# full_llm_cache

llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
USER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nYou are an API request generator. Your task is to identify the patient ID from the user's question and output a JSON object to call the `get_patient_data_manifest` tool.\n\nYour available tool is:\nget_patient_data_manifest(patient_id: str, fhir_store_url: str) -> str - Gets a manifest of all available FHIR resources and their codes for a patient by

  querying the patient's entire record. Use this tool first to discover what
  data is available.\n\nGenerate the correct JSON to call the tool. Respond with only a single, raw JSON object.\n\nEXAMPLE:\n{\n  "name": "get_patient_data_manifest",\n  "args": {\n    "patient_id": "some-patient-id-from-the-question"\n  }\n}\n

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "\"\n```json\n{\n  \"name\": \"get_patient_data_manifest\",\n  \"args\": {\n    \"patient_id\": \"c1ae6e14-1833-a8e2-8e26-e0508236994a\"\n  }\n}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nUSER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nPATIENT DATA MANIFEST:\n**Encounter**: Present (no specific codes found)\n**Practitioner**: Present (no specific codes found)\n**Condition**: Available codes include: Fatigue (finding)=84229001, Loss of taste (finding)=36955009, Stress (finding)=73595000, Sputum finding (finding)=248595008, Full-time employment (finding)=160903007, Chill (finding)=43724002, Disease caused by severe acute respiratory syndrome coronavirus 2 (disorder)=840539006, Medication review due (situation)=314529007, Full-time employment (finding)=160903007, Cough (finding)=49727002, Medication review due (situation)=314529007, Stress (finding)=73595000, Not in labor force (finding)=741062008, Fever (finding)=386661006, Suspected disease caused by Severe acute respiratory coronavirus 2 (situation)=840544004, Viral sinusitis (disorder)=444814009, Only received primary school education (finding)=224295006, Medication review due (situation)=314529007, Not in labor force (finding)=741062008\n**Observation**: Available codes include: Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Hemoglobin [Mass/volume] in Blood=718-7, Body Height=8302-2, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Leukocytes [#/volume] in Blood by Automated count=6690-2, Triglycerides=2571-8, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, MCHC [Mass/volume] by Automated count=786-4, Body Weight=29463-7, Platelet mean volume [Entitic volume] in Blood by Automated count=32623-1, Heart rate=8867-4, Influenza virus B Ag [Presence] in Upper respiratory specimen by Rapid immunoassay=80383-3, Body Weight=29463-7, Erythrocyte distribution width [Entitic volume] by Automated count=21000-5, Erythrocytes [#/volume] in Blood by Automated count=789-8, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Blood pressure panel with all children optional=85354-9, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Body mass index (BMI) [Ratio]=39156-5, Tobacco smoking status=72166-2, Heart rate=8867-4, SARS-CoV-2 RNA Pnl Resp NAA+probe=94531-1, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Body Height=8302-2, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Tobacco smoking status=72166-2, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Low Density Lipoprotein Cholesterol=18262-6, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Hematocrit [Volume Fraction] of Blood by Automated count=4544-3, Low Density Lipoprotein Cholesterol=18262-6, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Low Density Lipoprotein Cholesterol=18262-6, Oxygen saturation in Arterial blood=2708-6, Oxygen saturation in Arterial blood by Pulse oximetry=59408-5, Tobacco smoking status=72166-2, Respiratory rate=9279-1, Heart rate=8867-4, MCH [Entitic mass] by Automated count=785-6, Erythrocytes [#/volume] in Blood by Automated count=789-8, Blood pressure panel with all children optional=85354-9, Heart rate=8867-4, Body Weight=29463-7, Body Height=8302-2, Blood pressure panel with all children optional=85354-9, Body Height=8302-2, Tobacco smoking status=72166-2, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Platelets [#/volume] in Blood by Automated count=777-3, Influenza virus A Ag [Presence] in Upper respiratory specimen by Rapid immunoassay=80382-5, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Respiratory rate=9279-1, Respiratory rate=9279-1, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Platelets [#/volume] in Blood by Automated count=777-3, Platelet distribution width [Entitic volume] in Blood by Automated count=32207-3, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Respiratory rate=9279-1, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Triglycerides=2571-8, Platelet distribution width [Entitic volume] in Blood by Automated count=32207-3, Hemoglobin [Mass/volume] in Blood=718-7, MCV [Entitic volume] by Automated count=787-2, MCH [Entitic mass] by Automated count=785-6, Body temperature=8310-5, Oral temperature=8331-1, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Blood pressure panel with all children optional=85354-9, Platelet mean volume [Entitic volume] in Blood by Automated count=32623-1, Blood pressure panel with all children optional=85354-9, Hematocrit [Volume Fraction] of Blood by Automated count=4544-3, Respiratory rate=9279-1, Erythrocyte distribution width [Entitic volume] by Automated count=21000-5, Triglycerides=2571-8, Heart rate=8867-4, Leukocytes [#/volume] in Blood by Automated count=6690-2, Total score [DAST-10]=82667-7, Body mass index (BMI) [Ratio]=39156-5, MCHC [Mass/volume] by Automated count=786-4, MCV [Entitic volume] by Automated count=787-2, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5\n**DiagnosticReport**: Available codes include: CBC panel - Blood by Automated count=58410-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, CBC panel - Blood by Automated count=58410-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, SARS-CoV-2 RNA Pnl Resp NAA+probe=94531-1, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, Lipid panel with direct LDL - Serum or Plasma=57698-3, Lipid panel with direct LDL - Serum or Plasma=57698-3, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Lipid panel with direct LDL - Serum or Plasma=57698-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, Drug Abuse Screening Test-10 [DAST-10]=82666-9, Influenza virus A and B Ag panel - Upper respiratory specimen by Rapid immunoassay=80381-7, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, History and physical note=34117-2, Evaluation + Plan note=51847-2\n**Procedure**: Available codes include: Assessment of anxiety (procedure)=710841007, Assessment of health and social care needs (procedure)=710824005, Assessment of anxiety (procedure)=710841007, Depression screening (procedure)=171207006, Depression screening (procedure)=171207006, Assessment of health and social care needs (procedure)=710824005, Depression screening (procedure)=171207006, Screening for drug abuse (procedure)=713106006, Assessment of substance use (procedure)=428211000124100, Assessment of health and social care needs (procedure)=710824005, Medication reconciliation (procedure)=430193006, Depression screening (procedure)=171207006, Depression screening (procedure)=171207006, Face mask (physical object)=261352009, Depression screening (procedure)=171207006, Assessment of health and social care needs (procedure)=710824005, Depression screening (procedure)=171207006, Depression screening (procedure)=171207006, Medication reconciliation (procedure)=430193006\n\n\nYou are a medical assistant analyzing a patient's FHIR data manifest to answer a user question.\nBased on the user question, identify the specific FHIR resource types from the manifest that are most likely to contain the information needed to answer the question.\nOutput a JSON list of the relevant resource types. Do not include any other text or formatting.\nExample:
["Condition", "Observation", "MedicationRequest"]

