Schema

{
    "id": "document_model",
    "type": "object",
    "properties": {
        "data": {
            "type": "object",
            "properties": {
                "allergies": {
                    "$ref": "allergies"
                },
                "demographics": {
                    "$ref": "demographics"
                },
                "header": {
                    "$ref": "header"
                },
                "encounters": {
                    "$ref": "encounters"
                },
                "immunizations": {
                    "$ref": "immunizations"
                },
                "medications": {
                    "$ref": "medications"
                },
                "problems": {
                    "$ref": "problems"
                },
                "plan_of_care": {
                    "$ref": "plan_of_care"
                },
                "procedures": {
                    "$ref": "procedures"
                },
                "results": {
                    "$ref": "results"
                },
                "social_history": {
                    "$ref": "social_history"
                },
                "payers": {
                    "$ref": "payers"
                },
                "vitals": {
                    "$ref": "vitals"
                },
                "claims": {
                    "$ref": "claims"
                },
                "providers": {
                    "$ref": "providers"
                },
                "organizations": {
                    "$ref": "organizations"
                },
                "medical_devices": {
                    "$ref": "medical_devices"
                },
                "family_history": {
                    "$ref": "family_history"
                },
                "functional_statuses": {
                    "$ref": "functional_statuses"
                },
                "reason_for_referral": {
                    "$ref": "reason_for_referral"
                },
                "hospital_discharge_instructions": {
                    "$ref": "discharge_instructions"
                },
                "hospital_discharge_medications": {
                    "$ref": "hospital_discharge_medications"
                }
            },
            "additionalProperties": true
        },
        "errors": {
            "type": "array",
            "items": {
                "type": "string"
            }
        },
        "meta": {
            "type": "object",
            "properties": {
                "type": {
                    "type": "string"
                },
                "version": {
                    "type": "string"
                },
                "confidentiality": {
                    "type": "string"
                },
                "patient_entered": {
                    "type": "boolean"
                }
            },
            "additionalProperties": true
        }
    }
}

Example (document_model)

{
    "data": {
        "header": {
            "identifiers": [
                {
                    "identifier": "2.16.840.1.113883.19.5.99999.1",
                    "extension": "TT988"
                }
            ],
            "confidentiality_code": {
                "code": "N",
                "name": "Normal",
                "code_system_name": "Confidentiality Code"
            },
            "code": {
                "name": "Summarization of Episode Note",
                "code": "34133-9",
                "code_system_name": "LOINC"
            },
            "template": [
                "2.16.840.1.113883.10.20.22.1.1",
                "2.16.840.1.113883.10.20.22.1.2"
            ],
            "title": "Community Health and Hospitals: Health Summary",
            "date_time": {
                "point": {
                    "date": "2012-09-15T04:00:00.000Z",
                    "precision": "minute"
                }
            },
            "author": {
                "author": [
                    {
                        "identifiers": [
                            {
                                "identifier": "2.16.840.1.113883.4.6",
                                "extension": "99999999"
                            }
                        ],
                        "name": [
                            {
                                "last": "Seven",
                                "first": "Henry"
                            }
                        ],
                        "address": [
                            {
                                "street_lines": [
                                    "1002 Healthcare Drive"
                                ],
                                "city": "Portland",
                                "state": "OR",
                                "zip": "99123",
                                "country": "US"
                            }
                        ],
                        "phone": [
                            {
                                "number": "555-555-1002",
                                "type": "work place"
                            }
                        ],
                        "code": [
                            {
                                "name": "Allopathic & Osteopathic Physicians",
                                "code": "200000000X"
                            }
                        ]
                    }
                ],
                "date_time": {
                    "point": {
                        "date": "2005-03-29T17:44:11.000Z",
                        "precision": "second"
                    }
                }
            },
            "data_enterer": {
                "identifiers": [
                    {
                        "identifier": "2.16.840.1.113883.4.6",
                        "extension": "999999943252"
                    }
                ],
                "name": [
                    {
                        "last": "Seven",
                        "first": "Henry"
                    }
                ],
                "address": [
                    {
                        "street_lines": [
                            "1001 Village Avenue"
                        ],
