Virtually Healthcare HL7 FHIR R4 Implementation Guide
0.1.0-current - ci-build
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
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"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Current non-smoker</p><p>Essential hypertension</p></div>"
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{
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hypertension monitoring</p><p>Hypertension six month review</p><p>Medication review done</p></div>"
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"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hypertension resolved</p><p>Excepted from hypertension quality indicators - patient unsuitable</p><p>British or mixed British - ethnic category 2001 census</p><p>Dietary advice</p><p>Education about alcohol consumption</p><p>ECG requested</p></div>"
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"entry" : [
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{
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{
"reference" : "urn:uuid:77828dc0-c740-4d22-8543-be5e44036c79",
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"display" : "Dietary advice"
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{
"reference" : "urn:uuid:5ea579ff-88c8-4265-a539-c15d0e0ba185",
"type" : "Observation",
"display" : "Education about alcohol consumption"
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{
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"type" : "Observation",
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Alcohol consumption, 0 U/week</p></div>"
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"entry" : [
{
"reference" : "urn:uuid:01247827-f6d8-4766-bf19-97d0cb029d1a",
"type" : "Observation",
"display" : "Alcohol consumption, 0 U/week"
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{
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"text" : "Result"
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Serum cholesterol level, 123 mmol/L</p><p>Serum high density lipoprotein cholesterol level, 234 mmol/L</p><p>Serum creatinine level, 123 umol/L</p></div>"
},
"entry" : [
{
"reference" : "urn:uuid:9955d4bb-51fb-41c3-9e24-182eb108dfe7",
"type" : "Observation",
"display" : "Serum cholesterol level, 123 mmol/L"
},
{
"reference" : "urn:uuid:02bb3059-6ff1-48af-a4ec-27afb78ef59d",
"type" : "Observation",
"display" : "Serum high density lipoprotein cholesterol level, 234 mmol/L"
},
{
"reference" : "urn:uuid:44fa1523-ffef-4d71-ba05-4a38f629b02e",
"type" : "Observation",
"display" : "Serum creatinine level, 123 umol/L"
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]
},
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"code" : {
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"code" : "18776-5",
"display" : "Plan of care note"
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"text" : "Follow up"
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Hypertension monitoring 08/11/2024</p></div>"
},
"entry" : [
{
"reference" : "urn:uuid:b8657275-8d33-4b78-9f93-8977ffb319df",
"type" : "Task",
"display" : "Hypertension monitoring 08/11/2024"
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},
{
"title" : "Additional",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "61150-9",
"display" : "Subjective Narrative"
}
],
"text" : "Additional"
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Test request : Full Blood Count</p><p>Test request : Plasma Viscosity</p><p>Test request : Antenatal</p><p>Blood Pressure 117/75 mmHg</p></div>"
},
"entry" : [
{
"reference" : "urn:uuid:39e7a63a-4f09-4ad9-a2a0-66ad94a77851"
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{
"reference" : "urn:uuid:2715a9e3-7c06-4925-ae4a-0b11e5b8e987"
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{
"reference" : "urn:uuid:c59dee86-4d6e-40e0-ad1e-e7959075e753"
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{
"reference" : "urn:uuid:107b410c-384c-4c0f-b5f5-def84619d40f"
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{
"fullUrl" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"resource" : {
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"id" : "335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_335bf7ee-47c8-4fe7-bfce-831db4d3b769\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 335bf7ee-47c8-4fe7-bfce-831db4d3b769</b></p><a name=\"335bf7ee-47c8-4fe7-bfce-831db4d3b769\"> </a><a name=\"hc335bf7ee-47c8-4fe7-bfce-831db4d3b769\"> </a><a name=\"335bf7ee-47c8-4fe7-bfce-831db4d3b769-en-GB\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Daniel O'Donnell Male, DoB: 1947-12-30 ( Medical record number\u00a0(use:\u00a0usual,\u00a0))</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">National Health Plan Identifier/5393501883\u00a0(use:\u00a0official,\u00a0)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">42 The Avenue Crimbles East Hardwick WF16 </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/F83004</li></ul></td></tr></table></div>"
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]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "5393501883"
}
],
"active" : true,
"name" : [
{
"family" : "O'Donnell",
"given" : [
"Daniel"
],
"prefix" : [
"Mr"
]
}
],
"gender" : "male",
"birthDate" : "1947-12-30",
"address" : [
{
"line" : [
"42 The Avenue",
"Crimbles"
],
"city" : "East Hardwick",
"postalCode" : "WF16"
}
],
"generalPractitioner" : [
{
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b",
"resource" : {
"resourceType" : "Observation",
"id" : "5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b</b></p><a name=\"5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b\"> </a><a name=\"hc5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b\"> </a><a name=\"5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3262\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1022791000000101}\">Serum TSH (thyroid stimulating hormone) level, 12 mU/L Added some lines of text</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 12.0 mU/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemU/L = 'mU/L')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3262",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "5fa04e13-3d6e-4ccd-99df-3d3ecdcb264b",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1022791000000101",
"display" : "Serum TSH (thyroid stimulating hormone) level"
}
],
"text" : "Serum TSH (thyroid stimulating hormone) level, 12 mU/L Added some lines of text"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 12.0,
"unit" : "mU/L",
"system" : "http://unitsofmeasure.org",
"code" : "mU/L"
}
}
},
{
"fullUrl" : "urn:uuid:d3adf58c-bd92-4d45-b598-d76e2210a4a5",
"resource" : {
"resourceType" : "Observation",
"id" : "d3adf58c-bd92-4d45-b598-d76e2210a4a5",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_d3adf58c-bd92-4d45-b598-d76e2210a4a5\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation d3adf58c-bd92-4d45-b598-d76e2210a4a5</b></p><a name=\"d3adf58c-bd92-4d45-b598-d76e2210a4a5\"> </a><a name=\"hcd3adf58c-bd92-4d45-b598-d76e2210a4a5\"> </a><a name=\"d3adf58c-bd92-4d45-b598-d76e2210a4a5-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3263\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/d3adf58c-bd92-4d45-b598-d76e2210a4a5\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 27113001}, {http://loinc.org 29463-7}\">Body weight, 79 kg</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 79.0 kg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg = 'kg')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3263",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "d3adf58c-bd92-4d45-b598-d76e2210a4a5",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "27113001",