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```json\n[\"Observation\", \"DiagnosticReport\"]\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nPATIENT DATA MANIFEST: **Observation**: Available codes include: Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Hemoglobin [Mass/volume] in Blood=718-7, Body Height=8302-2, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Leukocytes [#/volume] in Blood by Automated count=6690-2, Triglycerides=2571-8, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, MCHC [Mass/volume] by Automated count=786-4, Body Weight=29463-7, Platelet mean volume [Entitic volume] in Blood by Automated count=32623-1, Heart rate=8867-4, Influenza virus B Ag [Presence] in Upper respiratory specimen by Rapid immunoassay=80383-3, Body Weight=29463-7, Erythrocyte distribution width [Entitic volume] by Automated count=21000-5, Erythrocytes [#/volume] in Blood by Automated count=789-8, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Blood pressure panel with all children optional=85354-9, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Body mass index (BMI) [Ratio]=39156-5, Tobacco smoking status=72166-2, Heart rate=8867-4, SARS-CoV-2 RNA Pnl Resp NAA+probe=94531-1, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Body Height=8302-2, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Tobacco smoking status=72166-2, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Low Density Lipoprotein Cholesterol=18262-6, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Hematocrit [Volume Fraction] of Blood by Automated count=4544-3, Low Density Lipoprotein Cholesterol=18262-6, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Low Density Lipoprotein Cholesterol=18262-6, Oxygen saturation in Arterial blood=2708-6, Oxygen saturation in Arterial blood by Pulse oximetry=59408-5, Tobacco smoking status=72166-2, Respiratory rate=9279-1, Heart rate=8867-4, MCH [Entitic mass] by Automated count=785-6, Erythrocytes [#/volume] in Blood by Automated count=789-8, Blood pressure panel with all children optional=85354-9, Heart rate=8867-4, Body Weight=29463-7, Body Height=8302-2, Blood pressure panel with all children optional=85354-9, Body Height=8302-2, Tobacco smoking status=72166-2, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Platelets [#/volume] in Blood by Automated count=777-3, Influenza virus A Ag [Presence] in Upper respiratory specimen by Rapid immunoassay=80382-5, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Respiratory rate=9279-1, Respiratory rate=9279-1, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Platelets [#/volume] in Blood by Automated count=777-3, Platelet distribution width [Entitic volume] in Blood by Automated count=32207-3, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Respiratory rate=9279-1, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Triglycerides=2571-8, Platelet distribution width [Entitic volume] in Blood by Automated count=32207-3, Hemoglobin [Mass/volume] in Blood=718-7, MCV [Entitic volume] by Automated count=787-2, MCH [Entitic mass] by Automated count=785-6, Body temperature=8310-5, Oral temperature=8331-1, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Blood pressure panel with all children optional=85354-9, Platelet mean volume [Entitic volume] in Blood by Automated count=32623-1, Blood pressure panel with all children optional=85354-9, Hematocrit [Volume Fraction] of Blood by Automated count=4544-3, Respiratory rate=9279-1, Erythrocyte distribution width [Entitic volume] by Automated count=21000-5, Triglycerides=2571-8, Heart rate=8867-4, Leukocytes [#/volume] in Blood by Automated count=6690-2, Total score [DAST-10]=82667-7, Body mass index (BMI) [Ratio]=39156-5, MCHC [Mass/volume] by Automated count=786-4, MCV [Entitic volume] by Automated count=787-2, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5\n\n\nYou are a specialized API request generator. Your SOLE task is to output a JSON of a tool call to gather the necessary information to answer the user's question. Respond with ONLY a JSON, no explanations or prose.\nYour available tool is:\nget_patient_fhir_resource(patient_id: str, fhir_resource: str, fhir_store_url: str, filter_code: Optional[str] = None) -> str - Gets a list of FHIR resources for a single patient.

  patient_id: The ID of the patient. fhir_resource: The FHIR resource type to
  retrieve (Observation, Condition, MedicationRequest, etc.) fhir_store_url: The
  URL of the FHIR store. filter_code: A comma seperated list of code filter to
  apply to the resource (34117-2, 171207006, 82667-7, 8867-4, etc)\n\n**At this stage you can only call Observation.**\nEXAMPLE:\n{\"name\": \"get_patient_fhir_resource\", \"args\": {\"patient_id\": \"some-patient-id\", \"fhir_resource\": \"Observation\", \"filter_code\": \"csv-codes-from-manifest\"}}

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```json\n{\n  \"name\": \"get_patient_fhir_resource\",\n  \"args\": {\n    \"patient_id\": \"c1ae6e14-1833-a8e2-8e26-e0508236994a\",\n    \"fhir_resource\": \"Observation\",\n    \"filter_code\": \"2093-3, 2571-8, 718-7, 6690-2, 786-4, 777-3, 21000-5, 789-8, 39156-5, 18262-6, 2085-9, 4544-3, 32623-1, 785-6, 32207-3, 8867-4, 2708-6, 59408-5, 9279-1, 8310-5, 8331-1\"\n  }\n}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nPATIENT DATA MANIFEST: **DiagnosticReport**: Available codes include: CBC panel - Blood by Automated count=58410-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, CBC panel - Blood by Automated count=58410-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, SARS-CoV-2 RNA Pnl Resp NAA+probe=94531-1, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, Lipid panel with direct LDL - Serum or Plasma=57698-3, Lipid panel with direct LDL - Serum or Plasma=57698-3, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Lipid panel with direct LDL - Serum or Plasma=57698-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, Drug Abuse Screening Test-10 [DAST-10]=82666-9, Influenza virus A and B Ag panel - Upper respiratory specimen by Rapid immunoassay=80381-7, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, History and physical note=34117-2, Evaluation + Plan note=51847-2\n\n\nYou are a specialized API request generator. Your SOLE task is to output a JSON of a tool call to gather the necessary information to answer the user's question. Respond with ONLY a JSON, no explanations or prose.\nYour available tool is:\nget_patient_fhir_resource(patient_id: str, fhir_resource: str, fhir_store_url: str, filter_code: Optional[str] = None) -> str - Gets a list of FHIR resources for a single patient.

  patient_id: The ID of the patient. fhir_resource: The FHIR resource type to
  retrieve (Observation, Condition, MedicationRequest, etc.) fhir_store_url: The
  URL of the FHIR store. filter_code: A comma seperated list of code filter to
  apply to the resource (34117-2, 171207006, 82667-7, 8867-4, etc)\n\n**At this stage you can only call DiagnosticReport.**\nEXAMPLE:\n{\"name\": \"get_patient_fhir_resource\", \"args\": {\"patient_id\": \"some-patient-id\", \"fhir_resource\": \"DiagnosticReport\", \"filter_code\": \"csv-codes-from-manifest\"}}

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```json\n{\"name\": \"get_patient_fhir_resource\", \"args\": {\"patient_id\": \"c1ae6e14-1833-a8e2-8e26-e0508236994a\", \"fhir_resource\": \"DiagnosticReport\", \"filter_code\": \"58410-2,57698-3\"}}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nTOOL OUTPUT:\n{"resourceType": "Bundle", "type": "searchset", "total": 48, "entry": [{"resource": {"category": [{"coding": [{"code": "laboratory", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/observation-category"}]}], "code": {"coding": [{"code": "718-7", "display": "Hemoglobin [Mass/volume] in Blood", "system": "http://loinc.org"}], "text": "Hemoglobin [Mass/volume] in Blood"}, "effectiveDateTime": "2025-06-28T13:48:52+00:00", "encounter": {"reference": "Encounter/c13577a9-151e-f5a3-162b-a74308292aa9"}, "id": "be06ddcb-ed2d-4a25-2e5d-8a8dcc817f25", "issued": "2025-06-28T13:48:52.563+00:00", "resourceType": "Observation", "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}, "valueQuantity": {"code": "g/dL", "system": "http://unitsofmeasure.org", "unit": "g/dL", "value": 16.64}}}, {"resource": {"category": [{"coding": [{"code": "laboratory", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/observation-category"}]}], "code": {"coding": [{"code": "2093-3", "display": "Cholesterol [Mass/volume] in Serum or Plasma", "system": "http://loinc.org"}], "text": "Cholesterol [Mass/volume] in Serum or Plasma"}, "effectiveDateTime": "2022-09-10T13:48:52+00:00", "encounter": {"reference": "Encounter/d6b96684-785a-4201-67bd-d413bfa852b8"}, "id": "bda28f33-434d-ce8a-6bc0-3e07e95533e9", "issued": "2022-09-10T13:48:52.563+00:00", "resourceType": "Observation", "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}, "valueQuantity": {"code": "mg/dL", "system": "http://unitsofmeasure.org", "unit": "mg/dL", "value": 181.32}}}, {"resource": {"category": [{"coding": [{"code": "laboratory", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/observation-category"}]}], "code": {"coding": [{"code": "6690-2", "display": "Leukocytes [#/volume] in Blood by Automated count", "system": "http://loinc.org"}], "text": "Leukocytes [#/volume] in Blood by Automated count"}, "effectiveDateTime": "2025-06-28T13:48:52+00:00", "encounter": {"reference": "Encounter/c13577a9-151e-f5a3-162b-a74308292aa9"}, "id": "9e466ad2-c4b4-5311-a404-e279894fb650", "issued": "2025-06-28T13:48:52.563+00:00", "resourceType": "Observation", "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}, "valueQuantity": {"code": "10*3/uL", "system": "http://unitsofmeasure.org", "unit": "10*3/uL", "value": 8.8453}}}, {"resource": {"category": [{"coding": [{"code": "laboratory", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/observation-category"}]}], "code": {"coding": [{"code": "2571-8", "display": "Triglycerides", "system": "http://loinc.org"}], "text": "Triglycerides"}, "effectiveDateTime": "2019-09-07T13:48:52+00:00", "encounter": {"reference": "Encounter/9e77e3c2-5a0d-7a69-5b21-441c4faef111"}, "id": 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"Cholesterol [Mass/volume] in Serum or Plasma"}, "effectiveDateTime": "2019-09-07T13:48:52+00:00", "encounter": {"reference": "Encounter/9e77e3c2-5a0d-7a69-5b21-441c4faef111"}, "id": "c5b6bcdd-c0c9-732c-d4c8-eb9c0240c7ac", "issued": "2019-09-07T13:48:52.563+00:00", "resourceType": "Observation", "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}, "valueQuantity": {"code": "mg/dL", "system": "http://unitsofmeasure.org", "unit": "mg/dL", "value": 168.41}}}]}\n\nYou are a fact summarizing agent. Your output will be used to answer the USER QUESTION.\nCollect from the 'TOOL OUTPUT' facts ONLY if it is relevant to answer the USER QUESTION.\nWrite a very concise English summary, only facts relevant to the user question. DO NOT OUTPUT JSON.\nYou are not authorized to answer the user question. Do not provide any output beyond concise facts. Filter out any facts which are not helpful for the user question. Include date or date ranges. Only for the most critical facts, include FHIR record references [record type/record id]. For repeating multiple times provide summarize and provide only a single reference and date range.

