FHIR Document EMIS IM1 Consultation Note 8 Nov 2024 - Virtually Healthcare HL7 FHIR R4 Implementation Guide v0.1.0-current

Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Example Bundle: FHIR Document EMIS IM1 Consultation Note 8 Nov 2024

Document Details

Generated Narrative: Bundle Clinical note

Document Subject

Generated Narrative: Patient 335bf7ee-47c8-4fe7-bfce-831db4d3b769

Daniel O'Donnell Male, DoB: 1947-12-30 ( Medical record number (use: usual, ))

Active: true

Other Id: National Health Plan Identifier/5393501883 (use: official, )

Contact Detail 42 The Avenue Crimbles East Hardwick WF16

Links:

General Practitioner: Identifier: https://fhir.nhs.uk/Id/ods-organization-code/F83004

Document Content

Result

Serum TSH (thyroid stimulating hormone) level, 12 mU/L Added some lines of text

Examination

Body weight, 79 kg

Standing height, 179 cm

Body mass index, 24.66 kg/m2

Procedure

Physical therapy procedure

getting hip pain

Referral

Refer for thyroid test

Document

Referral Letter (08-Nov-2024) for Refer for thyroid test

Discharge summary report Discharge summary report from Gynaecologist at EMIS PCS Test Surgery 2 (08-Nov-2024)

Allergy

Adverse reaction to drug aspirin

Allergy to drug

Allergy to aspirin

History

Family history of alcohol misuse (Aunt)

Test Request

Venous blood specimen

Comment

this is a comment. steps. weight

Follow up

Medication review 08/12/2024

Family History

No family history diabetes some test

Family history of breast cancer (Uncle)

Medication

Aspirin 75mg dispersible tablets

Problem

Current non-smoker

Essential hypertension

Assessment

Hypertension monitoring

Hypertension six month review

Medication review done

Additional

Hypertension resolved

Excepted from hypertension quality indicators - patient unsuitable

British or mixed British - ethnic category 2001 census

Dietary advice

Education about alcohol consumption

ECG requested

Social

Alcohol consumption, 0 U/week

Result

Serum cholesterol level, 123 mmol/L

Serum high density lipoprotein cholesterol level, 234 mmol/L

Serum creatinine level, 123 umol/L

Follow up

Hypertension monitoring 08/11/2024

Additional

Test request : Full Blood Count

Test request : Plasma Viscosity

Test request : Antenatal

Blood Pressure 117/75 mmHg

Additional Resources Included in Document

Entry 1 - fullUrl = urn:uuid:81397bc1-609d-4534-bba2-4892d575553e

Resource Composition:

Generated Narrative: Composition ab2539ee-fd55-4abc-9898-d4c1520dd2ba

identifier: https://tools.ietf.org/html/rfc4122/81397bc1-609d-4534-bba2-4892d575553e (use: usual, )
status: Final
type: Clinical note
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
date: 2024-11-08 15:51:00+0000
author: Dr HealthOnline Test
title: Clinical note

Entry 2 - fullUrl = urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769

Resource Patient:

Generated Narrative: Patient 335bf7ee-47c8-4fe7-bfce-831db4d3b769
Daniel O'Donnell Male, DoB: 1947-12-30 ( Medical record number (use: usual, ))
Active: true
Other Id: National Health Plan Identifier/5393501883 (use: official, )
Contact Detail 42 The Avenue Crimbles East Hardwick WF16
Links:
General Practitioner: Identifier: https://fhir.nhs.uk/Id/ods-organization-code/F83004

Entry 3 - fullUrl = urn:uuid:5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b

Resource Observation:

Generated Narrative: Observation 5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b

identifier: https://emis.com/Id/Event/DBID/3262 (use: secondary, ), https://emis.com/Id/Event/GUID/5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b (use: usual, )
status: Unknown
category: Laboratory
code: Serum TSH (thyroid stimulating hormone) level, 12 mU/L Added some lines of text
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 12.0 mU/L (Details: UCUM codemU/L = 'mU/L')

Entry 4 - fullUrl = urn:uuid:d3adf58c-bd92-4d45-b598-d76e2210a4a5

Resource Observation:

