sodium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Sodium [Moles/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 139,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "text": "136-145"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-k",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-k",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2823-3",
              "display": "Potassium [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Potassium [Moles/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 4.1,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "text": "3.5-5.0"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-cl",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-cl",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2075-0",
              "display": "Chloride [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Chloride [Moles/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 102,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "text": "98-107"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-co2",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-co2",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2028-9",
              "display": "Carbon dioxide [Moles/volume] in Serum or Plasma"
            }
          ],
          "text": "Carbon dioxide [Moles/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 26,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org",
          "code": "mmol/L"
        },
        "referenceRange": [
          {
            "text": "22-29"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-bun",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-bun",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "3094-0",
              "display": "Urea nitrogen [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Urea nitrogen [Mass/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 14,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "text": "8-21"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-cr",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-cr",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2160-0",
              "display": "Creatinine [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Creatinine [Mass/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 0.6,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "text": "0.5-1.2"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-glu",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-glu",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "2345-7",
              "display": "Glucose [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Glucose [Mass/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 96,
          "unit": "mg/dL",
          "system": "http://unitsofmeasure.org",
          "code": "mg/dL"
        },
        "referenceRange": [
          {
            "text": "70-99"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-hgb",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-hgb",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "718-7",
              "display": "Hemoglobin [Mass/volume] in Blood"
            }
          ],
          "text": "Hemoglobin [Mass/volume] in Blood"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 12.8,
          "unit": "g/dL",
          "system": "http://unitsofmeasure.org",
          "code": "g/dL"
        },
        "referenceRange": [
          {
            "text": "12.0-15.5"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-tsh",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-tsh",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "3016-3",
              "display": "Thyrotropin [Units/volume] in Serum or Plasma"
            }
          ],
          "text": "Thyrotropin [Units/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 2.1,
          "unit": "mIU/L",
          "system": "http://unitsofmeasure.org",
          "code": "mIU/L"
        },
        "referenceRange": [
          {
            "text": "0.4-4.5"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "Observation/demo-obs-vitd",
      "resource": {
        "resourceType": "Observation",
        "id": "demo-obs-vitd",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "1989-3",
              "display": "Vitamin D 25-Hydroxy [Mass/volume] in Serum or Plasma"
            }
          ],
          "text": "Vitamin D 25-Hydroxy [Mass/volume] in Serum or Plasma"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2024-04-10",
        "valueQuantity": {
          "value": 38,
          "unit": "ng/mL",
          "system": "http://unitsofmeasure.org",
          "code": "ng/mL"
        },
        "referenceRange": [
          {
            "text": "30-100"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "N",
                "display": "Normal"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "AllergyIntolerance/demo-allergy-pcn",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "demo-allergy-pcn",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "drug"
        ],
        "criticality": "high",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "7980",
              "display": "Penicillin G"
            }
          ],
          "text": "Penicillin G"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "recordedDate": "1985-06-01",
        "reaction": [
          {
            "manifestation": [
              {
                "text": "rash, hives"
              }
            ],
            "severity": "severe"
          }
        ]
      }
    },
    {
      "fullUrl": "AllergyIntolerance/demo-allergy-sulf",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "demo-allergy-sulf",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "drug"
        ],
        "criticality": "moderate",
        "code": {
          "coding": [
            {
              "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
              "code": "10180",
              "display": "Sulfa"
            }
          ],
          "text": "Sulfa"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "recordedDate": "1992-03-15",
        "reaction": [
          {
            "manifestation": [
              {
                "text": "gastrointestinal upset"
              }
            ],
            "severity": "moderate"
          }
        ]
      }
    },
    {
      "fullUrl": "AllergyIntolerance/demo-allergy-latex",
      "resource": {
        "resourceType": "AllergyIntolerance",
        "id": "demo-allergy-latex",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code": "active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code": "confirmed"
            }
          ]
        },
        "type": "allergy",
        "category": [
          "environment"
        ],
        "criticality": "low",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "111088007",
              "display": "Latex"
            }
          ],
          "text": "Latex"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "recordedDate": "2010-08-01",
