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      "#type": "ST",
      "value": "Ex-smoker"
     }
    },
    "tobaccoSmokingConsumption": {
     "#type": "PQ",
     "value": 0,
     "unit": "cig/d"
    },
    "lifetimeIntake": {
     "#type": "PQ",
     "value": 20,
     "unit": "pack years"
    },
    "dateCeased": {
     "#type": "TS",
     "value": "2000"
    }
   },
   "alcoholIntake": {
    "#type": "AlcoholIntake",
    "alcoholIntake": {
     "#type": "CD",
     "code": "219006",
     "codeSystem": "2.16.840.1.113883.6.96",
     "codeSystemName": "SNOMED-CT",
     "displayName": {
      "#type": "ST",
      "value": "Current drinker "
     }
    },
    "lastDrankAlcohol": {
     "#type": "TS",
     "value": "20130313"
    },
    "thirtyDayQuantityAndFrequency": {
     "#type": "ThirtyDayQuantityAndFrequency",
     "numberOfDaysAlcoholConsumed": {
      "#type": "REAL",
      "value": 15
     },
     "standardDrinksPerDayOnADrinkingDayInLastThirtyDays": {
      "#type": "REAL",
      "value": 3
     }
    },
    "averageDailyAlcoholIntake": {
     "#type": "PQ"
    },
    "maximumDailyStandardDrinks": {
     "#type": "PQ",
     "value": 5,
     "unit": "std drinks/d"
    },
    "yearsAlcoholConsumed": {
     "#type": "PQ",
     "value": 25,
     "unit": "yr"
    },
    "alcoholAbuseOrDependence": {
     "#type": "BL",
     "value": false
    }
   },
   "otherSubstanceUse": {
    "#type": "OtherSubstanceUse",
    "drugMisuseDetails": [
     {
      "#type": "CD",
      "code": "428823006",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "Cannabis misuse"
      }
     }
    ]
   }
  },
  "exerciseHistory": {
   "#type": "ExerciseHistory",
   "currentlyExercising": {
    "#type": "CD",
    "code": "160631001",
    "codeSystem": "2.16.840.1.113883.6.96",
    "codeSystemName": "SNOMED-CT",
    "displayName": {
     "#type": "ST",
     "value": "Enjoys light exercise"
    }
   },
   "exerciseType": {
    "#type": "CD",
    "code": "229072005",
    "codeSystem": "2.16.840.1.113883.6.96",
    "codeSystemName": "SNOMED-CT",
    "displayName": {
     "#type": "ST",
     "value": "Aerobic"
    }
   },
   "timeSpentExercising": {
    "#type": "PQ",
    "value": 2,
    "unit": "hrs/week"
   }
  },
  "socialHistory": {
   "#type": "SocialHistory",
   "socialSituation": {
    "#type": "ST",
    "value": "Married. Lives with husband and one child"
   }
  },
  "provider": {
   "#type": "Provider",
   "providerName": {
    "#type": "EN",
    "part": [
     {
      "#type": "ENXP",
      "value": "Bob",
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     },
     {
      "#type": "ENXP",
      "value": "Everydoc",
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     }
    ]
   },
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    "codeSystem": "2.16.840.1.113883.6.96",
    "codeSystemName": "SNOMED-CT",
    "displayName": {
     "#type": "ST",
     "value": "general practitioner"
    }
   }
  },
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   "#type": "Medications",
   "currentMedications": [
    {
     "#type": "Medication",
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      "code": "323510009",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "amoxycillin 500mg capsule"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "308191",
        "codeSystem": "2.16.840.1.113883.6.88",
        "codeSystemName": "RxNorm",
        "displayName": {
         "#type": "ST",
         "value": "Amoxicillin 500 MG Oral Capsule"
        }
       }
      ]
     },
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      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "three times a day"
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     },
     "requestedGiveRate": {
      "#type": "PQ"
     },
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      "#type": "TS",
      "value": "20130420"
     },
     "medicationStopdate": {
      "#type": "TS"
     },
     "totalDailyDose": {
      "#type": "PQ"
     },
     "reasonForCessation": {
      "#type": "CD",
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     },
     "indication": {
      "#type": "CD",
      "code": "15805002",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "Acute sinusitis"
      }
     },
     "replacedBy": {
      "#type": "CD",
      "codeSystem": ""
     }
    },
    {
     "#type": "Medication",
     "medicationCode": {
      "#type": "CD",