"display" : "Body weight"
},
{
"system" : "http://loinc.org",
"code" : "29463-7"
}
],
"text" : "Body weight, 79 kg"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 79.0,
"unit" : "kg",
"system" : "http://unitsofmeasure.org",
"code" : "kg"
}
}
},
{
"fullUrl" : "urn:uuid:f859d2b0-a68f-4ff5-aa5d-44ebeff18505",
"resource" : {
"resourceType" : "Observation",
"id" : "f859d2b0-a68f-4ff5-aa5d-44ebeff18505",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f859d2b0-a68f-4ff5-aa5d-44ebeff18505\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f859d2b0-a68f-4ff5-aa5d-44ebeff18505</b></p><a name=\"f859d2b0-a68f-4ff5-aa5d-44ebeff18505\"> </a><a name=\"hcf859d2b0-a68f-4ff5-aa5d-44ebeff18505\"> </a><a name=\"f859d2b0-a68f-4ff5-aa5d-44ebeff18505-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3264\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/f859d2b0-a68f-4ff5-aa5d-44ebeff18505\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 248333004}\">Standing height, 179 cm</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 179.0 cm<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codecm = 'cm')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3264",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "f859d2b0-a68f-4ff5-aa5d-44ebeff18505",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "248333004",
"display" : "Standing height"
}
],
"text" : "Standing height, 179 cm"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 179.0,
"unit" : "cm",
"system" : "http://unitsofmeasure.org",
"code" : "cm"
}
}
},
{
"fullUrl" : "urn:uuid:9f8e11e9-381e-434c-b9da-a309ee669f83",
"resource" : {
"resourceType" : "Observation",
"id" : "9f8e11e9-381e-434c-b9da-a309ee669f83",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_9f8e11e9-381e-434c-b9da-a309ee669f83\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 9f8e11e9-381e-434c-b9da-a309ee669f83</b></p><a name=\"9f8e11e9-381e-434c-b9da-a309ee669f83\"> </a><a name=\"hc9f8e11e9-381e-434c-b9da-a309ee669f83\"> </a><a name=\"9f8e11e9-381e-434c-b9da-a309ee669f83-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3265\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/9f8e11e9-381e-434c-b9da-a309ee669f83\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 60621009}, {http://loinc.org 39156-5}\">Body mass index, 24.66 kg/m2</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 24.66 kg/m2<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codekg/m2 = 'kg/m2')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3265",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "9f8e11e9-381e-434c-b9da-a309ee669f83",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "60621009",
"display" : "Body mass index"
},
{
"system" : "http://loinc.org",
"code" : "39156-5"
}
],
"text" : "Body mass index, 24.66 kg/m2"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 24.66,
"unit" : "kg/m2",
"system" : "http://unitsofmeasure.org",
"code" : "kg/m2"
}
}
},
{
"fullUrl" : "urn:uuid:d7c55283-f991-4854-85f5-e6def3cc82be",
"resource" : {
"resourceType" : "Observation",
"id" : "d7c55283-f991-4854-85f5-e6def3cc82be",
"text" : {
"status" : "generated",
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{
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"coding" : [
{
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"type" : "Patient"
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"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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}
},
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{
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},
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}
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}
},
{
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"id" : "71f58a26-5daa-491d-b85f-cf60fbe90236",
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"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_71f58a26-5daa-491d-b85f-cf60fbe90236\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest 71f58a26-5daa-491d-b85f-cf60fbe90236</b></p><a name=\"71f58a26-5daa-491d-b85f-cf60fbe90236\"> </a><a name=\"hc71f58a26-5daa-491d-b85f-cf60fbe90236\"> </a><a name=\"71f58a26-5daa-491d-b85f-cf60fbe90236-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Referral/DBID</code>/3268\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Referral/GUID</code>/71f58a26-5daa-491d-b85f-cf60fbe90236\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>intent</b>: Order</p><p><b>code</b>: <span title=\"Codes:\">Refer for thyroid test</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>authoredOn</b>: 2024-11-08 00:00:00+0000</p><p><b>requester</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
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{
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}
},
{
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"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
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}
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"assigner" : {
"identifier" : {
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}
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}
},
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"value" : "25825845"
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}
},
{
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"resource" : {
"resourceType" : "DocumentReference",
"id" : "3271",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"DocumentReference_3271\"> </a><p class=\"res-header-id\"><b>Generated Narrative: DocumentReference 3271</b></p><a name=\"3271\"> </a><a name=\"hc3271\"> </a><a name=\"3271-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Attachment/DBID</code>/3271\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Attachment/GUID</code>/900566b1-a93d-4cb1-998a-a5141e2127bf\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Current</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 25611000000107}\">Referral Letter (08-Nov-2024) for Refer for thyroid test</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>date</b>: 2024-11-08 00:00:00+0000</p><p><b>author</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Url</b></td><td><b>Title</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.15-pre-release&canonical=https://simplifier.net/guide/ukcoreversionhistory/Binary/1350ff0a-9660-445d-b835-97ef764a9436\">Binary/1350ff0a-9660-445d-b835-97ef764a9436</a></td><td>2411081558_Referral Letter.rtf</td></tr></table></blockquote><h3>Contexts</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Encounter</b></td><td><b>Event</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></td><td><span title=\"Codes:{http://snomed.info/sct 25611000000107}\">Referral Letter (08-Nov-2024) for Refer for thyroid test</span></td></tr></table></div>"
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{
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{
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{
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{
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"system" : "https://emis.com/Id/Event/DBID",
"value" : "3273",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "b795e488-21eb-49cb-9360-d4cb7a02dc6e",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62014003",
"display" : "Adverse reaction to drug"
}
],
"text" : "Adverse reaction to drug aspirin"
