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
<Bundle xmlns="http://hl7.org/fhir">
<id value="e119d231-def6-43a7-af40-56d7754977bd"/>
<meta>
<profile
value="https://fhir.virtually.healthcare/StructureDefinition/FHIRDocument"/>
</meta>
<identifier>
<use value="usual"/>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="4fd2407b-d044-49d7-b9b8-6c4006c897a2"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<type value="document"/>
<timestamp value="2002-06-30T00:00:00.000+00:00"/>
<entry>
<fullUrl value="urn:uuid:4fd2407b-d044-49d7-b9b8-6c4006c897a2"/>
<resource>
<Composition>
<id value="e119d231-def6-43a7-af40-56d7754977bd"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_e119d231-def6-43a7-af40-56d7754977bd"> </a><p class="res-header-id"><b>Generated Narrative: Composition e119d231-def6-43a7-af40-56d7754977bd</b></p><a name="e119d231-def6-43a7-af40-56d7754977bd"> </a><a name="hce119d231-def6-43a7-af40-56d7754977bd"> </a><a name="e119d231-def6-43a7-af40-56d7754977bd-en-GB"> </a><p><b>identifier</b>: <code>https://tools.ietf.org/html/rfc4122</code>/4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, )</p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 823651000000106}">Clinical note</span></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>date</b>: 2002-06-30 00:00:00+0000</p><p><b>author</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p><p><b>title</b>: Clinical note</p></div>
</text>
<identifier>
<use value="usual"/>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="4fd2407b-d044-49d7-b9b8-6c4006c897a2"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="823651000000106"/>
<display value="Clinical note"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<date value="2002-06-30T00:00:00+00:00"/>
<author>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</author>
<title value="Clinical note"/>
<section>
<title value="Problem"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10154-3"/>
<display value="Chief complaint Narrative - Reported"/>
</coding>
<text value="Problem"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Congestive heart failure</p></div>
</text>
<entry>
<reference value="urn:uuid:0b218a7e-d179-48c9-bf6c-67236009537a"/>
<type value="Observation"/>
<display value="Congestive heart failure"/>
</entry>
</section>
<section>
<title value="History"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11329-0"/>
<display value="History general Narrative - Reported"/>
</coding>
<text value="History"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Breathless - mild exertion</p></div>
</text>
<entry>
<reference value="urn:uuid:b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"/>
<type value="Observation"/>
<display value="Breathless - mild exertion"/>
</entry>
</section>
<section>
<title value="Examination"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61149-1"/>
<display value="Objective Narrative"/>
</coding>
<text value="Examination"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>O/E - height, 161 cm</p><p>O/E - weight, 70 Kg</p><p>Body Mass Index, 27.01</p></div>
</text>
<entry>
<reference value="urn:uuid:c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"/>
<type value="Observation"/>
<display value="O/E - height, 161 cm"/>
</entry>
<entry>
<reference value="urn:uuid:609ba048-2eca-43c9-b4a1-85fa695c572c"/>
<type value="Observation"/>
<display value="O/E - weight, 70 Kg"/>
</entry>
<entry>
<reference value="urn:uuid:574785a1-b8fa-4e45-97c0-a971498396d4"/>
<type value="Observation"/>
<display value="Body Mass Index, 27.01"/>
</entry>
</section>
<section>
<title value="Social"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29762-2"/>
<display value="Social history Narrative"/>
</coding>
<text value="Social"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Alcohol consumption, 0 units/week</p><p>Enjoys moderate exercise</p></div>
</text>
<entry>
<reference value="urn:uuid:829f303a-55c5-402b-bfb8-f8f892b92af6"/>
<type value="Observation"/>
<display value="Alcohol consumption, 0 units/week"/>
</entry>
<entry>
<reference value="urn:uuid:f1f7f14b-0da1-4121-a8d4-1db82752cecd"/>
<type value="Observation"/>
<display value="Enjoys moderate exercise"/>
</entry>
</section>
<section>
<title value="Comment"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48767-8"/>