      "code": "320030001",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "atorvastatin 20mg tablet"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "617310",
        "codeSystem": "2.16.840.1.113883.6.88",
        "codeSystemName": "RxNorm",
        "displayName": {
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         "value": "atorvastatin 20 MG Oral Tablet"
        }
       }
      ]
     },
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      "codeSystemName": "SNOMED-CT",
      "displayName": {
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     },
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     }
    },
    {
     "#type": "Medication",
     "medicationCode": {
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      "code": "411533003",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "metformin hydrochloride 1000mg m/r tablet"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "860996",
        "codeSystem": "2.16.840.1.113883.6.88",
        "codeSystemName": "RxNorm",
        "displayName": {
         "#type": "ST",
         "value": "24 HR metFORMIN hydrochloride 1000 MG Extended Release Tablet"
        }
       }
      ]
     },
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      "codeSystem": "2.16.840.1.113883.6.96",
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      "displayName": {
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      }
     },
     "medicationStartDate": {
      "#type": "TS",
      "value": "2010"
     }
    },
    {
     "#type": "Medication",
     "medicationCode": {
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      "code": "370168003",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "aspirin 165mg e/c tablet"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "308403",
        "codeSystem": "2.16.840.1.113883.6.88",
        "codeSystemName": "RxNorm",
        "displayName": {
         "#type": "ST",
         "value": "Aspirin 165 MG Enteric Coated Tablet"
        }
       }
      ]
     },
     "dosingSig": {
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      "code": "229797004",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "once daily"
      }
     },
     "medicationStartDate": {
      "#type": "TS",
      "value": "2008"
     }
    },
    {
     "#type": "Medication",
     "medicationCode": {
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      "code": "408052000",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "ramipril 10mg tablet"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "401968",
        "codeSystem": "2.16.840.1.113883.6.88",
        "codeSystemName": "RxNorm",
        "displayName": {
         "#type": "ST",
         "value": "Ramipril 10 MG Oral Tablet"
        }
       }
      ]
     },
     "dosingSig": {
      "#type": "CD",
      "code": "229797004",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "once daily"
      }
     },
     "medicationStartDate": {
      "#type": "TS",
      "value": "2012"
     }
    }
   ]
  },
  "patient": {
   "#type": "Patient",
   "patientID": {
    "#type": "II",
    "extension": "1234567892",
    "reliability": "VRF",
    "root": "1.2.36.174030967",
    "scope": "OBJ"
   },
   "patientName": {
    "#type": "EN",
    "part": [
     {
      "#type": "ENXP",
      "value": "Ada",
      "type": "GIV"
     },
     {
      "#type": "ENXP",
      "value": "A.",
      "type": "GIV"
     },
     {
      "#type": "ENXP",
      "value": "Everyman",
      "type": "FAM"
     }
    ]
   },
   "dob": {
    "#type": "TS",
    "value": "19550621"
   },
   "gender": {
    "#type": "CD",
    "code": "248152002",
    "codeSystem": "2.16.840.1.113883.6.96",
    "codeSystemName": "SNOMED-CT",
    "displayName": {
     "#type": "ST",
     "value": "Female"
    }
   },
   "ssn": {
    "#type": "ST",
    "value": "987-65-4320"
   },
   "address": {
    "#type": "AD",
    "part": [
     {
      "#type": "ADXP",
      "value": "1050 W Wishard Blvd",
      "type": "AL"
     },
     {
      "#type": "ADXP",
      "value": "Indianapolis",
      "type": "CTY"
     },
     {
      "#type": "ADXP",
      "value": "IN",
      "type": "STA"
     },
     {
      "#type": "ADXP",
      "value": "46240",
      "type": "ZIP"
     }
    ],
    "use": [
     "WP"
    ]
   }
  },
  "vitals": {
   "#type": "Vitals",
   "height": [