},
"patient" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"recordedDate" : "2024-11-08T15:51:00+00:00",
"recorder" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
}
},
{
"fullUrl" : "urn:uuid:6a18b33e-23f7-4fab-9899-232e494267c7",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "6a18b33e-23f7-4fab-9899-232e494267c7",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_6a18b33e-23f7-4fab-9899-232e494267c7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 6a18b33e-23f7-4fab-9899-232e494267c7</b></p><a name=\"6a18b33e-23f7-4fab-9899-232e494267c7\"> </a><a name=\"hc6a18b33e-23f7-4fab-9899-232e494267c7\"> </a><a name=\"6a18b33e-23f7-4fab-9899-232e494267c7-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3274\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/6a18b33e-23f7-4fab-9899-232e494267c7\u00a0(use:\u00a0usual,\u00a0)</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 416098002}\">Allergy to drug</span></p><p><b>patient</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>recordedDate</b>: 2024-11-08 15:51:00+0000</p><p><b>recorder</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3274",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "6a18b33e-23f7-4fab-9899-232e494267c7",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "416098002",
"display" : "Allergy to drug"
}
],
"text" : "Allergy to drug"
},
"patient" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"recordedDate" : "2024-11-08T15:51:00+00:00",
"recorder" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
}
},
{
"fullUrl" : "urn:uuid:6e1a1654-a02b-4638-bad1-c64b65fd09f3",
"resource" : {
"resourceType" : "AllergyIntolerance",
"id" : "6e1a1654-a02b-4638-bad1-c64b65fd09f3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"AllergyIntolerance_6e1a1654-a02b-4638-bad1-c64b65fd09f3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: AllergyIntolerance 6e1a1654-a02b-4638-bad1-c64b65fd09f3</b></p><a name=\"6e1a1654-a02b-4638-bad1-c64b65fd09f3\"> </a><a name=\"hc6e1a1654-a02b-4638-bad1-c64b65fd09f3\"> </a><a name=\"6e1a1654-a02b-4638-bad1-c64b65fd09f3-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3275\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/6e1a1654-a02b-4638-bad1-c64b65fd09f3\u00a0(use:\u00a0usual,\u00a0)</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 293586001}\">Allergy to aspirin</span></p><p><b>patient</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>recordedDate</b>: 2024-11-08 15:51:00+0000</p><p><b>recorder</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3275",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "6e1a1654-a02b-4638-bad1-c64b65fd09f3",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code" : "active"
}
]
},
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "293586001",
"display" : "Allergy to aspirin"
}
],
"text" : "Allergy to aspirin"
},
"patient" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"recordedDate" : "2024-11-08T15:51:00+00:00",
"recorder" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
}
},
{
"fullUrl" : "urn:uuid:552182f3-208a-479f-ad28-bca5a82e312e",
"resource" : {
"resourceType" : "Observation",
"id" : "552182f3-208a-479f-ad28-bca5a82e312e",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_552182f3-208a-479f-ad28-bca5a82e312e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 552182f3-208a-479f-ad28-bca5a82e312e</b></p><a name=\"552182f3-208a-479f-ad28-bca5a82e312e\"> </a><a name=\"hc552182f3-208a-479f-ad28-bca5a82e312e\"> </a><a name=\"552182f3-208a-479f-ad28-bca5a82e312e-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3276\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/552182f3-208a-479f-ad28-bca5a82e312e\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 293161000000103}\">Family history of alcohol misuse (Aunt)</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3276",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "552182f3-208a-479f-ad28-bca5a82e312e",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "293161000000103",
"display" : "Family history of alcohol misuse"
}
],
"text" : "Family history of alcohol misuse (Aunt)"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:3fe68913-6016-46b1-a20a-fb97fd125ea1",
"resource" : {
"resourceType" : "Observation",
"id" : "3fe68913-6016-46b1-a20a-fb97fd125ea1",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_3fe68913-6016-46b1-a20a-fb97fd125ea1\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 3fe68913-6016-46b1-a20a-fb97fd125ea1</b></p><a name=\"3fe68913-6016-46b1-a20a-fb97fd125ea1\"> </a><a name=\"hc3fe68913-6016-46b1-a20a-fb97fd125ea1\"> </a><a name=\"3fe68913-6016-46b1-a20a-fb97fd125ea1-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3277\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/3fe68913-6016-46b1-a20a-fb97fd125ea1\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 122555007}\">Venous blood specimen</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 00:00:00+0000</p><p><b>issued</b>: 2024-11-08 00:00:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3277",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "3fe68913-6016-46b1-a20a-fb97fd125ea1",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "122555007",
"display" : "Venous blood specimen"
}
],
"text" : "Venous blood specimen"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T00:00:00+00:00",
"issued" : "2024-11-08T00:00:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:70efbefb-9985-4579-90ed-fc1b36ef2905",
"resource" : {
"resourceType" : "Task",
"id" : "70efbefb-9985-4579-90ed-fc1b36ef2905",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_70efbefb-9985-4579-90ed-fc1b36ef2905\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task 70efbefb-9985-4579-90ed-fc1b36ef2905</b></p><a name=\"70efbefb-9985-4579-90ed-fc1b36ef2905\"> </a><a name=\"hc70efbefb-9985-4579-90ed-fc1b36ef2905\"> </a><a name=\"70efbefb-9985-4579-90ed-fc1b36ef2905-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Diary/DBID</code>/3279, <code>https://emis.com/Id/Diary/GUID</code>/70efbefb-9985-4579-90ed-fc1b36ef2905</p><p><b>status</b>: Ready</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 182836005}\">Medication review</span></p><p><b>for</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>executionPeriod</b>: 2024-12-08 00:00:00+0000 --> (ongoing)</p><p><b>requester</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>note</b>: need to check meds</p></div>"
},
"identifier" : [
{
"system" : "https://emis.com/Id/Diary/DBID",
"value" : "3279",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"system" : "https://emis.com/Id/Diary/GUID",
"value" : "70efbefb-9985-4579-90ed-fc1b36ef2905",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "ready",
"intent" : "plan",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "182836005",
"display" : "Medication review"
}
],
"text" : "Medication review"
},
"for" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"executionPeriod" : {
"start" : "2024-12-08T00:00:00+00:00"
},
"requester" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
},
"note" : [
{
"text" : "need to check meds"
}
]
}
},
{
"fullUrl" : "urn:uuid:603260f4-3d90-4418-925b-4766f96f8575",
"resource" : {
"resourceType" : "Observation",