                        "city": "Portland",
                        "state": "OR",
                        "zip": "99123",
                        "country": "US"
                    }
                ],
                "phone": [
                    {
                        "number": "555-555-1002",
                        "type": "work place"
                    }
                ]
            },
            "informant": {
                "identifiers": [
                    {
                        "identifier": "2.16.840.1.113883.19.5",
                        "extension": "KP00017"
                    }
                ],
                "name": [
                    {
                        "last": "Seven",
                        "first": "Henry"
                    }
                ],
                "address": [
                    {
                        "street_lines": [
                            "1001 Village Avenue"
                        ],
                        "city": "Portland",
                        "state": "OR",
                        "zip": "99123",
                        "country": "US"
                    }
                ],
                "phone": [
                    {
                        "number": "555-555-1002",
                        "type": "work place"
                    }
                ]
            },
            "custodian": {
                "identifiers": [
                    {
                        "identifier": "2.16.840.1.113883.4.6",
                        "extension": "99999999"
                    }
                ],
                "name": [
                    "Community Health and Hospitals"
                ],
                "address": [
                    {
                        "street_lines": [
                            "1002 Healthcare Drive"
                        ],
                        "city": "Portland",
                        "state": "OR",
                        "zip": "99123",
                        "country": "US",
                        "use": "work place"
                    }
                ],
                "phone": [
                    {
                        "number": " 555-555-1002",
                        "type": "work place"
                    }
                ]
            },
            "service_event": {
                "code": {
                    "name": "Colonoscopy",
                    "code": "73761001",
                    "code_system_name": "SNOMED CT"
                },
                "date_time": {
                    "low": {
                        "date": "2012-09-08T04:00:00.000Z",
                        "precision": "minute"
                    },
                    "high": {
                        "date": "2012-09-15T04:00:00.000Z",
                        "precision": "minute"
                    }
                },
                "performer": [
                    {
                        "performer": [
                            {
                                "identifiers": [
                                    {
                                        "identifier": "2.16.840.1.113883.4.6",
                                        "extension": "PseudoMD-1"
                                    }
                                ],
                                "name": [
                                    {
                                        "prefix": "Dr.",
                                        "last": "Seven",
                                        "first": "Henry"
                                    }
                                ],
                                "address": [
                                    {
                                        "street_lines": [
                                            "1001 Village Avenue"
                                        ],
                                        "city": "Portland",
                                        "state": "OR",
                                        "zip": "99123",
                                        "country": "US"
                                    }
                                ],
                                "phone": [
                                    {
                                        "number": "+1-555-555-5000",
                                        "type": "primary home"
                                    }
                                ],
                                "organization": [
                                    {
                                        "identifiers": [
                                            {
                                                "identifier": "2.16.840.1.113883.19.5.9999.1393"
                                            }
                                        ],
                                        "name": [
                                            "Community Health and Hospitals"
                                        ],
                                        "address": [
                                            {
                                                "street_lines": [
                                                    "1001 Village Avenue"
                                                ],
                                                "city": "Portland",
                                                "state": "OR",
                                                "zip": "99123",
                                                "country": "US"
                                            }
                                        ],
                                        "phone": [
                                            {
                                                "number": "+1-555-555-5000",
                                                "type": "primary home"
                                            }
                                        ]
                                    }
                                ],
                                "code": [
                                    {
                                        "name": "Gastroenterologist",
                                        "code": "207RG0100X",
                                        "code_system_name": "Provider Codes"
