diff --git a/CHANGELOG.md b/CHANGELOG.md index 06d0ddec6d..2b7da17a04 100644 --- a/CHANGELOG.md +++ b/CHANGELOG.md @@ -16,6 +16,9 @@ and this project adheres to [Semantic Versioning](https://semver.org/spec/v2.0.0 * The GP2GP Adaptor now populates the ObservationStatement / confidentialityCode field when the .meta.security field of an Uncategorized Data Observation contains NOPAT * When List.meta.security field contains NOPAT, the GP2GP Adaptor will now populate the CompoundStatement.confidentialityCode +### Fixed +* When DiagnosticReport doesn't contain a Specimen reference, instead of "DUMMY" "NOT-PRESENT" value is used + ### Update * [GP Connect 1.6.1] The GP2GP Adaptor is now able to identify e-referrals by using either `https://fhir.nhs.uk/Id/ubr-number` or `https://fhir.nhs.uk/Id/UBRN` when provided as an identifier system URL. diff --git a/service/src/main/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapper.java b/service/src/main/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapper.java index 266dd9ed51..8cee1400c9 100644 --- a/service/src/main/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapper.java +++ b/service/src/main/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapper.java @@ -52,7 +52,7 @@ @Slf4j public class DiagnosticReportMapper { - public static final String DUMMY_SPECIMEN_ID_PREFIX = "DUMMY-SPECIMEN-"; + public static final String NOT_PRESENT_SPECIMEN_ID_PREFIX = "NOT-PRESENT-SPECIMEN-"; public static final String DUMMY_OBSERVATION_ID_PREFIX = "DUMMY-OBSERVATION-"; private static final Mustache DIAGNOSTIC_REPORT_COMPOUND_STATEMENT_TEMPLATE = @@ -142,7 +142,7 @@ private List fetchSpecimens(DiagnosticReport diagnosticReport, List observations) { /** * For correct display in EMIS, any observation without a specimen must be assigned a dummy specimen. */ - private List assignDummySpecimensToObservationsWithNoSpecimen( - List observations, List specimens) { + List assignDummySpecimensToObservationsWithNoSpecimen(List observations, List specimens) { List filingComments = getFilingComments(observations); - observations = new ArrayList<>(stripFilingComments(observations)); + List nonFilingObservations = new ArrayList<>(stripFilingComments(observations)); - if (!hasObservationsWithoutSpecimen(observations)) { - observations.addAll(filingComments); - return observations; + if (!hasObservationsWithoutSpecimen(nonFilingObservations)) { + nonFilingObservations.addAll(filingComments); + return nonFilingObservations; } // The assumption was made that all test results without a specimen will have the same dummy specimen referenced - Specimen dummySpecimen = specimens.stream() - .filter(specimen -> specimen.getId().contains(DUMMY_SPECIMEN_ID_PREFIX)) - .toList().getFirst(); + Specimen notPresentSpecimen = specimens.stream() + .filter(specimen -> specimen.getId().contains(NOT_PRESENT_SPECIMEN_ID_PREFIX)) + .toList().getFirst(); - Reference dummySpecimenReference = new Reference(dummySpecimen.getId()); + Reference notPresentSpecimenReference = new Reference(notPresentSpecimen.getId()); - for (Observation observation : observations) { - if (!observation.hasSpecimen() && !isFilingComment(observation)) { - observation.setSpecimen(dummySpecimenReference); - } - } + nonFilingObservations.stream() + .filter(obs -> !obs.hasSpecimen() && !isFilingComment(obs)) + .forEach(obs -> obs.setSpecimen(notPresentSpecimenReference)); - observations.addAll(filingComments); - return observations; + nonFilingObservations.addAll(filingComments); + return nonFilingObservations; } - private Specimen generateDummySpecimen(DiagnosticReport diagnosticReport) { + private Specimen generateNotPresentSpecimen(DiagnosticReport diagnosticReport) { Specimen specimen = new Specimen(); - specimen.setId(DUMMY_SPECIMEN_ID_PREFIX + randomIdGeneratorService.createNewId()); + specimen.setId(NOT_PRESENT_SPECIMEN_ID_PREFIX + randomIdGeneratorService.createNewId()); return specimen - .setAccessionIdentifier(new Identifier().setValue("DUMMY")) + .setAccessionIdentifier(new Identifier().setValue("NOT PRESENT")) .setCollection(new Specimen.SpecimenCollectionComponent().setCollected(new DateTimeType(diagnosticReport.getIssued()))) .setType(new CodeableConcept().setText("UNKNOWN")); } @@ -247,7 +244,7 @@ private List getSpecimenIdsWithoutObservation(List specimens, List nonOrphanSpecimenIDList = new ArrayList<>(); for (Specimen specimen : specimens) { // Dummy Specimens should not have a dummy observation attached. - if (!specimen.getId().contains(DUMMY_SPECIMEN_ID_PREFIX)) { + if (!specimen.getId().contains(NOT_PRESENT_SPECIMEN_ID_PREFIX)) { specimenIDList.add(specimen.getId()); } } diff --git a/service/src/test/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapperTest.java b/service/src/test/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapperTest.java index 58c7da6e11..7d491c5b9b 100644 --- a/service/src/test/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapperTest.java +++ b/service/src/test/java/uk/nhs/adaptors/gp2gp/ehr/mapper/diagnosticreport/DiagnosticReportMapperTest.java @@ -1,17 +1,21 @@ package uk.nhs.adaptors.gp2gp.ehr.mapper.diagnosticreport; import static org.assertj.core.api.Assertions.assertThat; +import static org.assertj.core.api.AssertionsForClassTypes.assertThatThrownBy; +import static org.junit.Assert.assertFalse; import static org.junit.jupiter.api.Assertions.assertAll; import static org.mockito.ArgumentMatchers.any; import static org.mockito.Mockito.when; import java.util.ArrayList; import java.util.Collections; import java.util.List; +import java.util.NoSuchElementException; import java.util.Optional; import java.util.stream.Stream; import org.hl7.fhir.dstu3.model.Bundle; import org.hl7.fhir.dstu3.model.CodeableConcept; +import org.hl7.fhir.dstu3.model.Coding; import org.hl7.fhir.dstu3.model.DiagnosticReport; import org.hl7.fhir.dstu3.model.IdType; import org.hl7.fhir.dstu3.model.Observation; @@ -54,12 +58,15 @@ @ExtendWith(MockitoExtension.class) @MockitoSettings(strictness = Strictness.LENIENT) class DiagnosticReportMapperTest { + private static final String TEST_FILE_DIRECTORY = "/ehr/mapper/diagnosticreport/"; private static final String INPUT_JSON_BUNDLE = "fhir_bundle.json"; private static final String INPUT_JSON_BUNDLE_WITH_FILING_COMMENTS = "fhir_bundle_with_filing_comments.json"; private static final String TEST_ID = "5E496953-065B-41F2-9577-BE8F2FBD0757"; + public static final String NOT_PRESENT_SPECIMEN_ID_PREFIX = "NOT-PRESENT-SPECIMEN-"; + private static final String COMMENT_NOTE = "37331000000100"; private static final String INPUT_JSON_REQUIRED_DATA = "diagnostic-report-with-required-data.json"; private static final String INPUT_JSON_EMPTY_SPECIMENS = "diagnostic-report-with-empty-specimens.json"; @@ -128,6 +135,75 @@ public void tearDown() { messageContext.resetMessageContext(); } + @Test + void shouldAssignDummySpecimenOnlyToNonFilingObservationsWithoutSpecimen() { + + Observation obsWithoutSpecimen = new Observation(); + obsWithoutSpecimen.setId("obs1"); + + Observation obsWithSpecimen = new Observation(); + obsWithSpecimen.setId("obs2"); + obsWithSpecimen.setSpecimen(new Reference("real-specimen")); + + Observation filingCommentObs = new Observation(); + filingCommentObs.setId("obs3"); + filingCommentObs.getCode().addCoding(new Coding().setCode(COMMENT_NOTE)); + + List observations = List.of(obsWithoutSpecimen, obsWithSpecimen, filingCommentObs); + + Specimen dummySpecimen = new Specimen(); + dummySpecimen.setId(NOT_PRESENT_SPECIMEN_ID_PREFIX + "123"); + List specimens = List.of(dummySpecimen); + + List result = mapper.assignDummySpecimensToObservationsWithNoSpecimen(observations, specimens); + + assertThat(obsWithoutSpecimen.getSpecimen()) + .isNotNull() + .extracting(Reference::getReference) + .isEqualTo(dummySpecimen.getId()); + + assertThat(obsWithSpecimen.getSpecimen()) + .extracting(Reference::getReference) + .isEqualTo("real-specimen"); + + assertFalse(filingCommentObs.hasSpecimen()); + assertThat(result).containsExactlyInAnyOrder(obsWithoutSpecimen, obsWithSpecimen, filingCommentObs); + } + + @Test + void shouldThrowIfNoDummySpecimenFound() { + + Observation obsWithoutSpecimen = new Observation(); + List observations = List.of(obsWithoutSpecimen); + + List specimens = List.of(); + + assertThatThrownBy(() -> mapper.assignDummySpecimensToObservationsWithNoSpecimen(observations, specimens)) + .isInstanceOf(NoSuchElementException.class); + } + + @Test + void shouldAssignDummySpecimenToObservationsWithoutSpecimen() { + + Observation obsWithoutSpecimen = new Observation(); + Observation obsWithSpecimen = new Observation(); + obsWithSpecimen.setSpecimen(new Reference("real-specimen")); + + List observations = List.of(obsWithoutSpecimen, obsWithSpecimen); + + Specimen dummySpecimen = new Specimen(); + dummySpecimen.setId("dummy-" + NOT_PRESENT_SPECIMEN_ID_PREFIX); + Specimen realSpecimen = new Specimen(); + realSpecimen.setId("real-specimen"); + List specimens = List.of(realSpecimen, dummySpecimen); + + List result = mapper.assignDummySpecimensToObservationsWithNoSpecimen(observations, specimens); + + assertThat(result).hasSize(2); + assertThat(result.get(0).getSpecimen().getReference()).contains(dummySpecimen.getId()); + assertThat(result.get(1).getSpecimen().getReference()).contains("real-specimen"); + } + @ParameterizedTest @MethodSource("resourceFileParams") void When_MappingDiagnosticReportJson_Expect_CompoundStatementXmlOutput(String inputJson, String outputXml) { @@ -250,12 +326,14 @@ void When_DiagnosticReport_With_ObservationEffectivePeriodAndCommentNote_Expect_ } @Test - void When_DiagnosticReport_With_NoReferencedSpecimenAndFilingCommentWithNoComment_Expect_MatchesSnapshotXml() { + void When_DR_With_NoReferencedSpecimenAndFilingCommentWithNoComment_Expect_MatchesSnapshotXmlIncludesSpecimenRoleWithNotPresentTag() { final String diagnosticReportFileName = "diagnostic-report-with-no-specimen.json"; final DiagnosticReport diagnosticReport = getDiagnosticReportResourceFromJson(diagnosticReportFileName); final Bundle bundle = getBundleResourceFromJson(INPUT_JSON_BUNDLE); final InputBundle inputBundle = new InputBundle(bundle); final String expectedXml = getXmlStringFromFile(TEST_FILE_DIRECTORY, "diagnostic-report-with-no-specimen.xml"); + final List expectedXPaths = Collections.singletonList( + "/component/CompoundStatement/component/CompoundStatement/specimen/specimenRole/id[@extension=\"NOT PRESENT\"]"); when(specimenMapper.mapSpecimenToCompoundStatement( any(Specimen.class), @@ -288,6 +366,7 @@ void When_DiagnosticReport_With_NoReferencedSpecimenAndFilingCommentWithNoCommen final String actualXml = mapper.mapDiagnosticReportToCompoundStatement(diagnosticReport); assertThat(actualXml).isEqualToIgnoringWhitespace(expectedXml); + assertThatXml(actualXml).containsAllXPaths(expectedXPaths); } /** @@ -307,7 +386,7 @@ void When_DiagnosticReport_Has_SpecimenAndUnlinkedTestResult_Expect_ADummySpecim // This checks that the unlinked test result is given a dummy specimen. assertThat(actualXml).containsIgnoringWhitespaces( - ""); } @@ -408,7 +487,7 @@ void When_DiagnosticReport_Has_SpecimenALinkedTestResultAndAnUnlinkedTestResult_ final String actualXml = mapper.mapDiagnosticReportToCompoundStatement(diagnosticReport); // This checks that the unlinked observation is given a dummy specimen. assertThat(actualXml).containsIgnoringWhitespaces( - ""); } diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-coded-diagnosis.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-coded-diagnosis.xml index 788650a164..58dffbdeb7 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-coded-diagnosis.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-coded-diagnosis.xml @@ -30,6 +30,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-conclusion.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-conclusion.xml index ae32c6c163..c0fb782802 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-conclusion.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-conclusion.xml @@ -30,6 +30,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-extension-id.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-extension-id.xml index 911c174646..ca21824539 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-extension-id.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-extension-id.xml @@ -21,6 +21,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-coded-diagnosis.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-coded-diagnosis.xml index d463c9db9c..b19880215f 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-coded-diagnosis.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-coded-diagnosis.xml @@ -30,6 +30,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-results.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-results.xml index 737f71cac4..44f4c2eb52 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-results.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-multiple-results.xml @@ -62,6 +62,6 @@ CommentDate:20100225154100 - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-no-specimen.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-no-specimen.xml index 9fe37d75a0..c25c429ac7 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-no-specimen.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-no-specimen.xml @@ -48,7 +48,7 @@ - + @@ -58,7 +58,7 @@ - +
diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-participant.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-participant.xml index 9da82f5740..c870dddc41 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-participant.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-participant.xml @@ -30,7 +30,7 @@ Participants: TEMPLE SOWERBY MEDICAL PRACTICE - + diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-required-data.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-required-data.xml index c3887c0569..4221f5fc8b 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-required-data.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-required-data.xml @@ -20,6 +20,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-status-narrative.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-status-narrative.xml index c3887c0569..4221f5fc8b 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-status-narrative.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/diagnostic-report-with-status-narrative.xml @@ -20,6 +20,6 @@ Status: unknown - + \ No newline at end of file diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_empty_specimen.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_empty_specimen.xml index af084d6448..d231f29ded 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_empty_specimen.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_empty_specimen.xml @@ -10,7 +10,7 @@ - +
diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_specimen_and_default_observation.xml b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_specimen_and_default_observation.xml index ac97da2af0..0e41bd8ecd 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_specimen_and_default_observation.xml +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/expected_output_default_specimen_and_default_observation.xml @@ -10,7 +10,7 @@ - +
diff --git a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/input_default_specimen.json b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/input_default_specimen.json index 6884715794..cbfcccd5f9 100644 --- a/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/input_default_specimen.json +++ b/service/src/test/resources/ehr/mapper/diagnosticreport/specimen/input_default_specimen.json @@ -1,13 +1,13 @@ { "resourceType": "Specimen", - "id": "DUMMY-SPECIMEN-5E496953-065B-41F2-9577-BE8F2FBD0757", + "id": "NOT-PRESENT-SPECIMEN-5E496953-065B-41F2-9577-BE8F2FBD0757", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" ] }, "accessionIdentifier": { - "value": "DUMMY" + "value": "NOT PRESENT" }, "type": { "text": "UNKNOWN" diff --git a/wiremock/stubs/__files/diagnostic_specimen_test.json b/wiremock/stubs/__files/diagnostic_specimen_test.json new file mode 100644 index 0000000000..a914ce3710 --- /dev/null +++ b/wiremock/stubs/__files/diagnostic_specimen_test.json @@ -0,0 +1,26511 @@ +{ + "resourceType": "Bundle", + "id": "219b7cb8-da9e-447a-b279-82be7a3299da", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1" + ] + }, + "type": "collection", + "entry": [ + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Allergies and adverse reactions", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "886921000000105", + "display": "Allergies and adverse reactions" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Ended allergies", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1103671000000101", + "display": "Ended allergies" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Immunisations", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1102181000000102", + "display": "Immunisations" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Investigations and results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "887191000000108", + "display": "Investigations and results" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/BE7FAA19-6674-4700-BD30-E638C9E31948" + } + }, + { + "item": { + "reference": "DiagnosticReport/461839A4-9B28-46D4-BC27-297C46F4F80E" + } + }, + { + "item": { + "reference": "DiagnosticReport/5274130D-4FE7-4EE6-B463-B59E86F34811" + } + }, + { + "item": { + "reference": "DiagnosticReport/3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0" + } + }, + { + "item": { + "reference": "DiagnosticReport/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA" + } + }, + { + "item": { + "reference": "DiagnosticReport/EEC7C3E9-0780-43BB-926E-B97D45EFDD60" + } + }, + { + "item": { + "reference": "DiagnosticReport/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E" + } + }, + { + "item": { + "reference": "DiagnosticReport/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2" + } + }, + { + "item": { + "reference": "DiagnosticReport/5A8B9936-B771-488E-9103-3331629690C4" + } + }, + { + "item": { + "reference": "DiagnosticReport/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00" + } + }, + { + "item": { + "reference": "DiagnosticReport/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4" + } + }, + { + "item": { + "reference": "DiagnosticReport/8C35F9A5-E481-419F-9D18-0B2E2118C55D" + } + }, + { + "item": { + "reference": "DiagnosticReport/34AAAAFC-8550-4152-9CDA-624D5AB6C13C" + } + }, + { + "item": { + "reference": "DiagnosticReport/9F5631B5-67BE-4A36-9E4C-8A28742239FE" + } + }, + { + "item": { + "reference": "DiagnosticReport/BCF44D34-EDC9-4310-BEB4-E45E1441957B" + } + }, + { + "item": { + "reference": "DiagnosticReport/23E01304-867A-4645-BDF8-035FEB2C7A41" + } + }, + { + "item": { + "reference": "DiagnosticReport/026A2649-A6C3-41DE-8AFB-2C7E605A33EA" + } + }, + { + "item": { + "reference": "DiagnosticReport/E7D45D09-D343-4CDA-AC8F-942324C8B402" + } + }, + { + "item": { + "reference": "DiagnosticReport/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0" + } + }, + { + "item": { + "reference": "DiagnosticReport/96B3D07D-39C1-43A7-A3E8-91214B66CC68" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "List of consultations", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1149501000000101", + "display": "List of consultations" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + } + }, + { + "item": { + "reference": "Encounter/D0E4D145-F0A7-463C-BEF6-A768CAE0D735" + } + }, + { + "item": { + "reference": "Encounter/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65" + } + }, + { + "item": { + "reference": "Encounter/429510F6-B561-417E-B002-24F979C05AB3" + } + }, + { + "item": { + "reference": "Encounter/7040CC1C-A6A6-4B38-A73A-77D5C474F539" + } + }, + { + "item": { + "reference": "Encounter/6244FA36-A8BC-43BE-A845-A6E7368EA578" + } + }, + { + "item": { + "reference": "Encounter/71CE665D-D113-4359-B640-73CE6ACBE6AB" + } + }, + { + "item": { + "reference": "Encounter/6F7401EE-5139-4F98-8982-70BDD33D4189" + } + }, + { + "item": { + "reference": "Encounter/C5323AB7-2CA9-4E85-85E4-8FA896E45628" + } + }, + { + "item": { + "reference": "Encounter/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5" + } + }, + { + "item": { + "reference": "Encounter/B2410617-E36D-4B94-8DAF-24449E3A0297" + } + }, + { + "item": { + "reference": "Encounter/9A47C85C-7A97-4656-8CAF-572B29B3A591" + } + }, + { + "item": { + "reference": "Encounter/6ACDA770-F676-4ECB-AE41-3BECCE24D02C" + } + }, + { + "item": { + "reference": "Encounter/9096889B-4D56-4668-86F7-1E1C63011A46" + } + }, + { + "item": { + "reference": "Encounter/730C507B-32CE-4270-80BA-42F4B62BA064" + } + }, + { + "item": { + "reference": "Encounter/A076B5DA-4B2F-42C4-8807-4A71A26ECD25" + } + }, + { + "item": { + "reference": "Encounter/B0696913-F11D-4EAA-8BB7-41350B296F3F" + } + }, + { + "item": { + "reference": "Encounter/6AF1549E-55BC-481D-A498-19B213312DB7" + } + }, + { + "item": { + "reference": "Encounter/1449860E-3953-4D71-A867-3E1E79D2E11B" + } + }, + { + "item": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + } + }, + { + "item": { + "reference": "Encounter/F3CC75D0-299A-4014-AB63-E354AE15AEAA" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Medications and medical devices", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "933361000000108", + "display": "Medications and medical devices" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Uncategorised data", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "826501000000100", + "display": "Miscellaneous record" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Observation/F1E9C0F4-8CAD-4DCA-97E4-3830EC210DFF" + } + }, + { + "item": { + "reference": "Observation/D0BA10F0-49F8-46B0-94B6-FEA2ECF08D97" + } + }, + { + "item": { + "reference": "Observation/B8BF2173-50D8-4768-B430-A22267D347A5" + } + }, + { + "item": { + "reference": "Observation/FB74DF0D-BD0B-4FBF-B74C-D984DDACE08D" + } + }, + { + "item": { + "reference": "Observation/7C8D2445-18AC-4AD0-99FE-02E1715D6319" + } + }, + { + "item": { + "reference": "Observation/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C" + } + }, + { + "item": { + "reference": "Observation/3BC7ABC9-ABCB-4C01-A519-35CE664C3543" + } + }, + { + "item": { + "reference": "Observation/C45E3DA5-D7BC-4FDF-B4E0-6CCECCE60D24" + } + }, + { + "item": { + "reference": "Observation/A87EAFD1-ECCC-4B5F-BEF9-44490004395F" + } + }, + { + "item": { + "reference": "Observation/31465FC9-15B2-4391-A5EF-8F70C2154AAF" + } + }, + { + "item": { + "reference": "Observation/6BAD3CC7-6730-4B3E-9A7F-0EBF01F49FA4" + } + }, + { + "item": { + "reference": "Observation/01EC53CF-38F8-464D-BB6D-84EEF227646C" + } + }, + { + "item": { + "reference": "Observation/53A0E453-AF2A-4873-B486-F9E898D998DE" + } + }, + { + "item": { + "reference": "Observation/0839D006-D5DD-4314-90DE-D8468B857B10" + } + }, + { + "item": { + "reference": "Observation/343FBE3E-0F23-442D-BB6C-16860EEFC08B" + } + }, + { + "item": { + "reference": "Observation/B6EE8FE1-F006-485A-9872-83A11897B205" + } + }, + { + "item": { + "reference": "Observation/932687E7-1013-4BA8-AF6B-CE2E7E067CEE" + } + }, + { + "item": { + "reference": "Observation/5AC610C0-C650-464B-923C-3876C62D98CA" + } + }, + { + "item": { + "reference": "Observation/BF41AED9-EA7C-44AE-A15F-CBBCECCCE911" + } + }, + { + "item": { + "reference": "Observation/1ED0E1C8-F26A-4B03-8548-B3136CD028FC" + } + }, + { + "item": { + "reference": "Observation/426878DF-1651-4B18-81E3-59504D594FC6" + } + }, + { + "item": { + "reference": "Observation/5DA05D66-A602-49FD-AADD-5B06F7976BE4" + } + }, + { + "item": { + "reference": "Observation/0903F354-CFC9-482C-B7B8-0A96EBDA1C55" + } + }, + { + "item": { + "reference": "Observation/DA7DDDBF-21A5-465E-ABC4-7EFA2212A26F" + } + }, + { + "item": { + "reference": "Observation/DDCD392B-6D1E-47DA-B86E-149F28B7DACA" + } + }, + { + "item": { + "reference": "Observation/E05FA1CA-28B7-4552-A906-66CD83A0A865" + } + }, + { + "item": { + "reference": "Observation/8FCF859A-ACCB-4BFC-8660-EB058DC16BD6" + } + }, + { + "item": { + "reference": "Observation/E5A4B9BC-879A-424D-BBC8-54A632843EFC" + } + }, + { + "item": { + "reference": "Observation/CC916E8D-A6A5-478A-A2F0-515357B601E2" + } + }, + { + "item": { + "reference": "Observation/1117EA03-1FAF-4BA7-B7C3-421B60143C51" + } + }, + { + "item": { + "reference": "Observation/CD6A6C13-9FD8-432F-8D2E-0C1B02368AAB" + } + }, + { + "item": { + "reference": "Observation/7A5FE47C-5345-4F6C-86DA-6065456A7F93" + } + }, + { + "item": { + "reference": "Observation/8DADDE91-6FCC-4428-90C5-052F396E2EA6" + } + }, + { + "item": { + "reference": "Observation/29F58870-E7F8-453A-99CF-1F5476F042A4" + } + }, + { + "item": { + "reference": "Observation/ED4CF109-E561-4CFF-AF48-0AA8EFC2F31D" + } + }, + { + "item": { + "reference": "Observation/C564A3B1-DF88-48B3-948B-BFA959A9F115" + } + }, + { + "item": { + "reference": "Observation/7DAD297B-BC01-42DC-867C-ADCFAEA4490B" + } + }, + { + "item": { + "reference": "Observation/CC15336B-8530-4AB3-8B81-C3DCEB427E24" + } + }, + { + "item": { + "reference": "Observation/E79AED21-AF47-4CD1-9EFD-5CF60459CB3F" + } + }, + { + "item": { + "reference": "Observation/F79F8391-3E09-44BF-B702-937CC484E2DC" + } + }, + { + "item": { + "reference": "Observation/8B1206A9-178C-4386-B290-09655ABE393F" + } + }, + { + "item": { + "reference": "Observation/A3965CBF-792B-4530-A5A3-653EAC66A1C7" + } + }, + { + "item": { + "reference": "Observation/8C5440FB-D2D7-4D52-9D11-EDFD964B9A23" + } + }, + { + "item": { + "reference": "Observation/7712A40B-06EF-422C-A521-0A05EE5C9CD2" + } + }, + { + "item": { + "reference": "Observation/39B2E390-4A88-4CD3-9972-2B15B7612E53" + } + }, + { + "item": { + "reference": "Observation/46ABDBF9-120E-482C-900E-301CF0698532" + } + }, + { + "item": { + "reference": "Observation/30202B61-1E23-4E27-8A2A-379E51B6D06C" + } + }, + { + "item": { + "reference": "Observation/C482D68D-85EA-4018-9C90-E064DA25D758" + } + }, + { + "item": { + "reference": "Observation/ED05DD35-1916-4F21-A349-DAB93A9BACDF" + } + }, + { + "item": { + "reference": "Observation/D3C075AF-E7F8-4B7B-9C95-530703D3E693" + } + }, + { + "item": { + "reference": "Observation/1F8CE990-AF58-4BF7-8A33-1F9E6E3CB36D" + } + }, + { + "item": { + "reference": "Observation/828BBB05-A5E1-44E5-B24A-DC850771E8BA" + } + }, + { + "item": { + "reference": "Observation/BBBBE847-C1FD-4174-8832-53BA3C564C63" + } + }, + { + "item": { + "reference": "Observation/47D64F00-1DE5-43AF-867D-5359763C8CED" + } + }, + { + "item": { + "reference": "Observation/C821E1A8-03AF-4E09-AA9C-342CEFFDDE77" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Outbound referral", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "792931000000107", + "display": "Outbound referral" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Patient recall administration", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "714311000000108", + "display": "Patient recall administration" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "ProcedureRequest/01B69DBB-FD87-405F-96B2-9995E45BA3EE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Problems", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "717711000000103", + "display": "Problems" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.831+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "note": [ + { + "text": "Information not available" + } + ], + "emptyReason": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1", + "code": "no-content-recorded", + "display": "No Content Recorded" + } + ] + } + } + }, + { + "resource": { + "resourceType": "List", + "id": "97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "date": "2010-02-09T12:31:51.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "D0E4D145-F0A7-463C-BEF6-A768CAE0D735-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/D0E4D145-F0A7-463C-BEF6-A768CAE0D735" + }, + "date": "2010-02-09T12:05:16.157+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/D0E4D145-F0A7-463C-BEF6-A768CAE0D735-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B5691BFC-4601-4EB2-9CE7-6A040B5E1D65-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65" + }, + "date": "2010-06-24T12:30:47.7+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "429510F6-B561-417E-B002-24F979C05AB3-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/429510F6-B561-417E-B002-24F979C05AB3" + }, + "date": "2010-06-24T12:52:01.743+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/429510F6-B561-417E-B002-24F979C05AB3-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "7040CC1C-A6A6-4B38-A73A-77D5C474F539-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/7040CC1C-A6A6-4B38-A73A-77D5C474F539" + }, + "date": "2010-06-24T12:34:31.14+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/7040CC1C-A6A6-4B38-A73A-77D5C474F539-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6244FA36-A8BC-43BE-A845-A6E7368EA578-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6244FA36-A8BC-43BE-A845-A6E7368EA578" + }, + "date": "2010-06-24T11:54:38.637+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6244FA36-A8BC-43BE-A845-A6E7368EA578-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "71CE665D-D113-4359-B640-73CE6ACBE6AB-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/71CE665D-D113-4359-B640-73CE6ACBE6AB" + }, + "date": "2010-06-24T12:41:27.053+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/71CE665D-D113-4359-B640-73CE6ACBE6AB-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6F7401EE-5139-4F98-8982-70BDD33D4189-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6F7401EE-5139-4F98-8982-70BDD33D4189" + }, + "date": "2010-06-24T12:44:16.75+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6F7401EE-5139-4F98-8982-70BDD33D4189-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "C5323AB7-2CA9-4E85-85E4-8FA896E45628-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/C5323AB7-2CA9-4E85-85E4-8FA896E45628" + }, + "date": "2010-06-24T12:38:00.11+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/C5323AB7-2CA9-4E85-85E4-8FA896E45628-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "DD64A383-7DC5-4E15-A0FF-20F2C4D195A5-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5" + }, + "date": "2010-03-26T14:04:43.56+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B2410617-E36D-4B94-8DAF-24449E3A0297-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B2410617-E36D-4B94-8DAF-24449E3A0297" + }, + "date": "2010-03-26T13:53:28.127+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B2410617-E36D-4B94-8DAF-24449E3A0297-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9A47C85C-7A97-4656-8CAF-572B29B3A591-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9A47C85C-7A97-4656-8CAF-572B29B3A591" + }, + "date": "2010-03-26T13:52:58.69+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/9A47C85C-7A97-4656-8CAF-572B29B3A591-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ACDA770-F676-4ECB-AE41-3BECCE24D02C-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ACDA770-F676-4ECB-AE41-3BECCE24D02C" + }, + "date": "2010-03-26T13:49:25.07+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6ACDA770-F676-4ECB-AE41-3BECCE24D02C-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9096889B-4D56-4668-86F7-1E1C63011A46-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9096889B-4D56-4668-86F7-1E1C63011A46" + }, + "date": "2010-03-26T13:45:44.803+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/9096889B-4D56-4668-86F7-1E1C63011A46-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "730C507B-32CE-4270-80BA-42F4B62BA064-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/730C507B-32CE-4270-80BA-42F4B62BA064" + }, + "date": "2010-02-09T12:21:06.593+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/730C507B-32CE-4270-80BA-42F4B62BA064-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "A076B5DA-4B2F-42C4-8807-4A71A26ECD25-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/A076B5DA-4B2F-42C4-8807-4A71A26ECD25" + }, + "date": "2010-03-26T13:49:40.133+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/A076B5DA-4B2F-42C4-8807-4A71A26ECD25-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B0696913-F11D-4EAA-8BB7-41350B296F3F-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B0696913-F11D-4EAA-8BB7-41350B296F3F" + }, + "date": "2010-02-01T09:33:13.37+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B0696913-F11D-4EAA-8BB7-41350B296F3F-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6AF1549E-55BC-481D-A498-19B213312DB7-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6AF1549E-55BC-481D-A498-19B213312DB7" + }, + "date": "2010-02-09T12:08:18.43+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6AF1549E-55BC-481D-A498-19B213312DB7-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "1449860E-3953-4D71-A867-3E1E79D2E11B-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Externally Entered", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/1449860E-3953-4D71-A867-3E1E79D2E11B" + }, + "date": "2010-03-26T13:49:48.