Generated Narrative: Observation d3adf58c-bd92-4d45-b598-d76e2210a4a5

identifier: https://emis.com/Id/Event/DBID/3263 (use: secondary, ), https://emis.com/Id/Event/GUID/d3adf58c-bd92-4d45-b598-d76e2210a4a5 (use: usual, )
status: Unknown
category: Vital Signs
code: Body weight, 79 kg
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 79.0 kg (Details: UCUM codekg = 'kg')

Entry 5 - fullUrl = urn:uuid:f859d2b0-a68f-4ff5-aa5d-44ebeff18505

Resource Observation:

Generated Narrative: Observation f859d2b0-a68f-4ff5-aa5d-44ebeff18505

identifier: https://emis.com/Id/Event/DBID/3264 (use: secondary, ), https://emis.com/Id/Event/GUID/f859d2b0-a68f-4ff5-aa5d-44ebeff18505 (use: usual, )
status: Unknown
category: Laboratory
code: Standing height, 179 cm
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 179.0 cm (Details: UCUM codecm = 'cm')

Entry 6 - fullUrl = urn:uuid:9f8e11e9-381e-434c-b9da-a309ee669f83

Resource Observation:

Generated Narrative: Observation 9f8e11e9-381e-434c-b9da-a309ee669f83

identifier: https://emis.com/Id/Event/DBID/3265 (use: secondary, ), https://emis.com/Id/Event/GUID/9f8e11e9-381e-434c-b9da-a309ee669f83 (use: usual, )
status: Unknown
category: Vital Signs
code: Body mass index, 24.66 kg/m2
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 24.66 kg/m2 (Details: UCUM codekg/m2 = 'kg/m2')

Entry 7 - fullUrl = urn:uuid:d7c55283-f991-4854-85f5-e6def3cc82be

Resource Observation:

Generated Narrative: Observation d7c55283-f991-4854-85f5-e6def3cc82be

identifier: https://emis.com/Id/Event/DBID/3266 (use: secondary, ), https://emis.com/Id/Event/GUID/d7c55283-f991-4854-85f5-e6def3cc82be (use: usual, )
status: Unknown
category: Exam
code: Physical therapy procedure
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 8 - fullUrl = urn:uuid:71f58a26-5daa-491d-b85f-cf60fbe90236

Resource ServiceRequest:

Generated Narrative: ServiceRequest 71f58a26-5daa-491d-b85f-cf60fbe90236

identifier: https://emis.com/Id/Referral/DBID/3268 (use: secondary, ), https://emis.com/Id/Referral/GUID/71f58a26-5daa-491d-b85f-cf60fbe90236 (use: usual, )
status: Unknown
intent: Order
code: No display for ServiceRequest.code (concept: )
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
authoredOn: 2024-11-08 00:00:00+0000
requester: Dr HealthOnline Test

Entry 9 - fullUrl = urn:uuid:900566b1-a93d-4cb1-998a-a5141e2127bf

Resource DocumentReference:

Generated Narrative: DocumentReference 3271

identifier: https://emis.com/Id/Attachment/DBID/3271 (use: secondary, ), https://emis.com/Id/Attachment/GUID/900566b1-a93d-4cb1-998a-a5141e2127bf (use: usual, )
status: Current
type: Referral Letter (08-Nov-2024) for Refer for thyroid test
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
context
Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
date: 2024-11-08 00:00:00+0000
author: Dr HealthOnline Test
content
Attachments
- Url Title
* Binary/1350ff0a-9660-445d-b835-97ef764a9436 2411081558_Referral Letter.rtf

Entry 10 - fullUrl = urn:uuid:4a838ced-3568-4839-b247-316fabef3163

Resource DocumentReference:

Generated Narrative: DocumentReference 3272

identifier: https://emis.com/Id/Attachment/DBID/3272 (use: secondary, ), https://emis.com/Id/Attachment/GUID/4a838ced-3568-4839-b247-316fabef3163 (use: usual, )
status: Current
type: Discharge summary report Discharge summary report from Gynaecologist at EMIS PCS Test Surgery 2 (08-Nov-2024)
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
context
Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
date: 2024-11-08 15:51:00+0000
author: Dr HealthOnline Test
content
Attachments
- Url Title
* Binary/bdd1a93f-ba2e-437d-aca7-c2130fa392d7 Example NHS Health Checks Template HMP Mnachester.pdf

