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8364 | 8364 | { |
8365 | 8365 | "resource": { |
8366 | 8366 | "resourceType": "Observation", |
8367 | | - "id": "93DB52CE-17FF-4AD1-89E2-7213A87FDC98", |
| 8367 | + "id": "9BEFB146-B729-4EB8-908C-539B279FFEB5", |
8368 | 8368 | "meta": { |
8369 | 8369 | "profile": [ |
8370 | | - "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" |
8371 | | - ], |
8372 | | - "security": [{ |
8373 | | - "system":"http://hl7.org/fhir/v3/ActCode", |
8374 | | - "code":"NOPAT", |
8375 | | - "display":"no disclosure to patient, family or caregivers without attending provider's authorization" |
8376 | | - }] |
| 8370 | + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" |
| 8371 | + ] |
8377 | 8372 | }, |
8378 | 8373 | "identifier": [ |
8379 | 8374 | { |
8380 | 8375 | "system": "https://EMISWeb/A82038", |
8381 | | - "value": "9340157B697342099B57BF6C64F29E4693DB52CE17FF4AD189E27213A87FDC98" |
| 8376 | + "value": "9BEFB146-B729-4EB8-908C-539B279FFEB5" |
8382 | 8377 | } |
8383 | 8378 | ], |
8384 | 8379 | "status": "final", |
8385 | 8380 | "code": { |
8386 | 8381 | "coding": [ |
8387 | 8382 | { |
8388 | | - "system": "https://fhir.hl7.org.uk/Id/egton-codes", |
8389 | | - "code": "163020007", |
| 8383 | + "system": "http://read.info/readv2", |
| 8384 | + "code": "246..00", |
8390 | 8385 | "display": "O/E - blood pressure reading", |
8391 | 8386 | "userSelected": true |
8392 | 8387 | }, |
|
8397 | 8392 | "extension": [ |
8398 | 8393 | { |
8399 | 8394 | "url": "descriptionId", |
8400 | | - "valueId": "1990681000006116" |
| 8395 | + "valueId": "254063019" |
8401 | 8396 | }, |
8402 | 8397 | { |
8403 | 8398 | "url": "descriptionDisplay", |
|
8413 | 8408 | ] |
8414 | 8409 | }, |
8415 | 8410 | "subject": { |
8416 | | - "reference": "Patient/9340157B-6973-4209-9B57-BF6C64F29E46" |
| 8411 | + "reference": "Patient/88F14BF6-CADE-47D6-90E2-B10519BF956F" |
8417 | 8412 | }, |
8418 | | - "effectiveDateTime": "2019-03-26", |
8419 | | - "issued": "2019-03-26T16:36:50.68+00:00", |
| 8413 | + "context": { |
| 8414 | + "reference": "Encounter/4088F3A1-CE58-4374-AABA-763C31738281" |
| 8415 | + }, |
| 8416 | + "effectiveDateTime": "2010-07-14T17:55:00+01:00", |
| 8417 | + "issued": "2010-07-14T16:28:13.577+01:00", |
8420 | 8418 | "performer": [ |
8421 | 8419 | { |
8422 | | - "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" |
| 8420 | + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" |
8423 | 8421 | } |
8424 | 8422 | ], |
| 8423 | + "comment": "This is the BP reading in a consultation with a note", |
8425 | 8424 | "component": [ |
8426 | 8425 | { |
8427 | 8426 | "code": { |
8428 | 8427 | "coding": [ |
| 8428 | + { |
| 8429 | + "system": "https://fhir.hl7.org.uk/Id/egton-codes", |
| 8430 | + "code": "2469", |
| 8431 | + "display": "Systolic blood pressure", |
| 8432 | + "userSelected": true |
| 8433 | + }, |
8429 | 8434 | { |
8430 | 8435 | "extension": [ |
8431 | 8436 | { |
8432 | | - "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid", |
| 8437 | + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", |
8433 | 8438 | "extension": [ |
8434 | 8439 | { |
8435 | | - "url": "DescriptionID", |
8436 | | - "valueId": "254075012" |
| 8440 | + "url": "descriptionId", |
| 8441 | + "valueId": "120159016" |
| 8442 | + }, |
| 8443 | + { |
| 8444 | + "url": "descriptionDisplay", |
| 8445 | + "valueString": "Systolic arterial pressure" |
8437 | 8446 | } |
8438 | 8447 | ] |
8439 | 8448 | } |
8440 | 8449 | ], |
8441 | 8450 | "system": "http://snomed.info/sct", |
8442 | 8451 | "code": "72313002", |
8443 | | - "display": "O/E - Systolic BP reading" |
| 8452 | + "display": "Systolic arterial pressure" |
8444 | 8453 | } |
8445 | | - ], |
8446 | | - "text": "O/E Systolic BP reading" |
| 8454 | + ] |
8447 | 8455 | }, |
8448 | 8456 | "valueQuantity": { |
8449 | | - "value": 130, |
8450 | | - "unit": "mm[Hg]" |
| 8457 | + "value": 120, |
| 8458 | + "unit": "mmHg" |
8451 | 8459 | } |
8452 | 8460 | }, |
8453 | 8461 | { |
8454 | 8462 | "code": { |
8455 | 8463 | "coding": [ |
| 8464 | + { |
| 8465 | + "system": "https://fhir.hl7.org.uk/Id/egton-codes", |
| 8466 | + "code": "246A", |
| 8467 | + "display": "Diastolic blood pressure", |
| 8468 | + "userSelected": true |
| 8469 | + }, |
8456 | 8470 | { |
8457 | 8471 | "extension": [ |
8458 | 8472 | { |
8459 | | - "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid", |
| 8473 | + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", |
8460 | 8474 | "extension": [ |
8461 | 8475 | { |
8462 | | - "url": "DescriptionID", |
8463 | | - "valueId": "254076013" |
| 8476 | + "url": "descriptionId", |
| 8477 | + "valueId": "2734671000000117" |
| 8478 | + }, |
| 8479 | + { |
| 8480 | + "url": "descriptionDisplay", |
| 8481 | + "valueString": "Diastolic arterial pressure" |
8464 | 8482 | } |
8465 | 8483 | ] |
8466 | 8484 | } |
8467 | 8485 | ], |
8468 | 8486 | "system": "http://snomed.info/sct", |
8469 | | - "code": "271649006", |
8470 | | - "display": "O/E - Diastolic BP reading" |
| 8487 | + "code": "1091811000000102", |
| 8488 | + "display": "Diastolic arterial pressure" |
8471 | 8489 | } |
8472 | | - ], |
8473 | | - "text": "O/E Diastolic BP reading" |
| 8490 | + ] |
8474 | 8491 | }, |
8475 | 8492 | "valueQuantity": { |
8476 | | - "value": 72, |
8477 | | - "unit": "mm[Hg]" |
| 8493 | + "value": 75, |
| 8494 | + "unit": "mmHg" |
8478 | 8495 | } |
8479 | 8496 | } |
8480 | 8497 | ] |
|
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