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": " Use the word \"most\" to indicate the most recent results.\n\n```json\n{\n \"patient_id\": \"c1ae6e14-1833-a8e2-8e26-e0508236994a\",\n \"lipid_panel\": {\n  \"cholesterol\": [\n   {\"date\": \"2022-09-10\", \"value\": \"181.32 mg/dL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"168.41 mg/dL\"},\n   {\"date\": \"2016-09-03\", \"value\": \"131.59 mg/dL\"}\n  ],\n  \"ldl\": [\n   {\"date\": \"2022-09-10\", \"value\": \"126.63 mg/dL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"110.9 mg/dL\"},\n   {\"date\": \"2016-09-03\", \"value\": \"81.68 mg/dL\"}\n  ],\n  \"hdl\": [\n   {\"date\": \"2022-09-10\", \"value\": \"28.87 mg/dL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"29.97 mg/dL\"},\n   {\"date\": \"2016-09-03\", \"value\": \"26.1 mg/dL\"}\n  ],\n  \"triglycerides\": [\n   {\"date\": \"2022-09-10\", \"value\": \"129.06 mg/dL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"119.04 mg/dL\"},\n   {\"date\": \"2016-09-03\", \"value\": \"137.72 mg/dL\"}\n  ]\n },\n \"cbc\": {\n  \"hemoglobin\": [\n   {\"date\": \"2025-06-28\", \"value\": \"16.64 g/dL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"13.133 g/dL\"}\n  ],\n  \"leukocytes\": [\n   {\"date\": \"2025-06-28\", \"value\": \"8.8453 10*3/uL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"7.0797 10*3/uL\"}\n  ],\n  \"erythrocytes\": [\n   {\"date\": \"2025-06-28\", \"value\": \"5.4294 10*6/uL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"5.2514 10*6/uL\"}\n  ],\n  \"hematocrit\": [\n   {\"date\": \"2025-06-28\", \"value\": \"35.411 %\"},\n   {\"date\": \"2019-09-07\", \"value\": \"40.368 %\"}\n  ],\n  \"platelets\": [\n   {\"date\": \"2025-06-28\", \"value\": \"429.33 10*3/uL\"},\n   {\"date\": \"2019-09-07\", \"value\": \"408.48 10*3/uL\"}\n  ]\n }\n}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nTOOL OUTPUT:\n{"resourceType": "Bundle", "type": "searchset", "total": 5, "entry": [{"resource": {"category": [{"coding": [{"code": "LAB", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/v2-0074"}]}], "code": {"coding": [{"code": "58410-2", "display": "CBC panel - Blood by Automated count", "system": "http://loinc.org"}], "text": "CBC panel - Blood by Automated count"}, "effectiveDateTime": "2025-06-28T13:48:52+00:00", "encounter": {"reference": "Encounter/c13577a9-151e-f5a3-162b-a74308292aa9"}, "id": "d617c4f7-0ec3-2e35-834e-16215be3f7a4", "issued": "2025-06-28T13:48:52.563+00:00", "performer": [{"display": "NASHOBA VALLEY MEDICAL CENTER", "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|79508e39-d0b0-3613-9d54-168f6e1c3a18"}], "resourceType": "DiagnosticReport", "result": [{"display": "Leukocytes [#/volume] in Blood by Automated count", "reference": "Observation/9e466ad2-c4b4-5311-a404-e279894fb650"}, {"display": "Erythrocytes [#/volume] in Blood by Automated count", "reference": "Observation/e261b795-b800-25ea-dd85-5aed6897becf"}, {"display": "Hemoglobin [Mass/volume] in Blood", "reference": "Observation/be06ddcb-ed2d-4a25-2e5d-8a8dcc817f25"}, {"display": "Hematocrit [Volume Fraction] of Blood by Automated count", "reference": "Observation/35d44905-cfef-e0d1-d333-015b1e1cc3a3"}, {"display": "MCV [Entitic volume] by Automated count", "reference": "Observation/2addb2fd-8fd2-35b4-be97-87eb465f51b7"}, {"display": "MCH [Entitic mass] by Automated count", "reference": "Observation/bac93ce4-af85-2fcf-fde9-764beb6ca214"}, {"display": "MCHC [Mass/volume] by Automated count", "reference": "Observation/5b606950-32c4-0c84-f7e1-76e99210b0ae"}, {"display": "Erythrocyte distribution width [Entitic volume] by Automated count", "reference": "Observation/864899bb-ac52-98cf-43d9-3d3904e5fbdd"}, {"display": "Platelets [#/volume] in Blood by Automated count", "reference": "Observation/c7a45ae6-7997-3f86-ad03-3a194997c14e"}, {"display": "Platelet distribution width [Entitic volume] in Blood by Automated count", "reference": "Observation/c0a9316d-19dd-4cab-414d-c8222c14d289"}, {"display": "Platelet mean volume [Entitic volume] in Blood by Automated count", "reference": "Observation/3686cc6d-ccd0-852b-9005-38678a724c30"}], "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}}}, {"resource": {"category": [{"coding": [{"code": "LAB", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/v2-0074"}]}], "code": {"coding": [{"code": "58410-2", "display": "CBC panel - Blood by Automated count", "system": "http://loinc.org"}], "text": "CBC panel - Blood by Automated count"}, "effectiveDateTime": "2019-09-07T13:48:52+00:00", "encounter": {"reference": "Encounter/9e77e3c2-5a0d-7a69-5b21-441c4faef111"}, "id": "25007106-c266-5fa9-c09c-cc797979b6e8", "issued": "2019-09-07T13:48:52.563+00:00", "performer": [{"display": "NASHOBA VALLEY MEDICAL CENTER", "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|79508e39-d0b0-3613-9d54-168f6e1c3a18"}], "resourceType": "DiagnosticReport", "result": [{"display": "Leukocytes [#/volume] in Blood by Automated count", "reference": "Observation/baa80163-389c-276b-c02b-c657d8343fa2"}, {"display": "Erythrocytes [#/volume] in Blood by Automated count", "reference": "Observation/0510c3d6-b453-0124-21be-5fc4a61769b8"}, {"display": "Hemoglobin [Mass/volume] in Blood", "reference": "Observation/8de6c6ac-76b5-15ce-6513-7f4caac7fb88"}, {"display": "Hematocrit [Volume Fraction] of Blood by Automated count", "reference": "Observation/90216a6b-d6ca-c5a7-4bdc-d77c7f816d7d"}, {"display": "MCV [Entitic volume] by Automated count", "reference": "Observation/fdddd28d-008f-c4b8-8cb7-ef7c54c5f6c6"}, {"display": "MCH [Entitic mass] by Automated count", "reference": "Observation/126b7497-6285-2ea5-4d60-15e0f272e65c"}, {"display": "MCHC [Mass/volume] by Automated count", "reference": "Observation/5b17f941-0552-6aed-3eec-ffe718ecbac4"}, {"display": "Erythrocyte distribution width [Entitic volume] by Automated count", "reference": "Observation/a7d98790-0fda-e62f-55ce-99d11468cad9"}, {"display": "Platelets [#/volume] in Blood by Automated count", "reference": "Observation/51709219-915a-404d-8143-275a804d7f3d"}, {"display": "Platelet distribution width [Entitic volume] in Blood by Automated count", "reference": "Observation/3dae3d03-6c09-507d-e126-9b863aeddf43"}, {"display": "Platelet mean volume [Entitic volume] in Blood by Automated count", "reference": "Observation/8c1a7f48-ce4b-17b4-40b7-95219f34dd76"}], "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}}}, {"resource": {"category": [{"coding": [{"code": "LAB", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/v2-0074"}]}], "code": {"coding": [{"code": "57698-3", "display": "Lipid panel with direct LDL - Serum or Plasma", "system": "http://loinc.org"}], "text": "Lipid panel with direct LDL - Serum or Plasma"}, "effectiveDateTime": "2022-09-10T13:48:52+00:00", "encounter": {"reference": "Encounter/d6b96684-785a-4201-67bd-d413bfa852b8"}, "id": "78b62cb4-942d-04e7-3790-344e40dcee61", "issued": "2022-09-10T13:48:52.563+00:00", "performer": [{"display": "NASHOBA VALLEY MEDICAL CENTER", "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|79508e39-d0b0-3613-9d54-168f6e1c3a18"}], "resourceType": "DiagnosticReport", "result": [{"display": "Cholesterol [Mass/volume] in Serum or Plasma", "reference": "Observation/bda28f33-434d-ce8a-6bc0-3e07e95533e9"}, {"display": "Triglycerides", "reference": "Observation/28aca913-162b-7416-ad44-6a4d59da0988"}, {"display": "Low Density Lipoprotein Cholesterol", "reference": "Observation/84b4d275-7bf2-8f00-4ba7-5c8bd24e3030"}, {"display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma", "reference": "Observation/a392ff07-2e45-84c6-1a9e-54987c53ad93"}], "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}}}, {"resource": {"category": [{"coding": [{"code": "LAB", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/v2-0074"}]}], "code": {"coding": [{"code": "57698-3", "display": "Lipid panel with direct LDL - Serum or Plasma", "system": "http://loinc.org"}], "text": "Lipid panel with direct LDL - Serum or Plasma"}, "effectiveDateTime": "2016-09-03T13:48:52+00:00", "encounter": {"reference": "Encounter/5b3d154b-006a-b99f-e7cd-d394ae013193"}, "id": "ccfee046-bfd0-8fe7-9f13-7241f29dbe84", "issued": "2016-09-03T13:48:52.563+00:00", "performer": [{"display": "NASHOBA VALLEY MEDICAL CENTER", "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|79508e39-d0b0-3613-9d54-168f6e1c3a18"}], "resourceType": "DiagnosticReport", "result": [{"display": "Cholesterol [Mass/volume] in Serum or Plasma", "reference": "Observation/8cf3cd51-36e9-322c-7f2c-1eaf508fa9e4"}, {"display": "Triglycerides", "reference": "Observation/81963a42-61e4-e4f2-3f0f-00326e33ac07"}, {"display": "Low Density Lipoprotein Cholesterol", "reference": "Observation/f862a550-64f4-2bc9-e84d-328f7705a7bb"}, {"display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma", "reference": "Observation/90357e87-d6f1-d2a7-ab08-b85527fc6643"}], "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}}}, {"resource": {"category": [{"coding": [{"code": "LAB", "display": "Laboratory", "system": "http://terminology.hl7.org/CodeSystem/v2-0074"}]}], "code": {"coding": [{"code": "57698-3", "display": "Lipid panel with direct LDL - Serum or Plasma", "system": "http://loinc.org"}], "text": "Lipid panel with direct LDL - Serum or Plasma"}, "effectiveDateTime": "2019-09-07T13:48:52+00:00", "encounter": {"reference": "Encounter/9e77e3c2-5a0d-7a69-5b21-441c4faef111"}, "id": "41d31ee3-fbc9-f971-6bb6-862e4bbbbe32", "issued": "2019-09-07T13:48:52.563+00:00", "performer": [{"display": "NASHOBA VALLEY MEDICAL CENTER", "reference": "Organization?identifier=https://github.com/synthetichealth/synthea|79508e39-d0b0-3613-9d54-168f6e1c3a18"}], "resourceType": "DiagnosticReport", "result": [{"display": "Cholesterol [Mass/volume] in Serum or Plasma", "reference": "Observation/c5b6bcdd-c0c9-732c-d4c8-eb9c0240c7ac"}, {"display": "Triglycerides", "reference": "Observation/04e357fc-537b-68d5-fb21-3bae0ab9fce0"}, {"display": "Low Density Lipoprotein Cholesterol", "reference": "Observation/3f6f9f70-23bb-a426-6ed5-73fe376c4751"}, {"display": "Cholesterol in HDL [Mass/volume] in Serum or Plasma", "reference": "Observation/36bb32ff-db7c-b402-70b1-526acfd0a620"}], "status": "final", "subject": {"reference": "Patient/c1ae6e14-1833-a8e2-8e26-e0508236994a"}}}]}\n\nYou are a fact summarizing agent. Your output will be used to answer the USER QUESTION.\nCollect from the 'TOOL OUTPUT' facts ONLY if it is relevant to answer the USER QUESTION.\nWrite a very concise English summary, only facts relevant to the user question. DO NOT OUTPUT JSON.\nYou are not authorized to answer the user question. Do not provide any output beyond concise facts. Filter out any facts which are not helpful for the user question. Include date or date ranges. Only for the most critical facts, include FHIR record references [record type/record id]. For repeating multiple times provide summarize and provide only a single reference and date range.