<display value="Annotation comment [Interpretation] Narrative"/>
</coding>
<text value="Comment"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> <i> In pain</i></p></div>
</text>
</section>
<section>
<title value="Medication"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
<display value="History of Medication use Narrative"/>
</coding>
<text value="Medication"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p> <i>Ramipril Capsules 10 mg 28 capsule(s) TAKE ONE DAILY</i></p></div>
</text>
</section>
<section>
<title value="Additional"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61150-9"/>
<display value="Subjective Narrative"/>
</coding>
<text value="Additional"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Beta blocker contraindicated</p><p>Salicylate prophylaxis</p><p>CHD monitoring</p></div>
</text>
<entry>
<reference value="urn:uuid:586be240-ef5b-43ff-9c4d-2b710c5c17fe"/>
<type value="Observation"/>
<display value="Beta blocker contraindicated"/>
</entry>
<entry>
<reference value="urn:uuid:2660f9e7-d338-4818-82af-f8b40b5ebff1"/>
<type value="Observation"/>
<display value="Salicylate prophylaxis"/>
</entry>
<entry>
<reference value="urn:uuid:be3f4196-dee7-42e4-b384-b230a2433ecf"/>
<type value="Observation"/>
<display value="CHD monitoring"/>
</entry>
</section>
<section>
<title value="Additional"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61150-9"/>
<display value="Subjective Narrative"/>
</coding>
<text value="Additional"/>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p>Blood Pressure 146/72 mmHg</p></div>
</text>
<entry>
<reference value="urn:uuid:bcb18eed-b73b-45b5-aff3-d0e07d845326"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<resource>
<Patient>
<id value="b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_b8b8f845-75da-48c5-8b17-8a0a2113d8f8"> </a><p class="res-header-id"><b>Generated Narrative: Patient b8b8f845-75da-48c5-8b17-8a0a2113d8f8</b></p><a name="b8b8f845-75da-48c5-8b17-8a0a2113d8f8"> </a><a name="hcb8b8f845-75da-48c5-8b17-8a0a2113d8f8"> </a><a name="b8b8f845-75da-48c5-8b17-8a0a2113d8f8-en-GB"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">William Dyer Male, DoB: 1919-05-27 ( Medical record number (use: usual, ))</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/2939425320 (use: official, )</td></tr><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3">74 Victoria Street Brockadale Calverley S72 </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>
</text>
<identifier>
<use value="usual"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="MR"/>
</coding>
</type>
<system value="https://emis.com/Id/Patient/DBID"/>
<value value="610"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="official"/>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="2939425320"/>
</identifier>
<active value="true"/>
<name>
<family value="Dyer"/>
<given value="William"/>
<prefix value="Mr"/>
</name>
<gender value="male"/>
<birthDate value="1919-05-27"/>
<address>
<line value="74 Victoria Street"/>
<line value="Brockadale"/>
<city value="Calverley"/>
<postalCode value="S72"/>
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0b218a7e-d179-48c9-bf6c-67236009537a"/>
<resource>
<Observation>
<id value="0b218a7e-d179-48c9-bf6c-67236009537a"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_0b218a7e-d179-48c9-bf6c-67236009537a"> </a><p class="res-header-id"><b>Generated Narrative: Observation 0b218a7e-d179-48c9-bf6c-67236009537a</b></p><a name="0b218a7e-d179-48c9-bf6c-67236009537a"> </a><a name="hc0b218a7e-d179-48c9-bf6c-67236009537a"> </a><a name="0b218a7e-d179-48c9-bf6c-67236009537a-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610365 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/0b218a7e-d179-48c9-bf6c-67236009537a (use: usual, )</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 42343007}">Congestive heart failure</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610365"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="0b218a7e-d179-48c9-bf6c-67236009537a"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="42343007"/>
<display value="Congestive heart failure"/>
</coding>
<text value="Congestive heart failure"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"/>