                                    }
                                ]
                            }
                        ],
                        "code": {
                            "name": "Primary Performer",
                            "code": "PP",
                            "code_system_name": "Provider Role"
                        }
                    }
                ]
            }
        },
        "demographics": {
            "name": {
                "middle": [
                    "Isa"
                ],
                "last": "Jones",
                "first": "Isabella"
            },
            "dob": {
                "point": {
                    "date": "1975-05-01T00:00:00.000Z",
                    "precision": "day"
                }
            },
            "gender": {
                "name": "Female",
                "code": "F",
                "code_system_name": "HL7 AdministrativeGender"
            },
            "identifiers": [
                {
                    "identifier": "2.16.840.1.113883.19.5.99999.2",
                    "extension": "998991"
                },
                {
                    "identifier": "2.16.840.1.113883.4.1",
                    "extension": "111-00-2330"
                }
            ],
            "marital_status": {
                "name": "Married",
                "code": "M",
                "code_system_name": "HL7 Marital Status"
            },
            "addresses": [
                {
                    "street_lines": [
                        "1357 Amber Drive"
                    ],
                    "city": "Beaverton",
                    "state": "OR",
                    "zip": "97867",
                    "country": "US",
                    "use": "primary home"
                }
            ],
            "phone": [
                {
                    "number": "(816)276-6909",
                    "type": "primary home"
                }
            ],
            "race": {
                "name": "White",
                "code": "2106-3",
                "code_system_name": "Race and Ethnicity - CDC"
            },
            "ethnicity": {
                "name": "Not Hispanic or Latino",
                "code": "2186-5",
                "code_system_name": "Race and Ethnicity - CDC"
            },
            "languages": [
                {
                    "language": {
                        "code": "en"
                    },
                    "preferred": true,
                    "mode": {
                        "name": "Expressed spoken",
                        "code": "ESP",
                        "code_system_name": "LanguageAbilityMode"
                    },
                    "proficiency": {
                        "name": "Good",
                        "code": "G",
                        "code_system_name": "LanguageAbilityProficiency"
                    }
                }
            ],
            "religion": {
                "name": "Christian (non-Catholic, non-specific)",
                "code": "1013",
                "code_system_name": "HL7 Religious Affiliation"
            },
            "birthplace": {
                "city": "Beaverton",
                "state": "OR",
                "zip": "97867",
                "country": "US"
            },
            "guardians": [
                {
                    "relation": {
                        "name": "Parent",
                        "code": "PRN",
                        "code_system_name": "HL7 Role"
                    },
                    "addresses": [
                        {
                            "street_lines": [
                                "1357 Amber Drive"
                            ],
                            "city": "Beaverton",
                            "state": "OR",
                            "zip": "97867",
                            "country": "US",
                            "use": "primary home"
                        }
                    ],
                    "names": [
                        {
                            "last": "Jones",
                            "first": "Ralph"
                        }
                    ],
                    "phone": [
                        {
                            "number": "(816)276-6909",
                            "type": "primary home"
                        }
                    ]
                }
            ]
        },
        "vitals": [
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Height",
                    "code": "8302-2",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "1999-11-14T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 177,
                "unit": "cm"
            },
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Patient Body Weight - Measured",
                    "code": "3141-9",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "1999-11-14T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 86,
                "unit": "kg"
            },
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Intravascular Systolic",
                    "code": "8480-6",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "1999-11-14T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 132,
                "unit": "mm[Hg]"
            },
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Height",
                    "code": "8302-2",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "2000-04-07T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 177,
                "unit": "cm"
            },
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Patient Body Weight - Measured",
                    "code": "3141-9",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "2000-04-07T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 88,
                "unit": "kg"
            },
            {
                "identifiers": [
                    {
                        "identifier": "c6f88321-67ad-11db-bd13-0800200c9a66"
                    }
                ],
                "vital": {
                    "name": "Intravascular Systolic",
                    "code": "8480-6",
                    "code_system_name": "LOINC"
                },
                "status": "completed",