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/1449860E-3953-4D71-A867-3E1E79D2E11B-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ED5590B-146D-4B42-939E-2C35646ED7C1-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "GP Surgery", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "date": "2010-02-10T09:00:02.67+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6ED5590B-146D-4B42-939E-2C35646ED7C1-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "F3CC75D0-299A-4014-AB63-E354AE15AEAA-LST", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "GP Surgery", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "325851000000107", + "display": "Consultation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/F3CC75D0-299A-4014-AB63-E354AE15AEAA" + }, + "date": "2010-03-23T14:45:53.76+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/F3CC75D0-299A-4014-AB63-E354AE15AEAA-PG0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Patient", + "id": "E42C3D8C-3617-4C8B-88CC-65AA70E09C62", + "meta": { + "versionId": "8612283552103496649", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1", + "extension": [ + { + "url": "preferredBranchSurgery", + "valueReference": { + "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" + } + } + ] + } + ], + "identifier": [ + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1", + "code": "01", + "display": "Number present and verified" + } + ], + "text": "Number present and verified" + } + } + ], + "system": "https://fhir.nhs.uk/Id/nhs-number", + "value": "{{jsonPath request.body '$.parameter[0].valueIdentifier.value'}}" + } + ], + {{^patient}} + "name": [ + { + "use": "official", + "text": "Samuel HESLBY", + "family": "HESLBY", + "given": [ + "Samuel" + ], + "prefix": [ + "MR" + ] + } + ], + "gender": "male", + "birthDate": "1936-03-17", + "address": [ + { + "use": "home", + "type": "physical", + "line": [ + "10 MANOR DRIVE", + "STILLINGTON" + ], + "city": "STOCKTON-ON-TEES", + "district": "CLEVELAND", + "postalCode": "TS21 1JG" + } + ], + {{/patient}} + {{#patient}} + "name": [ + { + "use": "official", + "text": "{{patient.name.0.given.0}} {{patient.name.0.family}}", + "family": "{{patient.name.0.family}}", + "given": [ + "{{patient.name.0.given.0}}" + ], + "prefix": [ + "{{patient.name.0.prefix.0}}" + ] + } + ], + "gender": "{{ patient.gender }}", + "birthDate": "{{ patient.birthDate }}", + "address": [ + { + "use": "home", + "type": "physical", + "line": [ + "{{ patient.address.0.line.0 }}", + "{{ patient.address.0.line.1 }}" + ], + "postalCode": "{{ patient.address.0.postalCode }}" + } + ], + {{/patient}} + "generalPractitioner": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "managingOrganization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "BE7FAA19-6674-4700-BD30-E638C9E31948", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BE7FAA1966744700BD30E638C9E31948" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1007/CH1401101K/200103301611" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "issued": "2001-03-30T16:11:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/8E04DCE26AA1C81954BCEB1C7DDE873FE4CC0DEC-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/74243E2EE7E5E9D5962126EF348422253A09F7F0-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/29D331BCB47BFC37A4B247DC690F2788E09E86E2-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/BE7FAA19-6674-4700-BD30-E638C9E31948-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/BE7FAA19-6674-4700-BD30-E638C9E31948-COMM" + } + ], + "conclusion": "ON MEDICATION" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "461839A4-9B28-46D4-BC27-297C46F4F80E", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62461839A49B2846D4BC27297C46F4F80E" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1019/HA3701201C/200103301627" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/D0E4D145-F0A7-463C-BEF6-A768CAE0D735" + }, + "issued": "2001-03-30T16:27:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/8E04DCE26AA1C81954BCEB1C7DDE873FE4CC0DEC-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/74243E2EE7E5E9D5962126EF348422253A09F7F0-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/B8AA820FFF68DC7613B79B45F75CAE670BE1054C-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/461839A4-9B28-46D4-BC27-297C46F4F80E-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/461839A4-9B28-46D4-BC27-297C46F4F80E-COMM" + } + ], + "conclusion": "COELIAC" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "5274130D-4FE7-4EE6-B463-B59E86F34811", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625274130D4FE74EE6B463B59E86F34811" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/MI2101127S/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/BE84ACE2198B409DF73FBF2DD3FAB1069F6BCE11-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/42BA926A53252185F410C406DF4017E619B94E85-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/572EA48E6B84E04A1C90B796AC02E775D4136A95-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/175E98D5E81970720E173F27BFC2CF29904FB174-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/5274130D-4FE7-4EE6-B463-B59E86F34811-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/5274130D-4FE7-4EE6-B463-B59E86F34811-COMM" + } + ], + "conclusion": "Otitis media" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C623F23D00A5DC849B88FEF0C4BD4D3B4D0" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/HA2101105W/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/429510F6-B561-417E-B002-24F979C05AB3" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/B2C1BA9224235148023A1A4FEB7CCA31F55748EA-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/A6301BF496A60766BBF3604BC43C3D1BF9864822-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/4B085D49A3DD30346D9F7E10671EDAF2F8A420B0-XHSSP" + } + } + ], + "result": [ + { + "reference": "Observation/3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0-COMM" + } + ], + "conclusion": "ON AZATHIOPRINE" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B3453B4CACF640ABB4FBD8B736A2C7CA" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/HA2101103U/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/7040CC1C-A6A6-4B38-A73A-77D5C474F539" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/4FC64190CB6D437BD66EACF92D96F44147A76A0E-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/B0EFC84CDC8766B07B73ECABD82938F18ECC2E93-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/265713385DB7B375E26A5B5B26F87C9DF992D953-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/525BE8CB-BB88-4173-9D23-018DD43E2027" + }, + { + "reference": "Observation/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA-COMM" + } + ], + "conclusion": "ON WARFARIN" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "EEC7C3E9-0780-43BB-926E-B97D45EFDD60", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EEC7C3E9078043BB926EB97D45EFDD60" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/CH2101129U/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6244FA36-A8BC-43BE-A845-A6E7368EA578" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/2201289CD756CA83E01F0E19F22FCFBAA360B703-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/0E405C3E38317D7AC9FA81695F34832BBE431957-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/5AF326F3AEC3361374BBEFB9DAF99209D2E54FA4-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/EEC7C3E9-0780-43BB-926E-B97D45EFDD60-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/EEC7C3E9-0780-43BB-926E-B97D45EFDD60-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "42A5C03B-13BB-41E9-873E-9CF3DA2DE04E", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6242A5C03B13BB41E9873E9CF3DA2DE04E" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/HA2101111C/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/71CE665D-D113-4359-B640-73CE6ACBE6AB" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/5297B4D2399BEB53D3FD15E77E3282C707B995F0-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/9E75398EAFD4A5DC93692A970899CD9346B43F04-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/F5EB68DDC50CE98C9BB81F835B7374394499BEDC-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/53AF92D8-AF4C-4C41-AE5D-249F141DC81B" + }, + { + "reference": "Observation/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ], + "security": [{ + "system":"http://hl7.org/fhir/v3/ActCode", + "code":"NOPAT", + "display":"no disclosure to patient, family or caregivers without attending provider's authorization" + }] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6256E56C3DE9C142E2ABFEB06E04B1ADA2" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/CH2101113E/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6F7401EE-5139-4F98-8982-70BDD33D4189" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/1E93CF4C539820EC72E9B4A7D032E592C8B35853-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/B62807A6A2E87BA2409F1D8E5BBC2FE15110525B-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/64497B454B85351C75A31B1DF7D7D590A613CFE2-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/EA5F9724-7E16-4186-8F69-E5EB51CA4047" + }, + { + "reference": "Observation/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "5A8B9936-B771-488E-9103-3331629690C4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625A8B9936B771488E91033331629690C4" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1013/HA2101109A/200203301621" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/C5323AB7-2CA9-4E85-85E4-8FA896E45628" + }, + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/028341C66034D0D907302D1067039B7C0E6D1316-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/BD9265412D26C2D7FF4E7829BEE6994C50246149-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/62D420DF185859BD61DE2D077161CB2CA320D011-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/5A8B9936-B771-488E-9103-3331629690C4-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/F022B5F4-66E8-4DDD-ABAA-10C98713E7EE" + }, + { + "reference": "Observation/92DA878D-2346-488E-8742-01ECDE95E31C" + }, + { + "reference": "Observation/5A8B9936-B771-488E-9103-3331629690C4-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D5B1FA6DC0BE457DAEC91CC38FD13C00" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHM0100950302121100G,03.0999008001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5" + }, + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + } + }, + { + "actor": { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + }, + { + "reference": "Observation/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "2BC45D08-3F3E-4939-A1CD-72E13FA08DD4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622BC45D083F3E4939A1CD72E13FA08DD4" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHM0100950302121100G,03.0999008001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/B2410617-E36D-4B94-8DAF-24449E3A0297" + }, + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + } + }, + { + "actor": { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/F15C600B-7482-4D0E-938E-78279096DB18" + }, + { + "reference": "Observation/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "8C35F9A5-E481-419F-9D18-0B2E2118C55D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628C35F9A5E481419F9D180B2E2118C55D" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHM0100950302121100G,03.0999008001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/9A47C85C-7A97-4656-8CAF-572B29B3A591" + }, + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + } + }, + { + "actor": { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/5668ACD3-4700-4C6B-B6EE-A9F28A80A780" + }, + { + "reference": "Observation/8C35F9A5-E481-419F-9D18-0B2E2118C55D-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "34AAAAFC-8550-4152-9CDA-624D5AB6C13C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6234AAAAFC855041529CDA624D5AB6C13C" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHM0100950302121100G,03.0999008001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + } + }, + { + "actor": { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/2F4D754C5017F78000F22C8FCCF4FA1705418FC7-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/34AAAAFC-8550-4152-9CDA-624D5AB6C13C-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/34AAAAFC-8550-4152-9CDA-624D5AB6C13C-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "9F5631B5-67BE-4A36-9E4C-8A28742239FE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F5631B567BE4A369E4C8A28742239FE" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "3060261772-020603173610-1" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ACDA770-F676-4ECB-AE41-3BECCE24D02C" + }, + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + } + }, + { + "actor": { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-1" + }, + { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + } + ], + "result": [ + { + "reference": "Observation/C08DC916-614C-4F49-8505-86F6D57E6EB5" + }, + { + "reference": "Observation/057C3B4D-69BD-4DCB-915C-3DC0AF875E50" + }, + { + "reference": "Observation/BA2E67A6-43E3-423B-9C7C-971C6B19211C" + }, + { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + }, + { + "reference": "Observation/9F5631B5-67BE-4A36-9E4C-8A28742239FE-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "BCF44D34-EDC9-4310-BEB4-E45E1441957B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BCF44D34EDC94310BEB4E45E1441957B" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "1-59338288280003" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/9096889B-4D56-4668-86F7-1E1C63011A46" + }, + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + }, + { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + }, + { + "reference": "Observation/05E6D1C6-9B66-4D02-8FC3-C5CF3CC0EB1C" + }, + { + "reference": "Observation/CFAF8307-C6B6-4EB4-A69D-81DDE4D2CD91" + }, + { + "reference": "Observation/45F8816D-FC99-4131-ABE6-01CD8A8DE49C" + }, + { + "reference": "Observation/BCF44D34-EDC9-4310-BEB4-E45E1441957B-COMM" + } + ], + "conclusion": "Clinical Details:\nNOTE:Specimen date" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "23E01304-867A-4645-BDF8-035FEB2C7A41", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6223E01304867A4645BDF8035FEB2C7A41" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "C3179539H_030628_112331_0" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/730C507B-32CE-4270-80BA-42F4B62BA064" + }, + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + } + }, + { + "actor": { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + }, + { + "reference": "Observation/471FD197-79B8-47C0-B5D1-6A4AFBA3D31D" + }, + { + "reference": "Observation/59F968AD-21F1-4B97-96DE-D1AE22091132" + }, + { + "reference": "Observation/36DA8895-114B-40D6-9FA1-82B543D86893" + }, + { + "reference": "Observation/23E01304-867A-4645-BDF8-035FEB2C7A41-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "026A2649-A6C3-41DE-8AFB-2C7E605A33EA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62026A2649A6C341DE8AFB2C7E605A33EA" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "C3182555N_030701_124007_0" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/A076B5DA-4B2F-42C4-8807-4A71A26ECD25" + }, + "issued": "2003-07-01T12:40:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/F36A4DE91C81D163741A73E2E14C2A2942D95337-XOSP" + } + }, + { + "actor": { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/D2A5F0218C310A76E149D3B64EC58575085A51F0-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/539B666A8B370CA4137B9608C30D762BC10EC112-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/BC3F1E967B0C90CFA2DB778FD9BC54CC6E854C86-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/026A2649-A6C3-41DE-8AFB-2C7E605A33EA-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/DE3754A7-43B8-481E-97F3-695D767AAFAD" + }, + { + "reference": "Observation/DE81936D-8D09-4073-B5FF-FF84DC132B63" + }, + { + "reference": "Observation/026A2649-A6C3-41DE-8AFB-2C7E605A33EA-COMM" + } + ], + "conclusion": "None given" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "E7D45D09-D343-4CDA-AC8F-942324C8B402", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E7D45D09D3434CDAAC8F942324C8B402" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHL1020170307041006H,03.9110541001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/B0696913-F11D-4EAA-8BB7-41350B296F3F" + }, + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "actor": { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + } + }, + { + "actor": { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + }, + { + "reference": "Observation/768BF90A-8E36-49D0-9D29-BD3FF0DE733D" + }, + { + "reference": "Observation/69832EFE-727E-4270-BDF5-179851BDF295" + }, + { + "reference": "Observation/E7D45D09-D343-4CDA-AC8F-942324C8B402-COMM" + } + ], + "conclusion": "Infection" + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "0FE006F6-40FA-44EE-BB56-9FF8C354CBB0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620FE006F640FA44EEBB569FF8C354CBB0" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "2-59956572020000" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6AF1549E-55BC-481D-A498-19B213312DB7" + }, + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/8DDBEE57-3545-490B-BE7F-EEB352A5BB6F" + }, + { + "reference": "Observation/E956E311-2809-400A-97E1-73F6CD15F98A" + }, + { + "reference": "Observation/701F4CF2-3A60-4117-9DF5-8178D4FCA019" + }, + { + "reference": "Observation/CC9E0DE1-608F-4241-B6B8-060971DD659B" + }, + { + "reference": "Observation/F0309428-9726-4131-A705-C93A8C1F2385" + }, + { + "reference": "Observation/C6FDA895-DE99-40ED-BC28-D5D5C18D9BA8" + }, + { + "reference": "Observation/E6E33F9D-FC18-4FC9-B931-5A92587C5589" + }, + { + "reference": "Observation/21318644-CC93-4BAB-B0D2-47B53E093F73" + }, + { + "reference": "Observation/FCB54305-6825-47FE-B331-0F8963AD222F" + }, + { + "reference": "Observation/CF963013-BE3D-4845-865A-05722B1DB292" + }, + { + "reference": "Observation/D04342AD-DD02-40A4-AE8B-CBB62588B448" + }, + { + "reference": "Observation/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-COMM" + } + ] + } + }, + { + "resource": { + "resourceType": "DiagnosticReport", + "id": "96B3D07D-39C1-43A7-A3E8-91214B66CC68", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6296B3D07D39C143A7A3E891214B66CC68" + }, + { + "system": "2.16.840.1.113883.2.1.4.5.5", + "value": "CHL0321310503160601N,05.0050728001" + } + ], + "status": "unknown", + "category": { + "coding": [ + { + "system": "http://hl7.org/fhir/v2/0074", + "code": "PAT", + "display": "Pathology (gross & histopath, not surgical)" + } + ] + }, + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "721981007", + "display": "Diagnostic studies report" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/1449860E-3953-4D71-A867-3E1E79D2E11B" + }, + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "actor": { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + } + }, + { + "actor": { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + } + }, + { + "actor": { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + } + }, + { + "actor": { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + } + }, + { + "actor": { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + } + ], + "specimen": [ + { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + } + ], + "result": [ + { + "reference": "Observation/EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11" + }, + { + "reference": "Observation/2418B6B6-C4C0-46CB-9030-5B7DD39C80FC" + }, + { + "reference": "Observation/5578BCAA-4C60-482E-ADFD-095CC8CAB102" + }, + { + "reference": "Observation/96B3D07D-39C1-43A7-A3E8-91214B66CC68-COMM" + } + ], + "conclusion": "No clinical details given" + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6297AD4F6949C54B0FB8E4AFEF4B9D39B2" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2001-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "D0E4D145-F0A7-463C-BEF6-A768CAE0D735", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D0E4D145F0A7463CBEF6A768CAE0D735" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2001-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "B5691BFC-4601-4EB2-9CE7-6A040B5E1D65", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B5691BFC46014EB29CE76A040B5E1D65" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-22" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "429510F6-B561-417E-B002-24F979C05AB3", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62429510F6B561417EB00224F979C05AB3" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "7040CC1C-A6A6-4B38-A73A-77D5C474F539", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627040CC1CA6A64B38A73A77D5C474F539" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "6244FA36-A8BC-43BE-A845-A6E7368EA578", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626244FA36A8BC43BEA845A6E7368EA578" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "71CE665D-D113-4359-B640-73CE6ACBE6AB", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6271CE665DD1134359B64073CE6ACBE6AB" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "6F7401EE-5139-4F98-8982-70BDD33D4189", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626F7401EE51394F98898270BDD33D4189" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "C5323AB7-2CA9-4E85-85E4-8FA896E45628", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C5323AB72CA94E8585E48FA896E45628" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2002-03-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "DD64A383-7DC5-4E15-A0FF-20F2C4D195A5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DD64A3837DC54E15A0FF20F2C4D195A5" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-01-09" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "B2410617-E36D-4B94-8DAF-24449E3A0297", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B2410617E36D4B948DAF24449E3A0297" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-01-09" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "9A47C85C-7A97-4656-8CAF-572B29B3A591", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629A47C85C7A9746568CAF572B29B3A591" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-01-09" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "6ACDA770-F676-4ECB-AE41-3BECCE24D02C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626ACDA770F6764ECBAE413BECCE24D02C" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-06-02" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "9096889B-4D56-4668-86F7-1E1C63011A46", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629096889B4D56466886F71E1C63011A46" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-06-16" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "730C507B-32CE-4270-80BA-42F4B62BA064", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62730C507B32CE427080BA42F4B62BA064" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-06-27" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "A076B5DA-4B2F-42C4-8807-4A71A26ECD25", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62A076B5DA4B2F42C488074A71A26ECD25" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-06-30" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "B0696913-F11D-4EAA-8BB7-41350B296F3F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B0696913F11D4EAA8BB741350B296F3F" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2003-07-03" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "6AF1549E-55BC-481D-A498-19B213312DB7", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626AF1549E55BC481DA49819B213312DB7" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2005-02-25" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "1449860E-3953-4D71-A867-3E1E79D2E11B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621449860E39534D71A8673E1E79D2E11B" + } + ], + "status": "finished", + "type": [ + { + "text": "Externally Entered" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2005-03-15" + }, + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "6ED5590B-146D-4B42-939E-2C35646ED7C1", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626ED5590B146D4B42939E2C35646ED7C1" + } + ], + "status": "finished", + "type": [ + { + "text": "GP Surgery" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2010-02-10T08:56:00+00:00" + }, + "location": [ + { + "location": { + "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" + } + } + ], + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Encounter", + "id": "F3CC75D0-299A-4014-AB63-E354AE15AEAA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F3CC75D0299A4014AB63E354AE15AEAA" + } + ], + "status": "finished", + "type": [ + { + "text": "GP Surgery" + } + ], + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "participant": [ + { + "type": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/v3/ParticipationType", + "code": "PPRF", + "display": "primary performer" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + }, + { + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", + "code": "REC", + "display": "recorder" + } + ] + } + ], + "individual": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + } + ], + "period": { + "start": "2010-03-23T13:37:00+00:00" + }, + "location": [ + { + "location": { + "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" + } + } + ], + "serviceProvider": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F1E9C0F4-8CAD-4DCA-97E4-3830EC210DFF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F1E9C0F48CAD4DCA97E43830EC210DFF" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "PKyz500", + "display": "Happy puppet syndrome", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "127639017" + }, + { + "url": "descriptionDisplay", + "valueString": "Happy puppet syndrome" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "76880004", + "display": "Angelman syndrome" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-07-21T13:38:12.793+01:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "comment": "This is another coded entry within a pathology consultation" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "D0BA10F0-49F8-46B0-94B6-FEA2ECF08D97", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D0BA10F049F846B094B6FEA2ECF08D97" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44M4.00", + "display": "Serum albumin", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571781000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000821000000103", + "display": "Serum albumin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:52.053+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 41.000, + "unit": "g/L" + }, + "referenceRange": [ + { + "low": { + "value": 35.000, + "unit": "g/L" + }, + "high": { + "value": 50.000, + "unit": "g/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B8BF2173-50D8-4768-B430-A22267D347A5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B8BF217350D84768B430A22267D347A5" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44G3.00", + "display": "ALT/SGPT serum level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "478551000006117" + }, + { + "url": "descriptionDisplay", + "valueString": "ALT/SGPT serum level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1018251000000107", + "display": "Serum alanine aminotransferase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:52.023+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 16.000, + "unit": "iu/L" + }, + "referenceRange": [ + { + "low": { + "value": 1.000, + "unit": "iu/L" + }, + "high": { + "value": 40.000, + "unit": "iu/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "FB74DF0D-BD0B-4FBF-B74C-D984DDACE08D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FB74DF0DBD0B4FBFB74CD984DDACE08D" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44F..00", + "display": "Serum alkaline phosphatase", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000621000000104", + "display": "Serum alkaline phosphatase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:52.007+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 45.000, + "unit": "iu/L" + }, + "referenceRange": [ + { + "low": { + "value": 30.000, + "unit": "iu/L" + }, + "high": { + "value": 110.000, + "unit": "iu/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7C8D2445-18AC-4AD0-99FE-02E1715D6319", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627C8D244518AC4AD099FE02E1715D6319" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44E..00", + "display": "Serum bilirubin level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577161000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "999691000000104", + "display": "Serum bilirubin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.993+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 8.000, + "unit": "umol/L" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "umol/L" + }, + "high": { + "value": 20.