<resource>
<Observation>
<id value="b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"> </a><p class="res-header-id"><b>Generated Narrative: Observation b08cd0b8-048b-4dca-9e43-02cdd4ddc3de</b></p><a name="b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"> </a><a name="hcb08cd0b8-048b-4dca-9e43-02cdd4ddc3de"> </a><a name="b08cd0b8-048b-4dca-9e43-02cdd4ddc3de-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610366 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/b08cd0b8-048b-4dca-9e43-02cdd4ddc3de (use: usual, )</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 161940008}">Breathless - mild exertion</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610366"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="b08cd0b8-048b-4dca-9e43-02cdd4ddc3de"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="161940008"/>
<display value="Breathless - mild exertion"/>
</coding>
<text value="Breathless - mild exertion"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"/>
<resource>
<Observation>
<id value="c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"> </a><p class="res-header-id"><b>Generated Narrative: Observation c4cb2c6f-66e0-49e6-bf10-04e087cae2a0</b></p><a name="c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"> </a><a name="hcc4cb2c6f-66e0-49e6-bf10-04e087cae2a0"> </a><a name="c4cb2c6f-66e0-49e6-bf10-04e087cae2a0-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610367 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/c4cb2c6f-66e0-49e6-bf10-04e087cae2a0 (use: usual, )</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}">O/E - height, 161 cm</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p><p><b>value</b>: 161.0 cm<span style="background: LightGoldenRodYellow"> (Details: UCUM codecm = 'cm')</span></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610367"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="c4cb2c6f-66e0-49e6-bf10-04e087cae2a0"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="248333004"/>
<display value="Standing height"/>
</coding>
<text value="O/E - height, 161 cm"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
<valueQuantity>
<value value="161.0"/>
<unit value="cm"/>
<system value="http://unitsofmeasure.org"/>
<code value="cm"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:609ba048-2eca-43c9-b4a1-85fa695c572c"/>
<resource>
<Observation>
<id value="609ba048-2eca-43c9-b4a1-85fa695c572c"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_609ba048-2eca-43c9-b4a1-85fa695c572c"> </a><p class="res-header-id"><b>Generated Narrative: Observation 609ba048-2eca-43c9-b4a1-85fa695c572c</b></p><a name="609ba048-2eca-43c9-b4a1-85fa695c572c"> </a><a name="hc609ba048-2eca-43c9-b4a1-85fa695c572c"> </a><a name="609ba048-2eca-43c9-b4a1-85fa695c572c-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610368 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/609ba048-2eca-43c9-b4a1-85fa695c572c (use: usual, )</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}">O/E - weight, 70 Kg</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p><p><b>value</b>: 70.0 Kg<span style="background: LightGoldenRodYellow"> (Details: UCUM codekg = 'kg')</span></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610368"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="609ba048-2eca-43c9-b4a1-85fa695c572c"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="27113001"/>
<display value="Body weight"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="29463-7"/>
</coding>
<text value="O/E - weight, 70 Kg"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
<valueQuantity>
<value value="70.0"/>
<unit value="Kg"/>
<system value="http://unitsofmeasure.org"/>
<code value="kg"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:574785a1-b8fa-4e45-97c0-a971498396d4"/>
<resource>
<Observation>