        "reaction": [
          {
            "manifestation": [
              {
                "text": "contact dermatitis"
              }
            ],
            "severity": "low"
          }
        ]
      }
    },
    {
      "fullUrl": "Immunization/demo-imm-flu23",
      "resource": {
        "resourceType": "Immunization",
        "id": "demo-imm-flu23",
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/cvx",
              "code": "150",
              "display": "Influenza, injectable, quadrivalent"
            }
          ],
          "text": "Influenza, injectable, quadrivalent"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "occurrenceDateTime": "2023-10-05",
        "primarySource": true,
        "lotNumber": "FLU2023-A1234",
        "site": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
              "code": "LA"
            }
          ],
          "text": "left deltoid"
        },
        "route": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code": "IM"
            }
          ],
          "text": "Intramuscular"
        },
        "doseQuantity": {
          "value": 0.5,
          "unit": "mL"
        }
      }
    },
    {
      "fullUrl": "Immunization/demo-imm-cov23",
      "resource": {
        "resourceType": "Immunization",
        "id": "demo-imm-cov23",
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/cvx",
              "code": "229",
              "display": "SARS-COV-2 (COVID-19) vaccine, mRNA, bivalent booster"
            }
          ],
          "text": "SARS-COV-2 (COVID-19) vaccine, mRNA, bivalent booster"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "occurrenceDateTime": "2023-09-15",
        "primarySource": true,
        "lotNumber": "COV2023-B7891",
        "site": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
              "code": "RA"
            }
          ],
          "text": "right deltoid"
        },
        "route": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code": "IM"
            }
          ],
          "text": "Intramuscular"
        },
        "doseQuantity": {
          "value": 0.5,
          "unit": "mL"
        }
      }
    },
    {
      "fullUrl": "Immunization/demo-imm-pneu",
      "resource": {
        "resourceType": "Immunization",
        "id": "demo-imm-pneu",
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/cvx",
              "code": "133",
              "display": "Pneumococcal conjugate PCV 13"
            }
          ],
          "text": "Pneumococcal conjugate PCV 13"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "occurrenceDateTime": "2023-06-01",
        "primarySource": true,
        "lotNumber": "PNE2023-C4456",
        "site": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
              "code": "LA"
            }
          ],
          "text": "left deltoid"
        },
        "route": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code": "IM"
            }
          ],
          "text": "Intramuscular"
        },
        "doseQuantity": {
          "value": 0.5,
          "unit": "mL"
        }
      }
    },
    {
      "fullUrl": "Immunization/demo-imm-tdap",
      "resource": {
        "resourceType": "Immunization",
        "id": "demo-imm-tdap",
        "status": "completed",
        "vaccineCode": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/cvx",
              "code": "115",
              "display": "Tdap"
            }
          ],
          "text": "Tdap"
        },
        "patient": {
          "reference": "Patient/demo-patient-001"
        },
        "occurrenceDateTime": "2022-11-15",
        "primarySource": true,
        "lotNumber": "TDP2022-D2278",
        "site": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActSite",
              "code": "RA"
            }
          ],
          "text": "right deltoid"
        },
        "route": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-RouteOfAdministration",
              "code": "IM"
            }
          ],
          "text": "Intramuscular"
        },
        "doseQuantity": {
          "value": 0.5,
          "unit": "mL"
        }
      }
    },
    {
      "fullUrl": "CarePlan/demo-cp-mdc",
      "resource": {
        "resourceType": "CarePlan",
        "id": "demo-cp-mdc",
        "status": "active",
        "intent": "plan",
        "title": "Multidisciplinary ALS care plan",
        "description": "Coordinated care across neurology, pulmonology, nutrition, PT/OT/SLP, social work, and palliative care. Visits every 3 months.",
        "category": [
          {
            "text": "Multidisciplinary"
          }
        ],
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "period": {
          "start": "2023-08-20"
        },
        "author": {
          "display": "Demo Health System ALS Team"
        }
      }
    },
    {
      "fullUrl": "CarePlan/demo-cp-pal",
      "resource": {
        "resourceType": "CarePlan",
        "id": "demo-cp-pal",
        "status": "active",
        "intent": "plan",
        "title": "Palliative care consult",
        "description": "Palliative care team engaged for symptom management, advance care planning, and family support.",
        "category": [
          {
            "text": "Palliative"
          }
        ],
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "period": {
          "start": "2023-08-20"
        },
        "author": {
          "display": "Demo Health System ALS Team"
        }
      }
    },
    {
      "fullUrl": "CarePlan/demo-cp-comm",
      "resource": {
        "resourceType": "CarePlan",
        "id": "demo-cp-comm",
        "status": "active",
        "intent": "plan",
        "title": "Communication strategies",
        "description": "Speech-language pathology to introduce alternative augmentative communication device. Voice banking initiated.",
        "category": [
          {
            "text": "Speech therapy"
          }
        ],
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "period": {
          "start": "2023-08-20"
        },
        "author": {
          "display": "Demo Health System ALS Team"
        }
      }
    },
    {
      "fullUrl": "DiagnosticReport/demo-dr-emg",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "demo-dr-emg",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "OTH"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11506-3",
              "display": "Subsequent evaluation note"
            }
          ],
          "text": "EMG / nerve conduction study"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2023-04-25",
        "issued": "2023-04-25T15:00:00Z",
        "conclusion": "Electromyography demonstrates widespread fibrillation potentials and positive sharp waves in cervical, thoracic, and lumbar paraspinal muscles. Motor unit potentials show large amplitude, long duration, and reduced recruitment patterns. Nerve conduction studies reveal preserved sensory responses with reduced motor amplitudes. Findings consistent with motor neuron disease."
