[ { "_meta": { "generatedAt": "2026-05-31T17:36:24Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-001", "appointmentTime": "2026-05-28T09:00:00", "durationMinutes": "30", "reason": "Cardiology Follow-up", "department": "CARDIOLOGY", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "750312-1234", "firstName": "Erik", "lastName": "Lindqvist", "dateOfBirth": "1975-03-12", "age": 51 }, "journal": { "diagnoses": [ { "icd10": "I25.1", "description": "Atherosclerotic heart disease", "status": "chronic", "since": "2019-03-10" }, { "icd10": "E11.9", "description": "Type 2 diabetes mellitus", "status": "active", "since": "2021-07-22" } ], "notes": [ { "visitDate": "2026-01-15", "type": "SOAP", "text": "S: Patient reports occasional chest tightness on exertion. No rest pain. O: BP 138/88, HR 72 bpm, BMI 27.4. A: Stable CAD with T2DM. P: Continue current medications. HbA1c and lipid panel ordered.", "authoredBy": "Dr. Nielsen" } ] }, "labResults": { "reportId": "LAB-2026-00441", "labName": "NordLab AB", "collectedAt": "2026-05-26T07:30:00Z", "status": "final", "hasAbnormal": true, "tests": [ { "code": "HbA1c", "name": "Glycated Haemoglobin", "value": 7.4, "unit": "%", "interpretation": "HIGH", "note": "Above target for T2DM patient. Consider medication review." }, { "code": "LDL-C", "name": "LDL Cholesterol", "value": 2.1, "unit": "mmol/L", "interpretation": "NORMAL", "note": null }, { "code": "eGFR", "name": "Estimated GFR", "value": 68, "unit": "mL/min/1.73m²", "interpretation": "NORMAL", "note": "Mild reduction, monitor annually." } ] } }, { "_meta": { "generatedAt": "2026-05-31T17:36:24Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-002", "appointmentTime": "2026-05-28T09:30:00", "durationMinutes": "30", "reason": "Diabetes Management Review", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "820615-5678", "firstName": "Maria", "lastName": "Korhonen", "dateOfBirth": "1982-06-15", "age": 43 }, "journal": { "diagnoses": [ { "icd10": "E11.9", "description": "Type 2 diabetes mellitus", "status": "chronic", "since": "2018-01-15" }, { "icd10": "E78.5", "description": "Hyperlipidemia", "status": "active", "since": "2018-01-15" } ], "notes": [ { "visitDate": "2025-11-20", "type": "SOAP", "text": "S: Fatigue and increased thirst. O: BP 122/78, fasting glucose 9.2 mmol/L, HbA1c 7.8%. A: Suboptimal diabetes control. P: Metformin dose maintained, dietary counselling referral.", "authoredBy": "Dr. Mäkinen" } ] }, "labResults": { "reportId": "LAB-2026-00398", "labName": "NordLab AB", "collectedAt": "2026-05-23T08:00:00Z", "status": "final", "hasAbnormal": true, "tests": [ { "code": "HbA1c", "name": "Glycated Haemoglobin", "value": 8.1, "unit": "%", "interpretation": "HIGH", "note": "Deteriorating trend from previous 7.8%. Intensification of treatment warranted." }, { "code": "GLUCOSE-F", "name": "Fasting Plasma Glucose", "value": 9.8, "unit": "mmol/L", "interpretation": "HIGH", "note": null }, { "code": "LDL-C", "name": "LDL Cholesterol", "value": 3.4, "unit": "mmol/L", "interpretation": "HIGH", "note": "Consider statin dose escalation." }, { "code": "CRP", "name": "C-Reactive Protein", "value": 4.2, "unit": "mg/L", "interpretation": "NORMAL", "note": null } ] } }, { "_meta": { "generatedAt": "2026-05-31T17:36:24Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-003", "appointmentTime": "2026-05-28T10:00:00", "durationMinutes": "45", "reason": "New Patient Consultation", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "680904-2345", "firstName": "Lars", "lastName": "Andersson", "dateOfBirth": "1968-09-04", "age": 