<id value="574785a1-b8fa-4e45-97c0-a971498396d4"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_574785a1-b8fa-4e45-97c0-a971498396d4"> </a><p class="res-header-id"><b>Generated Narrative: Observation 574785a1-b8fa-4e45-97c0-a971498396d4</b></p><a name="574785a1-b8fa-4e45-97c0-a971498396d4"> </a><a name="hc574785a1-b8fa-4e45-97c0-a971498396d4"> </a><a name="574785a1-b8fa-4e45-97c0-a971498396d4-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610369 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/574785a1-b8fa-4e45-97c0-a971498396d4 (use: usual, )</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, 27.01</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p><p><b>value</b>: 27.01</p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610369"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="574785a1-b8fa-4e45-97c0-a971498396d4"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="60621009"/>
<display value="Body mass index"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="39156-5"/>
</coding>
<text value="Body Mass Index, 27.01"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
<valueQuantity>
<value value="27.01"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:829f303a-55c5-402b-bfb8-f8f892b92af6"/>
<resource>
<Observation>
<id value="829f303a-55c5-402b-bfb8-f8f892b92af6"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_829f303a-55c5-402b-bfb8-f8f892b92af6"> </a><p class="res-header-id"><b>Generated Narrative: Observation 829f303a-55c5-402b-bfb8-f8f892b92af6</b></p><a name="829f303a-55c5-402b-bfb8-f8f892b92af6"> </a><a name="hc829f303a-55c5-402b-bfb8-f8f892b92af6"> </a><a name="829f303a-55c5-402b-bfb8-f8f892b92af6-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610370 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/829f303a-55c5-402b-bfb8-f8f892b92af6 (use: usual, )</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 units/week</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p><p><b>value</b>: 0.0 units/week<span style="background: LightGoldenRodYellow"> (Details: UCUM code/wk = '/wk')</span></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610370"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="829f303a-55c5-402b-bfb8-f8f892b92af6"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="laboratory"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="160573003"/>
<display value="Alcohol consumption"/>
</coding>
<text value="Alcohol consumption, 0 units/week"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
<valueQuantity>
<value value="0.0"/>
<unit value="units/week"/>
<system value="http://unitsofmeasure.org"/>
<code value="/wk"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f1f7f14b-0da1-4121-a8d4-1db82752cecd"/>
<resource>
<Observation>
<id value="f1f7f14b-0da1-4121-a8d4-1db82752cecd"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_f1f7f14b-0da1-4121-a8d4-1db82752cecd"> </a><p class="res-header-id"><b>Generated Narrative: Observation f1f7f14b-0da1-4121-a8d4-1db82752cecd</b></p><a name="f1f7f14b-0da1-4121-a8d4-1db82752cecd"> </a><a name="hcf1f7f14b-0da1-4121-a8d4-1db82752cecd"> </a><a name="f1f7f14b-0da1-4121-a8d4-1db82752cecd-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610371 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/f1f7f14b-0da1-4121-a8d4-1db82752cecd (use: usual, )</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 160632008}">Enjoys moderate exercise</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610371"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="f1f7f14b-0da1-4121-a8d4-1db82752cecd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="160632008"/>
<display value="Enjoys moderate exercise"/>
</coding>
<text value="Enjoys moderate exercise"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:586be240-ef5b-43ff-9c4d-2b710c5c17fe"/>
<resource>
<Observation>
<id value="586be240-ef5b-43ff-9c4d-2b710c5c17fe"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_586be240-ef5b-43ff-9c4d-2b710c5c17fe"> </a><p class="res-header-id"><b>Generated Narrative: Observation 586be240-ef5b-43ff-9c4d-2b710c5c17fe</b></p><a name="586be240-ef5b-43ff-9c4d-2b710c5c17fe"> </a><a name="hc586be240-ef5b-43ff-9c4d-2b710c5c17fe"> </a><a name="586be240-ef5b-43ff-9c4d-2b710c5c17fe-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610374 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/586be240-ef5b-43ff-9c4d-2b710c5c17fe (use: usual, )</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 315062004}">Beta blocker contraindicated</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610374"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="586be240-ef5b-43ff-9c4d-2b710c5c17fe"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="315062004"/>