"id" : "603260f4-3d90-4418-925b-4766f96f8575",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_603260f4-3d90-4418-925b-4766f96f8575\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 603260f4-3d90-4418-925b-4766f96f8575</b></p><a name=\"603260f4-3d90-4418-925b-4766f96f8575\"> </a><a name=\"hc603260f4-3d90-4418-925b-4766f96f8575\"> </a><a name=\"603260f4-3d90-4418-925b-4766f96f8575-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3280\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/603260f4-3d90-4418-925b-4766f96f8575\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160274005}\">No family history diabetes some test</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3280",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "603260f4-3d90-4418-925b-4766f96f8575",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "160274005",
"display" : "No family history diabetes"
}
],
"text" : "No family history diabetes some test"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:0242b574-fa7b-4614-9e7d-2a5736b58eda",
"resource" : {
"resourceType" : "Observation",
"id" : "0242b574-fa7b-4614-9e7d-2a5736b58eda",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_0242b574-fa7b-4614-9e7d-2a5736b58eda\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 0242b574-fa7b-4614-9e7d-2a5736b58eda</b></p><a name=\"0242b574-fa7b-4614-9e7d-2a5736b58eda\"> </a><a name=\"hc0242b574-fa7b-4614-9e7d-2a5736b58eda\"> </a><a name=\"0242b574-fa7b-4614-9e7d-2a5736b58eda-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3281\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/0242b574-fa7b-4614-9e7d-2a5736b58eda\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category social-history}\">Social History</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 429740004}\">Family history of breast cancer (Uncle)</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3281",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "0242b574-fa7b-4614-9e7d-2a5736b58eda",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "social-history"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "429740004",
"display" : "Family history of breast cancer"
}
],
"text" : "Family history of breast cancer (Uncle)"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:da40f003-7178-474b-b14a-ac143d2be49f",
"resource" : {
"resourceType" : "MedicationRequest",
"id" : "3282",
"meta" : {
"lastUpdated" : "2024-11-08T00:00:00.000+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationRequest_3282\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MedicationRequest 3282</b></p><a name=\"3282\"> </a><a name=\"hc3282\"> </a><a name=\"3282-en-GB\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2024-11-08 00:00:00+0000</p></div><p><b>identifier</b>: <code>https://emis.com/Id/Medication/DBID</code>/3282\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Medication/GUID</code>/da40f003-7178-474b-b14a-ac143d2be49f\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title=\"Codes:{http://snomed.info/sct 42291811000001106}\">Aspirin 75mg dispersible tablets</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>authoredOn</b>: 2024-11-10 00:00:00+0000</p><p><b>requester</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>courseOfTherapyType</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy acute}\">Short course (acute) therapy</span></p><h3>DosageInstructions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Text</b></td></tr><tr><td style=\"display: none\">*</td><td>One To Be Taken Each Day</td></tr></table><h3>DispenseRequests</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>ValidityPeriod</b></td><td><b>Quantity</b></td></tr><tr><td style=\"display: none\">*</td><td>2024-11-08 00:00:00+0000 --> 2024-12-08 00:00:00+0000</td><td>28.0 tablet</td></tr></table><h3>Substitutions</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Allowed[x]</b></td></tr><tr><td style=\"display: none\">*</td><td>false</td></tr></table></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Medication/DBID",
"value" : "3282",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Medication/GUID",
"value" : "da40f003-7178-474b-b14a-ac143d2be49f",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "active",
"intent" : "order",
"medicationCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "42291811000001106",
"display" : "Aspirin 75mg dispersible tablets"
}
]
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"authoredOn" : "2024-11-10T00:00:00+00:00",
"requester" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
},
"courseOfTherapyType" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/medicationrequest-course-of-therapy",
"code" : "acute",
"display" : "Short course (acute) therapy"
}
]
},
"dosageInstruction" : [
{
"text" : "One To Be Taken Each Day"
}
],
"dispenseRequest" : {
"validityPeriod" : {
"start" : "2024-11-08T00:00:00+00:00",
"end" : "2024-12-08T00:00:00+00:00"
},
"quantity" : {
"value" : 28.0,
"unit" : "tablet"
}
},
"substitution" : {
"allowedBoolean" : false
}
}
},
{
"fullUrl" : "urn:uuid:9c58bbb7-7211-48fc-8368-1b88d04fc6cf",
"resource" : {
"resourceType" : "Observation",
"id" : "9c58bbb7-7211-48fc-8368-1b88d04fc6cf",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_9c58bbb7-7211-48fc-8368-1b88d04fc6cf\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 9c58bbb7-7211-48fc-8368-1b88d04fc6cf</b></p><a name=\"9c58bbb7-7211-48fc-8368-1b88d04fc6cf\"> </a><a name=\"hc9c58bbb7-7211-48fc-8368-1b88d04fc6cf\"> </a><a name=\"9c58bbb7-7211-48fc-8368-1b88d04fc6cf-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3283\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/9c58bbb7-7211-48fc-8368-1b88d04fc6cf\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160618006}\">Current non-smoker</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3283",
"assigner" : {
"identifier" : {
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"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "9c58bbb7-7211-48fc-8368-1b88d04fc6cf",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "160618006",
"display" : "Current non-smoker"
}
],
"text" : "Current non-smoker"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
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"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
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"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:27201baa-56c6-40b2-b1b5-9dc709b50f89",
"resource" : {
"resourceType" : "Observation",
"id" : "27201baa-56c6-40b2-b1b5-9dc709b50f89",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_27201baa-56c6-40b2-b1b5-9dc709b50f89\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 27201baa-56c6-40b2-b1b5-9dc709b50f89</b></p><a name=\"27201baa-56c6-40b2-b1b5-9dc709b50f89\"> </a><a name=\"hc27201baa-56c6-40b2-b1b5-9dc709b50f89\"> </a><a name=\"27201baa-56c6-40b2-b1b5-9dc709b50f89-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3284\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/27201baa-56c6-40b2-b1b5-9dc709b50f89\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 59621000}\">Essential hypertension</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
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{
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"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "27201baa-56c6-40b2-b1b5-9dc709b50f89",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
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}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "59621000",
"display" : "Essential hypertension"
}
],
"text" : "Essential hypertension"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
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"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
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"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