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "FA2DE43F-F401-4BAF-9E61-BD99466F7A6C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FA2DE43FF4014BAF9E61BD99466F7A6C" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44D6.00", + "display": "Liver function test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572661000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997531000000108", + "display": "Liver function test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.977+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "has-member", + "target": { + "reference": "QuestionnaireResponse/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "3BC7ABC9-ABCB-4C01-A519-35CE664C3543", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C623BC7ABC9ABCB4C01A51935CE664C3543" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44Q..00", + "display": "Serum triglycerides", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2551281000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005691000000109", + "display": "Serum triglycerides level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.96+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 0.800, + "unit": "mmol/L" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/31465FC9-15B2-4391-A5EF-8F70C2154AAF-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C45E3DA5-D7BC-4FDF-B4E0-6CCECCE60D24", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C45E3DA5D7BC4FDFB4E06CCECCE60D24" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P..00", + "display": "Serum cholesterol", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2551271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005671000000105", + "display": "Serum cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.93+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 6.100, + "unit": "mmol/L" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/31465FC9-15B2-4391-A5EF-8F70C2154AAF-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "A87EAFD1-ECCC-4B5F-BEF9-44490004395F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62A87EAFD1ECCC4B5FBEF944490004395F" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "APPEARANCE" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.913+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "comment": "TURBID", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/31465FC9-15B2-4391-A5EF-8F70C2154AAF-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "31465FC9-15B2-4391-A5EF-8F70C2154AAF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6231465FC915B24391A5EF8F70C2154AAF" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44O..00", + "display": "Serum lipids", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573511000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005661000000103", + "display": "Serum lipids level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:31:51.9+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "comment": "(EMISTest) - No Action\nInterpretation Desirable Borderline Increased Risk\nTotal cholesterol <5.2 5.2-6.5 >6.5 mmol/l\nTriglyceride reference range\n Fasting 0.5-1.8 mmol/l, Non-fasting usually <4.0 mmol/l", + "related": [ + { + "type": "has-member", + "target": { + "reference": "QuestionnaireResponse/31465FC9-15B2-4391-A5EF-8F70C2154AAF-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "6BAD3CC7-6730-4B3E-9A7F-0EBF01F49FA4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C626BAD3CC767304B3E9A7F0EBF01F49FA4" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42UE.00", + "display": "Plasma folate level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2559321000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993421000000102", + "display": "Plasma folate level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:05:16.487+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 0.800, + "unit": "ng/mL" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "ng/mL" + }, + "high": { + "value": 20.000, + "unit": "ng/mL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/53A0E453-AF2A-4873-B486-F9E898D998DE-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "01EC53CF-38F8-464D-BB6D-84EEF227646C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6201EC53CF38F8464DBB6D84EEF227646C" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42T..00", + "display": "Serum vitamin B12", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572251000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993391000000108", + "display": "Serum vitamin B12 level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:05:16.423+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueQuantity": { + "value": 301.000, + "unit": "ng/L" + }, + "referenceRange": [ + { + "low": { + "value": 170.000, + "unit": "ng/L" + }, + "high": { + "value": 700.000, + "unit": "ng/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/53A0E453-AF2A-4873-B486-F9E898D998DE-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "53A0E453-AF2A-4873-B486-F9E898D998DE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6253A0E453AF2A4873B486F9E898D998DE" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "B12/FOLATE" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2001-03-30", + "issued": "2010-02-09T12:05:16.313+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "comment": "Results repeated\nLow plasma Folate", + "related": [ + { + "type": "has-member", + "target": { + "reference": "QuestionnaireResponse/53A0E453-AF2A-4873-B486-F9E898D998DE-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "0839D006-D5DD-4314-90DE-D8468B857B10", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620839D006D5DD431490DED8468B857B10" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "4I16.00", + "display": "Microscopy, culture and sensitivities", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2579131000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015411000000100", + "display": "Microscopy, culture and sensitivities" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-22", + "issued": "2010-06-24T12:30:47.777+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "comment": "Microscopy\nModerate pus cells\nGram negative bacilli +\nCulture\n1.Haemophilus influenzae +++\n2.Staphylococcus aureus +\nSensitivities\n 1 2 3 4 5\nAmoxycillin S R\nTrimethoprim S R\nFlucloxacillin R S\nErythromicin R S\nOther bacteria of doubtful significance" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "343FBE3E-0F23-442D-BB6C-16860EEFC08B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62343FBE3E0F23442DBB6C16860EEFC08B" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42L..00", + "display": "Basophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567301000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022571000000108", + "display": "Basophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.167+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.000, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "10*9/L" + }, + "high": { + "value": 0.300, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B6EE8FE1-F006-485A-9872-83A11897B205", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B6EE8FE1F006485A987283A11897B205" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42K..00", + "display": "Eosinophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566661000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022561000000101", + "display": "Eosinophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.15+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.100, + "comparator": "<", + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "10*9/L" + }, + "high": { + "value": 0.600, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "932687E7-1013-4BA8-AF6B-CE2E7E067CEE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62932687E710134BA8AF6BCE2E7E067CEE" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42N..00", + "display": "Monocyte count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583951000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022591000000107", + "display": "Monocyte count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.137+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.100, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 0.200, + "unit": "10*9/L" + }, + "high": { + "value": 1.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5AC610C0-C650-464B-923C-3876C62D98CA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625AC610C0C650464B923C3876C62D98CA" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42M..00", + "display": "Lymphocyte count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566671000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022581000000105", + "display": "Lymphocyte count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.103+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.100, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 1.000, + "unit": "10*9/L" + }, + "high": { + "value": 4.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BF41AED9-EA7C-44AE-A15F-CBBCECCCE911", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BF41AED9EA7C44AEA15FCBBCECCCE911" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42J..00", + "display": "Neutrophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583941000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022551000000104", + "display": "Neutrophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.057+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 7.400, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "10*9/L" + }, + "high": { + "value": 7.500, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1ED0E1C8-F26A-4B03-8548-B3136CD028FC", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621ED0E1C8F26A4B038548B3136CD028FC" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42P..00", + "display": "Platelet count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553501000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022651000000100", + "display": "Platelet count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:02.027+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 220.000, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 150.000, + "unit": "10*9/L" + }, + "high": { + "value": 600.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "426878DF-1651-4B18-81E3-59504D594FC6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62426878DF16514B1881E359504D594FC6" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "429..00", + "display": "Mean corpusc. Hb. conc. (MCHC)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553491000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022481000000109", + "display": "MCHC - Mean corpuscular haemoglobin concentration" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.993+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 34.800, + "unit": "g/dL" + }, + "referenceRange": [ + { + "low": { + "value": 30.000, + "unit": "g/dL" + }, + "high": { + "value": 37.000, + "unit": "g/dL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5DA05D66-A602-49FD-AADD-5B06F7976BE4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625DA05D66A60249FDAADD5B06F7976BE4" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "428..00", + "display": "Mean corpusc. haemoglobin(MCH)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583921000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022471000000107", + "display": "MCH - Mean corpuscular haemoglobin" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.963+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 38.700, + "unit": "pg" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "referenceRange": [ + { + "low": { + "value": 26.000, + "unit": "pg" + }, + "high": { + "value": 32.000, + "unit": "pg" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "0903F354-CFC9-482C-B7B8-0A96EBDA1C55", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620903F354CFC9482CB7B80A96EBDA1C55" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42A..00", + "display": "Mean corpuscular volume (MCV)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575741000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022491000000106", + "display": "MCV - Mean corpuscular volume" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.93+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 111.100, + "unit": "fL" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "referenceRange": [ + { + "low": { + "value": 76.000, + "unit": "fL" + }, + "high": { + "value": 100.000, + "unit": "fL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DA7DDDBF-21A5-465E-ABC4-7EFA2212A26F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DA7DDDBF21A5465EABC47EFA2212A26F" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "4258.00", + "display": "Haematocrit", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575711000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022291000000105", + "display": "Haematocrit" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.9+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.315, + "unit": "%" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "L", + "display": "Low" + } + ] + }, + "referenceRange": [ + { + "low": { + "value": 0.370, + "unit": "%" + }, + "high": { + "value": 0.470, + "unit": "%" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DDCD392B-6D1E-47DA-B86E-149F28B7DACA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DDCD392B6D1E47DAB86E149F28B7DACA" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "423..00", + "display": "Haemoglobin estimation", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553471000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022431000000105", + "display": "Haemoglobin estimation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.87+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 11.000, + "unit": "g/dL" + }, + "referenceRange": [ + { + "low": { + "value": 10.500, + "unit": "g/dL" + }, + "high": { + "value": 15.000, + "unit": "g/dL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E05FA1CA-28B7-4552-A906-66CD83A0A865", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E05FA1CA28B74552A90666CD83A0A865" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "426..00", + "display": "Red blood cell (RBC) count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567261000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022451000000103", + "display": "Red blood cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.853+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 2.840, + "unit": "10*12/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "L", + "display": "Low" + } + ] + }, + "referenceRange": [ + { + "low": { + "value": 3.800, + "unit": "10*12/L" + }, + "high": { + "value": 5.400, + "unit": "10*12/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8FCF859A-ACCB-4BFC-8660-EB058DC16BD6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628FCF859AACCB4BFC8660EB058DC16BD6" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42H..00", + "display": "Total white cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566651000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022541000000102", + "display": "Total white cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.84+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 7.600, + "unit": "10*9/L" + }, + "referenceRange": [ + { + "low": { + "value": 4.000, + "unit": "10*9/L" + }, + "high": { + "value": 11.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E5A4B9BC-879A-424D-BBC8-54A632843EFC", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E5A4B9BC879A424DBBC854A632843EFC" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "424..00", + "display": "Full blood count - FBC", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566641000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022441000000101", + "display": "FBC - full blood count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T12:52:01.79+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "(EMISTest) - No Action", + "related": [ + { + "type": "has-member", + "target": { + "reference": "QuestionnaireResponse/E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CC916E8D-A6A5-478A-A2F0-515357B601E2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CC916E8DA6A5478AA2F0515357B601E2" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Down's risk screen" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2010-06-24T11:54:39.013+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "comment": "Age at term 37.1 years\nGestation Scan 16+4\nAlpha Foeto Protein 35 ku/L\nAFP MOMS 1.04\nFree Beta-HCG 8 iu/L\nBeta-HCG MOMS 0.60\nDown's Risk :- 1 in >10000\nLow risk of Down's Syndrome. ( Cut off 1 in 250 )\nAFP not elevated i.e. probably excludes N.T.D." + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1117EA03-1FAF-4BA7-B7C3-421B60143C51", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621117EA031FAF4BA7B7C3421B60143C51" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R5.00", + "display": "Serum TIBC", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2580111000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015451000000101", + "display": "Serum total iron binding capacity" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:03.013+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 45.000, + "unit": "umol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CD6A6C13-9FD8-432F-8D2E-0C1B02368AAB", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CD6A6C139FD8432F8D2E0C1B02368AAB" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R7.00", + "display": "Serum iron level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2558201000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1019351000000105", + "display": "Serum iron level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:03+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 4.000, + "unit": "umol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7A5FE47C-5345-4F6C-86DA-6065456A7F93", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627A5FE47C53454F6C86DA6065456A7F93" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CS.00", + "display": "Serum C reactive protein level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2607141000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1001371000000100", + "display": "Serum CRP (C reactive protein) level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.983+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 16.000, + "unit": "mg/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8DADDE91-6FCC-4428-90C5-052F396E2EA6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628DADDE916FCC442890C5052F396E2EA6" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J3.00", + "display": "Serum creatinine", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577271000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000731000000107", + "display": "Serum creatinine level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.967+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 85.000, + "unit": "umol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "29F58870-E7F8-453A-99CF-1F5476F042A4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6229F58870E7F8453A99CF1F5476F042A4" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I4.00", + "display": "Serum potassium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573011000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000651000000109", + "display": "Serum potassium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.95+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.000, + "unit": "mmol/L" + }, + "comment": "Unsuitable, due to delay in delivery" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "ED4CF109-E561-4CFF-AF48-0AA8EFC2F31D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62ED4CF109E5614CFFAF480AA8EFC2F31D" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I5.00", + "display": "Serum sodium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560861000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000661000000107", + "display": "Serum sodium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.92+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 141.000, + "unit": "mmol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C564A3B1-DF88-48B3-948B-BFA959A9F115", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C564A3B1DF8848B3948BBFA959A9F115" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J9.00", + "display": "Serum urea level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560931000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000951000000103", + "display": "Serum urea level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.903+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 3.200, + "unit": "mmol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7DAD297B-BC01-42DC-867C-ADCFAEA4490B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627DAD297BBC0142DC867CADCFAEA4490B" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44JB.00", + "display": "Urea and electrolytes", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571841000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000971000000107", + "display": "Urea and electrolytes level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.873+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "comment": "Hand entered results" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CC15336B-8530-4AB3-8B81-C3DCEB427E24", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CC15336B85304AB38B81C3DCEB427E24" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44F2.00", + "display": "Serum alk. phos. raised", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2666251018" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "166627004", + "display": "Serum alkaline phosphatase raised" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.857+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E79AED21-AF47-4CD1-9EFD-5CF60459CB3F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E79AED21AF474CD19EFD5CF60459CB3F" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44F..00", + "display": "Serum alkaline phosphatase", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000621000000104", + "display": "Serum alkaline phosphatase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.857+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 475.000, + "unit": "U/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F79F8391-3E09-44BF-B702-937CC484E2DC", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F79F83913E0944BFB702937CC484E2DC" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I9.00", + "display": "Serum inorganic phosphate", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573021000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000701000000101", + "display": "Serum inorganic phosphate level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.827+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 0.000, + "unit": "mmol/L" + }, + "comment": "Unsuitable for analysis" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8B1206A9-178C-4386-B290-09655ABE393F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628B1206A9178C4386B29009655ABE393F" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44IC.00", + "display": "Corrected serum calcium level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "596161000006111" + }, + { + "url": "descriptionDisplay", + "valueString": "Corrected serum calcium level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "935051000000108", + "display": "Serum adjusted calcium concentration" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.763+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 238.000, + "unit": "mmol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "A3965CBF-792B-4530-A5A3-653EAC66A1C7", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62A3965CBF792B4530A5A3653EAC66A1C7" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44M4.00", + "display": "Serum albumin", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571781000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000821000000103", + "display": "Serum albumin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.733+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 35.000, + "unit": "g/l" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8C5440FB-D2D7-4D52-9D11-EDFD964B9A23", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628C5440FBD2D74D529D11EDFD964B9A23" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I8.00", + "display": "Serum calcium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560881000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000691000000101", + "display": "Serum calcium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.733+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 2.230, + "unit": "mmol/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7712A40B-06EF-422C-A521-0A05EE5C9CD2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627712A40B06EF422CA5210A05EE5C9CD2" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44M3.00", + "display": "Serum total protein", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577291000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000811000000109", + "display": "Serum total protein" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.7+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 79.000, + "unit": "g/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "39B2E390-4A88-4CD3-9972-2B15B7612E53", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6239B2E3904A884CD399722B15B7612E53" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44Z2.00", + "display": "Bone profile", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585971000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1006761000000104", + "display": "Bone profile" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "effectiveDateTime": "2010-02-10T08:56:00+00:00", + "issued": "2010-02-10T09:00:02.67+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "comment": "Hand entered results" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "46ABDBF9-120E-482C-900E-301CF0698532", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6246ABDBF9120E482C900E301CF0698532" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44G3.00", + "display": "ALT/SGPT serum level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "478551000006117" + }, + { + "url": "descriptionDisplay", + "valueString": "ALT/SGPT serum level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1018251000000107", + "display": "Serum alanine aminotransferase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "context": { + "reference": "Encounter/F3CC75D0-299A-4014-AB63-E354AE15AEAA" + }, + "effectiveDateTime": "2010-03-23T13:37:00+00:00", + "issued": "2010-03-23T14:45:53.76+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 12.000, + "unit": "U/L" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "30202B61-1E23-4E27-8A2A-379E51B6D06C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6230202B611E234E278A2A379E51B6D06C" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44e..00", + "display": "Plasma triglyceride level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2564971000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1010601000000105", + "display": "Plasma triglyceride level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:38:02.967+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 10.000, + "unit": "mmol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "Less than or equal to 5 and abnormal", + "referenceRange": [ + { + "text": "> 5.000 mmol/L" + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C482D68D-85EA-4018-9C90-E064DA25D758", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C482D68D85EA40189C90E064DA25D758" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44dA.00", + "display": "Plasma HDL cholesterol level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2557051000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1010581000000101", + "display": "Plasma HDL (high density lipoprotein) cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:37:41.623+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 2.000, + "unit": "mmol/L" + }, + "comment": "less than 22", + "referenceRange": [ + { + "low": { + "value": 22.000, + "unit": "mmol/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "ED05DD35-1916-4F21-A349-DAB93A9BACDF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62ED05DD3519164F21A349DAB93A9BACDF" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44GA.00", + "display": "Plasma alanine aminotransferase level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2552341000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1013211000000103", + "display": "Plasma alanine aminotransferase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:37:32.217+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 12.000, + "unit": "U/L" + }, + "comment": "greater than or equal to five", + "referenceRange": [ + { + "high": { + "value": 