57 }, "journal": { "diagnoses": [ { "icd10": "M54.5", "description": "Low back pain", "status": "active", "since": "2023-11-05" } ], "notes": [] }, "labResults": {} }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-004", "appointmentTime": "2026-05-28T10:45:00", "durationMinutes": "30", "reason": "Laboratory Results Review", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "910228-9012", "firstName": "Anna", "lastName": "Makinen", "dateOfBirth": "1991-02-28", "age": 35 }, "journal": { "diagnoses": [ { "icd10": "J30.1", "description": "Allergic rhinitis due to pollen", "status": "chronic", "since": "2015-05-01" } ], "notes": [] }, "labResults": {} }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-005", "appointmentTime": "2026-05-28T11:15:00", "durationMinutes": "30", "reason": "Hypertension Follow-up", "department": "CARDIOLOGY", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "770520-3456", "firstName": "Mikael", "lastName": "Virtanen", "dateOfBirth": "1977-05-20", "age": 49 }, "journal": { "diagnoses": [ { "icd10": "I10", "description": "Essential hypertension", "status": "chronic", "since": "2017-09-14" }, { "icd10": "E78.0", "description": "Pure hypercholesterolaemia", "status": "active", "since": "2020-03-08" } ], "notes": [ { "visitDate": "2026-02-10", "type": "SOAP", "text": "S: Headaches in mornings. O: BP 158/96 at rest. A: Uncontrolled hypertension. P: Increased Losartan to 100mg. Lifestyle counselling. Lab workup ordered.", "authoredBy": "Dr. Nielsen" } ] }, "labResults": { "reportId": "LAB-2026-00419", "labName": "Synlab Finland", "collectedAt": "2026-05-25T07:15:00Z", "status": "final", "hasAbnormal": true, "tests": [ { "code": "SODIUM", "name": "Sodium", "value": 141, "unit": "mmol/L", "interpretation": "NORMAL", "note": null }, { "code": "POTASSIUM", "name": "Potassium", "value": 3.3, "unit": "mmol/L", "interpretation": "LOW", "note": "Low potassium – possible side effect of Losartan/diuretic. Supplement may be needed." }, { "code": "CREATININE", "name": "Creatinine", "value": 98, "unit": "µmol/L", "interpretation": "NORMAL", "note": null }, { "code": "LDL-C", "name": "LDL Cholesterol", "value": 2.9, "unit": "mmol/L", "interpretation": "HIGH", "note": "Slightly above target. Review Simvastatin efficacy." } ] } }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-006", "appointmentTime": "2026-05-28T13:00:00", "durationMinutes": "30", "reason": "Routine Health Checkup", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "850814-7890", "firstName": "Sofia", "lastName": "Jarvinen", "dateOfBirth": "1985-08-14", "age": 40 }, "journal": { "diagnoses": [ { "icd10": "Z00.0", "description": "General adult medical examination", "status": "active", "since": "2026-05-28" } ], "notes": [] }, "labResults": {} }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-007", "appointmentTime": "2026-05-28T13:30:00", "durationMinutes": "30", "reason": "Post-Operative Follow-up", "department": "CARDIOLOGY", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "620107-4567", "firstName": "Olle", "lastName": "Bergstrom", "dateOfBirth": "1962-01-07", "age": 64 }, "journal": { "diagnoses": [ { "icd10": "I21.0", "description": "Acute transmural MI of anterior wall", "status": "resolved", "since": "2026-03-15" }, { "icd10": "I10", "description": "Essential hypertension", "status": "chronic", "since": "2016-06-20" } ], "notes": [ { "visitDate": "2026-03-15", "type": "discharge", "text": "Patient discharged after 5-day stay post-STEMI. PCI performed on LAD. Dual antiplatelet