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "*   **Lipid Panel:**\n    *   September 10, 2022 [DiagnosticReport/78b62cb4-942d-04e7-3790-344e40dcee61]\n    *   September 7, 2019 [DiagnosticReport/41d31ee3-fbc9-f971-6bb6-862e4bbbbe32]\n    *   September 3, 2016 [DiagnosticReport/ccfee046-bfd0-8fe7-9f13-7241f29dbe84]\n*   **CBC Panel:**\n    *   June 28, 2025 [DiagnosticReport/d617c4f7-0ec3-2e35-834e-16215be3f7a4]\n    *   September 7, 2019 [DiagnosticReport/25007106-c266-5fa9-c09c-cc797979b6e8]\n*   **Note:** The tool provides multiple CBC results for September 7, 2019.\n*   **Note:** The list is sorted by date, most recent first.\n*   **Note:** The list is sorted by date, most recent first.\n```\n*   **Lipid Panel:** September 10, 2022, September 7, 2019, and September 3, 2016.\n*   **CBC Panel:** June 28, 2025, and September 7, 2019.\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
Synthesize all information from the 'SUMMARIZED INFORMATION' to provide a comprehensive final answer. Preserve relevant FHIR references.\n\nUSER QUESTION: What were the results and dates of the patient's lastest lipid panel and CBC tests?. Patient ID c1ae6e14-1833-a8e2-8e26-e0508236994a.\n\nSUMMARIZED INFORMATION: Use the word "most" to indicate the most recent results.

```json
{
 "patient_id": "c1ae6e14-1833-a8e2-8e26-e0508236994a",
 "lipid_panel": {
  "cholesterol": [
   {"date": "2022-09-10", "value": "181.32 mg/dL"},
   {"date": "2019-09-07", "value": "168.41 mg/dL"},
   {"date": "2016-09-03", "value": "131.59 mg/dL"}
  ],
  "ldl": [
   {"date": "2022-09-10", "value": "126.63 mg/dL"},
   {"date": "2019-09-07", "value": "110.9 mg/dL"},
   {"date": "2016-09-03", "value": "81.68 mg/dL"}
  ],
  "hdl": [
   {"date": "2022-09-10", "value": "28.87 mg/dL"},
   {"date": "2019-09-07", "value": "29.97 mg/dL"},
   {"date": "2016-09-03", "value": "26.1 mg/dL"}
  ],
  "triglycerides": [
   {"date": "2022-09-10", "value": "129.06 mg/dL"},
   {"date": "2019-09-07", "value": "119.04 mg/dL"},
   {"date": "2016-09-03", "value": "137.72 mg/dL"}
  ]
 },
 "cbc": {
  "hemoglobin": [
   {"date": "2025-06-28", "value": "16.64 g/dL"},
   {"date": "2019-09-07", "value": "13.133 g/dL"}
  ],
  "leukocytes": [
   {"date": "2025-06-28", "value": "8.8453 10*3/uL"},
   {"date": "2019-09-07", "value": "7.0797 10*3/uL"}
  ],
  "erythrocytes": [
   {"date": "2025-06-28", "value": "5.4294 10*6/uL"},
   {"date": "2019-09-07", "value": "5.2514 10*6/uL"}
  ],
  "hematocrit": [
   {"date": "2025-06-28", "value": "35.411 %"},
   {"date": "2019-09-07", "value": "40.368 %"}
  ],
  "platelets": [
   {"date": "2025-06-28", "value": "429.33 10*3/uL"},
   {"date": "2019-09-07", "value": "408.48 10*3/uL"}
  ]
 }
}
```\n\n*   **Lipid Panel:**
    *   September 10, 2022 [DiagnosticReport/78b62cb4-942d-04e7-3790-344e40dcee61]
    *   September 7, 2019 [DiagnosticReport/41d31ee3-fbc9-f971-6bb6-862e4bbbbe32]
    *   September 3, 2016 [DiagnosticReport/ccfee046-bfd0-8fe7-9f13-7241f29dbe84]
*   **CBC Panel:**
    *   June 28, 2025 [DiagnosticReport/d617c4f7-0ec3-2e35-834e-16215be3f7a4]
    *   September 7, 2019 [DiagnosticReport/25007106-c266-5fa9-c09c-cc797979b6e8]
*   **Note:** The tool provides multiple CBC results for September 7, 2019.
*   **Note:** The list is sorted by date, most recent first.
*   **Note:** The list is sorted by date, most recent first.
```
*   **Lipid Panel:** September 10, 2022, September 7, 2019, and September 3, 2016.
*   **CBC Panel:** June 28, 2025, and September 7, 2019.
```\n\nFinal Answer using markdown:

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```markdown\nHere are the results and dates for the patient's **most** recent lipid panel and CBC tests:\n\n**Lipid Panel:**\n*   **September 10, 2022** [DiagnosticReport/78b62cb4-942d-04e7-3790-344e40dcee61]:\n    *   Cholesterol: 181.32 mg/dL\n    *   LDL: 126.63 mg/dL\n    *   HDL: 28.87 mg/dL\n    *   Triglycerides: 129.06 mg/dL\n*   **September 7, 2019** [DiagnosticReport/41d31ee3-fbc9-f971-6bb6-862e4bbbbe32]:\n    *   Cholesterol: 168.41 mg/dL\n    *   LDL: 110.9 mg/dL\n    *   HDL: 29.97 mg/dL\n    *   Triglycerides: 119.04 mg/dL\n*   **September 3, 2016** [DiagnosticReport/ccfee046-bfd0-8fe7-9f13-7241f29dbe84]:\n    *   Cholesterol: 131.59 mg/dL\n    *   LDL: 81.68 mg/dL\n    *   HDL: 26.1 mg/dL\n    *   Triglycerides: 137.72 mg/dL\n\n**CBC Panel:**\n*   **June 28, 2025** [DiagnosticReport/d617c4f7-0ec3-2e35-834e-16215be3f7a4]:\n    *   Hemoglobin: 16.64 g/dL\n    *   Leukocytes: 8.8453 10*3/uL\n    *   Erythrocytes: 5.4294 10*6/uL\n    *   Hematocrit: 35.411 %\n    *   Platelets: 429.33 10*3/uL\n*   **September 7, 2019** [DiagnosticReport/25007106-c266-5fa9-c09c-cc797979b6e8]:\n    *   Hemoglobin: 13.133 g/dL\n    *   Leukocytes: 7.0797 10*3/uL\n    *   Erythrocytes: 5.2514 10*6/uL\n    *   Hematocrit: 40.368 %\n    *   Platelets: 408.48 10*3/uL\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
USER QUESTION: What specific medications were administered to the patient during their sepsis encounter?. Patient ID e4350e97-bb8c-70b7-9997-9e098cfacef8.\n\nYou are an API request generator. Your task is to identify the patient ID from the user's question and output a JSON object to call the `get_patient_data_manifest` tool.\n\nYour available tool is:\nget_patient_data_manifest(patient_id: str, fhir_store_url: str) -> str - Gets a manifest of all available FHIR resources and their codes for a patient by

  querying the patient's entire record. Use this tool first to discover what
  data is available.\n\nGenerate the correct JSON to call the tool. Respond with only a single, raw JSON object.\n\nEXAMPLE:\n{\n  "name": "get_patient_data_manifest",\n  "args": {\n    "patient_id": "some-patient-id-from-the-question"\n  }\n}\n

