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      }
    },
    "request": {
      "method": "POST",
      "url": "Observation"
    }
  }, {
    "fullUrl": "urn:uuid:e43caf4c-612b-587d-bfc3-e21eaca53895",
    "resource": {
      "resourceType": "Observation",
      "id": "e43caf4c-612b-587d-bfc3-e21eaca53895",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-social-history" ]
      },
      "status": "final",
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "social-history",
          "display": "Social history"
        } ]
      } ],
      "code": {
        "coding": [ {
          "system": "http://loinc.org",
          "code": "72166-2",
          "display": "Tobacco smoking status"
        } ],
        "text": "Tobacco smoking status"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "encounter": {
        "reference": "urn:uuid:2b7994e3-cc66-6310-e60c-17938a6ebf99"
      },
      "effectiveDateTime": "2014-02-16T08:50:58+01:00",
      "issued": "2014-02-16T08:50:58.520+01:00",
      "valueCodeableConcept": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "266919005",
          "display": "Never smoked tobacco (finding)"
        } ],
        "text": "Never smoked tobacco (finding)"
      }
    },
    "request": {
      "method": "POST",
      "url": "Observation"
    }
  }, {
    "fullUrl": "urn:uuid:011a624a-df9b-956a-c4aa-e5d0d235c653",
    "resource": {
      "resourceType": "Observation",
      "id": "011a624a-df9b-956a-c4aa-e5d0d235c653",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-sdoh-assessment", "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
      },
      "status": "final",
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/observation-category",
          "code": "survey",
          "display": "Survey"
        } ]
      } ],
      "code": {
        "coding": [ {
          "system": "http://loinc.org",
          "code": "93025-5",
          "display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
        } ],
        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "encounter": {
        "reference": "urn:uuid:2b7994e3-cc66-6310-e60c-17938a6ebf99"
      },
      "effectiveDateTime": "2014-02-16T09:37:55+01:00",
      "issued": "2014-02-16T09:37:55.520+01:00",
      "component": [ {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "76501-6",
            "display": "Within the last year, have you been afraid of your partner or ex-partner?"
          } ],
          "text": "Within the last year, have you been afraid of your partner or ex-partner?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93026-3",
            "display": "Do you feel physically and emotionally safe where you currently live?"
          } ],
          "text": "Do you feel physically and emotionally safe where you currently live?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA33-6",
            "display": "Yes"
          } ],
          "text": "Yes"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93027-1",
            "display": "Are you a refugee?"
          } ],
          "text": "Are you a refugee?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93028-9",
            "display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
          } ],
          "text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93038-8",
            "display": "Stress level"
          } ],
          "text": "Stress level"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA13863-8",
            "display": "A little bit"
          } ],
          "text": "A little bit"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93029-7",
            "display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
          } ],
          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA30130-1",
            "display": "1 or 2 times a week"
          } ],
          "text": "1 or 2 times a week"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93030-5",
            "display": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
          } ],
          "text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93031-3",
            "display": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
          } ],
          "text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA30128-5",
            "display": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
          } ],
          "text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "63586-2",
            "display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
          } ],
          "text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
        },
        "valueQuantity": {
          "value": 13925,
          "unit": "/a",
          "system": "http://unitsofmeasure.org",
          "code": "/a"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "76437-3",
            "display": "Primary insurance"
          } ],
          "text": "Primary insurance"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA17849-3",
            "display": "Medicaid"
          } ],
          "text": "Medicaid"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "67875-5",
            "display": "Employment status - current"
          } ],
          "text": "Employment status - current"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA30137-6",
            "display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
          } ],
          "text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "82589-3",
            "display": "Highest level of education"
          } ],
          "text": "Highest level of education"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA30193-9",
            "display": "More than high school"
          } ],
          "text": "More than high school"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "56799-0",
            "display": "Address"
          } ],
          "text": "Address"
        },
        "valueString": "591 Gutkowski Run"
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93033-9",
            "display": "Are you worried about losing your housing?"