Entry 11 - fullUrl = urn:uuid:b795e488-21eb-49cb-9360-d4cb7a02dc6e

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance b795e488-21eb-49cb-9360-d4cb7a02dc6e

identifier: https://emis.com/Id/Event/DBID/3273 (use: secondary, ), https://emis.com/Id/Event/GUID/b795e488-21eb-49cb-9360-d4cb7a02dc6e (use: usual, )
clinicalStatus: Active
code: Adverse reaction to drug aspirin
patient: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
recordedDate: 2024-11-08 15:51:00+0000

Entry 12 - fullUrl = urn:uuid:6a18b33e-23f7-4fab-9899-232e494267c7

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 6a18b33e-23f7-4fab-9899-232e494267c7

identifier: https://emis.com/Id/Event/DBID/3274 (use: secondary, ), https://emis.com/Id/Event/GUID/6a18b33e-23f7-4fab-9899-232e494267c7 (use: usual, )
clinicalStatus: Active
code: Allergy to drug
patient: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
recordedDate: 2024-11-08 15:51:00+0000

Entry 13 - fullUrl = urn:uuid:6e1a1654-a02b-4638-bad1-c64b65fd09f3

Resource AllergyIntolerance:

Generated Narrative: AllergyIntolerance 6e1a1654-a02b-4638-bad1-c64b65fd09f3

identifier: https://emis.com/Id/Event/DBID/3275 (use: secondary, ), https://emis.com/Id/Event/GUID/6e1a1654-a02b-4638-bad1-c64b65fd09f3 (use: usual, )
clinicalStatus: Active
code: Allergy to aspirin
patient: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
recordedDate: 2024-11-08 15:51:00+0000

Entry 14 - fullUrl = urn:uuid:552182f3-208a-479f-ad28-bca5a82e312e

Resource Observation:

Generated Narrative: Observation 552182f3-208a-479f-ad28-bca5a82e312e

identifier: https://emis.com/Id/Event/DBID/3276 (use: secondary, ), https://emis.com/Id/Event/GUID/552182f3-208a-479f-ad28-bca5a82e312e (use: usual, )
status: Unknown
category: Social History
code: Family history of alcohol misuse (Aunt)
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 15 - fullUrl = urn:uuid:3fe68913-6016-46b1-a20a-fb97fd125ea1

Resource Observation:

Generated Narrative: Observation 3fe68913-6016-46b1-a20a-fb97fd125ea1

identifier: https://emis.com/Id/Event/DBID/3277 (use: secondary, ), https://emis.com/Id/Event/GUID/3fe68913-6016-46b1-a20a-fb97fd125ea1 (use: usual, )
status: Unknown
category: Exam
code: Venous blood specimen
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 00:00:00+0000
issued: 2024-11-08 00:00:00+0000
performer: Dr HealthOnline Test

Entry 16 - fullUrl = urn:uuid:70efbefb-9985-4579-90ed-fc1b36ef2905

Resource Task:

Generated Narrative: Task 70efbefb-9985-4579-90ed-fc1b36ef2905

identifier: https://emis.com/Id/Diary/DBID/3279, https://emis.com/Id/Diary/GUID/70efbefb-9985-4579-90ed-fc1b36ef2905
status: Ready
intent: Plan
code: Medication review
for: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
executionPeriod: 2024-12-08 00:00:00+0000 --> (ongoing)
requester: Dr HealthOnline Test
note: need to check meds

Entry 17 - fullUrl = urn:uuid:603260f4-3d90-4418-925b-4766f96f8575

Resource Observation:

Generated Narrative: Observation 603260f4-3d90-4418-925b-4766f96f8575

identifier: https://emis.com/Id/Event/DBID/3280 (use: secondary, ), https://emis.com/Id/Event/GUID/603260f4-3d90-4418-925b-4766f96f8575 (use: usual, )
status: Unknown
category: Social History
code: No family history diabetes some test
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 18 - fullUrl = urn:uuid:0242b574-fa7b-4614-9e7d-2a5736b58eda

Resource Observation:

Generated Narrative: Observation 0242b574-fa7b-4614-9e7d-2a5736b58eda

identifier: https://emis.com/Id/Event/DBID/3281 (use: secondary, ), https://emis.com/Id/Event/GUID/0242b574-fa7b-4614-9e7d-2a5736b58eda (use: usual, )
status: Unknown
category: Social History
code: Family history of breast cancer (Uncle)
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 19 - fullUrl = urn:uuid:da40f003-7178-474b-b14a-ac143d2be49f

Resource MedicationRequest:

Generated Narrative: MedicationRequest 3282

Last updated: 2024-11-08 00:00:00+0000
identifier: https://emis.com/Id/Medication/DBID/3282 (use: secondary, ), https://emis.com/Id/Medication/GUID/da40f003-7178-474b-b14a-ac143d2be49f (use: usual, )
status: Active
intent: Order
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
authoredOn: 2024-11-10 00:00:00+0000
requester: Dr HealthOnline Test
courseOfTherapyType: Short course (acute) therapy
DosageInstructions
- Text
* One To Be Taken Each Day
DispenseRequests
- ValidityPeriod Quantity
* 2024-11-08 00:00:00+0000 --> 2024-12-08 00:00:00+0000 28.0 tablet
Substitutions
- Allowed[x]
* false

Entry 20 - fullUrl = urn:uuid:9c58bbb7-7211-48fc-8368-1b88d04fc6cf

Resource Observation:

Generated Narrative: Observation 9c58bbb7-7211-48fc-8368-1b88d04fc6cf

identifier: https://emis.com/Id/Event/DBID/3283 (use: secondary, ), https://emis.com/Id/Event/GUID/9c58bbb7-7211-48fc-8368-1b88d04fc6cf (use: usual, )
status: Unknown
category: Exam
code: Current non-smoker
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 21 - fullUrl = urn:uuid:27201baa-56c6-40b2-b1b5-9dc709b50f89

Resource Observation:

Generated Narrative: Observation 27201baa-56c6-40b2-b1b5-9dc709b50f89

identifier: https://emis.com/Id/Event/DBID/3284 (use: secondary, ), https://emis.com/Id/Event/GUID/27201baa-56c6-40b2-b1b5-9dc709b50f89 (use: usual, )
status: Unknown
category: Exam
code: Essential hypertension
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 22 - fullUrl = urn:uuid:0abe00a6-7142-4cac-8478-042516975bf3

Resource Observation:

Generated Narrative: Observation 0abe00a6-7142-4cac-8478-042516975bf3

identifier: https://emis.com/Id/Event/DBID/3285 (use: secondary, ), https://emis.com/Id/Event/GUID/0abe00a6-7142-4cac-8478-042516975bf3 (use: usual, )
status: Unknown
category: Exam
code: Hypertension monitoring
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 23 - fullUrl = urn:uuid:388867f2-2e40-4b13-91e5-7bbf6b309a5b

Resource Observation:

Generated Narrative: Observation 388867f2-2e40-4b13-91e5-7bbf6b309a5b

identifier: https://emis.com/Id/Event/DBID/3286 (use: secondary, ), https://emis.com/Id/Event/GUID/388867f2-2e40-4b13-91e5-7bbf6b309a5b (use: usual, )
status: Unknown
category: Exam
code: Hypertension six month review
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 24 - fullUrl = urn:uuid:b26a203d-51d9-4dfe-a6f1-143dec6a7d28

Resource Observation:

Generated Narrative: Observation b26a203d-51d9-4dfe-a6f1-143dec6a7d28

identifier: https://emis.com/Id/Event/DBID/3287 (use: secondary, ), https://emis.com/Id/Event/GUID/b26a203d-51d9-4dfe-a6f1-143dec6a7d28 (use: usual, )
status: Unknown
category: Exam
code: Medication review done
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 25 - fullUrl = urn:uuid:470190a2-309a-4f28-a107-418bfc22ba77

Resource Observation:

Generated Narrative: Observation 470190a2-309a-4f28-a107-418bfc22ba77

identifier: https://emis.com/Id/Event/DBID/3288 (use: secondary, ), https://emis.com/Id/Event/GUID/470190a2-309a-4f28-a107-418bfc22ba77 (use: usual, )
status: Unknown
category: Exam
code: Hypertension resolved
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 26 - fullUrl = urn:uuid:d47702bf-a108-41a2-8f1f-0e34f718a654

Resource Observation:

Generated Narrative: Observation d47702bf-a108-41a2-8f1f-0e34f718a654

identifier: https://emis.com/Id/Event/DBID/3289 (use: secondary, ), https://emis.com/Id/Event/GUID/d47702bf-a108-41a2-8f1f-0e34f718a654 (use: usual, )
status: Unknown
category: Exam
code: Excepted from hypertension quality indicators - patient unsuitable
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 27 - fullUrl = urn:uuid:f47bd9a2-5de0-4598-be29-d45b242c18b7