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "50373000",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "body height"
      },
      "translation": [
       {
        "#type": "CD",
        "code": " 8308-9",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Body height Measured"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 164,
      "unit": "cm"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20101102"
     }
    }
   ],
   "weight": [
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "27113001",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "body weight"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "3141-9",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Body weight Measured"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 68,
      "unit": "kg"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20130423"
     }
    },
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "27113001",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "body weight"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "3141-9",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Body weight Measured"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 66,
      "unit": "kg"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20101102"
     }
    }
   ],
   "pulseRate": [
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "364075005",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "heart rate"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "8867-4",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Heart rate"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 86,
      "unit": "bpm"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20150415"
     }
    },
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "364075005",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "heart rate"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "8867-4",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Heart rate"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 200,
      "unit": "bpm"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20150723"
     }
    }
   ],
   "temperature": [
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "386725007",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "body temperature"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "8310-5",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Body temperature Measured"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 37,
      "unit": "DegC"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20130423"
     }
    },
    {
     "#type": "Observation",
     "observationCode": {
      "#type": "CD",
      "code": "386725007",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "body temperature"
      },
      "translation": [
       {
        "#type": "CD",
        "code": "8310-5",
        "codeSystem": "2.16.840.1.113883.6.1",
        "codeSystemName": "LN",
        "displayName": {
         "#type": "ST",
         "value": "Body temperature Measured"
        }
       }
      ]
     },
     "value": {
      "#type": "PQ",
      "value": 39.9,
      "unit": "DegC"
     },
     "dateTime": {
      "#type": "TS",
      "value": "20150901063020"
     }
    }
   ],
   "bloodPressure": [
    {
     "#type": "BloodPressure",
     "dateTime": {
      "#type": "TS",
      "value": "20130423"
     },
     "systolicBloodPressure": {
      "#type": "PQ",
      "value": 150,
      "unit": "mmHg"
     },
     "diastolicBloodPressure": {
      "#type": "PQ",
      "value": 95,
      "unit": "mmHg"
     },
     "patientPosition": {
      "#type": "CD",
      "code": "33586001",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "sitting"
      }
     }
    },
    {
     "#type": "BloodPressure",
     "dateTime": {
      "#type": "TS",
      "value": "20130217"
     },
     "systolicBloodPressure": {
      "#type": "PQ",
      "value": 120,
      "unit": "mmHg"
     },
     "diastolicBloodPressure": {
      "#type": "PQ",
      "value": 80,
      "unit": "mmHg"
     },
     "patientPosition": {
      "#type": "CD",
      "code": "33586001",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "sitting"
      }
     }
    },
    {
     "#type": "BloodPressure",
     "dateTime": {
      "#type": "TS",
      "value": "20150817"
     },
     "systolicBloodPressure": {
      "#type": "PQ",
      "value": 50,
      "unit": "mmHg"
     },
     "diastolicBloodPressure": {
      "#type": "PQ",