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},
"display" : "Dr HealthOnline Test"
}
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}
},
{
"fullUrl" : "urn:uuid:0abe00a6-7142-4cac-8478-042516975bf3",
"resource" : {
"resourceType" : "Observation",
"id" : "0abe00a6-7142-4cac-8478-042516975bf3",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_0abe00a6-7142-4cac-8478-042516975bf3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 0abe00a6-7142-4cac-8478-042516975bf3</b></p><a name=\"0abe00a6-7142-4cac-8478-042516975bf3\"> </a><a name=\"hc0abe00a6-7142-4cac-8478-042516975bf3\"> </a><a name=\"0abe00a6-7142-4cac-8478-042516975bf3-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3285\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/0abe00a6-7142-4cac-8478-042516975bf3\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 275944005}\">Hypertension monitoring</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
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{
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{
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{
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{
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}
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"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "275944005",
"display" : "Hypertension monitoring"
}
],
"text" : "Hypertension monitoring"
},
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"type" : "Patient"
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"identifier" : {
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"identifier" : {
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},
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{
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{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_388867f2-2e40-4b13-91e5-7bbf6b309a5b\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 388867f2-2e40-4b13-91e5-7bbf6b309a5b</b></p><a name=\"388867f2-2e40-4b13-91e5-7bbf6b309a5b\"> </a><a name=\"hc388867f2-2e40-4b13-91e5-7bbf6b309a5b\"> </a><a name=\"388867f2-2e40-4b13-91e5-7bbf6b309a5b-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3286\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/388867f2-2e40-4b13-91e5-7bbf6b309a5b\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 401048005}\">Hypertension six month review</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
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{
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{
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"value" : "F83004"
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{
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{
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],
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"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "401048005",
"display" : "Hypertension six month review"
}
],
"text" : "Hypertension six month review"
},
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"type" : "Patient"
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"identifier" : {
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"identifier" : {
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{
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{
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"resource" : {
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"id" : "b26a203d-51d9-4dfe-a6f1-143dec6a7d28",
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{
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{
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{
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"coding" : [
{
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"type" : "Patient"
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{
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{
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"text" : {
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_470190a2-309a-4f28-a107-418bfc22ba77\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 470190a2-309a-4f28-a107-418bfc22ba77</b></p><a name=\"470190a2-309a-4f28-a107-418bfc22ba77\"> </a><a name=\"hc470190a2-309a-4f28-a107-418bfc22ba77\"> </a><a name=\"470190a2-309a-4f28-a107-418bfc22ba77-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3288\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/470190a2-309a-4f28-a107-418bfc22ba77\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 162659009}\">Hypertension resolved</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
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"value" : "3288",
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"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "470190a2-309a-4f28-a107-418bfc22ba77",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
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"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "162659009",
"display" : "Hypertension resolved"
}
],
"text" : "Hypertension resolved"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:d47702bf-a108-41a2-8f1f-0e34f718a654",
"resource" : {
"resourceType" : "Observation",
"id" : "d47702bf-a108-41a2-8f1f-0e34f718a654",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_d47702bf-a108-41a2-8f1f-0e34f718a654\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation d47702bf-a108-41a2-8f1f-0e34f718a654</b></p><a name=\"d47702bf-a108-41a2-8f1f-0e34f718a654\"> </a><a name=\"hcd47702bf-a108-41a2-8f1f-0e34f718a654\"> </a><a name=\"d47702bf-a108-41a2-8f1f-0e34f718a654-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3289\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/d47702bf-a108-41a2-8f1f-0e34f718a654\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 716821000000100}\">Excepted from hypertension quality indicators - patient unsuitable</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3289",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "d47702bf-a108-41a2-8f1f-0e34f718a654",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "716821000000100",
"display" : "Excepted from hypertension quality indicators - patient unsuitable"
}
],
"text" : "Excepted from hypertension quality indicators - patient unsuitable"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:f47bd9a2-5de0-4598-be29-d45b242c18b7",
"resource" : {
"resourceType" : "Observation",
"id" : "f47bd9a2-5de0-4598-be29-d45b242c18b7",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_f47bd9a2-5de0-4598-be29-d45b242c18b7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation f47bd9a2-5de0-4598-be29-d45b242c18b7</b></p><a name=\"f47bd9a2-5de0-4598-be29-d45b242c18b7\"> </a><a name=\"hcf47bd9a2-5de0-4598-be29-d45b242c18b7\"> </a><a name=\"f47bd9a2-5de0-4598-be29-d45b242c18b7-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3290\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/f47bd9a2-5de0-4598-be29-d45b242c18b7\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 92391000000108}\">British or mixed British - ethnic category 2001 census</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3290",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "f47bd9a2-5de0-4598-be29-d45b242c18b7",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "92391000000108",
"display" : "British or mixed British - ethnic category 2001 census"
}
],
"text" : "British or mixed British - ethnic category 2001 census"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:77828dc0-c740-4d22-8543-be5e44036c79",