          } ],
          "text": "Are you worried about losing your housing?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA33-6",
            "display": "Yes"
          } ],
          "text": "Yes"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "71802-3",
            "display": "Housing status"
          } ],
          "text": "Housing status"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA30189-7",
            "display": "I have housing"
          } ],
          "text": "I have housing"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "63512-8",
            "display": "How many people are living or staying at this address?"
          } ],
          "text": "How many people are living or staying at this address?"
        },
        "valueQuantity": {
          "value": 2,
          "unit": "{#}",
          "system": "http://unitsofmeasure.org",
          "code": "{#}"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "54899-0",
            "display": "Preferred language"
          } ],
          "text": "Preferred language"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA43-5",
            "display": "English"
          } ],
          "text": "English"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93034-7",
            "display": "Have you been discharged from the armed forces of the United States?"
          } ],
          "text": "Have you been discharged from the armed forces of the United States?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "93035-4",
            "display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
          } ],
          "text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "32624-9",
            "display": "Race"
          } ],
          "text": "Race"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA4457-3",
            "display": "White"
          } ],
          "text": "White"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "56051-6",
            "display": "Do you consider yourself Hispanic/Latino?"
          } ],
          "text": "Do you consider yourself Hispanic/Latino?"
        },
        "valueCodeableConcept": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      } ]
    },
    "request": {
      "method": "POST",
      "url": "Observation"
    }
  }, {
    "fullUrl": "urn:uuid:8b936906-f5ec-4435-89ad-31d2ffe4dc8e",
    "resource": {
      "resourceType": "Procedure",
      "id": "8b936906-f5ec-4435-89ad-31d2ffe4dc8e",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
      },
      "status": "completed",
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "710824005",
          "display": "Assessment of health and social care needs (procedure)"
        } ],
        "text": "Assessment of health and social care needs (procedure)"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "encounter": {
        "reference": "urn:uuid:2b7994e3-cc66-6310-e60c-17938a6ebf99"
      },
      "performedPeriod": {
        "start": "2014-02-16T08:50:58+01:00",
        "end": "2014-02-16T09:37:55+01:00"
      },
      "location": {
        "reference": "Location?identifier=https://github.com/synthetichealth/synthea|acf8665a-9a46-39ac-b943-afc419b0449e",
        "display": "COMPASSIONATE CARE INTERNAL MEDICINE, LLC"
      }
    },
    "request": {
      "method": "POST",
      "url": "Procedure"
    }
  }, {
    "fullUrl": "urn:uuid:014ff8af-d7d6-0ede-50d3-ccb7a4919090",
    "resource": {
      "resourceType": "MedicationRequest",
      "id": "014ff8af-d7d6-0ede-50d3-ccb7a4919090",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
      },
      "status": "stopped",
      "intent": "order",
      "category": [ {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/medicationrequest-category",
          "code": "community",
          "display": "Community"
        } ],
        "text": "Community"
      } ],
      "medicationCodeableConcept": {
        "coding": [ {
          "system": "http://www.nlm.nih.gov/research/umls/rxnorm",
          "code": "209387",
          "display": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
        } ],
        "text": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "encounter": {
        "reference": "urn:uuid:2b7994e3-cc66-6310-e60c-17938a6ebf99"
      },
      "authoredOn": "2014-02-16T08:50:58+01:00",
      "requester": {
        "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999952291",
        "display": "Dr. Kayce253 Ondricka197"
      },
      "dosageInstruction": [ {
        "sequence": 1,
        "text": "Every four to six hours (qualifier value)",
        "additionalInstruction": [ {
          "coding": [ {
            "system": "http://snomed.info/sct",
            "code": "225757006",
            "display": "Every four to six hours (qualifier value)"
          } ],
          "text": "Every four to six hours (qualifier value)"
        } ],
        "timing": {
          "repeat": {
            "frequency": 4,
            "period": 1.0,
            "periodUnit": "d"
          }
        },
        "asNeededBoolean": false,
        "doseAndRate": [ {
          "type": {
            "coding": [ {
              "system": "http://terminology.hl7.org/CodeSystem/dose-rate-type",
              "code": "ordered",
              "display": "Ordered"
            } ]
          },
          "doseQuantity": {
            "value": 1.0
          }
        } ]
      } ]
    },
    "request": {
      "method": "POST",