                "date_time": {
                    "point": {
                        "date": "2000-04-07T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "interpretations": [
                    "Normal"
                ],
                "value": 145,
                "unit": "mm[Hg]"
            }
        ],
        "results": [
            {
                "identifiers": [
                    {
                        "identifier": "7d5a02b0-67a4-11db-bd13-0800200c9a66"
                    }
                ],
                "result_set": {
                    "name": "CBC WO DIFFERENTIAL",
                    "code": "43789009",
                    "code_system_name": "SNOMED CT"
                },
                "results": [
                    {
                        "identifiers": [
                            {
                                "identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
                            }
                        ],
                        "result": {
                            "name": "HGB",
                            "code": "30313-1",
                            "code_system_name": "LOINC"
                        },
                        "date_time": {
                            "point": {
                                "date": "2000-03-23T00:00:00.000Z",
                                "precision": "day"
                            }
                        },
                        "status": "completed",
                        "reference_range": {
                            "range": "M 13-18 g/dl; F 12-16 g/dl"
                        },
                        "interpretations": [
                            {
                                "code": "N",
                                "name": "Normal",
                                "code_system_name": "HL7 Result Interpretation"
                            }
                        ],
                        "value": 13.2,
                        "unit": "g/dl"
                    },
                    {
                        "identifiers": [
                            {
                                "identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
                            }
                        ],
                        "result": {
                            "name": "WBC",
                            "code": "33765-9",
                            "code_system_name": "LOINC"
                        },
                        "date_time": {
                            "point": {
                                "date": "2000-03-23T00:00:00.000Z",
                                "precision": "day"
                            }
                        },
                        "status": "completed",
                        "reference_range": {
                            "low": "4.3",
                            "high": "10.8",
                            "unit": "10+3/ul"
                        },
                        "interpretations": [
                            {
                                "code": "N",
                                "name": "Normal",
                                "code_system_name": "HL7 Result Interpretation"
                            }
                        ],
                        "value": 6.7,
                        "unit": "10+3/ul"
                    },
                    {
                        "identifiers": [
                            {
                                "identifier": "107c2dc0-67a5-11db-bd13-0800200c9a66"
                            }
                        ],
                        "result": {
                            "name": "PLT",
                            "code": "26515-7",
                            "code_system_name": "LOINC"
                        },
                        "date_time": {
                            "point": {
                                "date": "2000-03-23T00:00:00.000Z",
                                "precision": "day"
                            }
                        },
                        "status": "completed",
                        "reference_range": {
                            "low": "150",
                            "high": "350",
                            "unit": "10+3/ul"
                        },
                        "interpretations": [
                            {
                                "code": "L",
                                "name": "Low",
                                "code_system_name": "HL7 Result Interpretation"
                            }
                        ],
                        "value": 123,
                        "unit": "10+3/ul"
                    }
                ]
            }
        ],
        "medications": [
            {
                "date_time": {
                    "low": {
                        "date": "2007-01-03T00:00:00.000Z",
                        "precision": "day"
                    },
                    "high": {
                        "date": "2012-05-15T00:00:00.000Z",
                        "precision": "day"
                    }
                },
                "identifiers": [
                    {
                        "identifier": "cdbd33f0-6cde-11db-9fe1-0800200c9a66"
                    }
                ],
                "status": "Completed",
                "sig": "Proventil HFA",
                "product": {
                    "identifiers": [
                        {
                            "identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
                        }
                    ],
                    "unencoded_name": "Proventil HFA",
                    "product": {
                        "name": "Proventil HFA",
                        "code": "219483",
                        "translations": [
                            {
                                "name": "Proventil 0.09 MG/ACTUAT inhalant solution",
                                "code": "573621",
                                "code_system_name": "RXNORM"
                            }
                        ],
                        "code_system_name": "RXNORM"
                    },
                    "manufacturer": "Medication Factory Inc."