"resource" : {
"resourceType" : "Observation",
"id" : "77828dc0-c740-4d22-8543-be5e44036c79",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_77828dc0-c740-4d22-8543-be5e44036c79\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 77828dc0-c740-4d22-8543-be5e44036c79</b></p><a name=\"77828dc0-c740-4d22-8543-be5e44036c79\"> </a><a name=\"hc77828dc0-c740-4d22-8543-be5e44036c79\"> </a><a name=\"77828dc0-c740-4d22-8543-be5e44036c79-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3291\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/77828dc0-c740-4d22-8543-be5e44036c79\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 11816003}\">Dietary advice</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
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{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3291",
"assigner" : {
"identifier" : {
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"value" : "F83004"
}
}
},
{
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"system" : "https://emis.com/Id/Event/GUID",
"value" : "77828dc0-c740-4d22-8543-be5e44036c79",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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"category" : [
{
"coding" : [
{
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"code" : "exam"
}
]
}
],
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"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "11816003",
"display" : "Dietary advice"
}
],
"text" : "Dietary advice"
},
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"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
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},
{
"fullUrl" : "urn:uuid:5ea579ff-88c8-4265-a539-c15d0e0ba185",
"resource" : {
"resourceType" : "Observation",
"id" : "5ea579ff-88c8-4265-a539-c15d0e0ba185",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_5ea579ff-88c8-4265-a539-c15d0e0ba185\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 5ea579ff-88c8-4265-a539-c15d0e0ba185</b></p><a name=\"5ea579ff-88c8-4265-a539-c15d0e0ba185\"> </a><a name=\"hc5ea579ff-88c8-4265-a539-c15d0e0ba185\"> </a><a name=\"5ea579ff-88c8-4265-a539-c15d0e0ba185-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3292\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/5ea579ff-88c8-4265-a539-c15d0e0ba185\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 281078001}\">Education about alcohol consumption</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
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{
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"system" : "https://emis.com/Id/Event/DBID",
"value" : "3292",
"assigner" : {
"identifier" : {
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"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "5ea579ff-88c8-4265-a539-c15d0e0ba185",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
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"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
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],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "281078001",
"display" : "Education about alcohol consumption"
}
],
"text" : "Education about alcohol consumption"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:22ba9307-b02e-4424-9856-3c424b2cdfe9",
"resource" : {
"resourceType" : "Observation",
"id" : "22ba9307-b02e-4424-9856-3c424b2cdfe9",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_22ba9307-b02e-4424-9856-3c424b2cdfe9\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 22ba9307-b02e-4424-9856-3c424b2cdfe9</b></p><a name=\"22ba9307-b02e-4424-9856-3c424b2cdfe9\"> </a><a name=\"hc22ba9307-b02e-4424-9856-3c424b2cdfe9\"> </a><a name=\"22ba9307-b02e-4424-9856-3c424b2cdfe9-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3293\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/22ba9307-b02e-4424-9856-3c424b2cdfe9\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 164846002}\">ECG requested</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3293",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "22ba9307-b02e-4424-9856-3c424b2cdfe9",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "164846002",
"display" : "ECG requested"
}
],
"text" : "ECG requested"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:01247827-f6d8-4766-bf19-97d0cb029d1a",
"resource" : {
"resourceType" : "Observation",
"id" : "01247827-f6d8-4766-bf19-97d0cb029d1a",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_01247827-f6d8-4766-bf19-97d0cb029d1a\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 01247827-f6d8-4766-bf19-97d0cb029d1a</b></p><a name=\"01247827-f6d8-4766-bf19-97d0cb029d1a\"> </a><a name=\"hc01247827-f6d8-4766-bf19-97d0cb029d1a\"> </a><a name=\"01247827-f6d8-4766-bf19-97d0cb029d1a-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3294\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/01247827-f6d8-4766-bf19-97d0cb029d1a\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 160573003}\">Alcohol consumption, 0 U/week</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 0.0 U/week<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeU/wk = 'U/wk')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3294",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "01247827-f6d8-4766-bf19-97d0cb029d1a",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "160573003",
"display" : "Alcohol consumption"
}
],
"text" : "Alcohol consumption, 0 U/week"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 0.0,
"unit" : "U/week",
"system" : "http://unitsofmeasure.org",
"code" : "U/wk"
}
}
},
{
"fullUrl" : "urn:uuid:9955d4bb-51fb-41c3-9e24-182eb108dfe7",
"resource" : {
"resourceType" : "Observation",
"id" : "9955d4bb-51fb-41c3-9e24-182eb108dfe7",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_9955d4bb-51fb-41c3-9e24-182eb108dfe7\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 9955d4bb-51fb-41c3-9e24-182eb108dfe7</b></p><a name=\"9955d4bb-51fb-41c3-9e24-182eb108dfe7\"> </a><a name=\"hc9955d4bb-51fb-41c3-9e24-182eb108dfe7\"> </a><a name=\"9955d4bb-51fb-41c3-9e24-182eb108dfe7-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3295\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/9955d4bb-51fb-41c3-9e24-182eb108dfe7\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1005671000000105}\">Serum cholesterol level, 123 mmol/L</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 123.0 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3295",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "9955d4bb-51fb-41c3-9e24-182eb108dfe7",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1005671000000105",
"display" : "Serum cholesterol level"
}
],
"text" : "Serum cholesterol level, 123 mmol/L"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 123.0,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
},
{
"fullUrl" : "urn:uuid:02bb3059-6ff1-48af-a4ec-27afb78ef59d",
"resource" : {
"resourceType" : "Observation",
"id" : "02bb3059-6ff1-48af-a4ec-27afb78ef59d",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_02bb3059-6ff1-48af-a4ec-27afb78ef59d\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 02bb3059-6ff1-48af-a4ec-27afb78ef59d</b></p><a name=\"02bb3059-6ff1-48af-a4ec-27afb78ef59d\"> </a><a name=\"hc02bb3059-6ff1-48af-a4ec-27afb78ef59d\"> </a><a name=\"02bb3059-6ff1-48af-a4ec-27afb78ef59d-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3296\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/02bb3059-6ff1-48af-a4ec-27afb78ef59d\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1005681000000107}\">Serum high density lipoprotein cholesterol level, 234 mmol/L</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 234.0 mmol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemmol/L = 'mmol/L')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3296",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "02bb3059-6ff1-48af-a4ec-27afb78ef59d",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1005681000000107",