5.000, + "unit": "U/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "D3C075AF-E7F8-4B7B-9C95-530703D3E693", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D3C075AFE7F84B7B9C95530703D3E693" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44G3.00", + "display": "ALT/SGPT serum level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "478551000006117" + }, + { + "url": "descriptionDisplay", + "valueString": "ALT/SGPT serum level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1018251000000107", + "display": "Serum alanine aminotransferase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:34:09.88+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 12.000, + "unit": "U/L" + }, + "comment": "Normal value is greater than 2", + "referenceRange": [ + { + "text": "< 2.000 U/L" + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1F8CE990-AF58-4BF7-8A33-1F9E6E3CB36D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621F8CE990AF584BF78A331F9E6E3CB36D" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44T2.00", + "display": "Fasting blood sugar", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "667181000006113" + }, + { + "url": "descriptionDisplay", + "valueString": "Fasting blood sugar" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997681000000108", + "display": "Fasting blood glucose level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:33:48.833+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 22.000, + "unit": "mmol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "This is marked as abnormal but in range", + "referenceRange": [ + { + "low": { + "value": 12.000, + "unit": "mmol/L" + }, + "high": { + "value": 30.000, + "unit": "mmol/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "828BBB05-A5E1-44E5-B24A-DC850771E8BA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62828BBB05A5E144E5B24ADC850771E8BA" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42B..00", + "display": "Plasma viscosity", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2580951000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022501000000100", + "display": "Plasma viscosity" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:33:26.46+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 12.000, + "unit": "cP" + }, + "comment": "This is outside the range but not abnormal", + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "cP" + }, + "high": { + "value": 5.000, + "unit": "cP" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BBBBE847-C1FD-4174-8832-53BA3C564C63", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BBBBE847C1FD4174883253BA3C564C63" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44h8.00", + "display": "Plasma potassium level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2579311000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1017401000000106", + "display": "Plasma potassium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:29:58.53+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 22.000, + "unit": "mmol/L" + }, + "comment": "This has a hand entered range", + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "mmol/L" + }, + "high": { + "value": 23.000, + "unit": "mmol/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "47D64F00-1DE5-43AF-867D-5359763C8CED", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6247D64F001DE543AF867D5359763C8CED" + } + ], + "status": "final", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44E..00", + "display": "Serum bilirubin level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577161000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "999691000000104", + "display": "Serum bilirubin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-23", + "issued": "2010-03-23T14:29:35.843+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueQuantity": { + "value": 23.000, + "unit": "umol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "This is hand entered abnormal with no range" + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C821E1A8-03AF-4E09-AA9C-342CEFFDDE77", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C821E1A803AF4E09AA9C342CEFFDDE77" + } + ], + "status": "final", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "1990681000006116" + }, + { + "url": "descriptionDisplay", + "valueString": "Preferred method of contact: unknown" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1990681000006100", + "display": "Preferred method of contact: unknown", + "userSelected": true + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2020-10-26", + "issued": "2020-10-26T12:45:18.46+00:00", + "performer": [ + { + "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" + } + ] + } + }, + { + "resource": { + "resourceType": "ProcedureRequest", + "id": "01B69DBB-FD87-405F-96B2-9995E45BA3EE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6201B69DBBFD87405F96B29995E45BA3EE" + } + ], + "status": "active", + "intent": "plan", + "code": { + "coding": [ + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "142934010" + }, + { + "url": "descriptionDisplay", + "valueString": "Influenza vaccination" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "86198006", + "display": "Administration of influenza vaccine", + "userSelected": true + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "occurrenceDateTime": "2029-05-28", + "authoredOn": "2020-10-26T12:45:18.177+00:00", + "requester": { + "agent": { + "reference": "Practitioner/744B53BD-299D-4604-AC81-167DEBC49E4B" + } + } + } + }, + { + "resource": { + "resourceType": "List", + "id": "97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "date": "2010-02-09T12:31:51.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0-HD0" + } + }, + { + "item": { + "reference": "List/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0-HD1" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "D0E4D145-F0A7-463C-BEF6-A768CAE0D735-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/D0E4D145-F0A7-463C-BEF6-A768CAE0D735" + }, + "date": "2010-02-09T12:05:16.157+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/D0E4D145-F0A7-463C-BEF6-A768CAE0D735-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B5691BFC-4601-4EB2-9CE7-6A040B5E1D65-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65" + }, + "date": "2010-06-24T12:30:47.7+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "429510F6-B561-417E-B002-24F979C05AB3-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/429510F6-B561-417E-B002-24F979C05AB3" + }, + "date": "2010-06-24T12:52:01.743+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/429510F6-B561-417E-B002-24F979C05AB3-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "7040CC1C-A6A6-4B38-A73A-77D5C474F539-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/7040CC1C-A6A6-4B38-A73A-77D5C474F539" + }, + "date": "2010-06-24T12:34:31.14+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/7040CC1C-A6A6-4B38-A73A-77D5C474F539-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6244FA36-A8BC-43BE-A845-A6E7368EA578-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6244FA36-A8BC-43BE-A845-A6E7368EA578" + }, + "date": "2010-06-24T11:54:38.637+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6244FA36-A8BC-43BE-A845-A6E7368EA578-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "71CE665D-D113-4359-B640-73CE6ACBE6AB-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/71CE665D-D113-4359-B640-73CE6ACBE6AB" + }, + "date": "2010-06-24T12:41:27.053+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/71CE665D-D113-4359-B640-73CE6ACBE6AB-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6F7401EE-5139-4F98-8982-70BDD33D4189-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6F7401EE-5139-4F98-8982-70BDD33D4189" + }, + "date": "2010-06-24T12:44:16.75+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6F7401EE-5139-4F98-8982-70BDD33D4189-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "C5323AB7-2CA9-4E85-85E4-8FA896E45628-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/C5323AB7-2CA9-4E85-85E4-8FA896E45628" + }, + "date": "2010-06-24T12:38:00.11+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/C5323AB7-2CA9-4E85-85E4-8FA896E45628-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "DD64A383-7DC5-4E15-A0FF-20F2C4D195A5-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5" + }, + "date": "2010-03-26T14:04:43.56+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B2410617-E36D-4B94-8DAF-24449E3A0297-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B2410617-E36D-4B94-8DAF-24449E3A0297" + }, + "date": "2010-03-26T13:53:28.127+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B2410617-E36D-4B94-8DAF-24449E3A0297-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9A47C85C-7A97-4656-8CAF-572B29B3A591-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9A47C85C-7A97-4656-8CAF-572B29B3A591" + }, + "date": "2010-03-26T13:52:58.69+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/9A47C85C-7A97-4656-8CAF-572B29B3A591-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ACDA770-F676-4ECB-AE41-3BECCE24D02C-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ACDA770-F676-4ECB-AE41-3BECCE24D02C" + }, + "date": "2010-03-26T13:49:25.07+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6ACDA770-F676-4ECB-AE41-3BECCE24D02C-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9096889B-4D56-4668-86F7-1E1C63011A46-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9096889B-4D56-4668-86F7-1E1C63011A46" + }, + "date": "2010-03-26T13:45:44.803+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/9096889B-4D56-4668-86F7-1E1C63011A46-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "730C507B-32CE-4270-80BA-42F4B62BA064-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/730C507B-32CE-4270-80BA-42F4B62BA064" + }, + "date": "2010-02-09T12:21:06.593+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/730C507B-32CE-4270-80BA-42F4B62BA064-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "A076B5DA-4B2F-42C4-8807-4A71A26ECD25-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/A076B5DA-4B2F-42C4-8807-4A71A26ECD25" + }, + "date": "2010-03-26T13:49:40.133+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/A076B5DA-4B2F-42C4-8807-4A71A26ECD25-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B0696913-F11D-4EAA-8BB7-41350B296F3F-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B0696913-F11D-4EAA-8BB7-41350B296F3F" + }, + "date": "2010-02-01T09:33:13.37+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/B0696913-F11D-4EAA-8BB7-41350B296F3F-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6AF1549E-55BC-481D-A498-19B213312DB7-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6AF1549E-55BC-481D-A498-19B213312DB7" + }, + "date": "2010-02-09T12:08:18.43+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6AF1549E-55BC-481D-A498-19B213312DB7-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "1449860E-3953-4D71-A867-3E1E79D2E11B-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/1449860E-3953-4D71-A867-3E1E79D2E11B" + }, + "date": "2010-03-26T13:49:48.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/1449860E-3953-4D71-A867-3E1E79D2E11B-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ED5590B-146D-4B42-939E-2C35646ED7C1-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "date": "2010-02-10T09:00:02.67+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/6ED5590B-146D-4B42-939E-2C35646ED7C1-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "F3CC75D0-299A-4014-AB63-E354AE15AEAA-PG0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "25851000000105", + "display": "Topic (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/F3CC75D0-299A-4014-AB63-E354AE15AEAA" + }, + "date": "2010-03-23T14:45:53.76+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "List/F3CC75D0-299A-4014-AB63-E354AE15AEAA-PG0-HD0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "5E496953-065B-41F2-9577-BE8F2FBD0757", + "meta": { + "versionId": "1112974926854455048", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MainLocation-1", + "valueReference": { + "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" + } + } + ], + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "A82038" + } + ], + "type": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-OrganisationType-1", + "code": "gp-practice" + } + ], + "text": "GP Practice" + } + ], + "name": "TEMPLE SOWERBY MEDICAL PRACTICE", + "telecom": [ + { + "system": "phone", + "value": "01133800000", + "use": "work", + "rank": 1 + } + ], + "address": [ + { + "use": "work", + "type": "physical", + "line": [ + "Fulford Grange", + "Micklefield Lane", + "Rawdon", + "Rawdon" + ], + "city": "Leeds", + "district": "Yorkshire", + "postalCode": "LS19 6BA" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73", + "meta": { + "versionId": "4749697187075864793", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "McAvenue", + "given": [ + "David" + ], + "prefix": [ + "Dr" + ] + } + ], + "gender": "male" + } + }, + { + "resource": { + "resourceType": "Location", + "id": "EB3994A6-5A87-4B53-A414-913137072F57", + "meta": { + "versionId": "6653785719080073703", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1" + ] + }, + "status": "active", + "name": "EMIS Test Practice Location", + "type": { + "text": "Main Surgery" + }, + "telecom": [ + { + "system": "phone", + "value": "01133800000", + "use": "work", + "rank": 1 + } + ], + "address": { + "use": "work", + "type": "physical", + "line": [ + "Fulford Grange", + "Micklefield Lane", + "Rawdon", + "Rawdon" + ], + "city": "Leeds", + "district": "Yorkshire", + "postalCode": "LS19 6BA" + }, + "managingOrganization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757", + "display": "TEMPLE SOWERBY MEDICAL PRACTICE" + } + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "BE7FAA19-6674-4700-BD30-E638C9E31948-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BE7FAA1966744700BD30E638C9E31948SPEC0" + } + ], + "accessionIdentifier": { + "value": "CH1401101K" + }, + "type": { + "text": "SERUM" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "collection": { + "collectedDateTime": "2001-03-30T00:00:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BE7FAA19-6674-4700-BD30-E638C9E31948-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BE7FAA1966744700BD30E638C9E31948COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:31:51.85+00:00", + "issued": "2010-02-09T12:31:51.85+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP", + "meta": { + "versionId": "944521087090707285", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "B86123" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP", + "meta": { + "versionId": "2712482744661050904", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "ST JAMES'S UNIVERSITY HOSPITAL (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "8E04DCE26AA1C81954BCEB1C7DDE873FE4CC0DEC-XPSP", + "meta": { + "versionId": "2064133852936889273", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234569" + } + ], + "name": [ + { + "use": "official", + "family": "PORTER P (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "74243E2EE7E5E9D5962126EF348422253A09F7F0-XPSP", + "meta": { + "versionId": "7791801857584519757", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234569" + } + ], + "name": [ + { + "use": "official", + "family": "PORTER P (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "29D331BCB47BFC37A4B247DC690F2788E09E86E2-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "16AD21231A0C65E00864A220243C66B840136E8F" + } + ], + "name": "Clinical chemistry (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "461839A4-9B28-46D4-BC27-297C46F4F80E-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62461839A49B2846D4BC27297C46F4F80ESPEC0" + } + ], + "accessionIdentifier": { + "value": "HA3701201C" + }, + "type": { + "text": "VENOUS BLOOD" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "461839A4-9B28-46D4-BC27-297C46F4F80E-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62461839A49B2846D4BC27297C46F4F80ECOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:05:16.14+00:00", + "issued": "2010-02-09T12:05:16.14+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "B8AA820FFF68DC7613B79B45F75CAE670BE1054C-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "526B47885F19C2867F61F5E30BDDD15A6890568C" + } + ], + "name": "HAEMATOLOGY (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "5274130D-4FE7-4EE6-B463-B59E86F34811-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625274130D4FE74EE6B463B59E86F34811SPEC0" + } + ], + "accessionIdentifier": { + "value": "MI2101127S" + }, + "type": { + "text": "Left ear swab" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2002-03-30T12:21:00+00:00", + "collection": { + "collectedDateTime": "2002-03-22T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5274130D-4FE7-4EE6-B463-B59E86F34811-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625274130D4FE74EE6B463B59E86F34811COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:30:47.683+01:00", + "issued": "2010-06-24T12:30:47.683+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "BE84ACE2198B409DF73FBF2DD3FAB1069F6BCE11-XPSP", + "meta": { + "versionId": "1007298727044038866", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234552" + } + ], + "name": [ + { + "use": "official", + "family": "DR Q QUICK (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "42BA926A53252185F410C406DF4017E619B94E85-XPSP", + "meta": { + "versionId": "102314601783281221", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234552" + } + ], + "name": [ + { + "use": "official", + "family": "DR Q QUICK (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "572EA48E6B84E04A1C90B796AC02E775D4136A95-XPSP", + "meta": { + "versionId": "2304594008726638591", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "C1357930" + } + ], + "name": [ + { + "use": "official", + "family": "P PRESLAND (LaboratoryServiceProvider)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "175E98D5E81970720E173F27BFC2CF29904FB174-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "B7198E833716DF2706A2D7246B23EC041F723BAD" + } + ], + "name": "Microbiology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C623F23D00A5DC849B88FEF0C4BD4D3B4D0SPEC0" + } + ], + "accessionIdentifier": { + "value": "HA2101105W" + }, + "type": { + "text": "VENOUS BLOOD" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "collection": { + "collectedDateTime": "2002-03-30T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C623F23D00A5DC849B88FEF0C4BD4D3B4D0COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:52:01.743+01:00", + "issued": "2010-06-24T12:52:01.743+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "B2C1BA9224235148023A1A4FEB7CCA31F55748EA-XPSP", + "meta": { + "versionId": "7187272922562148058", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234538" + } + ], + "name": [ + { + "use": "official", + "family": "Sangeeta Singh (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "A6301BF496A60766BBF3604BC43C3D1BF9864822-XPSP", + "meta": { + "versionId": "2509469558010285859", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234538" + } + ], + "name": [ + { + "use": "official", + "family": "Sangeeta Singh (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "4B085D49A3DD30346D9F7E10671EDAF2F8A420B0-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "5BE2C64D0D3B6FDA61E9F57D5C36DE9F1B39978B" + } + ], + "name": "Haematology Dept. (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B3453B4CACF640ABB4FBD8B736A2C7CASPEC0" + } + ], + "type": { + "text": "VENOUS BLOOD" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2002-03-30T12:21:00+00:00", + "collection": { + "collectedDateTime": "2002-03-30T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "525BE8CB-BB88-4173-9D23-018DD43E2027", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62525BE8CBBB8841739D23018DD43E2027" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42QE.00", + "display": "International normalised ratio", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "257472014" + }, + { + "url": "descriptionDisplay", + "valueString": "International normalised ratio" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "165581004", + "display": "INR - international normalised ratio" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + }, + { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + }, + { + "reference": "Practitioner/4FC64190CB6D437BD66EACF92D96F44147A76A0E-XPSP" + }, + { + "reference": "Practitioner/B0EFC84CDC8766B07B73ECABD82938F18ECC2E93-XPSP" + }, + { + "reference": "HealthcareService/265713385DB7B375E26A5B5B26F87C9DF992D953-XHSSP" + } + ], + "valueString": "Ap 2.400", + "comment": "DVT Prophylaxis - INR 2.0-2.5\nTreatment of DVT,PE,AF,TIA - INR 2.0-3.0\nRecurrent DVT or PE )\nArterial Disease )INR 3.0-4.5\nMechanical Prosthetic Heart Valves )", + "specimen": { + "reference": "Specimen/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B3453B4CACF640ABB4FBD8B736A2C7CACOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:34:31.14+01:00", + "issued": "2010-06-24T12:34:31.14+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "4FC64190CB6D437BD66EACF92D96F44147A76A0E-XPSP", + "meta": { + "versionId": "7449845319190762762", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "ROLT R (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "B0EFC84CDC8766B07B73ECABD82938F18ECC2E93-XPSP", + "meta": { + "versionId": "4662980799227409675", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "ROLT R (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "265713385DB7B375E26A5B5B26F87C9DF992D953-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "AB4994726C3296DC2E51C6BD92A7719CB0CB4C16" + } + ], + "name": "Haematology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "EEC7C3E9-0780-43BB-926E-B97D45EFDD60-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EEC7C3E9078043BB926EB97D45EFDD60SPEC0" + } + ], + "accessionIdentifier": { + "value": "CH2101129U" + }, + "type": { + "text": "SERUM" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2002-03-30T12:21:00+00:00", + "collection": { + "collectedDateTime": "2002-03-30T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "EEC7C3E9-0780-43BB-926E-B97D45EFDD60-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EEC7C3E9078043BB926EB97D45EFDD60COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T11:54:38.543+01:00", + "issued": "2010-06-24T11:54:38.543+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "2201289CD756CA83E01F0E19F22FCFBAA360B703-XPSP", + "meta": { + "versionId": "7881562909734960905", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234545" + } + ], + "name": [ + { + "use": "official", + "family": "ROLT R (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "0E405C3E38317D7AC9FA81695F34832BBE431957-XPSP", + "meta": { + "versionId": "5011930887205238300", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234545" + } + ], + "name": [ + { + "use": "official", + "family": "ROLT R (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "5AF326F3AEC3361374BBEFB9DAF99209D2E54FA4-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "70EA4982375EA59C3B7AC537302EF6E4311A8471" + } + ], + "name": "Chemical Pathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "42A5C03B-13BB-41E9-873E-9CF3DA2DE04E-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6242A5C03B13BB41E9873E9CF3DA2DE04ESPEC0" + } + ], + "accessionIdentifier": { + "value": "HA2101111C" + }, + "type": { + "text": "24 HOUR URINE" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2002-03-30T12:21:00+00:00", + "collection": { + "collectedDateTime": "2002-03-30T09:21:00+00:00", + "quantity": { + "value": 1750.000, + "unit": "mL" + } + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "53AF92D8-AF4C-4C41-AE5D-249F141DC81B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6253AF92D8AF4C4C41AE5D249F141DC81B" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "467A.00", + "display": "24 hour urine protein output", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583141000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1016051000000101", + "display": "24 hour urine protein output" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + }, + { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + }, + { + "reference": "Practitioner/5297B4D2399BEB53D3FD15E77E3282C707B995F0-XPSP" + }, + { + "reference": "Practitioner/9E75398EAFD4A5DC93692A970899CD9346B43F04-XPSP" + }, + { + "reference": "HealthcareService/F5EB68DDC50CE98C9BB81F835B7374394499BEDC-XHSSP" + } + ], + "valueQuantity": { + "value": 0.500, + "comparator": "<=", + "unit": "g/L" + }, + "specimen": { + "reference": "Specimen/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "42A5C03B-13BB-41E9-873E-9CF3DA2DE04E-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ], + "security": [{ + "system":"http://hl7.org/fhir/v3/ActCode", + "code":"NOPAT", + "display":"no disclosure to patient, family or caregivers without attending provider's authorization" + }] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6242A5C03B13BB41E9873E9CF3DA2DE04ECOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:41:27.053+01:00", + "issued": "2010-06-24T12:41:27.053+01:00", + "comment": "This is a test of the NOPAT filing comment behaviour.", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "5297B4D2399BEB53D3FD15E77E3282C707B995F0-XPSP", + "meta": { + "versionId": "2121006024019690919", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234552" + } + ], + "name": [ + { + "use": "official", + "family": "Quentin Quick (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "9E75398EAFD4A5DC93692A970899CD9346B43F04-XPSP", + "meta": { + "versionId": "5225970354200593108", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234552" + } + ], + "name": [ + { + "use": "official", + "family": "Quentin Quick (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "F5EB68DDC50CE98C9BB81F835B7374394499BEDC-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "5F87061CB536571095047B8164EC30335A4A124C" + } + ], + "name": "Chemical Pathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6256E56C3DE9C142E2ABFEB06E04B1ADA2SPEC0" + } + ], + "type": { + "text": "SERUM" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "EA5F9724-7E16-4186-8F69-E5EB51CA4047", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EA5F97247E1641868F69E5EB51CA4047" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44WB.00", + "display": "Serum paracetamol level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2551461000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1006701000000103", + "display": "Serum paracetamol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + }, + { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + }, + { + "reference": "Practitioner/1E93CF4C539820EC72E9B4A7D032E592C8B35853-XPSP" + }, + { + "reference": "Practitioner/B62807A6A2E87BA2409F1D8E5BBC2FE15110525B-XPSP" + }, + { + "reference": "HealthcareService/64497B454B85351C75A31B1DF7D7D590A613CFE2-XHSSP" + } + ], + "valueQuantity": { + "value": 200.000, + "comparator": ">", + "unit": "mg/L" + }, + "specimen": { + "reference": "Specimen/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2-SPEC-0" + }, + "referenceRange": [ + { + "text": "< 200.000 mg/L" + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6256E56C3DE9C142E2ABFEB06E04B1ADA2COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:44:16.75+01:00", + "issued": "2010-06-24T12:44:16.75+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "1E93CF4C539820EC72E9B4A7D032E592C8B35853-XPSP", + "meta": { + "versionId": "5172968259736442449", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234521" + } + ], + "name": [ + { + "use": "official", + "family": "TROTTER T (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "B62807A6A2E87BA2409F1D8E5BBC2FE15110525B-XPSP", + "meta": { + "versionId": "5236713090682920001", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234521" + } + ], + "name": [ + { + "use": "official", + "family": "TROTTER T (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "64497B454B85351C75A31B1DF7D7D590A613CFE2-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "BF0BF3D5E1B400F92848475F5912319306E696BF" + } + ], + "name": "CHEMICAL PATHOLOGY (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "5A8B9936-B771-488E-9103-3331629690C4-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625A8B9936B771488E91033331629690C4SPEC0" + } + ], + "accessionIdentifier": { + "value": "HA2101109A" + }, + "type": { + "text": "VENOUS BLOOD" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F022B5F4-66E8-4DDD-ABAA-10C98713E7EE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F022B5F466E84DDDABAA10C98713E7EE" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42T..00", + "display": "Serum vitamin B12", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572251000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993391000000108", + "display": "Serum vitamin B12 level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + }, + { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + }, + { + "reference": "Practitioner/028341C66034D0D907302D1067039B7C0E6D1316-XPSP" + }, + { + "reference": "Practitioner/BD9265412D26C2D7FF4E7829BEE6994C50246149-XPSP" + }, + { + "reference": "HealthcareService/62D420DF185859BD61DE2D077161CB2CA320D011-XHSSP" + } + ], + "valueQuantity": { + "value": 1000.000, + "comparator": ">=", + "unit": "ng/L" + }, + "specimen": { + "reference": "Specimen/5A8B9936-B771-488E-9103-3331629690C4-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 160.000, + "unit": "ng/L" + }, + "high": { + "value": 200.000, + "unit": "ng/L" + }, + "type": { + "text": "Equivocal" + } + }, + { + "low": { + "value": 0.000, + "unit": "ng/L" + }, + "high": { + "value": 160.000, + "unit": "ng/L" + }, + "type": { + "text": "Low" + } + }, + { + "low": { + "value": 200.000, + "unit": "ng/L" + }, + "high": { + "value": 800.000, + "unit": "ng/L" + }, + "type": { + "text": "Normal" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "92DA878D-2346-488E-8742-01ECDE95E31C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6292DA878D2346488E874201ECDE95E31C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42U4.00", + "display": "Red blood cell folate", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2568651000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993401000000106", + "display": "Red blood cell folate level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2002-03-30", + "issued": "2002-03-30T16:21:00+00:00", + "performer": [ + { + "reference": "Organization/F62F023D5137CFAA369EF371AC258CE7A3DC4511-XOSP" + }, + { + "reference": "Organization/1B0001E51D4DD17FF631F2BF1FC8D497A265E963-XOSP" + }, + { + "reference": "Practitioner/028341C66034D0D907302D1067039B7C0E6D1316-XPSP" + }, + { + "reference": "Practitioner/BD9265412D26C2D7FF4E7829BEE6994C50246149-XPSP" + }, + { + "reference": "HealthcareService/62D420DF185859BD61DE2D077161CB2CA320D011-XHSSP" + } + ], + "valueQuantity": { + "value": 421.000, + "unit": "ug/L" + }, + "specimen": { + "reference": "Specimen/5A8B9936-B771-488E-9103-3331629690C4-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 120.000, + "unit": "ug/L" + }, + "high": { + "value": 650.000, + "unit": "ug/L" + }, + "type": { + "text": "Normal" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5A8B9936-B771-488E-9103-3331629690C4-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625A8B9936B771488E91033331629690C4COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-06-24T12:38:00.093+01:00", + "issued": "2010-06-24T12:38:00.093+01:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "028341C66034D0D907302D1067039B7C0E6D1316-XPSP", + "meta": { + "versionId": "2172539103257976539", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234545" + } + ], + "name": [ + { + "use": "official", + "family": "RAY ROLT (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "BD9265412D26C2D7FF4E7829BEE6994C50246149-XPSP", + "meta": { + "versionId": "3062246957772506610", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G1234545" + } + ], + "name": [ + { + "use": "official", + "family": "RAY ROLT (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "62D420DF185859BD61DE2D077161CB2CA320D011-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "4E42E26925EEAFF0B6EFCBB5F8FD20ACDC5489FF" + } + ], + "name": "HAEMATOLOGY (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D5B1FA6DC0BE457DAEC91CC38FD13C00SPEC0" + } + ], + "accessionIdentifier": { + "value": "G,03.0999008.K" + }, + "type": { + "text": "Blood" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-01-09T13:54:00+00:00", + "collection": { + "collectedDateTime": "2003-01-09T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1834153D-6DB1-43FB-BE4E-8F53C62882FE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ], + "security": [{ + "system":"http://hl7.org/fhir/v3/ActCode", + "code":"NOPAT", + "display":"no disclosure to patient, family or caregivers without attending provider's authorization" + }] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621834153D6DB143FBBE4E8F53C62882FE" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44V..00", + "display": "Glucose tolerance test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585781000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005711000000106", + "display": "Glucose tolerance test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "NB NEW WHO/DIABETES UK CLASSIFICATION CRITERIA FROM 01.06.00\nDr. N.O'Connell", + "specimen": { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/7678077F-26D7-46F0-A195-16228EE11369" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/2B9134CC-56D2-40BC-BAEB-855B90D2ECC9" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/DD8D3D76-7E97-4A2A-A372-66799FA9EACF" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/3FCF9063-A612-4542-853A-7E38B8BAD1A9" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D5B1FA6DC0BE457DAEC91CC38FD13C00COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T14:04:43.56+00:00", + "issued": "2010-03-26T14:04:43.56+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP", + "meta": { + "versionId": "2680756477420722071", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "J82150" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP", + "meta": { + "versionId": "7038542521656176203", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "SALISBURY HEALTH CARE NHS TRUST (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP", + "meta": { + "versionId": "8337889460715281153", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "Dr Ansell (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "C3C8723A29B65490565244798DC145A4B3E50787-XPSP", + "meta": { + "versionId": "8294547465669959030", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "Dr Ansell (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "C6F960E8EA406188E296F0E8352C4D3D41E015C5" + } + ], + "name": "Laboratory Medicine (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622BC45D083F3E4939A1CD72E13FA08DD4SPEC0" + } + ], + "accessionIdentifier": { + "value": "G,03.0999008.K" + }, + "type": { + "text": "Blood" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-01-09T13:54:00+00:00", + "collection": { + "collectedDateTime": "2003-01-09T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F15C600B-7482-4D0E-938E-78279096DB18", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F15C600B74824D0E938E78279096DB18" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44V..00", + "display": "Glucose tolerance test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585781000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005711000000106", + "display": "Glucose tolerance test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "NB NEW WHO/DIABETES UK CLASSIFICATION CRITERIA FROM 01.06.00\nDr. N.O'Connell", + "specimen": { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/7D29B0F6-EE38-44DC-A762-21F8D167E827" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/A0EFCDBD-B2D1-4D87-9D5A-3AA9F51BFFED" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/5F044AF2-8BBA-4569-8967-06D06E0B3644" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/C254A5AF-5D3A-49B4-BAA6-81E1BA144BBA" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622BC45D083F3E4939A1CD72E13FA08DD4COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:53:28.127+00:00", + "issued": "2010-03-26T13:53:28.127+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "EA81C20835CCC1265E1BDC071D1DED86FF73BEE4" + } + ], + "name": "Laboratory Medicine (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628C35F9A5E481419F9D180B2E2118C55DSPEC0" + } + ], + "accessionIdentifier": { + "value": "G,03.0999008.K" + }, + "type": { + "text": "Blood" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-01-09T13:54:00+00:00", + "collection": { + "collectedDateTime": "2003-01-09T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5668ACD3-4700-4C6B-B6EE-A9F28A80A780", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625668ACD347004C6BB6EEA9F28A80A780" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44V..00", + "display": "Glucose tolerance test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585781000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005711000000106", + "display": "Glucose tolerance test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "NB NEW WHO/DIABETES UK CLASSIFICATION CRITERIA FROM 01.06.00\nDr. N.O'Connell", + "specimen": { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/97D287E0-1613-45D7-BF35-1A5758796E01" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/BE104861-C99D-4DE5-BF5E-A87D44FF4F6A" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/1F0CDC7B-BD70-424B-A885-7BBC5A42C7AD" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/C83C896F-E847-4FE8-AB86-A7949F5A4D5A" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8C35F9A5-E481-419F-9D18-0B2E2118C55D-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628C35F9A5E481419F9D180B2E2118C55DCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:52:58.69+00:00", + "issued": "2010-03-26T13:52:58.69+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "2E25BB98945DF287D4A3A6B0F52918D9A323FEA0" + } + ], + "name": "Laboratory Medicine (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "34AAAAFC-8550-4152-9CDA-624D5AB6C13C-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6234AAAAFC855041529CDA624D5AB6C13CSPEC0" + } + ], + "accessionIdentifier": { + "value": "G,03.0999008.K" + }, + "type": { + "text": "Blood" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-01-09T13:54:00+00:00", + "collection": { + "collectedDateTime": "2003-01-09T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "34AAAAFC-8550-4152-9CDA-624D5AB6C13C-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6234AAAAFC855041529CDA624D5AB6C13CCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T14:50:03.453+00:00", + "issued": "2010-02-09T14:50:03.453+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "2F4D754C5017F78000F22C8FCCF4FA1705418FC7-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "7D74B2FB50F021EBADBD23C13BFDB79351AF48EE" + } + ], + "name": "Laboratory Medicine (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ], + "security": [{ + "system":"http://hl7.org/fhir/v3/ActCode", + "code":"NOPAT", + "display":"no disclosure to patient, family or caregivers without attending provider's authorization" + }] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F5631B567BE4A369E4C8A28742239FESPEC0" + } + ], + "accessionIdentifier": { + "value": "3060261772" + }, + "type": { + "text": "Serum" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-02T14:55:00+01:00", + "collection": { + "collectedDateTime": "2003-06-02T00:00:00+01:00" + }, + "note": [ + { + "text": "Some Test Specimen Comment" + } + ] + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-1", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F5631B567BE4A369E4C8A28742239FESPEC1" + } + ], + "accessionIdentifier": { + "value": "3060261772" + }, + "type": { + "text": "Fluor" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-02T14:55:00+01:00", + "collection": { + "collectedDateTime": "2003-06-02T00:00:00+01:00" + }, + "note": [ + { + "text": "Another\nSpecimen\nComment" + } + ] + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F5631B567BE4A369E4C8A28742239FESPEC2" + } + ], + "accessionIdentifier": { + "value": "3060261772" + }, + "type": { + "text": "EDTA" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-02T14:55:00+01:00", + "collection": { + "collectedDateTime": "2003-06-02T00:00:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C08DC916-614C-4F49-8505-86F6D57E6EB5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C08DC916614C4F49850586F6D57E6EB5" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "451..00", + "display": "Renal function tests", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2552741000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015971000000100", + "display": "Renal function tests" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/01098FF9-D3FF-496A-977F-ED392DBAD54D" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E787706E-1E26-484C-9320-77CA84961B75" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/12ACE36E-16C8-4274-85A8-4F054BCA1FF9" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "057C3B4D-69BD-4DCB-915C-3DC0AF875E50", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62057C3B4D69BD4DCB915C3DC0AF875E50" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44O..00", + "display": "Serum lipids", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573511000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005661000000103", + "display": "Serum lipids level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/8CC6511A-ABAC-4AB0-8879-06E3C7006469" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/174808E1-1A4D-44F9-8E47-132A8D4CB55B" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/40FD13C3-50FB-423F-8E42-F1E630260521" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E7DD9AF8-4865-4FE8-B2BE-B1AA65150A7F" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BA2E67A6-43E3-423B-9C7C-971C6B19211C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BA2E67A643E3423B9C7C971C6B19211C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44TK.00", + "display": "Fasting blood glucose level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572691000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997681000000108", + "display": "Fasting blood glucose level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 4.800, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-1" + }, + "referenceRange": [ + { + "low": { + "value": 3.000, + "unit": "mmol/L" + }, + "high": { + "value": 6.000, + "unit": "mmol/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "9BDA0AA6-965B-4593-82E4-E370EE6850EF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629BDA0AA6965B459382E4E370EE6850EF" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "424..00", + "display": "Full blood count - FBC", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566641000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022441000000101", + "display": "FBC - full blood count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/18238625-DA03-46E2-9C8C-46EFF7E5617D" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/38F86682-1295-4F7F-9BF4-A9E644BF5EB5" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/72E2F295-F90B-4C0C-8AA1-45019B9E715E" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/4070E0E4-5207-4AB8-881E-0F9FCB15CB3F" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/40E51B3E-B2B9-4DFC-AAF0-446C23A1FA91" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/7DD41119-5BF3-4EEA-9A46-7BD579A2BBD5" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/8839823F-1DA8-4724-B956-7665B25096A5" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/476BB667-97FE-4761-A29A-B4C06A22C1A2" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/578AB598-B8C4-4282-A013-56803DC0AD9F" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/4B0109D0-86BE-42D3-9CC4-A28B0D71BA40" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/476F133F-A18A-451A-9A90-5777AFCDA6C2" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/8E2D33CD-6682-4F77-923A-FB6EF652BC71" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "9F5631B5-67BE-4A36-9E4C-8A28742239FE-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F5631B567BE4A369E4C8A28742239FECOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:49:25.053+00:00", + "issued": "2010-03-26T13:49:25.053+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP", + "meta": { + "versionId": "6343213421910815023", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "F81682" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP", + "meta": { + "versionId": "8530625240212050492", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "RQW00 (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "602EBD158563B71F018C8A80C073AD4EDE091040-XPSP", + "meta": { + "versionId": "7944360112535650743", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "LAKHA AGN (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP", + "meta": { + "versionId": "695829463564982430", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "LAKHA AGN (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "A35E385DE11650BDAC727A6EEBEE15656FA34C98" + } + ], + "name": "Haematology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BCF44D34EDC94310BEB4E45E1441957BSPEC0" + } + ], + "accessionIdentifier": { + "value": "CC093482F" + }, + "type": { + "text": "SE:RUM" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-17T14:21:00+01:00", + "collection": { + "collectedDateTime": "2003-06-16T00:00:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B39D6784-5532-45FB-BDCC-7F7F21A70857", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B39D6784553245FBBDCC7F7F21A70857" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44Z2.00", + "display": "Bone profile", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585971000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1006761000000104", + "display": "Bone profile" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/01A03AE1-ADC5-4A7B-B6B4-BB391F498A7C" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E346D597-8A42-4631-BA4D-0C8A17F62C0D" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/C38CCDE2-9EFB-4249-BB78-D23C312D66A4" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/5FFC469E-00A9-4F2F-AE4A-BCA589416266" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/DF6691CB-9617-4701-A186-17F197A997A0" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/F76B671C-D2CE-409F-B801-4320B20D4CA4" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CDC2077F-F701-47F9-AFF9-87E8C07E8C69", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CDC2077FF70147F9AFF987E8C07E8C69" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44JB.00", + "display": "Urea and electrolytes", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571841000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000971000000107", + "display": "Urea and electrolytes level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/AB137387-5068-42C6-BC0A-FC6CE39FD813" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/A7DC554C-1738-4E1A-BF83-5144DA40CA7F" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/33DFF813-0B97-4D38-906D-B477946390BE" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/DD3CF20D-03A5-4310-954C-47DA2D5BBFB2" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "05E6D1C6-9B66-4D02-8FC3-C5CF3CC0EB1C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6205E6D1C69B664D028FC3C5CF3CC0EB1C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CS.00", + "display": "Serum C reactive protein level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2607141000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1001371000000100", + "display": "Serum CRP (C reactive protein) level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 16.000, + "unit": "mg/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 1.000, + "unit": "mg/L" + }, + "high": { + "value": 4.000, + "unit": "mg/L" + } + } + ], + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/05E6D1C6-9B66-4D02-8FC3-C5CF3CC0EB1C-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CFAF8307-C6B6-4EB4-A69D-81DDE4D2CD91", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CFAF8307C6B64EB4A69D81DDE4D2CD91" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R7.00", + "display": "Serum iron level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2558201000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1019351000000105", + "display": "Serum iron level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 4.000, + "unit": "umol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 11.000, + "unit": "umol/L" + }, + "high": { + "value": 29.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/CFAF8307-C6B6-4EB4-A69D-81DDE4D2CD91-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "45F8816D-FC99-4131-ABE6-01CD8A8DE49C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6245F8816DFC994131ABE601CD8A8DE49C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R5.00", + "display": "Serum TIBC", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2580111000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015451000000101", + "display": "Serum total iron binding capacity" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 45.000, + "unit": "umol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 49.000, + "unit": "umol/L" + }, + "high": { + "value": 70.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/45F8816D-FC99-4131-ABE6-01CD8A8DE49C-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BCF44D34-EDC9-4310-BEB4-E45E1441957B-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BCF44D34EDC94310BEB4E45E1441957BCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:44.803+00:00", + "issued": "2010-03-26T13:45:44.803+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP", + "meta": { + "versionId": "86504557494233988", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "M81023" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "1DF7956BE49C32A24C3251987FC97796429496EB-XOSP", + "meta": { + "versionId": "8430238613743430488", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "HEREFORD (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP", + "meta": { + "versionId": "7428924392787763867", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "LITCHFIELD JA (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP", + "meta": { + "versionId": "1369856788407826647", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "LITCHFIELD JA (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "C80A18B69B72161BF965F9E41A7D2E31EA1A6353" + } + ], + "name": "General Pathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6223E01304867A4645BDF8035FEB2C7A41SPEC0" + } + ], + "accessionIdentifier": { + "value": "C3179539H" + }, + "type": { + "text": "Plasma" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-27T19:24:00+01:00", + "collection": { + "collectedDateTime": "2003-06-27T00:00:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "15A8BA89-FF03-4880-B540-613745F6BFE3", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6215A8BA89FF034880B540613745F6BFE3" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44D6.00", + "display": "Liver function test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572661000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997531000000108", + "display": "Liver function test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/D6050BB4-0BB2-4481-A0B2-88C94807BEEF" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/F4014842-A140-4B4F-9F5F-EE3C49892D16" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/EAE91006-6F22-476E-BFF4-08FE121F42C6" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/820006B7-2AF3-4C07-B33A-E3C4B65338B1" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/CE493BAD-46EF-4C81-B14C-45827C3E4C7B" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "471FD197-79B8-47C0-B5D1-6A4AFBA3D31D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62471FD19779B847C0B5D16A4AFBA3D31D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44G7.00", + "display": "Plasma gamma-glutamyl transferase level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571791000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000851000000108", + "display": "Plasma GGT (gamma-glutamyl transferase) level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 56.000, + "unit": "IU/L 37C" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 10.000, + "unit": "IU/L 37C" + }, + "high": { + "value": 46.000, + "unit": "IU/L 37C" + } + } + ], + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/471FD197-79B8-47C0-B5D1-6A4AFBA3D31D-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "59F968AD-21F1-4B97-96DE-D1AE22091132", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6259F968AD21F14B9796DED1AE22091132" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CC.00", + "display": "Plasma C reactive protein", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2569471000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "999651000000107", + "display": "Plasma C reactive protein" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 3.090, + "unit": "mg/L" + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "mg/L" + }, + "high": { + "value": 6.000, + "unit": "mg/L" + } + } + ], + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/59F968AD-21F1-4B97-96DE-D1AE22091132-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "36DA8895-114B-40D6-9FA1-82B543D86893", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6236DA8895114B40D69FA182B543D86893" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Comment" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "comment": "Non fasting specimen.", + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/36DA8895-114B-40D6-9FA1-82B543D86893-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "23E01304-867A-4645-BDF8-035FEB2C7A41-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6223E01304867A4645BDF8035FEB2C7A41COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:21:06.593+00:00", + "issued": "2010-02-09T12:21:06.593+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP", + "meta": { + "versionId": "2483368180998692249", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "J82182" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP", + "meta": { + "versionId": "913073912610239129", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "Southampton Univ. Hospitals (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP", + "meta": { + "versionId": "4859428466763230539", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "No Name/code NOT_GIVEN (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP", + "meta": { + "versionId": "7101680632494359378", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "No Name/code NOT_GIVEN (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "C0F94CB73ABE04F27EDA1ADC4A620EFF8E532FD9" + } + ], + "name": "Chemical Pathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "026A2649-A6C3-41DE-8AFB-2C7E605A33EA-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62026A2649A6C341DE8AFB2C7E605A33EASPEC0" + } + ], + "accessionIdentifier": { + "value": "C3182555N" + }, + "type": { + "text": "Plasma" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-06-30T16:19:00+01:00", + "collection": { + "collectedDateTime": "2003-06-30T09:20:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DE3754A7-43B8-481E-97F3-695D767AAFAD", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DE3754A743B8481E97F3695D767AAFAD" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "442c.00", + "display": "Plasma free T4 level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575761000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022841000000104", + "display": "Plasma free T4 level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-30", + "issued": "2003-07-01T12:40:00+01:00", + "performer": [ + { + "reference": "Organization/F36A4DE91C81D163741A73E2E14C2A2942D95337-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/D2A5F0218C310A76E149D3B64EC58575085A51F0-XPSP" + }, + { + "reference": "Practitioner/539B666A8B370CA4137B9608C30D762BC10EC112-XPSP" + }, + { + "reference": "HealthcareService/BC3F1E967B0C90CFA2DB778FD9BC54CC6E854C86-XHSSP" + } + ], + "valueQuantity": { + "value": 15.600, + "unit": "pmol/L" + }, + "specimen": { + "reference": "Specimen/026A2649-A6C3-41DE-8AFB-2C7E605A33EA-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 8.000, + "unit": "pmol/L" + }, + "high": { + "value": 22.000, + "unit": "pmol/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DE81936D-8D09-4073-B5FF-FF84DC132B63", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DE81936D8D094073B5FFFF84DC132B63" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "442X.00", + "display": "Plasma TSH level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575751000000115" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022801000000102", + "display": "Plasma TSH (thyroid stimulating hormone) level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-30", + "issued": "2003-07-01T12:40:00+01:00", + "performer": [ + { + "reference": "Organization/F36A4DE91C81D163741A73E2E14C2A2942D95337-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/D2A5F0218C310A76E149D3B64EC58575085A51F0-XPSP" + }, + { + "reference": "Practitioner/539B666A8B370CA4137B9608C30D762BC10EC112-XPSP" + }, + { + "reference": "HealthcareService/BC3F1E967B0C90CFA2DB778FD9BC54CC6E854C86-XHSSP" + } + ], + "valueQuantity": { + "value": 3.200, + "unit": "mU/L" + }, + "specimen": { + "reference": "Specimen/026A2649-A6C3-41DE-8AFB-2C7E605A33EA-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.350, + "unit": "mU/L" + }, + "high": { + "value": 5.500, + "unit": "mU/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "026A2649-A6C3-41DE-8AFB-2C7E605A33EA-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62026A2649A6C341DE8AFB2C7E605A33EACOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:49:40.133+00:00", + "issued": "2010-03-26T13:49:40.133+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "F36A4DE91C81D163741A73E2E14C2A2942D95337-XOSP", + "meta": { + "versionId": "1034691187945584901", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "J82622" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "D2A5F0218C310A76E149D3B64EC58575085A51F0-XPSP", + "meta": { + "versionId": "2498769448807573319", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G3377170" + } + ], + "name": [ + { + "use": "official", + "family": "Dr Wendy GARMAN (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "539B666A8B370CA4137B9608C30D762BC10EC112-XPSP", + "meta": { + "versionId": "3842542982483168022", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G3377170" + } + ], + "name": [ + { + "use": "official", + "family": "Dr Wendy GARMAN (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "BC3F1E967B0C90CFA2DB778FD9BC54CC6E854C86-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "FD6C80AAF613FA1EEAD9F5FA9E8B7060330F98AD" + } + ], + "name": "Chemical Pathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E7D45D09D3434CDAAC8F942324C8B402SPEC0" + } + ], + "accessionIdentifier": { + "value": "H,03.9110541.D" + }, + "type": { + "text": "Blood" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2003-07-03T15:14:00+01:00", + "collection": { + "collectedDateTime": "2003-07-03T15:14:00+01:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "0F1AD848-FA61-4278-B273-048B0E247D39", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620F1AD848FA614278B273048B0E247D39" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Full blood count - FBC" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/BD5058DC-7A94-4467-A422-41F8715FDEEC" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/F7B19B0F-7AE8-4B81-AA47-7931ADBE65FE" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/FDAC8F0E-52C3-41E5-BE5B-7CA0C6FDC181" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/DEDB6849-33B3-4E1D-B095-58B842456136" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/CF6655E2-CA0C-4558-B5D5-243622CAF0FA" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/010C38C8-9940-4CB0-BDE7-F2D1F4BAAE40" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/DA7E7FA0-F286-4C2C-8620-2CA04251D656" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/C133CD71-10AE-49CD-A990-64EC229ACD88" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/B594990F-11E8-435F-A6D5-AAA70A5638B6" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/AE444553-CB79-46EB-BA1B-177CC0D001D8" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/064CD03E-63A0-492B-8897-C4757C73D2D0" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/167BF6A8-D797-470A-B5C2-E5FC497B56AD" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/2FC40009-302A-4429-A15B-37A35F36D4CB" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/054A8A00-1553-4DA2-BC5A-C150D4844DB0" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E87C2915-678D-4001-9C07-CDAA9A08007C" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "768BF90A-8E36-49D0-9D29-BD3FF0DE733D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62768BF90A8E3649D09D29BD3FF0DE733D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43A..00", + "display": "Infectious