therapy initiated. Cardiac rehab referral placed. Follow-up in 6-8 weeks.", "authoredBy": "Dr. Holm" } ] }, "labResults": { "reportId": "LAB-2026-00455", "labName": "Karolinska Lab", "collectedAt": "2026-05-27T07:00:00Z", "status": "final", "hasAbnormal": true, "tests": [ { "code": "TROP-I", "name": "Troponin I", "value": 6, "unit": "ng/L", "interpretation": "NORMAL", "note": "Normal post-MI. Stable." }, { "code": "NTPROBNP", "name": "NT-proBNP", "value": 312, "unit": "pg/mL", "interpretation": "HIGH", "note": "Mildly elevated. Monitor for heart failure development post-MI." }, { "code": "LDL-C", "name": "LDL Cholesterol", "value": 1.6, "unit": "mmol/L", "interpretation": "HIGH", "note": "Post-MI target not yet achieved. Consider adding ezetimibe." }, { "code": "INR", "name": "International Normalised Ratio", "value": 1.1, "unit": "ratio", "interpretation": "NORMAL", "note": null } ] } }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-008", "appointmentTime": "2026-05-28T14:00:00", "durationMinutes": "45", "reason": "Referral Consultation", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "930330-8901", "firstName": "Liisa", "lastName": "Heikkinen", "dateOfBirth": "1993-03-30", "age": 33 }, "journal": { "diagnoses": [ { "icd10": "K21.0", "description": "GERD with esophagitis", "status": "active", "since": "2024-08-12" } ], "notes": [] }, "labResults": {} }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-009", "appointmentTime": "2026-05-28T14:45:00", "durationMinutes": "30", "reason": "Thyroid Function Follow-up", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "800711-5678", "firstName": "Jens", "lastName": "Svensson", "dateOfBirth": "1980-07-11", "age": 45 }, "journal": { "diagnoses": [ { "icd10": "E05.0", "description": "Thyrotoxicosis with diffuse goitre", "status": "chronic", "since": "2022-04-19" } ], "notes": [ { "visitDate": "2025-12-05", "type": "SOAP", "text": "S: Heart palpitations and heat intolerance. O: HR 104 bpm, weight loss 3 kg. TSH <0.01, fT4 elevated. A: Hyperthyroidism, likely Graves disease. P: Carbimazole started, endocrinology referral.", "authoredBy": "Dr. Nielsen" } ] }, "labResults": { "reportId": "LAB-2026-00431", "labName": "NordLab AB", "collectedAt": "2026-05-26T08:45:00Z", "status": "final", "hasAbnormal": true, "tests": [ { "code": "TSH", "name": "Thyroid Stimulating Hormone", "value": 0.08, "unit": "mIU/L", "interpretation": "LOW", "note": "Persistently suppressed TSH. Hyperthyroidism not yet controlled on current Carbimazole dose." }, { "code": "FT4", "name": "Free Thyroxine", "value": 28.4, "unit": "pmol/L", "interpretation": "HIGH", "note": "Elevated fT4 confirms active hyperthyroidism." }, { "code": "FT3", "name": "Free Triiodothyronine", "value": 9.1, "unit": "pmol/L", "interpretation": "HIGH", "note": "Significantly elevated. Endocrinology follow-up urgent." } ] } }, { "_meta": { "generatedAt": "2026-05-31T17:36:25Z", "sourceFlow": "DailyAppointmentEnrichment", "sources": [ "HL7_SIU_FILE", "JOURNAL_DB", "LAB_API" ] }, "appointment": { "scheduleId": "SCHED-010", "appointmentTime": "2026-05-28T15:15:00", "durationMinutes": "30", "reason": "Annual Health Checkup", "department": "GENERAL_PRACTICE", "attendingDoctor": "Sarah Nielsen" }, "patient": { "patientId": "870425-2345", "firstName": "Petra", "lastName": "Laitinen", "dateOfBirth": "1987-04-25", "age": 39 }, "journal": { "diagnoses": [ { "icd10": "Z00.0", "description": "General adult medical examination", "status": "active", "since": "2026-05-28" } ], "notes": [] }, "labResults": {} } ]