                },
                "supply": {
                    "date_time": {
                        "low": {
                            "date": "2007-01-03T00:00:00.000Z",
                            "precision": "day"
                        }
                    },
                    "repeatNumber": "1",
                    "quantity": "75",
                    "author": {
                        "identifiers": [
                            {
                                "identifier": "2a620155-9d11-439e-92b3-5d9815fe4de8"
                            }
                        ],
                        "name": {
                            "prefix": "Dr.",
                            "last": "Seven",
                            "first": "Henry"
                        }
                    },
                    "instructions": {
                        "code": {
                            "name": "instruction",
                            "code": "409073007",
                            "code_system_name": "SNOMED CT"
                        },
                        "free_text": "label in spanish"
                    },
                    "product": {
                        "identifiers": [
                            {
                                "identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
                            }
                        ],
                        "unencoded_name": "Proventil HFA",
                        "product": {
                            "name": "Proventil 0.09 MG/ACTUAT inhalant solution",
                            "code": "573621",
                            "translations": [
                                {
                                    "name": "Proventil 0.09 MG/ACTUAT inhalant solution",
                                    "code": "573621",
                                    "code_system_name": "RXNORM"
                                }
                            ],
                            "code_system_name": "RXNORM"
                        },
                        "manufacturer": "Medication Factory Inc."
                    }
                },
                "administration": {
                    "route": {
                        "name": "RESPIRATORY (INHALATION)",
                        "code": "C38216",
                        "code_system_name": "Medication Route FDA"
                    },
                    "form": {
                        "name": "INHALANT",
                        "code": "C42944",
                        "code_system_name": "Medication Route FDA"
                    },
                    "dose": {
                        "value": 1,
                        "unit": "mg/actuat"
                    },
                    "rate": {
                        "value": 90,
                        "unit": "ml/min"
                    },
                    "interval": {
                        "period": {
                            "value": 6,
                            "unit": "h"
                        },
                        "frequency": true
                    }
                },
                "performer": {
                    "organization": [
                        {
                            "identifiers": [
                                {
                                    "identifier": "2.16.840.1.113883.19.5.9999.1393"
                                }
                            ],
                            "name": [
                                "Community Health and Hospitals"
                            ]
                        }
                    ]
                },
                "drug_vehicle": {
                    "name": "Aerosol",
                    "code": "324049",
                    "code_system_name": "RXNORM"
                },
                "precondition": {
                    "code": {
                        "code": "ASSERTION",
                        "code_system_name": "ActCode"
                    },
                    "value": {
                        "name": "Wheezing",
                        "code": "56018004",
                        "code_system_name": "SNOMED CT"
                    }
                },
                "indication": {
                    "identifiers": [
                        {
                            "identifier": "db734647-fc99-424c-a864-7e3cda82e703",
                            "extension": "45665"
                        }
                    ],
                    "code": {
                        "name": "Finding",
                        "code": "404684003",
                        "code_system_name": "SNOMED CT"
                    },
                    "date_time": {
                        "low": {
                            "date": "2007-01-03T00:00:00.000Z",
                            "precision": "day"
                        }
                    },
                    "value": {
                        "name": "Pneumonia",
                        "code": "233604007",
                        "code_system_name": "SNOMED CT"
                    }
                },
                "dispense": {
                    "identifiers": [
                        {
                            "identifier": "1.2.3.4.56789.1",
                            "extension": "cb734647-fc99-424c-a864-7e3cda82e704"
                        }
                    ],
                    "performer": {
                        "identifiers": [
                            {
                                "identifier": "2.16.840.1.113883.19.5.9999.456",
                                "extension": "2981823"
                            }
                        ],
                        "address": [
                            {
                                "street_lines": [
                                    "1001 Village Avenue"
                                ],
                                "city": "Portland",
                                "state": "OR",
                                "zip": "99123",
                                "country": "US"
                            }
                        ],
                        "organization": [
                            {
                                "identifiers": [
                                    {
                                        "identifier": "2.16.840.1.113883.19.5.9999.1393"
                                    }
                                ],
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                        ]
                    },
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                        "identifiers": [
                            {
                                "identifier": "2a620155-9d11-439e-92b3-5d9815ff4ee8"
                            }
                        ],
                        "unencoded_name": "Proventil HFA",
                        "product": {
                            "name": "Proventil 0.09 MG/ACTUAT inhalant solution",
                            "code": "573621",
                            "translations": [
                                {
                                    "name": "Proventil 0.09 MG/ACTUAT inhalant solution",
                                    "code": "573621",
                                    "code_system_name": "RXNORM"
                                }
                            ],
                            "code_system_name": "RXNORM"
                        },
                        "manufacturer": "Medication Factory Inc."
