{
  "resourceType": "Bundle",
  "id": "soap-note-bundle",
  "meta": {
    "lastUpdated": "2024-01-15T11:30:00Z",
    "profile": ["http://hl7.org/fhir/StructureDefinition/Bundle"]
  },
  "type": "collection",
  "timestamp": "2024-01-15T11:30:00Z",
  "entry": [
    {
      "fullUrl": "urn:uuid:encounter-example-encounter",
      "resource": {
        "resourceType": "Encounter",
        "id": "example-encounter",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/Encounter"]
        },
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "162673000",
                "display": "General examination of patient (procedure)"
              }
            ]
          }
        ],
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "participant": [
          {
            "type": [
              {
                "coding": [
                  {
                    "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                    "code": "PPRF",
                    "display": "primary performer"
                  }
                ]
              }
            ],
            "individual": {
              "reference": "Practitioner/dr-alice-smith",
              "display": "Dr. Alice Smith"
            }
          }
        ],
        "period": {
          "start": "2024-01-15T09:00:00Z",
          "end": "2024-01-15T10:30:00Z"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:obs-subjective-fatigue",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-subjective-fatigue",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/Observation"]
        },
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "survey",
                "display": "Survey"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "75325-1",
              "display": "Symptom"
            }
          ],
          "text": "Fatigue"
        },
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "encounter": {
          "reference": "Encounter/example-encounter",
          "display": "Office visit"
        },
        "effectiveDateTime": "2024-01-15T09:15:00Z",
        "performer": [
          {
            "reference": "Patient/homer-simpson",
            "display": "Homer Simpson"
          }
        ],
        "valueString": "Patient reports feeling lethargic and fatigued for the past week with associated epigastric discomfort."
      }
    },
    {
      "fullUrl": "urn:uuid:obs-objective-heart-rate",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-objective-heart-rate",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/Observation"]
        },
        "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"
            }
          ]
        },
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "encounter": {
          "reference": "Encounter/example-encounter",
          "display": "Office visit"
        },
        "effectiveDateTime": "2024-01-15T09:20:00Z",
        "performer": [
          {
            "reference": "Practitioner/dr-alice-smith",
            "display": "Dr. Alice Smith"
          }
        ],
        "valueQuantity": {
          "value": 112,
          "unit": "beats/min",
          "system": "http://unitsofmeasure.org",
          "code": "{Beats}/min"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:clinical-impression-assessment",
      "resource": {
        "resourceType": "ClinicalImpression",
        "id": "clinical-impression-assessment",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/ClinicalImpression"]
        },
        "status": "completed",
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "encounter": {
          "reference": "Encounter/example-encounter",
          "display": "Office visit"
        },
        "date": "2024-01-15T10:00:00Z",
        "assessor": {
          "reference": "Practitioner/dr-alice-smith",
          "display": "Dr. Alice Smith"
        },
        "description": "Patient presents with fatigue and epigastric discomfort. Physical exam notable for elevated heart rate. Symptoms consistent with gastritis.",
        "supportingInfo": [
          {
            "reference": "Observation/obs-subjective-fatigue",
            "display": "Patient-reported fatigue"
          },
          {
            "reference": "Observation/obs-objective-heart-rate",
            "display": "Elevated heart rate"
          }
        ],
        "note": [
          {
            "text": "Assessment: Symptoms of fatigue, epigastric discomfort, and tachycardia are consistent with gastritis. Differential diagnosis includes peptic ulcer disease. Recommend H. pylori testing to guide treatment. Will initiate empiric therapy pending lab results."
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:condition-gastritis",
      "resource": {
        "resourceType": "Condition",
        "id": "condition-gastritis",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/Condition"]
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/sid/icd-10-cm",
              "code": "K29.70",
              "display": "Gastritis, unspecified, without bleeding"
            }
          ],
          "text": "Gastritis, unspecified"
        },
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "encounter": {
          "reference": "Encounter/example-encounter",
          "display": "Office visit"
        },
        "onsetDateTime": "2024-01-15",
        "asserter": {
          "reference": "Practitioner/dr-alice-smith",
          "display": "Dr. Alice Smith"
        }
      }
    },
    {
      "fullUrl": "urn:uuid:service-request-lab",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "service-request-lab",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/ServiceRequest"]
        },
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "13958-0",
              "display": "Helicobacter pylori [Presence] in Gastric fluid by Organism specific culture"
            }
          ],
          "text": "H. pylori culture"
        },
        "subject": {
          "reference": "Patient/homer-simpson",
          "display": "Homer Simpson"
        },
        "encounter": {
          "reference": "Encounter/example-encounter",
          "display": "Office visit"
        },
        "authoredOn": "2024-01-15T10:15:00Z",
        "requester": {
          "reference": "Practitioner/dr-alice-smith",
          "display": "Dr. Alice Smith"
        },
        "reasonCode": [
          {
            "coding": [
              {
                "system": "http://hl7.org/fhir/sid/icd-10-cm",
                "code": "K29.70",
                "display": "Gastritis, unspecified, without bleeding"
              }
            ],
            "text": "Rule out H. pylori in setting of gastritis"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:provenance-note-signed",
      "resource": {
        "resourceType": "Provenance",
        "id": "provenance-note-signed",
        "meta": {
          "profile": ["http://hl7.org/fhir/StructureDefinition/Provenance"]
        },
        "target": [
          {
            "reference": "Encounter/example-encounter",
            "display": "Office visit"
          }
        ],
        "recorded": "2024-01-15T11:30:00Z",
        "reason": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "code": "SIGN",
                "display": "Signed"
              }
            ]
          }
        ],
        "agent": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code": "author",
                  "display": "Author"
                }
              ]
            },
            "who": {
              "reference": "Practitioner/dr-alice-smith",
              "display": "Dr. Alice Smith"
            }
          }
        ]
      }
    }
  ]
}