Resource Observation:

Generated Narrative: Observation f47bd9a2-5de0-4598-be29-d45b242c18b7

identifier: https://emis.com/Id/Event/DBID/3290 (use: secondary, ), https://emis.com/Id/Event/GUID/f47bd9a2-5de0-4598-be29-d45b242c18b7 (use: usual, )
status: Unknown
category: Exam
code: British or mixed British - ethnic category 2001 census
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 28 - fullUrl = urn:uuid:77828dc0-c740-4d22-8543-be5e44036c79

Resource Observation:

Generated Narrative: Observation 77828dc0-c740-4d22-8543-be5e44036c79

identifier: https://emis.com/Id/Event/DBID/3291 (use: secondary, ), https://emis.com/Id/Event/GUID/77828dc0-c740-4d22-8543-be5e44036c79 (use: usual, )
status: Unknown
category: Exam
code: Dietary advice
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 29 - fullUrl = urn:uuid:5ea579ff-88c8-4265-a539-c15d0e0ba185

Resource Observation:

Generated Narrative: Observation 5ea579ff-88c8-4265-a539-c15d0e0ba185

identifier: https://emis.com/Id/Event/DBID/3292 (use: secondary, ), https://emis.com/Id/Event/GUID/5ea579ff-88c8-4265-a539-c15d0e0ba185 (use: usual, )
status: Unknown
category: Exam
code: Education about alcohol consumption
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 30 - fullUrl = urn:uuid:22ba9307-b02e-4424-9856-3c424b2cdfe9

Resource Observation:

Generated Narrative: Observation 22ba9307-b02e-4424-9856-3c424b2cdfe9

identifier: https://emis.com/Id/Event/DBID/3293 (use: secondary, ), https://emis.com/Id/Event/GUID/22ba9307-b02e-4424-9856-3c424b2cdfe9 (use: usual, )
status: Unknown
category: Exam
code: ECG requested
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 31 - fullUrl = urn:uuid:01247827-f6d8-4766-bf19-97d0cb029d1a

Resource Observation:

Generated Narrative: Observation 01247827-f6d8-4766-bf19-97d0cb029d1a

identifier: https://emis.com/Id/Event/DBID/3294 (use: secondary, ), https://emis.com/Id/Event/GUID/01247827-f6d8-4766-bf19-97d0cb029d1a (use: usual, )
status: Unknown
category: Laboratory
code: Alcohol consumption, 0 U/week
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 0.0 U/week (Details: UCUM codeU/wk = 'U/wk')

Entry 32 - fullUrl = urn:uuid:9955d4bb-51fb-41c3-9e24-182eb108dfe7

Resource Observation:

Generated Narrative: Observation 9955d4bb-51fb-41c3-9e24-182eb108dfe7

identifier: https://emis.com/Id/Event/DBID/3295 (use: secondary, ), https://emis.com/Id/Event/GUID/9955d4bb-51fb-41c3-9e24-182eb108dfe7 (use: usual, )
status: Unknown
category: Laboratory
code: Serum cholesterol level, 123 mmol/L
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 123.0 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

Entry 33 - fullUrl = urn:uuid:02bb3059-6ff1-48af-a4ec-27afb78ef59d

Resource Observation:

Generated Narrative: Observation 02bb3059-6ff1-48af-a4ec-27afb78ef59d

identifier: https://emis.com/Id/Event/DBID/3296 (use: secondary, ), https://emis.com/Id/Event/GUID/02bb3059-6ff1-48af-a4ec-27afb78ef59d (use: usual, )
status: Unknown
category: Laboratory
code: Serum high density lipoprotein cholesterol level, 234 mmol/L
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 234.0 mmol/L (Details: UCUM codemmol/L = 'mmol/L')

Entry 34 - fullUrl = urn:uuid:44fa1523-ffef-4d71-ba05-4a38f629b02e

Resource Observation:

Generated Narrative: Observation 44fa1523-ffef-4d71-ba05-4a38f629b02e

identifier: https://emis.com/Id/Event/DBID/3297 (use: secondary, ), https://emis.com/Id/Event/GUID/44fa1523-ffef-4d71-ba05-4a38f629b02e (use: usual, )
status: Unknown
category: Laboratory
code: Serum creatinine level, 123 umol/L
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
value: 123.0 umol/L (Details: UCUM codeumol/L = 'umol/L')