<display value="Beta blocker contraindicated"/>
</coding>
<text value="Beta blocker contraindicated"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2660f9e7-d338-4818-82af-f8b40b5ebff1"/>
<resource>
<Observation>
<id value="2660f9e7-d338-4818-82af-f8b40b5ebff1"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_2660f9e7-d338-4818-82af-f8b40b5ebff1"> </a><p class="res-header-id"><b>Generated Narrative: Observation 2660f9e7-d338-4818-82af-f8b40b5ebff1</b></p><a name="2660f9e7-d338-4818-82af-f8b40b5ebff1"> </a><a name="hc2660f9e7-d338-4818-82af-f8b40b5ebff1"> </a><a name="2660f9e7-d338-4818-82af-f8b40b5ebff1-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610375 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/2660f9e7-d338-4818-82af-f8b40b5ebff1 (use: usual, )</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 266716006}">Salicylate prophylaxis</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610375"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="2660f9e7-d338-4818-82af-f8b40b5ebff1"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="266716006"/>
<display value="Salicylate prophylaxis"/>
</coding>
<text value="Salicylate prophylaxis"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:be3f4196-dee7-42e4-b384-b230a2433ecf"/>
<resource>
<Observation>
<id value="be3f4196-dee7-42e4-b384-b230a2433ecf"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_be3f4196-dee7-42e4-b384-b230a2433ecf"> </a><p class="res-header-id"><b>Generated Narrative: Observation be3f4196-dee7-42e4-b384-b230a2433ecf</b></p><a name="be3f4196-dee7-42e4-b384-b230a2433ecf"> </a><a name="hcbe3f4196-dee7-42e4-b384-b230a2433ecf"> </a><a name="be3f4196-dee7-42e4-b384-b230a2433ecf-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/610376 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/be3f4196-dee7-42e4-b384-b230a2433ecf (use: usual, )</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 170601008}">CHD monitoring</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</a></p></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="610376"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="be3f4196-dee7-42e4-b384-b230a2433ecf"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="exam"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="170601008"/>
<display value="CHD monitoring"/>
</coding>
<text value="CHD monitoring"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bcb18eed-b73b-45b5-aff3-d0e07d845326"/>
<resource>
<Observation>
<id value="bcb18eed-b73b-45b5-aff3-d0e07d845326"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Observation_bcb18eed-b73b-45b5-aff3-d0e07d845326"> </a><p class="res-header-id"><b>Generated Narrative: Observation bcb18eed-b73b-45b5-aff3-d0e07d845326</b></p><a name="bcb18eed-b73b-45b5-aff3-d0e07d845326"> </a><a name="hcbcb18eed-b73b-45b5-aff3-d0e07d845326"> </a><a name="bcb18eed-b73b-45b5-aff3-d0e07d845326-en-GB"> </a><p><b>identifier</b>: <code>https://emis.com/Id/Event/DBID</code>/61087 (use: secondary, ), <code>https://emis.com/Id/Event/GUID</code>/bcb18eed-b73b-45b5-aff3-d0e07d845326 (use: usual, )</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 146/72 mmHg</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>encounter</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-e119d231-def6-43a7-af40-56d7754977bd">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+0000</a></p><p><b>effective</b>: 2002-06-30 00:00:00+0000</p><p><b>issued</b>: 2002-06-30 00:00:00+0000</p><p><b>performer</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</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 blood pressure, 146 mm Hg</span></p><p><b>value</b>: 146.0 mm Hg<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 blood pressure, 72 mm Hg</span></p><p><b>value</b>: 72.0 mm Hg<span style="background: LightGoldenRodYellow"> (Details: UCUM codemm[Hg] = 'mm[Hg]')</span></p></blockquote></div>
</text>
<identifier>
<use value="secondary"/>
<system value="https://emis.com/Id/Event/DBID"/>
<value value="61087"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<identifier>
<use value="usual"/>
<system value="https://emis.com/Id/Event/GUID"/>
<value value="bcb18eed-b73b-45b5-aff3-d0e07d845326"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