      "url": "MedicationRequest"
    }
  }, {
    "fullUrl": "urn:uuid:5c84a0ec-c0d9-236a-e554-fdedce6567ee",
    "resource": {
      "resourceType": "Claim",
      "id": "5c84a0ec-c0d9-236a-e554-fdedce6567ee",
      "status": "active",
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/claim-type",
          "code": "pharmacy"
        } ]
      },
      "use": "claim",
      "patient": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "billablePeriod": {
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        "end": "2014-02-16T09:37:55+01:00"
      },
      "created": "2014-02-16T09:37:55+01:00",
      "provider": {
        "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|9b8a7a25-b923-3710-9f3c-d42919a3f54f",
        "display": "COMPASSIONATE CARE INTERNAL MEDICINE, LLC"
      },
      "priority": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/processpriority",
          "code": "normal"
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      },
      "prescription": {
        "reference": "urn:uuid:014ff8af-d7d6-0ede-50d3-ccb7a4919090"
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      "insurance": [ {
        "sequence": 1,
        "focal": true,
        "coverage": {
          "display": "Medicaid"
        }
      } ],
      "item": [ {
        "sequence": 1,
        "productOrService": {
          "coding": [ {
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            "code": "209387",
            "display": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
          } ],
          "text": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
        },
        "encounter": [ {
          "reference": "urn:uuid:2b7994e3-cc66-6310-e60c-17938a6ebf99"
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      } ],
      "total": {
        "value": 129.94,
        "currency": "USD"
      }
    },
    "request": {
      "method": "POST",
      "url": "Claim"
    }
  }, {
    "fullUrl": "urn:uuid:68789a9f-63bc-54cf-0b62-d38eb73f52f9",
    "resource": {
      "resourceType": "ExplanationOfBenefit",
      "id": "68789a9f-63bc-54cf-0b62-d38eb73f52f9",
      "contained": [ {
        "resourceType": "ServiceRequest",
        "id": "referral",
        "status": "completed",
        "intent": "order",
        "subject": {
          "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
        },
        "requester": {
          "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999952291"
        },
        "performer": [ {
          "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999952291"
        } ]
      }, {
        "resourceType": "Coverage",
        "id": "coverage",
        "status": "active",
        "type": {
          "text": "Medicaid"
        },
        "beneficiary": {
          "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
        },
        "payor": [ {
          "display": "Medicaid"
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      } ],
      "identifier": [ {
        "system": "https://bluebutton.cms.gov/resources/variables/clm_id",
        "value": "5c84a0ec-c0d9-236a-e554-fdedce6567ee"
      }, {
        "system": "https://bluebutton.cms.gov/resources/identifier/claim-group",
        "value": "99999999999"
      } ],
      "status": "active",
      "type": {
        "coding": [ {
          "system": "http://terminology.hl7.org/CodeSystem/claim-type",
          "code": "pharmacy"
        } ]
      },
      "use": "claim",
      "patient": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
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        "end": "2015-02-16T09:37:55+01:00"
      },
      "created": "2014-02-16T09:37:55+01:00",
      "insurer": {
        "display": "Medicaid"
      },
      "provider": {
        "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999952291"
      },
      "referral": {
        "reference": "#referral"
      },
      "facility": {
        "reference": "Location?identifier=https://github.com/synthetichealth/synthea|acf8665a-9a46-39ac-b943-afc419b0449e",
        "display": "COMPASSIONATE CARE INTERNAL MEDICINE, LLC"
      },
      "claim": {
        "reference": "urn:uuid:5c84a0ec-c0d9-236a-e554-fdedce6567ee"
      },
      "outcome": "complete",
      "careTeam": [ {
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        "provider": {
          "reference": "Practitioner?identifier=http://hl7.org/fhir/sid/us-npi|9999952291"
        },
        "role": {
          "coding": [ {
            "system": "http://terminology.hl7.org/CodeSystem/claimcareteamrole",
            "code": "primary",
            "display": "Primary provider"
          } ]
        }
      } ],
      "insurance": [ {
        "focal": true,
        "coverage": {
          "reference": "#coverage",
          "display": "Medicaid"
        }
      } ],
      "item": [ {
        "sequence": 1,
        "category": {
          "coding": [ {
            "system": "https://bluebutton.cms.gov/resources/variables/line_cms_type_srvc_cd",
            "code": "1",
            "display": "Medical care"
          } ]
        },
        "productOrService": {
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        "code": {
          "coding": [ {
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        "code": {
          "coding": [ {
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          "text": "Do you consider yourself Hispanic/Latino?"