mononucleosis test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572281000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993571000000102", + "display": "Infectious mononucleosis test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": "Negative\nI.M.Screen", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/768BF90A-8E36-49D0-9D29-BD3FF0DE733D-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "69832EFE-727E-4270-BDF5-179851BDF295", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6269832EFE727E4270BDF5179851BDF295" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42I..00", + "display": "Differential white cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2552651000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015421000000106", + "display": "Differential white cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "comment": "WBC MORPHOLOGY NORMAL\nRBC MORPHOLOGY NORMAL", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/69832EFE-727E-4270-BDF5-179851BDF295-COMM" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E7D45D09-D343-4CDA-AC8F-942324C8B402-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E7D45D09D3434CDAAC8F942324C8B402COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-01T09:33:13.353+00:00", + "issued": "2010-02-01T09:33:13.353+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP", + "meta": { + "versionId": "5007280079506719683", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "B83001" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP", + "meta": { + "versionId": "1566701944857726213", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "Bradford Hospitals NHS Trust (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "803AB134E844E6970FBCE832EB6481AA194513BC-XPSP", + "meta": { + "versionId": "7947310116803881903", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "K HICKEY (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP", + "meta": { + "versionId": "1747608060609288787", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499053" + } + ], + "name": [ + { + "use": "official", + "family": "K HICKEY (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "2491F654423AAC3967A486713D9A2C6D1916B92C" + } + ], + "name": "Depts Haematology & Clin Biochem (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620FE006F640FA44EEBB569FF8C354CBB0SPEC0" + } + ], + "accessionIdentifier": { + "value": "IY666666S" + }, + "type": { + "text": "PLASMA/SERUM" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2005-02-25T14:46:00+00:00", + "collection": { + "collectedDateTime": "2005-02-25T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8DDBEE57-3545-490B-BE7F-EEB352A5BB6F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628DDBEE573545490BBE7FEEB352A5BB6F" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43GG.00", + "display": "Autoimmune profile", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571241000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "996911000000106", + "display": "Autoimmune profile" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "These LTG comments only apply to the Anti-nuclear factor and the\nrheumatoid factor tests.", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/54468844-4EF9-4F84-B5AC-1615687AC84D" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/417F140A-E61F-4AC5-9421-7C3CED9EFC51" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E956E311-2809-400A-97E1-73F6CD15F98A", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E956E3112809400A97E173F6CD15F98A" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43Gv.00", + "display": "dsDNA binding autoantibody level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2555181000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "995851000000108", + "display": "Double stranded deoxyribonucleic acid binding autoantibody level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": " Oligoclonals detected in both sera and CSF", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "701F4CF2-3A60-4117-9DF5-8178D4FCA019", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62701F4CF23A6041179DF58178D4FCA019" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43a4.00", + "display": "Mitochondrial antibody level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "701461000006113" + }, + { + "url": "descriptionDisplay", + "valueString": "Mitochondrial antibody level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1016761000000101", + "display": "Mitochondrial antibody screening test" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CC9E0DE1-608F-4241-B6B8-060971DD659B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CC9E0DE1608F4241B6B8060971DD659B" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43ma.00", + "display": "Liver autoantibody level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2561411000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005501000000101", + "display": "Liver autoantibody level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F0309428-9726-4131-A705-C93A8C1F2385", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F030942897264131A705C93A8C1F2385" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43G3.00", + "display": "Anti smooth muscle autoantibod", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "486751000006119" + }, + { + "url": "descriptionDisplay", + "valueString": "Anti smooth muscle autoantibod" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "994601000000107", + "display": "Anti smooth muscle antibody titre" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C6FDA895-DE99-40ED-BC28-D5D5C18D9BA8", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C6FDA895DE9940EDBC28D5D5C18D9BA8" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43G6.00", + "display": "Adrenal autoantibodies", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567621000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "992101000000107", + "display": "Adrenal autoantibodies" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E6E33F9D-FC18-4FC9-B931-5A92587C5589", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E6E33F9DFC184FC9B9315A92587C5589" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "IgA Reticulin Abs" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "21318644-CC93-4BAB-B0D2-47B53E093F73", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6221318644CC934BABB0D247B53E093F73" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "IgG Reticulin Abs" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "FCB54305-6825-47FE-B331-0F8963AD222F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FCB54305682547FEB3310F8963AD222F" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43G4.00", + "display": "Parietal cell autoantibodies", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2559451000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "994661000000106", + "display": "Parietal cell autoantibodies" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CF963013-BE3D-4845-865A-05722B1DB292", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CF963013BE3D4845865A05722B1DB292" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Ovarian Antibodies" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "D04342AD-DD02-40A4-AE8B-CBB62588B448", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D04342ADDD0240A4AE8BCBB62588B448" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Skeletal Muscle Abs" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "Equivocal Result", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620FE006F640FA44EEBB569FF8C354CBB0COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:08:18.43+00:00", + "issued": "2010-02-09T12:08:18.43+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP", + "meta": { + "versionId": "8349981079324998126", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "G85677" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP", + "meta": { + "versionId": "2263699274592931039", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "RJ700 (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP", + "meta": { + "versionId": "9008991538014213426", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499051" + } + ], + "name": [ + { + "use": "official", + "family": "CARTWRIGHT R (GP) (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP", + "meta": { + "versionId": "1627949805907359385", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.hl7.org.uk/Id/gmc-number", + "value": "G4499051" + } + ], + "name": [ + { + "use": "official", + "family": "CARTWRIGHT R (GP) (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "C6B6204A24973DDF64499DA722951E19248F2E5F" + } + ], + "name": "Immunopathology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Specimen", + "id": "96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6296B3D07D39C143A7A3E891214B66CC68SPEC0" + } + ], + "accessionIdentifier": { + "value": "N,05.0050728.A" + }, + "type": { + "text": "FASTING BLOOD" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "receivedTime": "2005-03-15T15:15:00+00:00", + "collection": { + "collectedDateTime": "2005-03-15T00:00:00+00:00" + } + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EBEDD7EAEE7A4632BEE4FDDA9B4D4B11" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44JB.00", + "display": "Urea and electrolytes", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571841000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000971000000107", + "display": "Urea and electrolytes level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/9F80209D-3466-4DF2-B6BB-5C1623C09A37" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/FA8AD8E4-5F0E-4FE2-90DF-7E5694F3A054" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/2C193166-3A4A-4569-91EA-FF93475B2DE6" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E02A4D1C-78B2-46D1-B899-776FC940C11B" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "2418B6B6-C4C0-46CB-9030-5B7DD39C80FC", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622418B6B6C4C046CB90305B7DD39C80FC" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "CHOL/HDL RATIO" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "comment": "See FATS/Healthy Hearts guidelines for interpretation of lipids", + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "related": [ + { + "type": "has-member", + "target": { + "reference": "Observation/C737A049-F93E-4C52-AFDF-21B0D1C7298C" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/E47B3A50-EEBE-4336-AA48-5932A01BC1B5" + } + }, + { + "type": "has-member", + "target": { + "reference": "Observation/8673E805-9884-4040-993A-D72AECF4D363" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5578BCAA-4C60-482E-ADFD-095CC8CAB102", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625578BCAA4C60482EADFD095CC8CAB102" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "442W.00", + "display": "Serum TSH level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2607461000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022791000000101", + "display": "Serum TSH (thyroid stimulating hormone) level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 1.400, + "unit": "mu/L" + }, + "comment": "Euthyroid picture (including satisfactory thyroxine replacement)", + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.300, + "unit": "mu/L" + }, + "high": { + "value": 4.400, + "unit": "mu/L" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "96B3D07D-39C1-43A7-A3E8-91214B66CC68-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6296B3D07D39C143A7A3E891214B66CC68COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:49:48.867+00:00", + "issued": "2010-03-26T13:49:48.867+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ] + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP", + "meta": { + "versionId": "7533330929960591247", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "identifier": [ + { + "system": "https://fhir.nhs.uk/Id/ods-organization-code", + "value": "A87004" + } + ], + "name": "Unknown (MessageRecipient)" + } + }, + { + "resource": { + "resourceType": "Organization", + "id": "1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP", + "meta": { + "versionId": "6619625684422580757", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" + ] + }, + "name": "RTF00 (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "08E4423B9396154E078364456928375B7E65096E-XPSP", + "meta": { + "versionId": "1396575135382314976", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "Paul Campbell (MessageRecipient)" + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP", + "meta": { + "versionId": "1110154618544926209", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "Paul Campbell (OrderingParty)" + } + ] + } + }, + { + "resource": { + "resourceType": "HealthcareService", + "id": "FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1" + ] + }, + "identifier": [ + { + "use": "temp", + "system": "https://EMISWeb/HealthcareServiceIdentifier", + "value": "18B504D47796EAE48F091913B4CFC1A1738E1648" + } + ], + "name": "Haematology (LaboratoryServiceProvider)" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "6AB948A5-2067-4A67-AD00-60EAF13E9CAA", + "meta": { + "versionId": "8001103298958225736", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "Whitcombe", + "given": [ + "Peter" + ], + "prefix": [ + "Dr" + ] + } + ], + "gender": "male" + } + }, + { + "resource": { + "resourceType": "QuestionnaireResponse", + "id": "FA2DE43F-F401-4BAF-9E61-BD99466F7A6C-QRSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-QuestionnaireResponse-1" + ] + }, + "identifier": { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FA2DE43FF4014BAF9E61BD99466F7A6CQRSP" + }, + "parent": [ + { + "reference": "Observation/FA2DE43F-F401-4BAF-9E61-BD99466F7A6C" + } + ], + "status": "completed", + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "authored": "2010-02-09T12:31:51.977+00:00", + "item": [ + { + "linkId": "Liver function test", + "answer": [ + { + "valueReference": { + "reference": "Observation/7C8D2445-18AC-4AD0-99FE-02E1715D6319" + } + }, + { + "valueReference": { + "reference": "Observation/FB74DF0D-BD0B-4FBF-B74C-D984DDACE08D" + } + }, + { + "valueReference": { + "reference": "Observation/B8BF2173-50D8-4768-B430-A22267D347A5" + } + }, + { + "valueReference": { + "reference": "Observation/D0BA10F0-49F8-46B0-94B6-FEA2ECF08D97" + } + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "QuestionnaireResponse", + "id": "31465FC9-15B2-4391-A5EF-8F70C2154AAF-QRSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-QuestionnaireResponse-1" + ] + }, + "identifier": { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6231465FC915B24391A5EF8F70C2154AAFQRSP" + }, + "parent": [ + { + "reference": "Observation/31465FC9-15B2-4391-A5EF-8F70C2154AAF" + } + ], + "status": "completed", + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "authored": "2010-02-09T12:31:51.9+00:00", + "item": [ + { + "linkId": "Serum lipids", + "answer": [ + { + "valueReference": { + "reference": "Observation/A87EAFD1-ECCC-4B5F-BEF9-44490004395F" + } + }, + { + "valueReference": { + "reference": "Observation/C45E3DA5-D7BC-4FDF-B4E0-6CCECCE60D24" + } + }, + { + "valueReference": { + "reference": "Observation/3BC7ABC9-ABCB-4C01-A519-35CE664C3543" + } + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "QuestionnaireResponse", + "id": "53A0E453-AF2A-4873-B486-F9E898D998DE-QRSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-QuestionnaireResponse-1" + ] + }, + "identifier": { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6253A0E453AF2A4873B486F9E898D998DEQRSP" + }, + "parent": [ + { + "reference": "Observation/53A0E453-AF2A-4873-B486-F9E898D998DE" + } + ], + "status": "completed", + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "authored": "2010-02-09T12:05:16.313+00:00", + "item": [ + { + "linkId": "B12/FOLATE", + "answer": [ + { + "valueReference": { + "reference": "Observation/01EC53CF-38F8-464D-BB6D-84EEF227646C" + } + }, + { + "valueReference": { + "reference": "Observation/6BAD3CC7-6730-4B3E-9A7F-0EBF01F49FA4" + } + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "QuestionnaireResponse", + "id": "E5A4B9BC-879A-424D-BBC8-54A632843EFC-QRSP", + "meta": { + "profile": [ + "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-QuestionnaireResponse-1" + ] + }, + "identifier": { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E5A4B9BC879A424DBBC854A632843EFCQRSP" + }, + "parent": [ + { + "reference": "Observation/E5A4B9BC-879A-424D-BBC8-54A632843EFC" + } + ], + "status": "completed", + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "authored": "2010-06-24T12:52:01.79+01:00", + "item": [ + { + "linkId": "Full blood count - FBC", + "answer": [ + { + "valueReference": { + "reference": "Observation/8FCF859A-ACCB-4BFC-8660-EB058DC16BD6" + } + }, + { + "valueReference": { + "reference": "Observation/E05FA1CA-28B7-4552-A906-66CD83A0A865" + } + }, + { + "valueReference": { + "reference": "Observation/DDCD392B-6D1E-47DA-B86E-149F28B7DACA" + } + }, + { + "valueReference": { + "reference": "Observation/DA7DDDBF-21A5-465E-ABC4-7EFA2212A26F" + } + }, + { + "valueReference": { + "reference": "Observation/0903F354-CFC9-482C-B7B8-0A96EBDA1C55" + } + }, + { + "valueReference": { + "reference": "Observation/5DA05D66-A602-49FD-AADD-5B06F7976BE4" + } + }, + { + "valueReference": { + "reference": "Observation/426878DF-1651-4B18-81E3-59504D594FC6" + } + }, + { + "valueReference": { + "reference": "Observation/1ED0E1C8-F26A-4B03-8548-B3136CD028FC" + } + }, + { + "valueReference": { + "reference": "Observation/BF41AED9-EA7C-44AE-A15F-CBBCECCCE911" + } + }, + { + "valueReference": { + "reference": "Observation/5AC610C0-C650-464B-923C-3876C62D98CA" + } + }, + { + "valueReference": { + "reference": "Observation/932687E7-1013-4BA8-AF6B-CE2E7E067CEE" + } + }, + { + "valueReference": { + "reference": "Observation/B6EE8FE1-F006-485A-9872-83A11897B205" + } + }, + { + "valueReference": { + "reference": "Observation/343FBE3E-0F23-442D-BB6C-16860EEFC08B" + } + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B", + "meta": { + "versionId": "7786052607397903776", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "Test", + "given": [ + "NHS" + ], + "prefix": [ + "Mr" + ] + } + ], + "gender": "male" + } + }, + { + "resource": { + "resourceType": "Practitioner", + "id": "744B53BD-299D-4604-AC81-167DEBC49E4B", + "meta": { + "versionId": "28944702100670712", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" + ] + }, + "name": [ + { + "use": "official", + "family": "Recall Schedule", + "given": [ + "EMIS Web" + ], + "prefix": [ + "Dr" + ] + } + ], + "gender": "unknown" + } + }, + { + "resource": { + "resourceType": "List", + "id": "97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "date": "2010-02-09T12:31:51.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/BE7FAA19-6674-4700-BD30-E638C9E31948" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2-PG0-HD1", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "History", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/97AD4F69-49C5-4B0F-B8E4-AFEF4B9D39B2" + }, + "date": "2010-02-09T12:31:51.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Observation/F1E9C0F4-8CAD-4DCA-97E4-3830EC210DFF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "D0E4D145-F0A7-463C-BEF6-A768CAE0D735-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/D0E4D145-F0A7-463C-BEF6-A768CAE0D735" + }, + "date": "2010-02-09T12:05:16.157+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/461839A4-9B28-46D4-BC27-297C46F4F80E" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B5691BFC-4601-4EB2-9CE7-6A040B5E1D65-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B5691BFC-4601-4EB2-9CE7-6A040B5E1D65" + }, + "date": "2010-06-24T12:30:47.7+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/5274130D-4FE7-4EE6-B463-B59E86F34811" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "429510F6-B561-417E-B002-24F979C05AB3-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/429510F6-B561-417E-B002-24F979C05AB3" + }, + "date": "2010-06-24T12:52:01.743+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "7040CC1C-A6A6-4B38-A73A-77D5C474F539-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/7040CC1C-A6A6-4B38-A73A-77D5C474F539" + }, + "date": "2010-06-24T12:34:31.14+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6244FA36-A8BC-43BE-A845-A6E7368EA578-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6244FA36-A8BC-43BE-A845-A6E7368EA578" + }, + "date": "2010-06-24T11:54:38.637+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/EEC7C3E9-0780-43BB-926E-B97D45EFDD60" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "71CE665D-D113-4359-B640-73CE6ACBE6AB-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/71CE665D-D113-4359-B640-73CE6ACBE6AB" + }, + "date": "2010-06-24T12:41:27.053+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6F7401EE-5139-4F98-8982-70BDD33D4189-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6F7401EE-5139-4F98-8982-70BDD33D4189" + }, + "date": "2010-06-24T12:44:16.75+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "C5323AB7-2CA9-4E85-85E4-8FA896E45628-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/C5323AB7-2CA9-4E85-85E4-8FA896E45628" + }, + "date": "2010-06-24T12:38:00.11+01:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/5A8B9936-B771-488E-9103-3331629690C4" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "DD64A383-7DC5-4E15-A0FF-20F2C4D195A5-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/DD64A383-7DC5-4E15-A0FF-20F2C4D195A5" + }, + "date": "2010-03-26T14:04:43.56+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B2410617-E36D-4B94-8DAF-24449E3A0297-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B2410617-E36D-4B94-8DAF-24449E3A0297" + }, + "date": "2010-03-26T13:53:28.127+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9A47C85C-7A97-4656-8CAF-572B29B3A591-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9A47C85C-7A97-4656-8CAF-572B29B3A591" + }, + "date": "2010-03-26T13:52:58.69+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/8C35F9A5-E481-419F-9D18-0B2E2118C55D" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ACDA770-F676-4ECB-AE41-3BECCE24D02C-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ACDA770-F676-4ECB-AE41-3BECCE24D02C" + }, + "date": "2010-03-26T13:49:25.07+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/9F5631B5-67BE-4A36-9E4C-8A28742239FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "9096889B-4D56-4668-86F7-1E1C63011A46-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/9096889B-4D56-4668-86F7-1E1C63011A46" + }, + "date": "2010-03-26T13:45:44.803+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/BCF44D34-EDC9-4310-BEB4-E45E1441957B" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "730C507B-32CE-4270-80BA-42F4B62BA064-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/730C507B-32CE-4270-80BA-42F4B62BA064" + }, + "date": "2010-02-09T12:21:06.593+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/23E01304-867A-4645-BDF8-035FEB2C7A41" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "A076B5DA-4B2F-42C4-8807-4A71A26ECD25-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/A076B5DA-4B2F-42C4-8807-4A71A26ECD25" + }, + "date": "2010-03-26T13:49:40.133+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/026A2649-A6C3-41DE-8AFB-2C7E605A33EA" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "B0696913-F11D-4EAA-8BB7-41350B296F3F-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/B0696913-F11D-4EAA-8BB7-41350B296F3F" + }, + "date": "2010-02-01T09:33:13.37+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/E7D45D09-D343-4CDA-AC8F-942324C8B402" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6AF1549E-55BC-481D-A498-19B213312DB7-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6AF1549E-55BC-481D-A498-19B213312DB7" + }, + "date": "2010-02-09T12:08:18.43+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "1449860E-3953-4D71-A867-3E1E79D2E11B-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Lab Results", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/1449860E-3953-4D71-A867-3E1E79D2E11B" + }, + "date": "2010-03-26T13:49:48.867+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/96B3D07D-39C1-43A7-A3E8-91214B66CC68" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "6ED5590B-146D-4B42-939E-2C35646ED7C1-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "Examination", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/6ED5590B-146D-4B42-939E-2C35646ED7C1" + }, + "date": "2010-02-10T09:00:02.67+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Observation/39B2E390-4A88-4CD3-9972-2B15B7612E53" + } + }, + { + "item": { + "reference": "Observation/7712A40B-06EF-422C-A521-0A05EE5C9CD2" + } + }, + { + "item": { + "reference": "Observation/A3965CBF-792B-4530-A5A3-653EAC66A1C7" + } + }, + { + "item": { + "reference": "Observation/8C5440FB-D2D7-4D52-9D11-EDFD964B9A23" + } + }, + { + "item": { + "reference": "Observation/8B1206A9-178C-4386-B290-09655ABE393F" + } + }, + { + "item": { + "reference": "Observation/F79F8391-3E09-44BF-B702-937CC484E2DC" + } + }, + { + "item": { + "reference": "Observation/E79AED21-AF47-4CD1-9EFD-5CF60459CB3F" + } + }, + { + "item": { + "reference": "Observation/CC15336B-8530-4AB3-8B81-C3DCEB427E24" + } + }, + { + "item": { + "reference": "Observation/7DAD297B-BC01-42DC-867C-ADCFAEA4490B" + } + }, + { + "item": { + "reference": "Observation/C564A3B1-DF88-48B3-948B-BFA959A9F115" + } + }, + { + "item": { + "reference": "Observation/ED4CF109-E561-4CFF-AF48-0AA8EFC2F31D" + } + }, + { + "item": { + "reference": "Observation/29F58870-E7F8-453A-99CF-1F5476F042A4" + } + }, + { + "item": { + "reference": "Observation/8DADDE91-6FCC-4428-90C5-052F396E2EA6" + } + }, + { + "item": { + "reference": "Observation/7A5FE47C-5345-4F6C-86DA-6065456A7F93" + } + }, + { + "item": { + "reference": "Observation/CD6A6C13-9FD8-432F-8D2E-0C1B02368AAB" + } + }, + { + "item": { + "reference": "Observation/1117EA03-1FAF-4BA7-B7C3-421B60143C51" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "id": "F3CC75D0-299A-4014-AB63-E354AE15AEAA-PG0-HD0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "status": "current", + "mode": "snapshot", + "title": "History", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "24781000000107", + "display": "Category (EHR)" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "encounter": { + "reference": "Encounter/F3CC75D0-299A-4014-AB63-E354AE15AEAA" + }, + "date": "2010-03-23T14:45:53.76+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "system", + "display": "Sorted by System" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Observation/46ABDBF9-120E-482C-900E-301CF0698532" + } + } + ] + } + }, + { + "resource": { + "resourceType": "PractitionerRole", + "id": "6D340A1BBC154D4E93CFBBCB5B74DF735E496953065B41F29577BE8F2FBD0757", + "meta": { + "versionId": "8380942905747068072", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" + ] + }, + "practitioner": { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + }, + "organization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + }, + "code": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1", + "code": "R0260", + "display": "General Medical Practitioner" + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7678077F-26D7-46F0-A195-16228EE11369", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627678077F26D746F0A19516228EE11369" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT1" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Oral dose: 75g anhydrous glucose given as\n 113ml Polycal liquid\n Plasma Glucose Urine Results\n Time (mmol/l) Ketones Glucose", + "specimen": { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "2B9134CC-56D2-40BC-BAEB-855B90D2ECC9", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622B9134CC56D240BCBAEB855B90D2ECC9" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT2" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Fasting 4.3 negative negative\n 2 hours 7.6 negative negative\n NORMAL : Fasting up to 6.0 & 2 hr up to 7.7\n IMPAIRED FASTING : Fasting 6.1-6.9 & 2 hr up to 7.7", + "specimen": { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DD8D3D76-7E97-4A2A-A372-66799FA9EACF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DD8D3D767E974A2AA37266799FA9EACF" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX3" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " GLYCAEMIA\n IMPAIRED GLUCOSE : Fasting up to 6.9 & 2 hr 7.8-11.0\n TOLERANCE\n *DIABETES MELLITUS : Fasting 7.0 or above &/or", + "specimen": { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "3FCF9063-A612-4542-853A-7E38B8BAD1A9", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C623FCF9063A6124542853A7E38B8BAD1A9" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX4" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A1739D0A4663470C83D2170029AB9B4106D479D-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " 2 hr 11.1 or above\n *(must also have symptoms - polyuria, polydipsia,\n unexplained weight loss)", + "specimen": { + "reference": "Specimen/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1834153D-6DB1-43FB-BE4E-8F53C62882FE-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621834153D6DB143FBBE4E8F53C62882FECOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T14:04:43.603+00:00", + "issued": "2010-03-26T14:04:43.603+00:00", + "performer": [ + { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44V..00", + "display": "Glucose tolerance test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585781000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005711000000106", + "display": "Glucose tolerance test" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/1834153D-6DB1-43FB-BE4E-8F53C62882FE" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7D29B0F6-EE38-44DC-A762-21F8D167E827", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627D29B0F6EE3844DCA76221F8D167E827" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT1" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Oral dose: 75g anhydrous glucose given as\n 113ml Polycal liquid\n Plasma Glucose Urine Results\n Time (mmol/l) Ketones Glucose", + "specimen": { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/F15C600B-7482-4D0E-938E-78279096DB18" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "A0EFCDBD-B2D1-4D87-9D5A-3AA9F51BFFED", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62A0EFCDBDB2D14D879D5A3AA9F51BFFED" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT2" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Fasting 4.3 negative negative\n 2 hours 7.6 negative negative\n NORMAL : Fasting up to 6.0 & 2 hr up to 7.7\n IMPAIRED FASTING : Fasting 6.1-6.9 & 2 hr up to 7.7", + "specimen": { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/F15C600B-7482-4D0E-938E-78279096DB18" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5F044AF2-8BBA-4569-8967-06D06E0B3644", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625F044AF28BBA4569896706D06E0B3644" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX3" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " GLYCAEMIA\n IMPAIRED GLUCOSE : Fasting up to 6.9 & 2 hr 7.8-11.0\n TOLERANCE\n *DIABETES MELLITUS : Fasting 7.0 or above &/or", + "specimen": { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/F15C600B-7482-4D0E-938E-78279096DB18" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C254A5AF-5D3A-49B4-BAA6-81E1BA144BBA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C254A5AF5D3A49B4BAA681E1BA144BBA" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX4" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3A8170E8E30AE69C3097322EEA8AECD4F196F182-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " 2 hr 11.1 or above\n *(must also have symptoms - polyuria, polydipsia,\n unexplained weight loss)", + "specimen": { + "reference": "Specimen/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/F15C600B-7482-4D0E-938E-78279096DB18" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "97D287E0-1613-45D7-BF35-1A5758796E01", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6297D287E0161345D7BF351A5758796E01" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT1" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Oral dose: 75g anhydrous glucose given as\n 113ml Polycal liquid\n Plasma Glucose Urine Results\n Time (mmol/l) Ketones Glucose", + "specimen": { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/5668ACD3-4700-4C6B-B6EE-A9F28A80A780" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BE104861-C99D-4DE5-BF5E-A87D44FF4F6A", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BE104861C99D4DE5BF5EA87D44FF4F6A" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FT2" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " Fasting 4.3 negative negative\n 2 hours 7.6 negative negative\n NORMAL : Fasting up to 6.0 & 2 hr up to 7.7\n IMPAIRED FASTING : Fasting 6.1-6.9 & 2 hr up to 7.7", + "specimen": { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/5668ACD3-4700-4C6B-B6EE-A9F28A80A780" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "1F0CDC7B-BD70-424B-A885-7BBC5A42C7AD", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C621F0CDC7BBD70424BA8857BBC5A42C7AD" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX3" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " GLYCAEMIA\n IMPAIRED GLUCOSE : Fasting up to 6.9 & 2 hr 7.8-11.0\n TOLERANCE\n *DIABETES MELLITUS : Fasting 7.0 or above &/or", + "specimen": { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/5668ACD3-4700-4C6B-B6EE-A9F28A80A780" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C83C896F-E847-4FE8-AB86-A7949F5A4D5A", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C83C896FE8474FE8AB86A7949F5A4D5A" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "FTX4" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-01-09", + "issued": "2003-02-21T11:50:00+00:00", + "performer": [ + { + "reference": "Organization/3A2E5F5A3E4A979BFEADFE92DC320DF9682F9E24-XOSP" + }, + { + "reference": "Organization/DA9E5F8C3AB71E229823E0DD478D1F9F1729C27F-XOSP" + }, + { + "reference": "Practitioner/64BC5511C5F6EDD1A96E381A97626903B2402EB7-XPSP" + }, + { + "reference": "Practitioner/C3C8723A29B65490565244798DC145A4B3E50787-XPSP" + }, + { + "reference": "HealthcareService/3B09BA61BB7D74339347B7DEE3DC24A4BD76E5D7-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ObservationInterpretation-1", + "code": "PA", + "display": "Potentially abnormal" + } + ] + }, + "comment": " 2 hr 11.1 or above\n *(must also have symptoms - polyuria, polydipsia,\n unexplained weight loss)", + "specimen": { + "reference": "Specimen/8C35F9A5-E481-419F-9D18-0B2E2118C55D-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/5668ACD3-4700-4C6B-B6EE-A9F28A80A780" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "01098FF9-D3FF-496A-977F-ED392DBAD54D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6201098FF9D3FF496A977FED392DBAD54D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I5.00", + "display": "Serum sodium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560861000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000661000000107", + "display": "Serum sodium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 136.000, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 135.000, + "unit": "mmol/L" + }, + "high": { + "value": 145.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/C08DC916-614C-4F49-8505-86F6D57E6EB5" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E787706E-1E26-484C-9320-77CA84961B75", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E787706E1E26484C932077CA84961B75" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Serum potassium" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 4.300, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 3.600, + "unit": "mmol/L" + }, + "high": { + "value": 5.300, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/C08DC916-614C-4F49-8505-86F6D57E6EB5" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "12ACE36E-16C8-4274-85A8-4F054BCA1FF9", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6212ACE36E16C8427485A84F054BCA1FF9" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J3.00", + "display": "Serum creatinine", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577271000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000731000000107", + "display": "Serum creatinine level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 77.000, + "unit": "umol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 50.000, + "unit": "umol/L" + }, + "high": { + "value": 100.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/C08DC916-614C-4F49-8505-86F6D57E6EB5" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8CC6511A-ABAC-4AB0-8879-06E3C7006469", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628CC6511AABAC4AB0887906E3C7006469" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P..00", + "display": "Serum cholesterol", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2551271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005671000000105", + "display": "Serum cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 7.800, + "unit": "mmol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 3.500, + "unit": "mmol/L" + }, + "high": { + "value": 5.200, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/057C3B4D-69BD-4DCB-915C-3DC0AF875E50" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "174808E1-1A4D-44F9-8E47-132A8D4CB55B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62174808E11A4D44F98E47132A8D4CB55B" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Serum triglycerides" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 2.000, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.300, + "unit": "mmol/L" + }, + "high": { + "value": 2.300, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/057C3B4D-69BD-4DCB-915C-3DC0AF875E50" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "40FD13C3-50FB-423F-8E42-F1E630260521", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6240FD13C350FB423F8E42F1E630260521" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P5.00", + "display": "Serum HDL cholesterol level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577901000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005681000000107", + "display": "Serum high density lipoprotein cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 1.400, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.900, + "unit": "mmol/L" + }, + "high": { + "value": 2.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/057C3B4D-69BD-4DCB-915C-3DC0AF875E50" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E7DD9AF8-4865-4FE8-B2BE-B1AA65150A7F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E7DD9AF848654FE8B2BEB1AA65150A7F" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P6.00", + "display": "Serum LDL cholesterol level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566581000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022191000000100", + "display": "Serum low density lipoprotein cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 5.500, + "unit": "mmol/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "comment": " Cholesterol 6.5 - 7.8 Moderate Risk of CHD\n Cholesterol > 7.8 Marked Risk of CHD", + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "mmol/L" + }, + "high": { + "value": 4.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/057C3B4D-69BD-4DCB-915C-3DC0AF875E50" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "18238625-DA03-46E2-9C8C-46EFF7E5617D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6218238625DA0346E29C8C46EFF7E5617D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "423..00", + "display": "Haemoglobin estimation", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553471000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022431000000105", + "display": "Haemoglobin estimation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 13.100, + "unit": "g/dL" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 11.500, + "unit": "g/dL" + }, + "high": { + "value": 16.500, + "unit": "g/dL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "38F86682-1295-4F7F-9BF4-A9E644BF5EB5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6238F8668212954F7F9BF4A9E644BF5EB5" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42H..00", + "display": "Total white cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566651000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022541000000102", + "display": "Total white cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 9.500, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 4.000, + "unit": "10*9/L" + }, + "high": { + "value": 11.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "72E2F295-F90B-4C0C-8AA1-45019B9E715E", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6272E2F295F90B4C0C8AA145019B9E715E" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42P..00", + "display": "Platelet count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553501000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022651000000100", + "display": "Platelet count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 497.000, + "unit": "10*9/L" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 150.000, + "unit": "10*9/L" + }, + "high": { + "value": 450.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "4070E0E4-5207-4AB8-881E-0F9FCB15CB3F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C624070E0E452074AB8881E0F9FCB15CB3F" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42A..00", + "display": "Mean corpuscular volume (MCV)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575741000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022491000000106", + "display": "MCV - Mean corpuscular volume" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 93.000, + "unit": "fL" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 76.000, + "unit": "fL" + }, + "high": { + "value": 96.000, + "unit": "fL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "40E51B3E-B2B9-4DFC-AAF0-446C23A1FA91", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6240E51B3EB2B94DFCAAF0446C23A1FA91" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "426..00", + "display": "Red blood cell (RBC) count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567261000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022451000000103", + "display": "Red blood cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 4.360, + "unit": "10*12/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 3.800, + "unit": "10*12/L" + }, + "high": { + "value": 5.500, + "unit": "10*12/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "7DD41119-5BF3-4EEA-9A46-7BD579A2BBD5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C627DD411195BF34EEA9A467BD579A2BBD5" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "4257.00", + "display": "Packed cell volume", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "247841000006118" + }, + { + "url": "descriptionDisplay", + "valueString": "Packed cell volume" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022291000000105", + "display": "Haematocrit" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 0.405, + "unit": "/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 0.370, + "unit": "/L" + }, + "high": { + "value": 0.470, + "unit": "/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8839823F-1DA8-4724-B956-7665B25096A5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628839823F1DA84724B9567665B25096A5" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "428..00", + "display": "Mean corpusc. haemoglobin(MCH)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583921000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022471000000107", + "display": "MCH - Mean corpuscular haemoglobin" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 30.100, + "unit": "pg" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 27.000, + "unit": "pg" + }, + "high": { + "value": 32.000, + "unit": "pg" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "476BB667-97FE-4761-A29A-B4C06A22C1A2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62476BB66797FE4761A29AB4C06A22C1A2" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Neutrophil count" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 6.200, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "10*9/L" + }, + "high": { + "value": 8.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "578AB598-B8C4-4282-A013-56803DC0AD9F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62578AB598B8C44282A01356803DC0AD9F" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42M..00", + "display": "Lymphocyte count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566671000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022581000000105", + "display": "Lymphocyte count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 2.200, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 1.000, + "unit": "10*9/L" + }, + "high": { + "value": 4.800, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "4B0109D0-86BE-42D3-9CC4-A28B0D71BA40", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C624B0109D086BE42D39CC4A28B0D71BA40" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Monocyte count" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 0.700, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 0.200, + "unit": "10*9/L" + }, + "high": { + "value": 0.800, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "476F133F-A18A-451A-9A90-5777AFCDA6C2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62476F133FA18A451A9A905777AFCDA6C2" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42K..00", + "display": "Eosinophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566661000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022561000000101", + "display": "Eosinophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 0.200, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "10*9/L" + }, + "high": { + "value": 0.400, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8E2D33CD-6682-4F77-923A-FB6EF652BC71", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628E2D33CD66824F77923AFB6EF652BC71" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42L..00", + "display": "Basophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567301000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022571000000108", + "display": "Basophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-02", + "issued": "2003-06-02T17:52:00+01:00", + "performer": [ + { + "reference": "Organization/F150698563D6B3908088BC38C2DFC5CF55CAF320-XOSP" + }, + { + "reference": "Organization/051B756B35F72CFBFAE0700E6078DBF3256F160F-XOSP" + }, + { + "reference": "Practitioner/602EBD158563B71F018C8A80C073AD4EDE091040-XPSP" + }, + { + "reference": "Practitioner/CBCB335A91A3B53A9DB3A2BBBD07DBB5581D07E7-XPSP" + }, + { + "reference": "HealthcareService/AC282196D0C7CC1B25DE5BB9DCBDC3F735D4A09B-XHSSP" + } + ], + "valueQuantity": { + "value": 0.100, + "unit": "10*9/L" + }, + "specimen": { + "reference": "Specimen/9F5631B5-67BE-4A36-9E4C-8A28742239FE-SPEC-2" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "10*9/L" + }, + "high": { + "value": 0.200, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/9BDA0AA6-965B-4593-82E4-E370EE6850EF" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "01A03AE1-ADC5-4A7B-B6B4-BB391F498A7C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6201A03AE1ADC54A7BB6B4BB391F498A7C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44M3.00", + "display": "Serum total protein", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577291000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000811000000109", + "display": "Serum total protein" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 79.000, + "unit": "g/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 60.000, + "unit": "g/L" + }, + "high": { + "value": 80.000, + "unit": "g/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E346D597-8A42-4631-BA4D-0C8A17F62C0D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E346D5978A424631BA4D0C8A17F62C0D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44M4.00", + "display": "Serum albumin", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571781000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000821000000103", + "display": "Serum albumin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 35.000, + "unit": "g/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 35.000, + "unit": "g/L" + }, + "high": { + "value": 50.000, + "unit": "g/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C38CCDE2-9EFB-4249-BB78-D23C312D66A4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C38CCDE29EFB4249BB78D23C312D66A4" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I8.00", + "display": "Serum calcium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560881000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000691000000101", + "display": "Serum calcium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 2.230, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 2.100, + "unit": "mmol/L" + }, + "high": { + "value": 2.550, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "5FFC469E-00A9-4F2F-AE4A-BCA589416266", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C625FFC469E00A94F2FAE4ABCA589416266" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44IC.00", + "display": "Corrected serum calcium level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "596161000006111" + }, + { + "url": "descriptionDisplay", + "valueString": "Corrected serum calcium level" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "935051000000108", + "display": "Serum adjusted calcium concentration" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 2.380, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 2.100, + "unit": "mmol/L" + }, + "high": { + "value": 2.550, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DF6691CB-9617-4701-A186-17F197A997A0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DF6691CB96174701A18617F197A997A0" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I9.00", + "display": "Serum inorganic phosphate", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573021000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000701000000101", + "display": "Serum inorganic phosphate level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "A", + "display": "Abnormal" + } + ] + }, + "comment": "U=Unsuitable for analysis", + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F76B671C-D2CE-409F-B801-4320B20D4CA4", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F76B671CD2CE409FB8014320B20D4CA4" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44F..00", + "display": "Serum alkaline phosphatase", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000621000000104", + "display": "Serum alkaline phosphatase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 130.000, + "unit": "iu/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 20.000, + "unit": "iu/L" + }, + "high": { + "value": 450.000, + "unit": "iu/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B39D6784-5532-45FB-BDCC-7F7F21A70857-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B39D6784553245FBBDCC7F7F21A70857COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:44.88+00:00", + "issued": "2010-03-26T13:45:44.88+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44Z2.00", + "display": "Bone profile", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585971000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1006761000000104", + "display": "Bone profile" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/B39D6784-5532-45FB-BDCC-7F7F21A70857" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "AB137387-5068-42C6-BC0A-FC6CE39FD813", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62AB137387506842C6BC0AFC6CE39FD813" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J9.00", + "display": "Serum urea level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560931000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000951000000103", + "display": "Serum urea level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 3.200, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 2.500, + "unit": "mmol/L" + }, + "high": { + "value": 7.500, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "A7DC554C-1738-4E1A-BF83-5144DA40CA7F", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62A7DC554C17384E1ABF835144DA40CA7F" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I5.00", + "display": "Serum sodium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560861000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000661000000107", + "display": "Serum sodium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 141.000, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 134.000, + "unit": "mmol/L" + }, + "high": { + "value": 146.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "33DFF813-0B97-4D38-906D-B477946390BE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6233DFF8130B974D38906DB477946390BE" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I4.00", + "display": "Serum potassium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573011000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000651000000109", + "display": "Serum potassium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "comment": "U=Unsuitable for analysis\nU=Unsuitable,due to delay in delivery.", + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DD3CF20D-03A5-4310-954C-47DA2D5BBFB2", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DD3CF20D03A54310954C47DA2D5BBFB2" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J3.00", + "display": "Serum creatinine", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577271000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000731000000107", + "display": "Serum creatinine level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-16", + "issued": "2003-06-18T08:00:00+01:00", + "performer": [ + { + "reference": "Organization/25A31B7A67EDF710C18555F10DF315B5F40CE0E8-XOSP" + }, + { + "reference": "Organization/1DF7956BE49C32A24C3251987FC97796429496EB-XOSP" + }, + { + "reference": "Practitioner/F1CD16C806DD61BD4EA4B44CC2F5DC57831AC81E-XPSP" + }, + { + "reference": "Practitioner/E4850D5DE51557DFA88894248F8561AE31BF073C-XPSP" + }, + { + "reference": "HealthcareService/13CF782AC59B0078E24F9E91EBE6684B3F078662-XHSSP" + } + ], + "valueQuantity": { + "value": 85.000, + "unit": "umol/L" + }, + "specimen": { + "reference": "Specimen/BCF44D34-EDC9-4310-BEB4-E45E1441957B-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 50.000, + "unit": "umol/L" + }, + "high": { + "value": 120.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CDC2077F-F701-47F9-AFF9-87E8C07E8C69-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CDC2077FF70147F9AFF987E8C07E8C69COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:45.053+00:00", + "issued": "2010-03-26T13:45:45.053+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44JB.00", + "display": "Urea and electrolytes", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571841000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000971000000107", + "display": "Urea and electrolytes level" + } + ] + }, + "comment": "(EMISTest) - Normal - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CDC2077F-F701-47F9-AFF9-87E8C07E8C69" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "05E6D1C6-9B66-4D02-8FC3-C5CF3CC0EB1C-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6205E6D1C69B664D028FC3C5CF3CC0EB1CCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:45.083+00:00", + "issued": "2010-03-26T13:45:45.083+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CS.00", + "display": "Serum C reactive protein level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2607141000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1001371000000100", + "display": "Serum CRP (C reactive protein) level" + } + ] + }, + "comment": "(EMISTest) - Abnormal - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/05E6D1C6-9B66-4D02-8FC3-C5CF3CC0EB1C" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CFAF8307-C6B6-4EB4-A69D-81DDE4D2CD91-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CFAF8307C6B64EB4A69D81DDE4D2CD91COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:45.083+00:00", + "issued": "2010-03-26T13:45:45.083+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R7.00", + "display": "Serum iron level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2558201000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1019351000000105", + "display": "Serum iron level" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/CFAF8307-C6B6-4EB4-A69D-81DDE4D2CD91" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "45F8816D-FC99-4131-ABE6-01CD8A8DE49C-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6245F8816DFC994131ABE601CD8A8DE49CCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-03-26T13:45:45.1+00:00", + "issued": "2010-03-26T13:45:45.1+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42R5.00", + "display": "Serum TIBC", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2580111000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015451000000101", + "display": "Serum total iron binding capacity" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/45F8816D-FC99-4131-ABE6-01CD8A8DE49C" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "D6050BB4-0BB2-4481-A0B2-88C94807BEEF", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62D6050BB40BB24481A0B288C94807BEEF" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CU.00", + "display": "Plasma alkaline phosphatase level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2562271000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1013041000000106", + "display": "Plasma alkaline phosphatase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 166.000, + "unit": "IU/L 37C" + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 120.000, + "unit": "IU/L 37C" + }, + "high": { + "value": 460.000, + "unit": "IU/L 37C" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F4014842-A140-4B4F-9F5F-EE3C49892D16", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F4014842A1404B4F9F5FEE3C49892D16" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44MI.00", + "display": "Plasma albumin level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2579761000000115" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1013361000000105", + "display": "Plasma albumin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 42.000, + "unit": "g/L" + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 32.000, + "unit": "g/L" + }, + "high": { + "value": 47.000, + "unit": "g/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "EAE91006-6F22-476E-BFF4-08FE121F42C6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62EAE910066F22476EBFF408FE121F42C6" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44MA.00", + "display": "Plasma total protein", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2585771000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005651000000101", + "display": "Plasma total protein" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 72.000, + "unit": "g/L" + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 63.000, + "unit": "g/L" + }, + "high": { + "value": 80.000, + "unit": "g/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "820006B7-2AF3-4C07-B33A-E3C4B65338B1", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62820006B72AF34C07B33AE3C4B65338B1" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44GA.00", + "display": "Plasma alanine aminotransferase level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2552341000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1013211000000103", + "display": "Plasma alanine aminotransferase level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 118.000, + "unit": "IU/L 37C" + }, + "interpretation": { + "coding": [ + { + "system": "http://terminology.hl7.org/CodeSystem/v2-0078", + "code": "H", + "display": "High" + } + ] + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 5.000, + "unit": "IU/L 37C" + }, + "high": { + "value": 42.000, + "unit": "IU/L 37C" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CE493BAD-46EF-4C81-B14C-45827C3E4C7B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CE493BAD46EF4C81B14C45827C3E4C7B" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44E9.00", + "display": "Plasma total bilirubin level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2581821000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997561000000103", + "display": "Plasma total bilirubin level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-06-27", + "issued": "2003-06-28T11:23:00+01:00", + "performer": [ + { + "reference": "Organization/93D9CA6EEB8DD92E595EF0F3460EBDF2471E6789-XOSP" + }, + { + "reference": "Organization/251D9F5E1C8D9F746ED8E44319CE382A2E1E1D72-XOSP" + }, + { + "reference": "Practitioner/F9635E07205F0C8D1E65CA0B078B0F48899158C9-XPSP" + }, + { + "reference": "Practitioner/16E277C6D83B655F60F9E56D1355F0758278EA55-XPSP" + }, + { + "reference": "HealthcareService/F0123DFA540DBC5E13D522AE20E7E59E8669CAA2-XHSSP" + } + ], + "valueQuantity": { + "value": 17.000, + "unit": "umol/L" + }, + "specimen": { + "reference": "Specimen/23E01304-867A-4645-BDF8-035FEB2C7A41-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "umol/L" + }, + "high": { + "value": 17.