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "\\nRESPONSE:\\n```json\\n{\\n  \"name\": \"get_patient_data_manifest\",\\n  \"args\": {\\n    \"patient_id\": \"e4350e97-bb8c-70b7-9997-9e098cfacef8\"\\n  }\\n}\\n```\n```json\n{\n  \"name\": \"get_patient_data_manifest\",\n  \"args\": {\n    \"patient_id\": \"e4350e97-bb8c-70b7-9997-9e098cfacef8\"\n  }\n}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nUSER QUESTION: What specific medications were administered to the patient during their sepsis encounter?. Patient ID e4350e97-bb8c-70b7-9997-9e098cfacef8.\n\nPATIENT DATA MANIFEST:\n**Encounter**: Present (no specific codes found)\n**Practitioner**: Present (no specific codes found)\n**Condition**: Available codes include: Medication review due (situation)=314529007, Sepsis (disorder)=91302008, Medication review due (situation)=314529007, Osteoarthritis of hip (disorder)=239872002, Stress (finding)=73595000, Medication review due (situation)=314529007, Housing unsatisfactory (finding)=105531004, Acute respiratory distress syndrome (disorder)=67782005, Part-time employment (finding)=160904001, Fracture of ankle (disorder)=16114001, Risk activity involvement (finding)=160968000, Body mass index 30+ - obesity (finding)=162864005, Social isolation (finding)=422650009, Past pregnancy history of miscarriage (situation)=161744009, Stress (finding)=73595000, Full-time employment (finding)=160903007, Fracture of bone (disorder)=125605004, Normal pregnancy (finding)=72892002, Limited social contact (finding)=423315002, Full-time employment (finding)=160903007, Part-time employment (finding)=160904001, Stress (finding)=73595000, Normal pregnancy (finding)=72892002, Only received primary school education (finding)=224295006, Septic shock (disorder)=76571007, Gingivitis (disorder)=66383009, Acute viral pharyngitis (disorder)=195662009, Victim of intimate partner abuse (finding)=706893006, Medication review due (situation)=314529007, Has a criminal record (finding)=266948004, Limited social contact (finding)=423315002, Medication review due (situation)=314529007\n**Observation**: Available codes include: Body mass index (BMI) [Ratio]=39156-5, Heart rate=8867-4, Tobacco smoking status=72166-2, Platelet mean volume [Entitic volume] in Blood by Automated count=32623-1, Body Height=8302-2, Blood pressure panel with all children optional=85354-9, Triglycerides=2571-8, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Body mass index (BMI) [Ratio]=39156-5, Tobacco smoking status=72166-2, Blood pressure panel with all children optional=85354-9, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Respiratory rate=9279-1, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Body Weight=29463-7, DXA Radius and Ulna [T-score] Bone density=38265-5, Heart rate=8867-4, Body Weight=29463-7, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Body mass index (BMI) [Ratio]=39156-5, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Blood pressure panel with all children optional=85354-9, Heart rate=8867-4, Capillary refill [Time] of Nail bed=44963-7, Heart rate=8867-4, Body Weight=29463-7, Body Height=8302-2, Low Density Lipoprotein Cholesterol=18262-6, Total score [HARK]=76504-0, Heart rate=8867-4, Heart rate=8867-4, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Body temperature=8310-5, Oral temperature=8331-1, Blood pressure panel with all children optional=85354-9, MCV [Entitic volume] by Automated count=787-2, Total score [HARK]=76504-0, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Respiratory rate=9279-1, Body Height=8302-2, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Heart rate=8867-4, Hemoglobin [Mass/volume] in Blood=718-7, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Mean blood pressure=8478-0, Lactate [Moles/volume] in Blood=32693-4, Hematocrit [Volume Fraction] of Blood by Automated count=4544-3, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Low Density Lipoprotein Cholesterol=18262-6, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Total score [DAST-10]=82667-7, Leukocytes [#/volume] in Blood by Automated count=6690-2, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Total score [DAST-10]=82667-7, Tobacco smoking status=72166-2, Blood pressure panel with all children optional=85354-9, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Tobacco smoking status=72166-2, Body Height=8302-2, Total score [HARK]=76504-0, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Erythrocyte distribution width [Entitic volume] by Automated count=21000-5, Blood pressure panel with all children optional=85354-9, Body Height=8302-2, Total score [DAST-10]=82667-7, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Total score [DAST-10]=82667-7, Blood pressure panel with all children optional=85354-9, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Respiratory rate=9279-1, Respiratory rate=9279-1, Body Height=8302-2, Cholesterol [Mass/volume] in Serum or Plasma=2093-3, Body mass index (BMI) [Ratio]=39156-5, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Blood pressure panel with all children optional=85354-9, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Respiratory rate=9279-1, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Low Density Lipoprotein Cholesterol=18262-6, Respiratory rate=9279-1, Body Height=8302-2, Body Weight=29463-7, Lactate [Moles/volume] in Blood=32693-4, Pain severity - 0-10 verbal numeric rating [Score] - Reported=72514-3, Blood pressure panel with all children optional=85354-9, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Platelet distribution width [Entitic volume] in Blood by Automated count=32207-3, Body Height=8302-2, Body mass index (BMI) [Ratio]=39156-5, Body Weight=29463-7, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Respiratory rate=9279-1, Tobacco smoking status=72166-2, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Body Weight=29463-7, MCHC [Mass/volume] by Automated count=786-4, Tobacco smoking status=72166-2, Patient Health Questionnaire 2 item (PHQ-2) total score [Reported]=55758-7, Heart rate=8867-4, Body Weight=29463-7, MCH [Entitic mass] by Automated count=785-6, Cholesterol in HDL [Mass/volume] in Serum or Plasma=2085-9, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Triglycerides=2571-8, Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ]=70274-6, Respiratory rate=9279-1, Gram positive blood culture panel by Probe in Positive blood culture=88262-1, Body mass index (BMI) [Ratio]=39156-5, Body mass index (BMI) [Ratio]=39156-5, Erythrocytes [#/volume] in Blood by Automated count=789-8, Protocol for Responding to and Assessing Patients' Assets, Risks, and Experiences [PRAPARE]=93025-5, Oxygen saturation in Arterial blood=2708-6, Oxygen saturation in Arterial blood by Pulse oximetry=59408-5, Triglycerides=2571-8, Tobacco smoking status=72166-2, Tobacco smoking status=72166-2, Platelets [#/volume] in Blood by Automated count=777-3\n**MedicationRequest**: Present (no specific codes found)\n**MedicationAdministration**: Present (no specific codes found)\n**DiagnosticReport**: Available codes include: History and physical note=34117-2, Evaluation + Plan note=51847-2, Drug Abuse Screening Test-10 [DAST-10]=82666-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, Drug Abuse Screening Test-10 [DAST-10]=82666-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Blood Culture, Routine=600-7, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Humiliation, Afraid, Rape, and Kick questionnaire [HARK]=76499-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, CBC panel - Blood by Automated count=58410-2, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Lipid panel with direct LDL - Serum or Plasma=57698-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Humiliation, Afraid, Rape, and Kick questionnaire [HARK]=76499-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, Humiliation, Afraid, Rape, and Kick questionnaire [HARK]=76499-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Lipid panel with direct LDL - Serum or Plasma=57698-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Drug Abuse Screening Test-10 [DAST-10]=82666-9, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, Generalized anxiety disorder 7 item (GAD-7)=69737-5, Drug Abuse Screening Test-10 [DAST-10]=82666-9, Patient Health Questionnaire 2 item (PHQ-2) [Reported]=55757-9, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Lipid panel with direct LDL - Serum or Plasma=57698-3, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, Generalized anxiety disorder 7 item (GAD-7)=69737-5, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2, History and physical note=34117-2, Evaluation + Plan note=51847-2\n**Procedure**: Available codes include: Removal of subgingival plaque and calculus from all teeth using dental instrument (procedure)=1260010008, Auscultation of the fetal heart (procedure)=225158009, Depression screening (procedure)=171207006, Evaluation of uterine fundal height (procedure)=274804006, Fetal anatomy study (procedure)=271442007, Syphilis infectious titer test (procedure)=269828009, Assessment of substance use (procedure)=428211000124100, Depression screening (procedure)=171207006, Assessment of health and social care needs (procedure)=710824005, Standard pregnancy test (procedure)=252160004, Evaluation of uterine fundal height (procedure)=274804006, Depression screening (procedure)=171207006, Skin test for tuberculosis, Tine test (procedure)=28163009, Evaluation of uterine fundal height (procedure)=274804006, Cytopathology procedure, preparation of smear, genital source (procedure)=90226004, Assessment of anxiety (procedure)=710841007, Colonoscopy (procedure)=73761001, Depression screening (procedure)=171207006, Screening for domestic abuse (procedure)=866148006, Assessment of health and social care needs (procedure)=710824005, Patient referral for dental care (procedure)=103697008, Human parturition, function (observable entity)=386216000, Physical examination procedure (procedure)=5880005, Cytopathology procedure, preparation of smear, genital source (procedure)=90226004, Evaluation of uterine fundal height (procedure)=274804006, Physical examination procedure (procedure)=5880005, Physical examination procedure (procedure)=5880005, Rubella screening test (procedure)=314098000, Medication reconciliation (procedure)=430193006, Auscultation of the fetal heart (procedure)=225158009, Hepatitis B surface antigen measurement (procedure)=47758006, Depression screening (procedure)=171207006, Auscultation of the fetal heart (procedure)=225158009, Auscultation of the fetal heart (procedure)=225158009, Evaluation of uterine fundal height (procedure)=274804006, Ultrasound scan for fetal viability (procedure)=169230002, Depression screening (procedure)=171207006, Depression screening (procedure)=171207006, Auscultation of the fetal heart (procedure)=225158009, Blood group typing (procedure)=44608003, Evaluation of uterine fundal height (procedure)=274804006, Standard pregnancy test (procedure)=252160004, Streptococcus pneumoniae group B antigen assay (procedure)=118001005, Gonorrhea infection titer test (procedure)=165829005, Dental care (regime/therapy)=225362009, Artificial ventilation (regime/therapy)=40617009, Assessment of health and social care needs (procedure)=710824005, Alpha-fetoprotein test - antenatal (procedure)=275833003, Detection of chromosomal aneuploidy in prenatal amniotic fluid specimen using fluorescence in situ hybridization screening technique (procedure)=443529005, Assessment of substance use (procedure)=428211000124100, Screening for drug abuse (procedure)=713106006, Assessment of anxiety (procedure)=710841007, Auscultation of the fetal heart (procedure)=225158009, Chlamydia antigen test (procedure)=310861008, Auscultation of the fetal heart (procedure)=225158009, Auscultation of the fetal heart (procedure)=225158009, Urine screening test for diabetes (procedure)=395123002, Assessment of health and social care needs (procedure)=710824005, Assessment of health and social care needs (procedure)=710824005, Assessment of anxiety (procedure)=710841007, Assessment of health and social care needs (procedure)=710824005, Screening for drug abuse (procedure)=713106006, Ultrasound scan for fetal viability (procedure)=169230002, Human immunodeficiency virus antigen test (procedure)=31676001, Bone density scan (procedure)=312681000, Medication reconciliation (procedure)=430193006, Depression screening (procedure)=171207006, Urinalysis, protein, qualitative (procedure)=60218003, Depression screening (procedure)=171207006, Screening for drug abuse (procedure)=713106006, Screening for domestic abuse (procedure)=866148006, Removal of subgingival plaque and calculus from all teeth using dental instrument (procedure)=1260010008, Human parturition, function (observable entity)=386216000, Skin test for tuberculosis, Tine test (procedure)=28163009, Resuscitation using intravenous fluid (procedure)=430701006, Removal of intrauterine contraceptive device (procedure)=1263416007, Auscultation of the fetal heart (procedure)=225158009, Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differential (procedure)=104091002, Alpha-fetoprotein test - antenatal (procedure)=275833003, Auscultation of the fetal heart (procedure)=225158009, Hepatitis B surface antigen measurement (procedure)=47758006, Measurement of Varicella-zoster virus antibody (procedure)=104326007, Chlamydia antigen test (procedure)=310861008, Depression screening (procedure)=171207006, Urine culture (procedure)=117010004, Examination of gingivae (procedure)=274788003, Evaluation of uterine fundal height (procedure)=274804006, Evaluation of uterine fundal height (procedure)=274804006, Screening for domestic abuse (procedure)=866148006, Evaluation of uterine fundal height (procedure)=274804006, Auscultation of the fetal heart (procedure)=225158009, Auscultation of the fetal heart (procedure)=225158009, Administration of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens (procedure)=399014008, Human immunodeficiency virus antigen test (procedure)=31676001, Weaning from mechanically assisted ventilation (regime/therapy)=243174005, Depression screening (procedure)=171207006, Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differential (procedure)=104091002, Auscultation of the fetal heart (procedure)=225158009, Hepatitis C antibody, confirmatory test (procedure)=104375008, Dental consultation and report (procedure)=34043003, Streptococcus pneumoniae group B antigen assay (procedure)=118001005, Blood group typing (procedure)=44608003, Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differential (procedure)=104091002, Dental fluoride treatment (procedure)=68071007, Auscultation of the fetal heart (procedure)=225158009, Assessment of substance use (procedure)=428211000124100, Evaluation of uterine fundal height (procedure)=274804006, Depression screening (procedure)=171207006, Auscultation of the fetal heart (procedure)=225158009, Removal of supragingival plaque and calculus from all teeth using dental instrument (procedure)=1260009003, Evaluation of uterine fundal height (procedure)=274804006, Evaluation of uterine fundal height (procedure)=274804006, Removal of supragingival plaque and calculus from all teeth using dental instrument (procedure)=1260009003, Syphilis infectious titer test (procedure)=269828009, Medication reconciliation (procedure)=430193006, Assessment of anxiety (procedure)=710841007, Examination of gingivae (procedure)=274788003, Depression screening (procedure)=171207006, Rubella screening test (procedure)=314098000, Evaluation of uterine fundal height (procedure)=274804006, Urinalysis, protein, qualitative (procedure)=60218003, Dental care (regime/therapy)=225362009, Screening for drug abuse (procedure)=713106006, Physical examination procedure (procedure)=5880005, Hemogram, automated, with red blood cells, white blood cells, hemoglobin, hematocrit, indices, platelet count, and manual white blood cell differential (procedure)=104091002, Auscultation of the fetal heart (procedure)=225158009, Hepatitis C antibody, confirmatory test (procedure)=104375008, Dental plain X-ray bitewing (procedure)=241046008, Dental consultation and report (procedure)=34043003, Urine screening for glucose (procedure)=268556000, Colonoscopy (procedure)=73761001, Evaluation of uterine fundal height (procedure)=274804006, Oral health education (procedure)=243085009, Detection of chromosomal aneuploidy in prenatal amniotic fluid specimen using fluorescence in situ hybridization screening technique (procedure)=443529005, Admission to intensive care unit (procedure)=305351004, Measurement of Varicella-zoster virus antibody (procedure)=104326007, Assessment of substance use (procedure)=428211000124100, Gonorrhea infection titer test (procedure)=165829005, Resuscitation using intravenous fluid (procedure)=430701006, Evaluation of uterine fundal height (procedure)=274804006, Depression screening (procedure)=171207006, Administration of vaccine product containing only Bordetella pertussis and Clostridium tetani and Corynebacterium diphtheriae antigens (procedure)=399014008, Episiotomy (procedure)=85548006, Urine screening for glucose (procedure)=268556000, Plain X-ray of ankle region (procedure)=1290459008, Oral health education (procedure)=243085009, Urine screening test for diabetes (procedure)=395123002, Medication reconciliation (procedure)=430193006, Assessment of anxiety (procedure)=710841007, Depression screening (procedure)=171207006, Depression screening (procedure)=171207006, Auscultation of the fetal heart (procedure)=225158009, Auscultation of the fetal heart (procedure)=225158009, Assessment of health and social care needs (procedure)=710824005, Evaluation of uterine fundal height (procedure)=274804006, Evaluation of uterine fundal height (procedure)=274804006, Assessment of health and social care needs (procedure)=710824005, Fetal anatomy study (procedure)=271442007, Evaluation of uterine fundal height (procedure)=274804006, Urine culture (procedure)=117010004, Patient referral for dental care (procedure)=103697008, Bone immobilization (procedure)=274474001\n\n\nYou are a medical assistant analyzing a patient's FHIR data manifest to answer a user question.\nBased on the user question, identify the specific FHIR resource types from the manifest that are most likely to contain the information needed to answer the question.\nOutput a JSON list of the relevant resource types. Do not include any other text or formatting.\nExample:
["Condition", "Observation", "MedicationRequest"]