      "value": 20,
      "unit": "mmHg"
     }
    }
   ]
  },
  "encounters": [
   {
    "#type": "Encounter",
    "visitID": {
     "#type": "II",
     "extension": "16758562",
     "root": "2.16.840.1.113883.12.333"
    },
    "patientClass": {
     "#type": "CD",
     "codeSystem": ""
    },
    "admitDate": {
     "#type": "TS",
     "value": "201507230700"
    },
    "dischargeDate": {
     "#type": "TS"
    }
   }
  ],
  "labOrders": [
   {
    "#type": "LabOrder",
    "orderCode": {
     "#type": "CD",
     "code": "408754009",
     "codeSystem": "2.16.840.1.113883.6.96",
     "codeSystemName": "SNOMED-CT",
     "displayName": {
      "#type": "ST",
      "value": "CT of head"
     }
    },
    "fillerOrderID": {
     "#type": "II"
    },
    "placerOrderID": {
     "#type": "II"
    },
    "orderGroupID": {
     "#type": "II"
    },
    "orderedBy": {
     "#type": "Provider"
    },
    "orderedDate": {
     "#type": "TS",
     "value": "20130428"
    },
    "effectiveDate": {
     "#type": "TS",
     "value": "20130429"
    }
   },
   {
    "#type": "LabOrder",
    "orderCode": {
     "#type": "CD",
     "code": "3016-3",
     "codeSystem": "2.16.840.1.113883.6.1",
     "codeSystemName": "LN",
     "displayName": {
      "#type": "ST",
      "value": "Thyrotropin [Units/volume] in Serum or. Plasma"
     }
    },
    "fillerOrderID": {
     "#type": "II"
    },
    "placerOrderID": {
     "#type": "II"
    },
    "orderGroupID": {
     "#type": "II"
    },
    "orderedBy": {
     "#type": "Provider",
     "providerName": {
      "#type": "EN",
      "part": [
       {
        "#type": "ENXP",
        "value": "Dr",
        "type": "TITLE"
       },
       {
        "#type": "ENXP",
        "value": "Joe",
        "type": "GIV"
       },
       {
        "#type": "ENXP",
        "value": "Bloggs",
        "type": "FAM"
       }
      ]
     },
     "providerID": {
      "#type": "II"
     },
     "providerSpeciality": {
      "#type": "CD",
      "code": "421841007",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "admitting physician"
      }
     }
    },
    "orderedDate": {
     "#type": "TS",
     "value": "201304081000"
    },
    "effectiveDate": {
     "#type": "TS",
     "value": "2013041130"
    }
   },
   {
    "#type": "LabOrder",
    "orderCode": {
     "#type": "CD",
     "code": "3016-3",
     "codeSystem": "2.16.840.1.113883.6.1",
     "codeSystemName": "LN",
     "displayName": {
      "#type": "ST",
      "value": "Thyrotropin [Units/volume] in Serum or. Plasma"
     }
    },
    "fillerOrderID": {
     "#type": "II"
    },
    "placerOrderID": {
     "#type": "II"
    },
    "orderGroupID": {
     "#type": "II"
    },
    "orderedBy": {
     "#type": "Provider",
     "providerName": {
      "#type": "EN",
      "part": [
       {
        "#type": "ENXP",
        "value": "Dr",
        "type": "TITLE"
       },
       {
        "#type": "ENXP",
        "value": "Alice",
        "type": "GIV"
       },
       {
        "#type": "ENXP",
        "value": "Brown",
        "type": "FAM"
       }
      ]
     },
     "providerID": {
      "#type": "II"
     },
     "providerSpeciality": {
      "#type": "CD",
      "code": "158972004",
      "codeSystem": "2.16.840.1.113883.6.96",
      "codeSystemName": "SNOMED-CT",
      "displayName": {
       "#type": "ST",
       "value": "junior house officer"
      }
     }
    },
    "orderedDate": {
     "#type": "TS",
     "value": "201304090700"
    },
    "effectiveDate": {
     "#type": "TS",
     "value": "201304090845"
    }
   }
  ]
 },
 "Packages": [
 ],
 "Requests": [
  {
   "RequestId": "1",
   "GelloCode": "\r\n imports HL7_v2_VMR_V1
   		 \r\n Context SinglePatient
                 \r\n Let allWeights:Sequence(Observation) = vitals.weight
                 \r\n Let allHeights:Sequence(Observation) = vitals.height
		 \r\n Let mostRecentWeight:Observation = allWeights->sortedBy(dateTime)->last()
		 \r\n Let mostRecentHeight:Observation = allHeights->sortedBy(dateTime)->last()
		 \r\n Let wt:Real = mostRecentWeight.value.oclAsType(PQ).value
		 \r\n Let ht:Real = mostRecentHeight.value.oclAsType(PQ).convert('m').value
		 \r\n Let BMI: Real = wt/ht.power(2)
                 \r\n If BMI < 18.5 then 'Underweight' else If  BMI >= 18.5 and BMI < 25 then 'Normal' else If BMI >= 25 and BMI < 30 then 'Overweight' else 'Obese' endif  endif	endif
                 
                 "
  }
 ]
}