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        "text": "Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]"
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        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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        "text": "Tobacco smoking status"
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          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
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          "text": "Have you been discharged from the armed forces of the United States?"
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          "text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
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          "text": "Do you consider yourself Hispanic/Latino?"
        },
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        "text": "Medication Reconciliation (procedure)"
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        "text": "Assessment of health and social care needs (procedure)"
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      } ],
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        "text": "Respiratory rate"
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      },
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      } ],
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        "text": "Tobacco smoking status"
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        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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          "text": "Do you feel physically and emotionally safe where you currently live?"
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        },
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          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
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          "text": "Highest level of education"
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          "text": "More than high school"
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          "text": "Address"
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          "text": "Have you been discharged from the armed forces of the United States?"
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          "text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
        },
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          "text": "Do you consider yourself Hispanic/Latino?"
        },
        "valueCodeableConcept": {
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          "text": "No"
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      } ],
      "code": {
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        } ],
        "text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
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      "code": {
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        "text": "Total score [HARK]"
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        "text": "Assessment of health and social care needs (procedure)"
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          "display": "Vital signs"
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      "code": {
        "coding": [ {
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          "code": "85354-9",
          "display": "Blood pressure panel with all children optional"
        } ],
        "text": "Blood pressure panel with all children optional"
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      }, {
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          "coding": [ {
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          "text": "Systolic Blood Pressure"
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      } ],
      "code": {
        "coding": [ {
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          "code": "8867-4",
          "display": "Heart rate"
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        "text": "Heart rate"
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        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-respiratory-rate" ]
      },
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      } ],
      "code": {
        "coding": [ {
          "system": "http://loinc.org",
          "code": "9279-1",
          "display": "Respiratory rate"
        } ],
        "text": "Respiratory rate"
      },
      "subject": {
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      "encounter": {
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      },
      "status": "final",
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          "code": "social-history",
          "display": "Social history"
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      } ],
      "code": {
        "coding": [ {
          "system": "http://loinc.org",
          "code": "72166-2",
          "display": "Tobacco smoking status"
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        "text": "Tobacco smoking status"
      },
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        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
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          "display": "Never smoked tobacco (finding)"
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        "text": "Never smoked tobacco (finding)"
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    },
    "request": {
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          "code": "survey",
          "display": "Survey"
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      } ],
      "code": {
        "coding": [ {
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          "code": "93025-5",
          "display": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
        } ],
        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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            "code": "76501-6",
            "display": "Within the last year, have you been afraid of your partner or ex-partner?"
          } ],
          "text": "Within the last year, have you been afraid of your partner or ex-partner?"
        },
        "valueCodeableConcept": {
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            "code": "LA33-6",
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          "text": "Yes"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "93026-3",
            "display": "Do you feel physically and emotionally safe where you currently live?"
          } ],
          "text": "Do you feel physically and emotionally safe where you currently live?"
        },
        "valueCodeableConcept": {
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          "text": "Yes"
        }
      }, {
        "code": {
          "coding": [ {
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            "display": "Are you a refugee?"
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          "text": "Are you a refugee?"
