{
  "encounterId": "ENC-2026-00012345",
  "processingTimestamp": "2026-05-02T15:00:00Z",
  "codeSetVersion": "FY2026",
  "suggestedDiagnoses": [
    {
      "code": "I21.11",
      "description": "ST elevation (STEMI) myocardial infarction involving right coronary artery",
      "type": "principal",
      "confidence": 0.97,
      "evidenceText": "inferior STEMI ... RCA 100% occlusion",
      "status": "accepted"
    },
    {
      "code": "E11.9",
      "description": "Type 2 diabetes mellitus without complications",
      "type": "secondary",
      "confidence": 0.94,
      "evidenceText": "PMH: Type 2 DM",
      "status": "accepted"
    },
    {
      "code": "I10",
      "description": "Essential (primary) hypertension",
      "type": "secondary",
      "confidence": 0.93,
      "evidenceText": "PMH: HTN",
      "status": "accepted"
    }
  ],
  "suggestedProcedures": [
    {
      "code": "027034Z",
      "description": "Dilation of coronary artery, one artery with drug-eluting intraluminal device, percutaneous approach",
      "type": "principal",
      "confidence": 0.96,
      "evidenceText": "Successful PCI with drug-eluting stent placement to RCA",
      "status": "accepted"
    }
  ],
  "drgAssignment": {
    "msdrg": "246",
    "msdrgDescription": "Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with MCC or 4+ Vessels/Stents",
    "mdc": "05",
    "severity": "2",
    "mortalityRisk": "2",
    "geometricMeanLos": 3.5,
    "relativeWeight": 3.5421
  },
  "qualityFlags": [
    {
      "flagType": "DOCUMENTATION_SPECIFICITY",
      "severity": "info",
      "message": "Consider documenting chronic kidney disease stage if applicable for higher severity capture."
    }
  ]
}