Entry 35 - fullUrl = urn:uuid:b8657275-8d33-4b78-9f93-8977ffb319df

Resource Task:

Generated Narrative: Task b8657275-8d33-4b78-9f93-8977ffb319df

identifier: https://emis.com/Id/Diary/DBID/3298, https://emis.com/Id/Diary/GUID/b8657275-8d33-4b78-9f93-8977ffb319df
status: Ready
intent: Plan
code: Hypertension monitoring
for: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
executionPeriod: 2024-11-08 15:51:00+0000 --> (ongoing)
requester: Dr HealthOnline Test

Entry 36 - fullUrl = urn:uuid:39e7a63a-4f09-4ad9-a2a0-66ad94a77851

Resource Observation:

Generated Narrative: Observation 39e7a63a-4f09-4ad9-a2a0-66ad94a77851

identifier: https://emis.com/Id/Event/DBID/3143 (use: secondary, ), https://emis.com/Id/Event/GUID/39e7a63a-4f09-4ad9-a2a0-66ad94a77851 (use: usual, )
status: Unknown
category: Exam
code: Test request : Full Blood Count
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 37 - fullUrl = urn:uuid:2715a9e3-7c06-4925-ae4a-0b11e5b8e987

Resource Observation:

Generated Narrative: Observation 2715a9e3-7c06-4925-ae4a-0b11e5b8e987

identifier: https://emis.com/Id/Event/DBID/3144 (use: secondary, ), https://emis.com/Id/Event/GUID/2715a9e3-7c06-4925-ae4a-0b11e5b8e987 (use: usual, )
status: Unknown
category: Exam
code: Test request : Plasma Viscosity
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 38 - fullUrl = urn:uuid:c59dee86-4d6e-40e0-ad1e-e7959075e753

Resource Observation:

Generated Narrative: Observation c59dee86-4d6e-40e0-ad1e-e7959075e753

identifier: https://emis.com/Id/Event/DBID/3145 (use: secondary, ), https://emis.com/Id/Event/GUID/c59dee86-4d6e-40e0-ad1e-e7959075e753 (use: usual, )
status: Unknown
category: Exam
code: Test request : Antenatal
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test

Entry 39 - fullUrl = urn:uuid:107b410c-384c-4c0f-b5f5-def84619d40f

Resource Observation:

Generated Narrative: Observation 107b410c-384c-4c0f-b5f5-def84619d40f

identifier: https://emis.com/Id/Event/DBID/3146 (use: secondary, ), https://emis.com/Id/Event/GUID/107b410c-384c-4c0f-b5f5-def84619d40f (use: usual, )
status: Unknown
category: Vital Signs
code: Blood Pressure 117/75 mmHg
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
encounter: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
effective: 2024-11-08 15:51:00+0000
issued: 2024-11-08 15:51:00+0000
performer: Dr HealthOnline Test
component
code: Systolic arterial pressure, 117 mmHg
value: 117.0 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')
component
code: Diastolic arterial pressure, 75 mmHg
value: 75.0 mmHg (Details: UCUM codemm[Hg] = 'mm[Hg]')

Entry 40 - fullUrl = urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3

Resource Practitioner:

Generated Narrative: Practitioner a716058c-f9d5-4537-b1e7-d021bd2185a3

EMIS Practitioner Role
url: Location Main Building
role: 10
identifier: Person number/4602 (use: old, ), https://emis.com/Id/Practitioner/REFID/4602 (use: old, ), Staff Enterprise Number/a716058c-f9d5-4537-b1e7-d021bd2185a3 (use: usual, ), https://fhir.hl7.org.uk/Id/professional-code/25825845, https://fhir.nhs.uk/Id/gmc-reference-number/2582587 (use: secondary, )
active: true
name: HealthOnline Test

Entry 41 - fullUrl = urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba

Resource Encounter:

Generated Narrative: Encounter ab2539ee-fd55-4abc-9898-d4c1520dd2ba
status: completed
class: ambulatory
type: 357efd4f-7912-de6e-13b8-d3faced28522
subject: Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e (use: usual, ); type = document; timestamp = 2024-11-08 15:51:00+0000
participant
Locations
- Location
* Main Building (Identifier: https://emis.com/Id/Location/GUID/37088c97-82fc-4b3e-bdbc-28f2c03b6cb8)