        },
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          "text": "No"
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      }, {
        "code": {
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            "code": "93028-9",
            "display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
          } ],
          "text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
        },
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          "text": "No"
        }
      }, {
        "code": {
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          "text": "Stress level"
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          "text": "A little bit"
        }
      }, {
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            "display": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
          } ],
          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
        },
        "valueCodeableConcept": {
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          "text": "5 or more times a week"
        }
      }, {
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          } ],
          "text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
        },
        "valueCodeableConcept": {
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          "text": "No"
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      }, {
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          } ],
          "text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
        },
        "valueCodeableConcept": {
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          "text": "Utilities"
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            "code": "63586-2",
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          } ],
          "text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
        },
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            "code": "76437-3",
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          } ],
          "text": "Primary insurance"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "LA17849-3",
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          } ],
          "text": "Medicaid"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "67875-5",
            "display": "Employment status - current"
          } ],
          "text": "Employment status - current"
        },
        "valueCodeableConcept": {
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          } ],
          "text": "Part-time or temporary work"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "82589-3",
            "display": "Highest level of education"
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          "text": "Highest level of education"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "LA30193-9",
            "display": "More than high school"
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          "text": "More than high school"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "56799-0",
            "display": "Address"
          } ],
          "text": "Address"
        },
        "valueString": "591 Gutkowski Run"
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          } ],
          "text": "Are you worried about losing your housing?"
        },
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            "code": "LA33-6",
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          "text": "Yes"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "71802-3",
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          "text": "Housing status"
        },
        "valueCodeableConcept": {
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            "display": "I have housing"
          } ],
          "text": "I have housing"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "63512-8",
            "display": "How many people are living or staying at this address?"
          } ],
          "text": "How many people are living or staying at this address?"
        },
        "valueQuantity": {
          "value": 2,
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          "system": "http://unitsofmeasure.org",
          "code": "{#}"
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          } ],
          "text": "Preferred language"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "LA43-5",
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          "text": "English"
        }
      }, {
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            "display": "Have you been discharged from the armed forces of the United States?"
          } ],
          "text": "Have you been discharged from the armed forces of the United States?"
        },
        "valueCodeableConcept": {
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          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
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            "display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
          } ],
          "text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
        },
        "valueCodeableConcept": {
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          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "32624-9",
            "display": "Race"
          } ],
          "text": "Race"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "LA4457-3",
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          "text": "White"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "56051-6",
            "display": "Do you consider yourself Hispanic/Latino?"
          } ],
          "text": "Do you consider yourself Hispanic/Latino?"
        },
        "valueCodeableConcept": {
          "coding": [ {
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            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      } ]
    },
    "request": {
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      "url": "Observation"
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  }, {
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        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
      },
      "status": "completed",
      "code": {
        "coding": [ {
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          "code": "710824005",
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        } ],
        "text": "Assessment of health and social care needs (procedure)"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
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  }, {
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        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest" ]
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      "status": "stopped",
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        "text": "Community"
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      "medicationCodeableConcept": {
        "coding": [ {
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          "display": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
        } ],
        "text": "Acetaminophen 325 MG Oral Tablet [Tylenol]"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
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          "text": "Every four to six hours (qualifier value)"
        } ],
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        },
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        "doseAndRate": [ {
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          },
          "doseQuantity": {
            "value": 1.0
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    "request": {
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      "url": "MedicationRequest"
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  }, {
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      "type": {
        "coding": [ {
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          "code": "pharmacy"
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      },
      "use": "claim",
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      "billablePeriod": {
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        "coding": [ {
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          "code": "2093-3",
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        } ],
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      },
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      } ],
      "code": {
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          "code": "2571-8",
          "display": "Triglycerides"
        } ],
        "text": "Triglycerides"
      },
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        } ],
        "text": "Low Density Lipoprotein Cholesterol"
      },
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        "text": "Cholesterol in HDL [Mass/volume] in Serum or Plasma"
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      },
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        } ]
      } ],
      "code": {
        "coding": [ {
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          "code": "72166-2",
          "display": "Tobacco smoking status"
        } ],
        "text": "Tobacco smoking status"
      },
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        "text": "Never smoked tobacco (finding)"
      }
    },
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        } ],
        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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        },
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          "text": "No"
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      }, {
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          "text": "Do you feel physically and emotionally safe where you currently live?"