"display" : "Serum high density lipoprotein cholesterol level"
}
],
"text" : "Serum high density lipoprotein cholesterol level, 234 mmol/L"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 234.0,
"unit" : "mmol/L",
"system" : "http://unitsofmeasure.org",
"code" : "mmol/L"
}
}
},
{
"fullUrl" : "urn:uuid:44fa1523-ffef-4d71-ba05-4a38f629b02e",
"resource" : {
"resourceType" : "Observation",
"id" : "44fa1523-ffef-4d71-ba05-4a38f629b02e",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_44fa1523-ffef-4d71-ba05-4a38f629b02e\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 44fa1523-ffef-4d71-ba05-4a38f629b02e</b></p><a name=\"44fa1523-ffef-4d71-ba05-4a38f629b02e\"> </a><a name=\"hc44fa1523-ffef-4d71-ba05-4a38f629b02e\"> </a><a name=\"44fa1523-ffef-4d71-ba05-4a38f629b02e-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3297\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/44fa1523-ffef-4d71-ba05-4a38f629b02e\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category laboratory}\">Laboratory</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1000731000000107}\">Serum creatinine level, 123 umol/L</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><p><b>value</b>: 123.0 umol/L<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codeumol/L = 'umol/L')</span></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3297",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "44fa1523-ffef-4d71-ba05-4a38f629b02e",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "laboratory"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1000731000000107",
"display" : "Serum creatinine level"
}
],
"text" : "Serum creatinine level, 123 umol/L"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"valueQuantity" : {
"value" : 123.0,
"unit" : "umol/L",
"system" : "http://unitsofmeasure.org",
"code" : "umol/L"
}
}
},
{
"fullUrl" : "urn:uuid:b8657275-8d33-4b78-9f93-8977ffb319df",
"resource" : {
"resourceType" : "Task",
"id" : "b8657275-8d33-4b78-9f93-8977ffb319df",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_b8657275-8d33-4b78-9f93-8977ffb319df\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task b8657275-8d33-4b78-9f93-8977ffb319df</b></p><a name=\"b8657275-8d33-4b78-9f93-8977ffb319df\"> </a><a name=\"hcb8657275-8d33-4b78-9f93-8977ffb319df\"> </a><a name=\"b8657275-8d33-4b78-9f93-8977ffb319df-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Diary/DBID</code>/3298, <code>https://emis.com/Id/Diary/GUID</code>/b8657275-8d33-4b78-9f93-8977ffb319df</p><p><b>status</b>: Ready</p><p><b>intent</b>: plan</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 275944005}\">Hypertension monitoring</span></p><p><b>for</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>executionPeriod</b>: 2024-11-08 15:51:00+0000 --> (ongoing)</p><p><b>requester</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"system" : "https://emis.com/Id/Diary/DBID",
"value" : "3298",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"system" : "https://emis.com/Id/Diary/GUID",
"value" : "b8657275-8d33-4b78-9f93-8977ffb319df",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "ready",
"intent" : "plan",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "275944005",
"display" : "Hypertension monitoring"
}
],
"text" : "Hypertension monitoring"
},
"for" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"executionPeriod" : {
"start" : "2024-11-08T15:51:00+00:00"
},
"requester" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
}
},
{
"fullUrl" : "urn:uuid:39e7a63a-4f09-4ad9-a2a0-66ad94a77851",
"resource" : {
"resourceType" : "Observation",
"id" : "39e7a63a-4f09-4ad9-a2a0-66ad94a77851",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_39e7a63a-4f09-4ad9-a2a0-66ad94a77851\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 39e7a63a-4f09-4ad9-a2a0-66ad94a77851</b></p><a name=\"39e7a63a-4f09-4ad9-a2a0-66ad94a77851\"> </a><a name=\"hc39e7a63a-4f09-4ad9-a2a0-66ad94a77851\"> </a><a name=\"39e7a63a-4f09-4ad9-a2a0-66ad94a77851-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3143\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/39e7a63a-4f09-4ad9-a2a0-66ad94a77851\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 109841000006101}\">Test request : Full Blood Count</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3143",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "39e7a63a-4f09-4ad9-a2a0-66ad94a77851",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "109841000006101",
"display" : "Test request : Full Blood Count"
}
],
"text" : "Test request : Full Blood Count"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:2715a9e3-7c06-4925-ae4a-0b11e5b8e987",
"resource" : {
"resourceType" : "Observation",
"id" : "2715a9e3-7c06-4925-ae4a-0b11e5b8e987",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_2715a9e3-7c06-4925-ae4a-0b11e5b8e987\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 2715a9e3-7c06-4925-ae4a-0b11e5b8e987</b></p><a name=\"2715a9e3-7c06-4925-ae4a-0b11e5b8e987\"> </a><a name=\"hc2715a9e3-7c06-4925-ae4a-0b11e5b8e987\"> </a><a name=\"2715a9e3-7c06-4925-ae4a-0b11e5b8e987-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3144\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/2715a9e3-7c06-4925-ae4a-0b11e5b8e987\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 110021000006108}\">Test request : Plasma Viscosity</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3144",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "2715a9e3-7c06-4925-ae4a-0b11e5b8e987",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "110021000006108",
"display" : "Test request : Plasma Viscosity"
}
],
"text" : "Test request : Plasma Viscosity"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:c59dee86-4d6e-40e0-ad1e-e7959075e753",
"resource" : {
"resourceType" : "Observation",
"id" : "c59dee86-4d6e-40e0-ad1e-e7959075e753",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_c59dee86-4d6e-40e0-ad1e-e7959075e753\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation c59dee86-4d6e-40e0-ad1e-e7959075e753</b></p><a name=\"c59dee86-4d6e-40e0-ad1e-e7959075e753\"> </a><a name=\"hcc59dee86-4d6e-40e0-ad1e-e7959075e753\"> </a><a name=\"c59dee86-4d6e-40e0-ad1e-e7959075e753-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3145\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/c59dee86-4d6e-40e0-ad1e-e7959075e753\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category exam}\">Exam</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 109661000006103}\">Test request : Antenatal</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3145",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "c59dee86-4d6e-40e0-ad1e-e7959075e753",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "exam"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "109661000006103",
"display" : "Test request : Antenatal"
}
],
"text" : "Test request : Antenatal"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
]
}
},
{
"fullUrl" : "urn:uuid:107b410c-384c-4c0f-b5f5-def84619d40f",
"resource" : {
"resourceType" : "Observation",