                    }
                }
            }
        ],
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            {
                "encounter": {
                    "name": "Office outpatient visit 15 minutes",
                    "code": "99213",
                    "code_system_name": "CPT",
                    "translations": [
                        {
                            "name": "Ambulatory",
                            "code": "AMB",
                            "code_system_name": "ActCode"
                        }
                    ]
                },
                "identifiers": [
                    {
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                        "precision": "second"
                    }
                },
                "performers": [
                    {
                        "identifiers": [
                            {
                                "identifier": "PseduoMD-3"
                            }
                        ],
                        "code": [
                            {
                                "name": "General Physician",
                                "code": "59058001",
                                "code_system_name": "SNOMED CT"
                            }
                        ]
                    }
                ],
                "locations": [
                    {
                        "name": "Community Urgent Care Center",
                        "location_type": {
                            "name": "Urgent Care Center",
                            "code": "1160-1",
                            "code_system_name": "HealthcareServiceLocation"
                        },
                        "address": [
                            {
                                "street_lines": [
                                    "17 Daws Rd."
                                ],
                                "city": "Blue Bell",
                                "state": "MA",
                                "zip": "02368",
                                "country": "US"
                            }
                        ]
                    }
                ],
                "findings": [
                    {
                        "identifiers": [
                            {
                                "identifier": "db734647-fc99-424c-a864-7e3cda82e703",
                                "extension": "45665"
                            }
                        ],
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                            "name": "Pneumonia",
                            "code": "233604007",
                            "code_system_name": "SNOMED CT"
                        },
                        "date_time": {
                            "low": {
                                "date": "2007-01-03T00:00:00.000Z",
                                "precision": "day"
                            }
                        }
                    }
                ]
            }
        ],
        "allergies": [
            {
                "identifiers": [
                    {
                        "identifier": "36e3e930-7b14-11db-9fe1-0800200c9a66"
                    }
                ],
                "date_time": {
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                        "precision": "day"
                    }
                },
                "observation": {
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                        {
                            "identifier": "4adc1020-7b14-11db-9fe1-0800200c9a66"
                        }
                    ],
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                        "name": "ALLERGENIC EXTRACT, PENICILLIN",
                        "code": "314422",
                        "code_system_name": "RXNORM"
                    },
                    "intolerance": {
                        "name": "Propensity to adverse reactions to drug",
                        "code": "419511003",
                        "code_system_name": "SNOMED CT"
                    },
                    "date_time": {
                        "low": {
                            "date": "2007-05-01T00:00:00.000Z",
                            "precision": "day"
                        }
                    },
                    "status": {
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                        "code": "73425007",
                        "code_system_name": "SNOMED CT"
                    },
                    "reactions": [
                        {
                            "identifiers": [
                                {
                                    "identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
                                }
                            ],
                            "date_time": {
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                                    "date": "2007-05-01T00:00:00.000Z",
                                    "precision": "day"
                                },
                                "high": {
                                    "date": "2009-02-27T08:00:00.000Z",
                                    "precision": "second"
                                }
                            },
                            "reaction": {
                                "name": "Nausea",
                                "code": "422587007",
                                "code_system_name": "SNOMED CT"
                            },
                            "severity": {
                                "code": {
                                    "name": "Mild",
                                    "code": "255604002",
                                    "code_system_name": "SNOMED CT"
                                },
                                "interpretation": {
                                    "name": "Suceptible",
                                    "code": "S",
                                    "code_system_name": "Observation Interpretation"
                                }
                            }
                        }
                    ],
                    "severity": {
                        "code": {
                            "name": "Moderate to severe",
                            "code": "371924009",
                            "code_system_name": "SNOMED CT"
                        },
                        "interpretation": {
                            "name": "Normal",
                            "code": "N",
                            "code_system_name": "Observation Interpretation"
                        }
                    }
                }
            },
            {
                "identifiers": [
                    {
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                ],
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                    }
                },
                "observation": {
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                        {
                            "identifier": "4adc1020-7b14-11db-9fe1-0800200c9a66"
                        }
                    ],
                    "allergen": {