        },
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          "text": "Yes"
        }
      }, {
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          } ],
          "text": "Are you a refugee?"
        },
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          "text": "No"
        }
      }, {
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          } ],
          "text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
        },
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          } ],
          "text": "No"
        }
      }, {
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          "text": "Stress level"
        },
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          "text": "Not at all"
        }
      }, {
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          } ],
          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
        },
        "valueCodeableConcept": {
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          "text": "5 or more times a week"
        }
      }, {
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          "text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
        },
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          "text": "No"
        }
      }, {
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          } ],
          "text": "In the past year, have you or any family members you live with been unable to get any of the following when it was really needed?"
        },
        "valueCodeableConcept": {
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          "text": "I choose not to answer this question"
        }
      }, {
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            "display": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
          } ],
          "text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
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            "display": "Primary insurance"
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          "text": "Primary insurance"
        },
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            "display": "Medicaid"
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          "text": "Medicaid"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "67875-5",
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          "text": "Employment status - current"
        },
        "valueCodeableConcept": {
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            "display": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
          } ],
          "text": "Otherwise unemployed but not seeking work (ex: student, retired, disabled, unpaid primary care giver)"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "82589-3",
            "display": "Highest level of education"
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          "text": "Highest level of education"
        },
        "valueCodeableConcept": {
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            "display": "More than high school"
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          "text": "More than high school"
        }
      }, {
        "code": {
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            "code": "56799-0",
            "display": "Address"
          } ],
          "text": "Address"
        },
        "valueString": "591 Gutkowski Run"
      }, {
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            "code": "93033-9",
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          } ],
          "text": "Are you worried about losing your housing?"
        },
        "valueCodeableConcept": {
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            "code": "LA33-6",
            "display": "Yes"
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          "text": "Yes"
        }
      }, {
        "code": {
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            "code": "71802-3",
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          } ],
          "text": "Housing status"
        },
        "valueCodeableConcept": {
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            "code": "LA30189-7",
            "display": "I have housing"
          } ],
          "text": "I have housing"
        }
      }, {
        "code": {
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            "code": "63512-8",
            "display": "How many people are living or staying at this address?"
          } ],
          "text": "How many people are living or staying at this address?"
        },
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          "text": "Preferred language"
        },
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          "text": "English"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "93034-7",
            "display": "Have you been discharged from the armed forces of the United States?"
          } ],
          "text": "Have you been discharged from the armed forces of the United States?"
        },
        "valueCodeableConcept": {
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            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      }, {
        "code": {
          "coding": [ {
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            "code": "93035-4",
            "display": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
          } ],
          "text": "At any point in the past 2 years, has season or migrant farm work been your or your family's main source of income?"
        },
        "valueCodeableConcept": {
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          } ],
          "text": "No"
        }
      }, {
        "code": {
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            "code": "32624-9",
            "display": "Race"
          } ],
          "text": "Race"
        },
        "valueCodeableConcept": {
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            "code": "LA4457-3",
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          } ],
          "text": "White"
        }
      }, {
        "code": {
          "coding": [ {
            "system": "http://loinc.org",
            "code": "56051-6",
            "display": "Do you consider yourself Hispanic/Latino?"
          } ],
          "text": "Do you consider yourself Hispanic/Latino?"