      }
    },
    {
      "fullUrl": "DiagnosticReport/demo-dr-mri",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "demo-dr-mri",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "RAD"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "30746-2",
              "display": "Radiology report"
            }
          ],
          "text": "MRI brain without contrast"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2023-05-02",
        "issued": "2023-05-02T15:00:00Z",
        "conclusion": "No acute intracranial abnormality. Cortical and subcortical structures within normal limits. No evidence of structural lesion accounting for the patient's symptoms. Excludes mimics of motor neuron disease."
      }
    },
    {
      "fullUrl": "DiagnosticReport/demo-dr-pft",
      "resource": {
        "resourceType": "DiagnosticReport",
        "id": "demo-dr-pft",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v2-0074",
                "code": "OTH"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "11502-2",
              "display": "Laboratory report"
            }
          ],
          "text": "Pulmonary function testing"
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "effectiveDateTime": "2023-12-01",
        "issued": "2023-12-01T15:00:00Z",
        "conclusion": "FVC 62% predicted (down from 78% three months ago). MIP -45 cm H2O. MEP +60 cm H2O. Findings consistent with progressive respiratory muscle weakness. NIV indicated."
      }
    },
    {
      "fullUrl": "Goal/demo-goal-fct",
      "resource": {
        "resourceType": "Goal",
        "id": "demo-goal-fct",
        "lifecycleStatus": "in-progress",
        "achievementStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-achievement",
              "code": "in-progress"
            }
          ]
        },
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-priority",
              "code": "high-priority"
            }
          ]
        },
        "description": {
          "text": "Maintain functional independence as long as possible through OT, adaptive equipment, and home modifications."
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "startDate": "2023-08-20",
        "target": [
          {
            "dueDate": "2024-12-31",
            "detailString": "Maintain functional independence as long as possible through OT, adaptive equipment, and home modifications."
          }
        ]
      }
    },
    {
      "fullUrl": "Goal/demo-goal-symp",
      "resource": {
        "resourceType": "Goal",
        "id": "demo-goal-symp",
        "lifecycleStatus": "in-progress",
        "achievementStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-achievement",
              "code": "in-progress"
            }
          ]
        },
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-priority",
              "code": "high-priority"
            }
          ]
        },
        "description": {
          "text": "Manage symptoms (spasticity, sialorrhea, dysphagia, fatigue) to optimize quality of life."
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "startDate": "2023-08-20",
        "target": [
          {
            "dueDate": "2024-12-31",
            "detailString": "Manage symptoms (spasticity, sialorrhea, dysphagia, fatigue) to optimize quality of life."
          }
        ]
      }
    },
    {
      "fullUrl": "Goal/demo-goal-acp",
      "resource": {
        "resourceType": "Goal",
        "id": "demo-goal-acp",
        "lifecycleStatus": "in-progress",
        "achievementStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-achievement",
              "code": "in-progress"
            }
          ]
        },
        "priority": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/goal-priority",
              "code": "medium-priority"
            }
          ]
        },
        "description": {
          "text": "Complete advance care planning including MOLST and discussion of long-term ventilation preferences."
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "startDate": "2023-08-20",
        "target": [
          {
            "dueDate": "2024-09-30",
            "detailString": "Complete advance care planning including MOLST and discussion of long-term ventilation preferences."
          }
        ]
      }
    },
    {
      "fullUrl": "DocumentReference/demo-docref-001",
      "resource": {
        "resourceType": "DocumentReference",
        "id": "demo-docref-001",
        "status": "current",
        "type": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "34133-9",
              "display": "Summarization of Episode Note"
            }
          ]
        },
        "subject": {
          "reference": "Patient/demo-patient-001"
        },
        "date": "2024-04-15T10:00:00Z",
        "author": [
          {
            "display": "Demo Health System ALS Team"
          }
        ],
        "description": "ALS multidisciplinary clinic continuity of care document"
      }
    }
  ]
}