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                        "code": "2670",
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                    },
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                        "code": "419511003",
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                    },
                    "date_time": {
                        "low": {
                            "date": "2006-05-01T00:00:00.000Z",
                            "precision": "day"
                        }
                    },
                    "status": {
                        "name": "Active",
                        "code": "55561003",
                        "code_system_name": "SNOMED CT"
                    },
                    "reactions": [
                        {
                            "identifiers": [
                                {
                                    "identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
                                }
                            ],
                            "date_time": {
                                "low": {
                                    "date": "2006-05-01T00:00:00.000Z",
                                    "precision": "day"
                                },
                                "high": {
                                    "date": "2009-02-27T08:00:00.000Z",
                                    "precision": "second"
                                }
                            },
                            "reaction": {
                                "name": "Wheezing",
                                "code": "56018004",
                                "code_system_name": "SNOMED CT"
                            },
                            "severity": {
                                "code": {
                                    "name": "Mild",
                                    "code": "255604002",
                                    "code_system_name": "SNOMED CT"
                                },
                                "interpretation": {
                                    "name": "Suceptible",
                                    "code": "S",
                                    "code_system_name": "Observation Interpretation"
                                }
                            }
                        }
                    ],
                    "severity": {
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                            "name": "Moderate",
                            "code": "6736007",
                            "code_system_name": "SNOMED CT"
                        },
                        "interpretation": {
                            "name": "Normal",
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                        }
                    }
                }
            },
            {
                "identifiers": [
                    {
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                },
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                    ],
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                        "code": "1191",
                        "code_system_name": "RXNORM"
                    },
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                        "name": "Drug intolerance",
                        "code": "59037007",
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                    },
                    "date_time": {
                        "low": {
                            "date": "2008-05-01T00:00:00.000Z",
                            "precision": "day"
                        }
                    },
                    "status": {
                        "name": "Active",
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                    },
                    "reactions": [
                        {
                            "identifiers": [
                                {
                                    "identifier": "4adc1020-7b14-11db-9fe1-0800200c9a64"
                                }
                            ],
                            "date_time": {
                                "low": {
                                    "date": "2008-05-01T00:00:00.000Z",
                                    "precision": "day"
                                },
                                "high": {
                                    "date": "2009-02-27T08:00:00.000Z",
                                    "precision": "second"
                                }
                            },
                            "reaction": {
                                "name": "Hives",
                                "code": "247472004",
                                "code_system_name": "SNOMED CT"
                            },
                            "severity": {
                                "code": {
                                    "name": "Mild to moderate",
                                    "code": "371923003",
                                    "code_system_name": "SNOMED CT"
                                },
                                "interpretation": {
                                    "name": "Suceptible",
                                    "code": "S",
                                    "code_system_name": "Observation Interpretation"
                                }
                            }
                        }
                    ],
                    "severity": {
                        "code": {
                            "name": "Mild to moderate",
                            "code": "371923003",
                            "code_system_name": "SNOMED CT"
                        },
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                            "name": "Normal",
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                        }
                    }
                }
            }
        ],
        "immunizations": [
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                        "precision": "month"
                    }
                },
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                ],
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                        ]
                    },
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                },
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                    ],
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                            "first": "Amanda"
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                    ],
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                            "city": "Ann Arbor",
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                        }
                    ],
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                    ]
                },
                "instructions": {
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                        "code": "171044003",
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                    },
                    "free_text": "Possible flu-like symptoms for three days."