        },
        "valueCodeableConcept": {
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            "code": "LA32-8",
            "display": "No"
          } ],
          "text": "No"
        }
      } ]
    },
    "request": {
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      "url": "Observation"
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  }, {
    "fullUrl": "urn:uuid:170e319c-452e-6809-d1e7-08130f1217a9",
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      "id": "170e319c-452e-6809-d1e7-08130f1217a9",
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        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-survey" ]
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          "display": "Survey"
        } ]
      } ],
      "code": {
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          "system": "http://loinc.org",
          "code": "70274-6",
          "display": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
        } ],
        "text": "Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]"
      },
      "subject": {
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      "valueQuantity": {
        "value": 1,
        "unit": "{score}",
        "system": "http://unitsofmeasure.org",
        "code": "{score}"
      }
    },
    "request": {
      "method": "POST",
      "url": "Observation"
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  }, {
    "fullUrl": "urn:uuid:8e47eac2-f188-1e98-3d68-70b05cb785fa",
    "resource": {
      "resourceType": "Procedure",
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      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
      },
      "status": "completed",
      "code": {
        "coding": [ {
          "system": "http://snomed.info/sct",
          "code": "430193006",
          "display": "Medication Reconciliation (procedure)"
        } ],
        "text": "Medication Reconciliation (procedure)"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
      },
      "encounter": {
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      "performedPeriod": {
        "start": "2020-03-22T08:50:58+01:00",
        "end": "2020-03-22T09:05:58+01:00"
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      "location": {
        "reference": "Location?identifier=https://github.com/synthetichealth/synthea|acf8665a-9a46-39ac-b943-afc419b0449e",
        "display": "COMPASSIONATE CARE INTERNAL MEDICINE, LLC"
      }
    },
    "request": {
      "method": "POST",
      "url": "Procedure"
    }
  }, {
    "fullUrl": "urn:uuid:8f146d85-aae3-7b50-2c8d-788133e95453",
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      "resourceType": "Procedure",
      "id": "8f146d85-aae3-7b50-2c8d-788133e95453",
      "meta": {
        "profile": [ "http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure" ]
      },
      "status": "completed",
      "code": {
        "coding": [ {
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          "code": "710824005",
          "display": "Assessment of health and social care needs (procedure)"
        } ],
        "text": "Assessment of health and social care needs (procedure)"
      },
      "subject": {
        "reference": "urn:uuid:630e4b67-6e16-6bc7-6f28-2544b1a5d4d7"
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        "text": "Body Weight"
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        "text": "Body mass index (BMI) [Ratio]"
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        "text": "Blood pressure panel with all children optional"
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      } ],
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        "text": "Heart rate"
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        "text": "Respiratory rate"
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        "text": "Tobacco smoking status"
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        "text": "Never smoked tobacco (finding)"
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      } ],
      "code": {
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        } ],
        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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          "text": "Within the last year, have you been afraid of your partner or ex-partner?"
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          "text": "No"
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          "text": "Do you feel physically and emotionally safe where you currently live?"
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          "text": "Yes"
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          "text": "Are you a refugee?"
        },
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          "text": "No"
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      }, {
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            "display": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
          } ],
          "text": "In the past year, have you spent more than 2 nights in a row in a jail, prison, detention center, or juvenile correctional facility?"
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          "text": "No"
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        }
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          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
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          "text": "Has lack of transportation kept you from medical appointments, meetings, work, or from getting things needed for daily living"
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          "text": "No"
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        },
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          "text": "Medicine or Any Health Care (Medical, Dental, Mental Health, Vision)"
        }
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          } ],
          "text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
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          "text": "Medicaid"
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        "valueString": "591 Gutkowski Run"
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          "text": "Are you worried about losing your housing?"
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        "valueCodeableConcept": {
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          "text": "Yes"
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        "code": {
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          "text": "Housing status"
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          "text": "I have housing"
        }
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            "display": "How many people are living or staying at this address?"
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          "text": "How many people are living or staying at this address?"
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        "text": "Tobacco smoking status"
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        "text": "Triglycerides"
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        "text": "Low Density Lipoprotein Cholesterol"
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        "text": "Tobacco smoking status"
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        "text": "Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]"
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          "text": "No"
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          "text": "How often do you see or talk to people that you care about and feel close to (For example: talking to friends on the phone, visiting friends or family, going to church or club meetings)?"
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          "text": "No"
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          "text": "Utilities"
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          "text": "What was your best estimate of the total income of all family members from all sources, before taxes, in last year?"
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          "text": "Primary insurance"
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          "text": "Medicaid"
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}