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```json\n[\"MedicationAdministration\"]\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What specific medications were administered to the patient during their sepsis encounter?. Patient ID e4350e97-bb8c-70b7-9997-9e098cfacef8.\n\nPATIENT DATA MANIFEST: **MedicationAdministration**: Present (no specific codes found)\n\n\nYou are a specialized API request generator. Your SOLE task is to output a JSON of a tool call to gather the necessary information to answer the user's question. Respond with ONLY a JSON, no explanations or prose.\nYour available tool is:\nget_patient_fhir_resource(patient_id: str, fhir_resource: str, fhir_store_url: str, filter_code: Optional[str] = None) -> str - Gets a list of FHIR resources for a single patient.

  patient_id: The ID of the patient. fhir_resource: The FHIR resource type to
  retrieve (Observation, Condition, MedicationRequest, etc.) fhir_store_url: The
  URL of the FHIR store. filter_code: A comma seperated list of code filter to
  apply to the resource (34117-2, 171207006, 82667-7, 8867-4, etc)\n\n**At this stage you can only call MedicationAdministration.**\nEXAMPLE:\n{\"name\": \"get_patient_fhir_resource\", \"args\": {\"patient_id\": \"some-patient-id\", \"fhir_resource\": \"MedicationAdministration\", \"filter_code\": \"csv-codes-from-manifest\"}}

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```json\n{\"name\": \"get_patient_fhir_resource\", \"args\": {\"patient_id\": \"e4350e97-bb8c-70b7-9997-9e098cfacef8\", \"fhir_resource\": \"MedicationAdministration\", \"filter_code\": null}}\n```", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
SYSTEM INSTRUCTION: think silently if needed.\nFOR CONTEXT ONLY, USER QUESTION: What specific medications were administered to the patient during their sepsis encounter?. Patient ID e4350e97-bb8c-70b7-9997-9e098cfacef8.\n\nTOOL OUTPUT:\n{"resourceType": "Bundle", "type": "searchset", "total": 4, "entry": [{"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T11:51:45+00:00", "id": "3809d4c5-94e6-3ddf-6a39-2e9146c0a864", "medicationCodeableConcept": {"coding": [{"code": "242969", "display": "4 ML norepinephrine 1 MG/ML Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "4 ML norepinephrine 1 MG/ML Injection"}, "reasonReference": [{"display": "Septic shock (disorder)", "reference": "Condition/14d862e2-8ac7-4279-a192-1c234eb651a1"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T10:21:45+00:00", "id": "e094073e-8fe8-a39a-a947-21b557524daf", "medicationCodeableConcept": {"coding": [{"code": "1659131", "display": "piperacillin 2000 MG / tazobactam 250 MG Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "piperacillin 2000 MG / tazobactam 250 MG Injection"}, "reasonReference": [{"display": "Sepsis (disorder)", "reference": "Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d9029a97-eeb9-f2c5-4cd4-61ae6b139b3d"}, "effectiveDateTime": "2006-02-07T12:55:18+00:00", "id": "e1433d9e-8fde-54ce-2c88-909e5747fee0", "medicationCodeableConcept": {"coding": [{"code": "1535362", "display": "sodium fluoride 0.0272 MG/MG Oral Gel", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "sodium fluoride 0.0272 MG/MG Oral Gel"}, "reasonCode": [{"coding": [{"code": "103697008", "display": "Patient referral for dental care (procedure)", "system": "http://snomed.info/sct"}], "text": "Patient referral for dental care (procedure)"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T10:21:45+00:00", "id": "df89c9f1-2554-66f6-64bb-f6b7c3064161", "medicationCodeableConcept": {"coding": [{"code": "1807510", "display": "150 ML vancomycin 5 MG/ML Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "150 ML vancomycin 5 MG/ML Injection"}, "reasonReference": [{"display": "Sepsis (disorder)", "reference": "Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}]}\n\nYou are a fact summarizing agent. Your output will be used to answer the USER QUESTION.\nCollect from the 'TOOL OUTPUT' facts ONLY if it is relevant to answer the USER QUESTION.\nWrite a very concise English summary, only facts relevant to the user question. DO NOT OUTPUT JSON.\nYou are not authorized to answer the user question. Do not provide any output beyond concise facts. Filter out any facts which are not helpful for the user question. Include date or date ranges. Only for the most critical facts, include FHIR record references [record type/record id]. For repeating multiple times provide summarize and provide only a single reference and date range.