                }
            },
            {
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                ],
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                                "name": "Influenza, seasonal, injectable",
                                "code": "141",
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                            }
                        ]
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                },
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                },
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                    ],
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                        }
                    ],
                    "organization": [
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                }
            },
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                        ]
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                    ],
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                    ],
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                    ]
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                ],
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                    ],
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                        }
                    ],
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                        }
                    ]
                },
                "refusal_reason": "Patient objection"
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        ],
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            {
                "date_time": {
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                        "precision": "day"
                    },
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                    }
                },
                "identifiers": [
                    {
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                ],
                "code": {
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                },
                "value": "Former smoker"
            },
            {
                "date_time": {
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                        "date": "2005-05-01T00:00:00.000Z",
                        "precision": "day"
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                },
                "identifiers": [
                    {
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                ],
                "code": {
                    "name": "Smoking Status"
                },
                "value": "Former smoker"
            },
            {
                "date_time": {
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                    },
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                },
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                    }
                ],
                "code": {
                    "name": "Tobacco use and exposure",
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                },
                "value": "1 pack per day"
            },
            {
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                },
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                ],
                "code": {
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                },
                "value": "None"
            },
            {
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                    }
                },
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                    }
                ],
                "code": {
                    "name": "Alcohol consumption",
                    "code": "160573003",
                    "code_system_name": "SNOMED CT"
                },
                "value": "None"
            }
        ],
        "problems": [
            {
                "date_time": {
                    "low": {
                        "date": "2008-01-03T00:00:00.000Z",
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                    },
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                },
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                ],
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                    },
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                            "date": "2008-01-03T00:00:00.000Z",
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                        },
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                        }
                    }
                },
                "onset_age": "57",
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                "status": {
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                            "date": "2008-01-03T00:00:00.000Z",
                            "precision": "day"
                        },
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                            "precision": "second"
                        }
                    }
                },
                "patient_status": "Alive and well",
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                ]
            },
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                    },
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                    }
                },
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                    {
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                ],
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                },
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                "status": {
                    "name": "Active",
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                            "date": "2008-01-03T00:00:00.000Z",
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                        },
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                            "date": "2009-02-27T08:00:00.000Z",
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    },
    "errors": [
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        "nullFlavor alert:  missing but required street_lines in Address -> Patient -> CCD",
        "nullFlavor alert:  missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
        "nullFlavor alert:  missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
        "nullFlavor alert:  missing but required text in ResultObservation -> ResultsOrganizer -> resultsSection -> CCD",
        "cardinality error: found 2 when expecting 0..1 at h:entryRelationship[@typeCode='REFR']/h:supply",
        "nullFlavor alert:  missing but required location_type in serviceDeliveryLocation -> procedureProcedure -> procedureUnion -> proceduresSection -> CCD",
        "nullFlavor alert:  missing but required value in PhysicalQuantity -> XsiTypedValue -> procedureObservation -> procedureUnion -> proceduresSection -> CCD",
        "nullFlavor alert:  missing but required instructions in entry -> plan_of_care_section -> CCD",
        "nullFlavor alert:  missing but required instructions in entry -> plan_of_care_section -> CCD",
        "nullFlavor alert:  missing but required instructions in entry -> plan_of_care_section -> CCD",
        "nullFlavor alert:  missing but required instructions in entry -> plan_of_care_section -> CCD",
        "cardinality error: found 2 when expecting 1..1 at h:performer",
        "nullFlavor alert:  missing but required code in participant -> entry -> payers_section -> CCD",
        "cardinality error: found 2 when expecting 1..1 at h:entryRelationship/h:act/h:participant"
    ]
}