<status value="unknown"/>
<category>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/observation-category"/>
<code value="vital-signs"/>
</coding>
</category>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="85354-9"/>
</coding>
<coding>
<system value="http://snomed.info/sct"/>
<code value="75367002"/>
<display value="Blood pressure"/>
</coding>
<text value="Blood Pressure 146/72 mmHg"/>
</code>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<encounter>
<reference value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<identifier>
<system value="https://emis.com/Id/Consultation/GUID"/>
<value value="e119d231-def6-43a7-af40-56d7754977bd"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="F83004"/>
</identifier>
</assigner>
</identifier>
</encounter>
<effectiveDateTime value="2002-06-30T00:00:00+00:00"/>
<issued value="2002-06-30T00:00:00.000+00:00"/>
<performer>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</performer>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="72313002"/>
<display value="Systolic arterial pressure"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="8480-6"/>
</coding>
<text value="Systolic blood pressure, 146 mm Hg"/>
</code>
<valueQuantity>
<value value="146.0"/>
<unit value="mm Hg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
<component>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1091811000000102"/>
<display value="Diastolic arterial pressure"/>
</coding>
<coding>
<system value="http://loinc.org"/>
<code value="8462-4"/>
</coding>
<text value="Diastolic blood pressure, 72 mm Hg"/>
</code>
<valueQuantity>
<value value="72.0"/>
<unit value="mm Hg"/>
<system value="http://unitsofmeasure.org"/>
<code value="mm[Hg]"/>
</valueQuantity>
</component>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<resource>
<Practitioner>
<id value="9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2</b></p><a name="9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"> </a><a name="hc9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"> </a><a name="9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2-en-GB"> </a><p><b>identifier</b>: <code>https://fhir.hl7.org.uk/Id/gmp-number</code>/G8667998</p><p><b>name</b>: Mrs Jean Mitchell</p></div>
</text>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<name>
<text value="Mrs Jean Mitchell"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e119d231-def6-43a7-af40-56d7754977bd"/>
<resource>
<Encounter>
<id value="e119d231-def6-43a7-af40-56d7754977bd"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_e119d231-def6-43a7-af40-56d7754977bd"> </a><p class="res-header-id"><b>Generated Narrative: Encounter e119d231-def6-43a7-af40-56d7754977bd</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 0090f724-0a37-5e49-3f14-11fee4d46f93}">0090f724-0a37-5e49-3f14-11fee4d46f93</span></p><p><b>subject</b>: <a href="Bundle-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-b8b8f845-75da-48c5-8b17-8a0a2113d8f8">Bundle: identifier = https://tools.ietf.org/html/rfc4122#4fd2407b-d044-49d7-b9b8-6c4006c897a2 (use: usual, ); type = document; timestamp = 2002-06-30 00:00:00+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-e119d231-def6-43a7-af40-56d7754977bd.html#urn-uuid-9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2">Mrs Jean Mitchell</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>Identifier: <code>https://emis.com/Id/Location/GUID</code>/d5753427-76ec-48e8-ab19-7f3308d5ca3d</td></tr></table></div>
</text>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="AMB"/>
</class>
<type>
<coding>
<system value="https://emis.com/Id/LocationType/GUID"/>
<code value="0090f724-0a37-5e49-3f14-11fee4d46f93"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:b8b8f845-75da-48c5-8b17-8a0a2113d8f8"/>
<type value="Patient"/>
</subject>
<participant>
<individual>
<reference value="urn:uuid:9f3c10ea-b781-4e9e-a0fa-af68bcb49cf2"/>
<type value="Practitioner"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G8667998"/>
</identifier>
<display value="Mrs Jean Mitchell"/>
</individual>
</participant>
<location>
<location>
<identifier>
<system value="https://emis.com/Id/Location/GUID"/>
<value value="d5753427-76ec-48e8-ab19-7f3308d5ca3d"/>
</identifier>
</location>
</location>
</Encounter>
</resource>
</entry>
</Bundle>