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": " For the most critical facts, include FHIR record references [record type/record id].\\n\\nHere is the list of facts that are relevant to the user question:\\n\\n- Vancomycin 5 MG/ML Injection was administered on 2009-11-26 [MedicationAdministration/df89c9f1-2554-66f6-64bb-f6b7c3064161].\\n- Piperacillin 2000 MG / tazobactam 250 MG Injection was administered on 2009-11-26 [MedicationAdministration/e094073e-8fe8-a39a-a947-21b557524daf].\\n- Norepinephrine 1 MG/ML Injection was administered on 2009-11-26 [MedicationAdministration/3809d4c5-94e6-3ddf-6a39-2e9146c0a864].\\n- Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07 [MedicationAdministration/e1433d9e-8fde-54ce-2c88-909e5747fee0].\\n\\nHere is the summary:\\n\\nDuring the sepsis encounter, the patient was administered Vancomycin 5 MG/ML Injection, Piperacillin 2000 MG / tazobactam 250 MG Injection, and Norepinephrine 1 MG/ML Injection on 2009-11-26. Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07.\n```json\n{\"resourceType\": \"Bundle\", \"type\": \"searchset\", \"total\": 4, \"entry\": [{\"resource\": {\"context\": {\"reference\": \"Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55\"}, \"effectiveDateTime\": \"2009-11-26T11:51:45+00:00\", \"id\": \"3809d4c5-94e6-3ddf-6a39-2e9146c0a864\", \"medicationCodeableConcept\": {\"coding\": [{\"code\": \"242969\", \"display\": \"4 ML norepinephrine 1 MG/ML Injection\", \"system\": \"http://www.nlm.nih.gov/research/umls/rxnorm\"}], \"text\": \"4 ML norepinephrine 1 MG/ML Injection\"}, \"reasonReference\": [{\"display\": \"Septic shock (disorder)\", \"reference\": \"Condition/14d862e2-8ac7-4279-a192-1c234eb651a1\"}], \"resourceType\": \"MedicationAdministration\", \"status\": \"completed\", \"subject\": {\"reference\": \"Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8\"}}}, {\"resource\": {\"context\": {\"reference\": \"Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55\"}, \"effectiveDateTime\": \"2009-11-26T10:21:45+00:00\", \"id\": \"e094073e-8fe8-a39a-a947-21b557524daf\", \"medicationCodeableConcept\": {\"coding\": [{\"code\": \"1659131\", \"display\": \"piperacillin 2000 MG / tazobactam 250 MG Injection\", \"system\": \"http://www.nlm.nih.gov/research/umls/rxnorm\"}], \"text\": \"piperacillin 2000 MG / tazobactam 250 MG Injection\"}, \"reasonReference\": [{\"display\": \"Sepsis (disorder)\", \"reference\": \"Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367\"}], \"resourceType\": \"MedicationAdministration\", \"status\": \"completed\", \"subject\": {\"reference\": \"Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8\"}}}, {\"resource\": {\"context\": {\"reference\": \"Encounter/d9029a97-eeb9-f2c5-4cd4-61ae6b139b3d\"}, \"effectiveDateTime\": \"2006-02-07T12:55:18+00:00\", \"id\": \"e1433d9e-8fde-54ce-2c88-909e5747fee0\", \"medicationCodeableConcept\": {\"coding\": [{\"code\": \"1535362\", \"display\": \"sodium fluoride 0.0272 MG/MG Oral Gel\", \"system\": \"http://www.nlm.nih.gov/research/umls/rxnorm\"}], \"text\": \"sodium fluoride 0.0272 MG/MG Oral Gel\"}, \"reasonCode\": [{\"coding\": [{\"code\": \"103697008\", \"display\": \"Patient referral for dental care (procedure)\", \"system\": \"http://snomed.info/sct\"}], \"text\": \"Patient referral for dental care (procedure)\"}], \"resourceType\": \"MedicationAdministration\", \"status\": \"completed\", \"subject\": {\"reference\": \"Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8\"}}}, {\"resource\": {\"context\": {\"reference\": \"Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55\"}, \"effectiveDateTime\": \"2009-11-26T10:21:45+00:00\", \"id\": \"df89c9f1-2554-66f6-64bb-f6b7c3064161\", \"medicationCodeableConcept\": {\"coding\": [{\"code\": \"1807510\", \"display\": \"150 ML vancomycin 5 MG/ML Injection\", \"system\": \"http://www.nlm.nih.gov/research/umls/rxnorm\"}], \"text\": \"150 ML vancomycin 5 MG/ML Injection\"}, \"reasonReference\": [{\"display\": \"Sepsis (disorder)\", \"reference\": \"Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367\"}], \"resourceType\": \"MedicationAdministration\", \"status\": \"completed\", \"subject\": {\"reference\": \"Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8\"}}}]\n```\nDuring the sepsis encounter, the patient was administered Vancomycin 5 MG/ML Injection, Piperacillin 2000 MG / tazobactam 250 MG Injection, and Norepinephrine 1 MG/ML Injection on 2009-11-26. Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07.", "type": "Generation"}}


llm: [('_type', 'vertexai_model_garden'), ('stop', None)]
prompt:
Synthesize all information from the 'SUMMARIZED INFORMATION' to provide a comprehensive final answer. Preserve relevant FHIR references.\n\nUSER QUESTION: What specific medications were administered to the patient during their sepsis encounter?. Patient ID e4350e97-bb8c-70b7-9997-9e098cfacef8.\n\nSUMMARIZED INFORMATION: For the most critical facts, include FHIR record references [record type/record id].\n\nHere is the list of facts that are relevant to the user question:\n\n- Vancomycin 5 MG/ML Injection was administered on 2009-11-26 [MedicationAdministration/df89c9f1-2554-66f6-64bb-f6b7c3064161].\n- Piperacillin 2000 MG / tazobactam 250 MG Injection was administered on 2009-11-26 [MedicationAdministration/e094073e-8fe8-a39a-a947-21b557524daf].\n- Norepinephrine 1 MG/ML Injection was administered on 2009-11-26 [MedicationAdministration/3809d4c5-94e6-3ddf-6a39-2e9146c0a864].\n- Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07 [MedicationAdministration/e1433d9e-8fde-54ce-2c88-909e5747fee0].\n\nHere is the summary:\n\nDuring the sepsis encounter, the patient was administered Vancomycin 5 MG/ML Injection, Piperacillin 2000 MG / tazobactam 250 MG Injection, and Norepinephrine 1 MG/ML Injection on 2009-11-26. Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07.
```json
{"resourceType": "Bundle", "type": "searchset", "total": 4, "entry": [{"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T11:51:45+00:00", "id": "3809d4c5-94e6-3ddf-6a39-2e9146c0a864", "medicationCodeableConcept": {"coding": [{"code": "242969", "display": "4 ML norepinephrine 1 MG/ML Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "4 ML norepinephrine 1 MG/ML Injection"}, "reasonReference": [{"display": "Septic shock (disorder)", "reference": "Condition/14d862e2-8ac7-4279-a192-1c234eb651a1"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T10:21:45+00:00", "id": "e094073e-8fe8-a39a-a947-21b557524daf", "medicationCodeableConcept": {"coding": [{"code": "1659131", "display": "piperacillin 2000 MG / tazobactam 250 MG Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "piperacillin 2000 MG / tazobactam 250 MG Injection"}, "reasonReference": [{"display": "Sepsis (disorder)", "reference": "Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d9029a97-eeb9-f2c5-4cd4-61ae6b139b3d"}, "effectiveDateTime": "2006-02-07T12:55:18+00:00", "id": "e1433d9e-8fde-54ce-2c88-909e5747fee0", "medicationCodeableConcept": {"coding": [{"code": "1535362", "display": "sodium fluoride 0.0272 MG/MG Oral Gel", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "sodium fluoride 0.0272 MG/MG Oral Gel"}, "reasonCode": [{"coding": [{"code": "103697008", "display": "Patient referral for dental care (procedure)", "system": "http://snomed.info/sct"}], "text": "Patient referral for dental care (procedure)"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}, {"resource": {"context": {"reference": "Encounter/d58ae235-5c5f-87fe-cc21-d70d33a72d55"}, "effectiveDateTime": "2009-11-26T10:21:45+00:00", "id": "df89c9f1-2554-66f6-64bb-f6b7c3064161", "medicationCodeableConcept": {"coding": [{"code": "1807510", "display": "150 ML vancomycin 5 MG/ML Injection", "system": "http://www.nlm.nih.gov/research/umls/rxnorm"}], "text": "150 ML vancomycin 5 MG/ML Injection"}, "reasonReference": [{"display": "Sepsis (disorder)", "reference": "Condition/6decba93-5d9f-cb30-e654-b7ec7b81e367"}], "resourceType": "MedicationAdministration", "status": "completed", "subject": {"reference": "Patient/e4350e97-bb8c-70b7-9997-9e098cfacef8"}}}]
```
During the sepsis encounter, the patient was administered Vancomycin 5 MG/ML Injection, Piperacillin 2000 MG / tazobactam 250 MG Injection, and Norepinephrine 1 MG/ML Injection on 2009-11-26. Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07.\n\nFinal Answer using markdown:

response:
{"lc": 1, "type": "constructor", "id": ["langchain", "schema", "output", "Generation"], "kwargs": {"text": "```markdown\nDuring the sepsis encounter, the patient (Patient ID: e4350e97-bb8c-70b7-9997-9e098cfacef8) was administered the following medications on 2009-11-26:\n\n*   **Vancomycin 5 MG/ML Injection** [MedicationAdministration/df89c9f1-2554-66f6-64bb-f6b7c3064161]\n*   **Piperacillin 2000 MG / tazobactam 250 MG Injection** [MedicationAdministration/e094073e-8fe8-a39a-a947-21b557524daf]\n*   **Norepinephrine 1 MG/ML Injection** [MedicationAdministration/3809d4c5-94e6-3ddf-6a39-2e9146c0a864]\n\nAdditionally, Sodium fluoride 0.0272 MG/MG Oral Gel was administered on 2006-02-07 [MedicationAdministration/e1433d9e-8fde-54ce-2c88-909e5747fee0].\n```", "type": "Generation"}}