"id" : "107b410c-384c-4c0f-b5f5-def84619d40f",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Observation_107b410c-384c-4c0f-b5f5-def84619d40f\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Observation 107b410c-384c-4c0f-b5f5-def84619d40f</b></p><a name=\"107b410c-384c-4c0f-b5f5-def84619d40f\"> </a><a name=\"hc107b410c-384c-4c0f-b5f5-def84619d40f\"> </a><a name=\"107b410c-384c-4c0f-b5f5-def84619d40f-en-GB\"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/3146\u00a0(use:\u00a0secondary,\u00a0), <code>https://emis.com/Id/Event/GUID</code>/107b410c-384c-4c0f-b5f5-def84619d40f\u00a0(use:\u00a0usual,\u00a0)</p><p><b>status</b>: Unknown</p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/observation-category vital-signs}\">Vital Signs</span></p><p><b>code</b>: <span title=\"Codes:{http://loinc.org 85354-9}, {http://snomed.info/sct 75367002}\">Blood Pressure 117/75 mmHg</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>encounter</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-ab2539ee-fd55-4abc-9898-d4c1520dd2ba\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><p><b>effective</b>: 2024-11-08 15:51:00+0000</p><p><b>issued</b>: 2024-11-08 15:51:00+0000</p><p><b>performer</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></p><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 72313002}, {http://loinc.org 8480-6}\">Systolic arterial pressure, 117 mmHg</span></p><p><b>value</b>: 117.0 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 1091811000000102}, {http://loinc.org 8462-4}\">Diastolic arterial pressure, 75 mmHg</span></p><p><b>value</b>: 75.0 mmHg<span style=\"background: LightGoldenRodYellow\"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>"
},
"identifier" : [
{
"use" : "secondary",
"system" : "https://emis.com/Id/Event/DBID",
"value" : "3146",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "usual",
"system" : "https://emis.com/Id/Event/GUID",
"value" : "107b410c-384c-4c0f-b5f5-def84619d40f",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
],
"status" : "unknown",
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/observation-category",
"code" : "vital-signs"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "85354-9"
},
{
"system" : "http://snomed.info/sct",
"code" : "75367002",
"display" : "Blood pressure"
}
],
"text" : "Blood Pressure 117/75 mmHg"
},
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"encounter" : {
"reference" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"identifier" : {
"system" : "https://emis.com/Id/Consultation/GUID",
"value" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
}
},
"effectiveDateTime" : "2024-11-08T15:51:00+00:00",
"issued" : "2024-11-08T15:51:00.000+00:00",
"performer" : [
{
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
],
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "72313002",
"display" : "Systolic arterial pressure"
},
{
"system" : "http://loinc.org",
"code" : "8480-6"
}
],
"text" : "Systolic arterial pressure, 117 mmHg"
},
"valueQuantity" : {
"value" : 117.0,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1091811000000102",
"display" : "Diastolic arterial pressure"
},
{
"system" : "http://loinc.org",
"code" : "8462-4"
}
],
"text" : "Diastolic arterial pressure, 75 mmHg"
},
"valueQuantity" : {
"value" : 75.0,
"unit" : "mmHg",
"system" : "http://unitsofmeasure.org",
"code" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"resource" : {
"resourceType" : "Practitioner",
"id" : "a716058c-f9d5-4537-b1e7-d021bd2185a3",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_a716058c-f9d5-4537-b1e7-d021bd2185a3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner a716058c-f9d5-4537-b1e7-d021bd2185a3</b></p><a name=\"a716058c-f9d5-4537-b1e7-d021bd2185a3\"> </a><a name=\"hca716058c-f9d5-4537-b1e7-d021bd2185a3\"> </a><a name=\"a716058c-f9d5-4537-b1e7-d021bd2185a3-en-GB\"> </a><blockquote><p><b>EMIS Practitioner Role</b></p><ul><li>url: <a href=\"Location-4882.html\">Location Main Building</a></li><li>role: 10</li></ul></blockquote><p><b>identifier</b>: Person number/4602\u00a0(use:\u00a0old,\u00a0), <code>https://emis.com/Id/Practitioner/REFID</code>/4602\u00a0(use:\u00a0old,\u00a0), Staff Enterprise Number/a716058c-f9d5-4537-b1e7-d021bd2185a3\u00a0(use:\u00a0usual,\u00a0), <code>https://fhir.hl7.org.uk/Id/professional-code</code>/25825845, <code>https://fhir.nhs.uk/Id/gmc-reference-number</code>/2582587\u00a0(use:\u00a0secondary,\u00a0)</p><p><b>active</b>: true</p><p><b>name</b>: HealthOnline Test </p></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "url",
"valueReference" : {
🔗 "reference" : "Location/4882"
}
},
{
"url" : "role",
"valueInteger" : 10
}
],
"url" : "https://fhir.virtually.healthcare/StructureDefinition/Role"
}
],
"identifier" : [
{
"use" : "old",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PN"
}
]
},
"system" : "https://emis.com/Id/Practitioner/DBID",
"value" : "4602",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "F83004"
}
}
},
{
"use" : "old",
"system" : "https://emis.com/Id/Practitioner/REFID",
"value" : "4602"
},
{
"use" : "usual",
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "ESN"
}
]
},
"system" : "https://emis.com/Id/Practitioner/GUID",
"value" : "a716058c-f9d5-4537-b1e7-d021bd2185a3"
},
{
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
{
"use" : "secondary",
"system" : "https://fhir.nhs.uk/Id/gmc-reference-number",
"value" : "2582587"
}
],
"active" : true,
"name" : [
{
"family" : "Test",
"given" : [
"HealthOnline"
],
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "urn:uuid:ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"resource" : {
"resourceType" : "Encounter",
"id" : "ab2539ee-fd55-4abc-9898-d4c1520dd2ba",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_ab2539ee-fd55-4abc-9898-d4c1520dd2ba\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter ab2539ee-fd55-4abc-9898-d4c1520dd2ba</b></p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode AMB</a>: ambulatory</p><p><b>type</b>: <span title=\"Codes:{https://emis.com/Id/LocationType/GUID 357efd4f-7912-de6e-13b8-d3faced28522}\">357efd4f-7912-de6e-13b8-d3faced28522</span></p><p><b>subject</b>: <a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-335bf7ee-47c8-4fe7-bfce-831db4d3b769\">Bundle: identifier = https://tools.ietf.org/html/rfc4122#81397bc1-609d-4534-bba2-4892d575553e\u00a0(use:\u00a0usual,\u00a0); type = document; timestamp = 2024-11-08 15:51:00+0000</a></p><h3>Participants</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Individual</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Bundle-ab2539ee-fd55-4abc-9898-d4c1520dd2ba.html#urn-uuid-a716058c-f9d5-4537-b1e7-d021bd2185a3\">Dr HealthOnline Test</a></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Main Building (Identifier: <code>https://emis.com/Id/Location/GUID</code>/37088c97-82fc-4b3e-bdbc-28f2c03b6cb8)</td></tr></table></div>"
},
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "AMB"
},
"type" : [
{
"coding" : [
{
"system" : "https://emis.com/Id/LocationType/GUID",
"code" : "357efd4f-7912-de6e-13b8-d3faced28522"
}
]
}
],
"subject" : {
"reference" : "urn:uuid:335bf7ee-47c8-4fe7-bfce-831db4d3b769",
"type" : "Patient"
},
"participant" : [
{
"individual" : {
"reference" : "urn:uuid:a716058c-f9d5-4537-b1e7-d021bd2185a3",
"type" : "Practitioner",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/professional-code",
"value" : "25825845"
},
"display" : "Dr HealthOnline Test"
}
}
],
"location" : [
{
"location" : {
"identifier" : {
"system" : "https://emis.com/Id/Location/GUID",
"value" : "37088c97-82fc-4b3e-bdbc-28f2c03b6cb8"
},
"display" : "Main Building"
}
}
]
}
}
]
}