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "15A8BA89-FF03-4880-B540-613745F6BFE3-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6215A8BA89FF034880B540613745F6BFE3COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:21:06.64+00:00", + "issued": "2010-02-09T12:21:06.64+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44D6.00", + "display": "Liver function test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572661000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "997531000000108", + "display": "Liver function test" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/15A8BA89-FF03-4880-B540-613745F6BFE3" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "471FD197-79B8-47C0-B5D1-6A4AFBA3D31D-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62471FD19779B847C0B5D16A4AFBA3D31DCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:21:06.813+00:00", + "issued": "2010-02-09T12:21:06.813+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44G7.00", + "display": "Plasma gamma-glutamyl transferase level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2571791000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000851000000108", + "display": "Plasma GGT (gamma-glutamyl transferase) level" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/471FD197-79B8-47C0-B5D1-6A4AFBA3D31D" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "59F968AD-21F1-4B97-96DE-D1AE22091132-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6259F968AD21F14B9796DED1AE22091132COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:21:06.83+00:00", + "issued": "2010-02-09T12:21:06.83+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44CC.00", + "display": "Plasma C reactive protein", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2569471000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "999651000000107", + "display": "Plasma C reactive protein" + } + ] + }, + "comment": "(EMISTest) - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/59F968AD-21F1-4B97-96DE-D1AE22091132" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "36DA8895-114B-40D6-9FA1-82B543D86893-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6236DA8895114B40D69FA182B543D86893COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-09T12:21:06.86+00:00", + "issued": "2010-02-09T12:21:06.86+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Comment" + }, + "comment": "(EMISTest) - Normal - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/36DA8895-114B-40D6-9FA1-82B543D86893" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "BD5058DC-7A94-4467-A422-41F8715FDEEC", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62BD5058DC7A944467A42241F8715FDEEC" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "423..00", + "display": "Haemoglobin estimation", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553471000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022431000000105", + "display": "Haemoglobin estimation" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 13.700, + "unit": "g/dL" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 11.500, + "unit": "g/dL" + }, + "high": { + "value": 16.500, + "unit": "g/dL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "F7B19B0F-7AE8-4B81-AA47-7931ADBE65FE", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62F7B19B0F7AE84B81AA477931ADBE65FE" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42H..00", + "display": "Total white cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566651000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022541000000102", + "display": "Total white cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 5.700, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 4.000, + "unit": "10*9/L" + }, + "high": { + "value": 11.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "FDAC8F0E-52C3-41E5-BE5B-7CA0C6FDC181", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FDAC8F0E52C341E5BE5B7CA0C6FDC181" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42P..00", + "display": "Platelet count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553501000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022651000000100", + "display": "Platelet count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 293.000, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 140.000, + "unit": "10*9/L" + }, + "high": { + "value": 450.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DEDB6849-33B3-4E1D-B095-58B842456136", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DEDB684933B34E1DB09558B842456136" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42A..00", + "display": "Mean corpuscular volume (MCV)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2575741000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022491000000106", + "display": "MCV - Mean corpuscular volume" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 88.300, + "unit": "fL" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 78.000, + "unit": "fL" + }, + "high": { + "value": 98.000, + "unit": "fL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "CF6655E2-CA0C-4558-B5D5-243622CAF0FA", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62CF6655E2CA0C4558B5D5243622CAF0FA" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Packed cell volume" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 0.410 + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.340 + }, + "high": { + "value": 0.470 + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "010C38C8-9940-4CB0-BDE7-F2D1F4BAAE40", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62010C38C899404CB0BDE7F2D1F4BAAE40" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "426..00", + "display": "Red blood cell (RBC) count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2567261000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022451000000103", + "display": "Red blood cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 4.660, + "unit": "10*12/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 3.900, + "unit": "10*12/L" + }, + "high": { + "value": 5.500, + "unit": "10*12/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "DA7E7FA0-F286-4C2C-8620-2CA04251D656", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62DA7E7FA0F2864C2C86202CA04251D656" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "428..00", + "display": "Mean corpusc. haemoglobin(MCH)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583921000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022471000000107", + "display": "MCH - Mean corpuscular haemoglobin" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 29.300, + "unit": "pg" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 27.000, + "unit": "pg" + }, + "high": { + "value": 32.000, + "unit": "pg" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C133CD71-10AE-49CD-A990-64EC229ACD88", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C133CD7110AE49CDA99064EC229ACD88" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "429..00", + "display": "Mean corpusc. Hb. conc. (MCHC)", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553491000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022481000000109", + "display": "MCHC - Mean corpuscular haemoglobin concentration" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 33.300, + "unit": "g/dL" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 32.000, + "unit": "g/dL" + }, + "high": { + "value": 36.000, + "unit": "g/dL" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "B594990F-11E8-435F-A6D5-AAA70A5638B6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62B594990F11E8435FA6D5AAA70A5638B6" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42Z7.00", + "display": "Red blood cell distribution width", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572271000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993501000000105", + "display": "Red blood cell distribution width" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 12.700 + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 11.500 + }, + "high": { + "value": 15.000 + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "AE444553-CB79-46EB-BA1B-177CC0D001D8", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62AE444553CB7946EBBA1B177CC0D001D8" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Neutrophil count" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 3.110, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 2.000, + "unit": "10*9/L" + }, + "high": { + "value": 8.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "064CD03E-63A0-492B-8897-C4757C73D2D0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62064CD03E63A0492B8897C4757C73D2D0" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42M..00", + "display": "Lymphocyte count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566671000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022581000000105", + "display": "Lymphocyte count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 1.940, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 1.000, + "unit": "10*9/L" + }, + "high": { + "value": 4.000, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "167BF6A8-D797-470A-B5C2-E5FC497B56AD", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62167BF6A8D797470AB5C2E5FC497B56AD" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42N..00", + "display": "Monocyte count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2583951000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022591000000107", + "display": "Monocyte count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 0.560, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.200, + "unit": "10*9/L" + }, + "high": { + "value": 0.800, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "2FC40009-302A-4429-A15B-37A35F36D4CB", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622FC40009302A4429A15B37A35F36D4CB" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42K..00", + "display": "Eosinophil count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2566661000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022561000000101", + "display": "Eosinophil count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 0.060, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 0.000, + "unit": "10*9/L" + }, + "high": { + "value": 0.700, + "unit": "10*9/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "054A8A00-1553-4DA2-BC5A-C150D4844DB0", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62054A8A0015534DA2BC5AC150D4844DB0" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Basophil count" + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 0.020, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "referenceRange": [ + { + "text": "< 0.100 10*9/L" + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E87C2915-678D-4001-9C07-CDAA9A08007C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E87C2915678D40019C07CDAA9A08007C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "4266.00", + "display": "Nucleated red blood cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2553481000000119" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1022461000000100", + "display": "Nucleated red blood cell count" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2003-07-03", + "issued": "2003-07-04T11:13:00+01:00", + "performer": [ + { + "reference": "Organization/CCB45DF2E8FF83FD39B9BB9F1CF25C1BA2EE3C7F-XOSP" + }, + { + "reference": "Organization/F235BAAC899A8A0E6C64BBC17BB133C47806398E-XOSP" + }, + { + "reference": "Practitioner/803AB134E844E6970FBCE832EB6481AA194513BC-XPSP" + }, + { + "reference": "Practitioner/F5324D7472B9E71D8465DC201B19CEC817362A63-XPSP" + }, + { + "reference": "HealthcareService/B3149A880D216D4780EC2842886A4FFFE283C663-XHSSP" + } + ], + "valueQuantity": { + "value": 0.000, + "unit": "10*9/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/E7D45D09-D343-4CDA-AC8F-942324C8B402-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "0F1AD848-FA61-4278-B273-048B0E247D39-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C620F1AD848FA614278B273048B0E247D39COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-01T09:33:13.527+00:00", + "issued": "2010-02-01T09:33:13.527+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "196411000000103", + "display": "Transfer-degraded record entry" + } + ], + "text": "Full blood count - FBC" + }, + "comment": "(EMISTest) - Normal - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/0F1AD848-FA61-4278-B273-048B0E247D39" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "768BF90A-8E36-49D0-9D29-BD3FF0DE733D-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62768BF90A8E3649D09D29BD3FF0DE733DCOMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-01T09:33:13.947+00:00", + "issued": "2010-02-01T09:33:13.947+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43A..00", + "display": "Infectious mononucleosis test", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2572281000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993571000000102", + "display": "Infectious mononucleosis test" + } + ] + }, + "comment": "(EMISTest) - Abnormal - Contact Patient", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/768BF90A-8E36-49D0-9D29-BD3FF0DE733D" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "69832EFE-727E-4270-BDF5-179851BDF295-COMM", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C6269832EFE727E4270BDF5179851BDF295COMM" + } + ], + "status": "unknown", + "code": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "37331000000100", + "display": "Comment note" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2010-02-01T09:33:13.98+00:00", + "issued": "2010-02-01T09:33:13.98+00:00", + "performer": [ + { + "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" + } + ], + "valueCodeableConcept": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "42I..00", + "display": "Differential white cell count", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2552651000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1015421000000106", + "display": "Differential white cell count" + } + ] + }, + "comment": "(EMISTest) - Normal - No Action", + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/69832EFE-727E-4270-BDF5-179851BDF295" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "54468844-4EF9-4F84-B5AC-1615687AC84D", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62544688444EF94F84B5AC1615687AC84D" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43G1.00", + "display": "Anti-nuclear factor", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2568681000000116" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "993591000000103", + "display": "Anti-nuclear factor" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/8DDBEE57-3545-490B-BE7F-EEB352A5BB6F" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "417F140A-E61F-4AC5-9421-7C3CED9EFC51", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62417F140AE61F4AC594217C3CED9EFC51" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "43F..00", + "display": "Rheumatoid factor", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2559091000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "992081000000101", + "display": "Rheumatoid factor" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-02-25", + "issued": "2005-02-25T15:53:00+00:00", + "performer": [ + { + "reference": "Organization/247FC104D57BDF7C99418152AFF60B435A7496FD-XOSP" + }, + { + "reference": "Organization/1E379F40C8A7A11C7649AF7AA29397620B4CB980-XOSP" + }, + { + "reference": "Practitioner/6E107D94B25DE71E9037F885825E95555C92ECA3-XPSP" + }, + { + "reference": "Practitioner/D2445FD97F8EDCC75A5846D7C19EC36F33070CFB-XPSP" + }, + { + "reference": "HealthcareService/44B25984AD8755175D0C25C551FAD3FCA825E17A-XHSSP" + } + ], + "comment": "NEGATIVE", + "specimen": { + "reference": "Specimen/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/8DDBEE57-3545-490B-BE7F-EEB352A5BB6F" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "9F80209D-3466-4DF2-B6BB-5C1623C09A37", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C629F80209D34664DF2B6BB5C1623C09A37" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I5.00", + "display": "Serum sodium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560861000000114" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000661000000107", + "display": "Serum sodium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 136.000, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 134.000, + "unit": "mmol/L" + }, + "high": { + "value": 147.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "FA8AD8E4-5F0E-4FE2-90DF-7E5694F3A054", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62FA8AD8E45F0E4FE290DF7E5694F3A054" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44I4.00", + "display": "Serum potassium", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2573011000000117" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000651000000109", + "display": "Serum potassium level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 4.500, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 3.500, + "unit": "mmol/L" + }, + "high": { + "value": 5.000, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "2C193166-3A4A-4569-91EA-FF93475B2DE6", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C622C1931663A4A456991EAFF93475B2DE6" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J9.00", + "display": "Serum urea level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2560931000000113" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000951000000103", + "display": "Serum urea level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 4.200, + "unit": "mmol/L" + }, + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 3.100, + "unit": "mmol/L" + }, + "high": { + "value": 7.900, + "unit": "mmol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E02A4D1C-78B2-46D1-B899-776FC940C11B", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E02A4D1C78B246D1B899776FC940C11B" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44J3.00", + "display": "Serum creatinine", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577271000000111" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1000731000000107", + "display": "Serum creatinine level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 93.000, + "unit": "umol/L" + }, + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "low": { + "value": 75.000, + "unit": "umol/L" + }, + "high": { + "value": 140.000, + "unit": "umol/L" + } + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/EBEDD7EA-EE7A-4632-BEE4-FDDA9B4D4B11" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "C737A049-F93E-4C52-AFDF-21B0D1C7298C", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ], + "security": [{ + "system":"http://hl7.org/fhir/v3/ActCode", + "code":"NOPAT", + "display":"no disclosure to patient, family or caregivers without attending provider's authorization" + }] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62C737A049F93E4C52AFDF21B0D1C7298C" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P..00", + "display": "Serum cholesterol", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2551271000000118" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005671000000105", + "display": "Serum cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 6.300, + "unit": "mmol/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/2418B6B6-C4C0-46CB-9030-5B7DD39C80FC" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "E47B3A50-EEBE-4336-AA48-5932A01BC1B5", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C62E47B3A50EEBE4336AA485932A01BC1B5" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44P5.00", + "display": "Serum HDL cholesterol level", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2577901000000110" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1005681000000107", + "display": "Serum high density lipoprotein cholesterol level" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 1.300, + "unit": "mmol/L" + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "referenceRange": [ + { + "text": "> 1.000 mmol/L" + } + ], + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/2418B6B6-C4C0-46CB-9030-5B7DD39C80FC" + } + } + ] + } + }, + { + "resource": { + "resourceType": "Observation", + "id": "8673E805-9884-4040-993A-D72AECF4D363", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" + ] + }, + "identifier": [ + { + "system": "https://EMISWeb/A82038", + "value": "E42C3D8C36174C8B88CC65AA70E09C628673E80598844040993AD72AECF4D363" + } + ], + "status": "unknown", + "category": [ + { + "coding": [ + { + "system": "http://hl7.org/fhir/observation-category", + "code": "laboratory", + "display": "Laboratory" + } + ] + } + ], + "code": { + "coding": [ + { + "system": "http://read.info/readv2", + "code": "44PF.00", + "display": "Total cholesterol:HDL ratio", + "userSelected": true + }, + { + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", + "extension": [ + { + "url": "descriptionId", + "valueId": "2602701000000112" + } + ] + } + ], + "system": "http://snomed.info/sct", + "code": "1028551000000102", + "display": "Total cholesterol:HDL (high density lipoprotein) ratio" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "effectiveDateTime": "2005-03-15", + "issued": "2005-03-16T06:01:00+00:00", + "performer": [ + { + "reference": "Organization/0F5D502CB26BF76A0D609FE2C2120BFF6713C65C-XOSP" + }, + { + "reference": "Organization/1B54140C473C3C96D21045CC253C0AA20394DABE-XOSP" + }, + { + "reference": "Practitioner/08E4423B9396154E078364456928375B7E65096E-XPSP" + }, + { + "reference": "Practitioner/71582591A402C0FDCEFADB72CFE4A0F9FA45DC79-XPSP" + }, + { + "reference": "HealthcareService/FE60AFC08E9072F26C00DED1F0E2DFD865D98CD8-XHSSP" + } + ], + "valueQuantity": { + "value": 4.800 + }, + "comment": "ReportStatus: Supplementary result", + "specimen": { + "reference": "Specimen/96B3D07D-39C1-43A7-A3E8-91214B66CC68-SPEC-0" + }, + "related": [ + { + "type": "derived-from", + "target": { + "reference": "Observation/2418B6B6-C4C0-46CB-9030-5B7DD39C80FC" + } + } + ] + } + }, + { + "resource": { + "resourceType": "PractitionerRole", + "id": "6AB948A520674A67AD0060EAF13E9CAA5E496953065B41F29577BE8F2FBD0757", + "meta": { + "versionId": "5290841605602435907", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" + ] + }, + "practitioner": { + "reference": "Practitioner/6AB948A5-2067-4A67-AD00-60EAF13E9CAA" + }, + "organization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + }, + "code": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1", + "code": "R0260", + "display": "General Medical Practitioner" + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "PractitionerRole", + "id": "C8FD0E2C31244C72AC8DABEA65537D1B5E496953065B41F29577BE8F2FBD0757", + "meta": { + "versionId": "5132273260413983624", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" + ] + }, + "practitioner": { + "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" + }, + "organization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + }, + "code": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1", + "code": "R0260", + "display": "General Medical Practitioner" + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "PractitionerRole", + "id": "744B53BD299D4604AC81167DEBC49E4B5E496953065B41F29577BE8F2FBD0757", + "meta": { + "versionId": "4011252720865109131", + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" + ] + }, + "practitioner": { + "reference": "Practitioner/744B53BD-299D-4604-AC81-167DEBC49E4B" + }, + "organization": { + "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" + }, + "code": [ + { + "coding": [ + { + "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1", + "code": "R5007", + "display": "System Administrator" + } + ] + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Consultations - uncategorised data contained in consultations", + "code": { + "coding": [ + { + "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1", + "code": "consultations-uncategorised-data-contained-in-consultations", + "display": "Consultations - uncategorised data contained in consultations" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.941+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "Observation/F1E9C0F4-8CAD-4DCA-97E4-3830EC210DFF" + } + }, + { + "item": { + "reference": "Observation/39B2E390-4A88-4CD3-9972-2B15B7612E53" + } + }, + { + "item": { + "reference": "Observation/7712A40B-06EF-422C-A521-0A05EE5C9CD2" + } + }, + { + "item": { + "reference": "Observation/A3965CBF-792B-4530-A5A3-653EAC66A1C7" + } + }, + { + "item": { + "reference": "Observation/8C5440FB-D2D7-4D52-9D11-EDFD964B9A23" + } + }, + { + "item": { + "reference": "Observation/8B1206A9-178C-4386-B290-09655ABE393F" + } + }, + { + "item": { + "reference": "Observation/F79F8391-3E09-44BF-B702-937CC484E2DC" + } + }, + { + "item": { + "reference": "Observation/E79AED21-AF47-4CD1-9EFD-5CF60459CB3F" + } + }, + { + "item": { + "reference": "Observation/CC15336B-8530-4AB3-8B81-C3DCEB427E24" + } + }, + { + "item": { + "reference": "Observation/7DAD297B-BC01-42DC-867C-ADCFAEA4490B" + } + }, + { + "item": { + "reference": "Observation/C564A3B1-DF88-48B3-948B-BFA959A9F115" + } + }, + { + "item": { + "reference": "Observation/ED4CF109-E561-4CFF-AF48-0AA8EFC2F31D" + } + }, + { + "item": { + "reference": "Observation/29F58870-E7F8-453A-99CF-1F5476F042A4" + } + }, + { + "item": { + "reference": "Observation/8DADDE91-6FCC-4428-90C5-052F396E2EA6" + } + }, + { + "item": { + "reference": "Observation/7A5FE47C-5345-4F6C-86DA-6065456A7F93" + } + }, + { + "item": { + "reference": "Observation/CD6A6C13-9FD8-432F-8D2E-0C1B02368AAB" + } + }, + { + "item": { + "reference": "Observation/1117EA03-1FAF-4BA7-B7C3-421B60143C51" + } + }, + { + "item": { + "reference": "Observation/46ABDBF9-120E-482C-900E-301CF0698532" + } + } + ] + } + }, + { + "resource": { + "resourceType": "List", + "meta": { + "profile": [ + "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" + ] + }, + "extension": [ + { + "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1", + "valueCodeableConcept": { + "coding": [ + { + "system": "http://snomed.info/sct", + "code": "1060971000000108", + "display": "General practice service" + } + ] + } + } + ], + "status": "current", + "mode": "snapshot", + "title": "Consultations - investigations contained in consultations", + "code": { + "coding": [ + { + "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1", + "code": "consultations-investigations-contained-in-consultations", + "display": "Consultations - investigations contained in consultations" + } + ] + }, + "subject": { + "reference": "Patient/E42C3D8C-3617-4C8B-88CC-65AA70E09C62" + }, + "date": "2022-05-19T15:22:36.941+00:00", + "orderedBy": { + "coding": [ + { + "system": "http://hl7.org/fhir/list-order", + "code": "event-date", + "display": "Sorted by Event Date" + } + ] + }, + "entry": [ + { + "item": { + "reference": "DiagnosticReport/BE7FAA19-6674-4700-BD30-E638C9E31948" + } + }, + { + "item": { + "reference": "DiagnosticReport/461839A4-9B28-46D4-BC27-297C46F4F80E" + } + }, + { + "item": { + "reference": "DiagnosticReport/5274130D-4FE7-4EE6-B463-B59E86F34811" + } + }, + { + "item": { + "reference": "DiagnosticReport/3F23D00A-5DC8-49B8-8FEF-0C4BD4D3B4D0" + } + }, + { + "item": { + "reference": "DiagnosticReport/B3453B4C-ACF6-40AB-B4FB-D8B736A2C7CA" + } + }, + { + "item": { + "reference": "DiagnosticReport/EEC7C3E9-0780-43BB-926E-B97D45EFDD60" + } + }, + { + "item": { + "reference": "DiagnosticReport/42A5C03B-13BB-41E9-873E-9CF3DA2DE04E" + } + }, + { + "item": { + "reference": "DiagnosticReport/56E56C3D-E9C1-42E2-ABFE-B06E04B1ADA2" + } + }, + { + "item": { + "reference": "DiagnosticReport/5A8B9936-B771-488E-9103-3331629690C4" + } + }, + { + "item": { + "reference": "DiagnosticReport/D5B1FA6D-C0BE-457D-AEC9-1CC38FD13C00" + } + }, + { + "item": { + "reference": "DiagnosticReport/2BC45D08-3F3E-4939-A1CD-72E13FA08DD4" + } + }, + { + "item": { + "reference": "DiagnosticReport/8C35F9A5-E481-419F-9D18-0B2E2118C55D" + } + }, + { + "item": { + "reference": "DiagnosticReport/9F5631B5-67BE-4A36-9E4C-8A28742239FE" + } + }, + { + "item": { + "reference": "DiagnosticReport/BCF44D34-EDC9-4310-BEB4-E45E1441957B" + } + }, + { + "item": { + "reference": "DiagnosticReport/23E01304-867A-4645-BDF8-035FEB2C7A41" + } + }, + { + "item": { + "reference": "DiagnosticReport/026A2649-A6C3-41DE-8AFB-2C7E605A33EA" + } + }, + { + "item": { + "reference": "DiagnosticReport/E7D45D09-D343-4CDA-AC8F-942324C8B402" + } + }, + { + "item": { + "reference": "DiagnosticReport/0FE006F6-40FA-44EE-BB56-9FF8C354CBB0" + } + }, + { + "item": { + "reference": "DiagnosticReport/96B3D07D-39C1-43A7-A3E8-91214B66CC68" + } + } + ] + } + } + ] +} \ No newline at end of file diff --git a/wiremock/stubs/mappings/migrateStructuredRecord PWTP9.json b/wiremock/stubs/mappings/migrateStructuredRecord PWTP9.json index 04303dc2e2..bc3a37c82c 100644 --- a/wiremock/stubs/mappings/migrateStructuredRecord PWTP9.json +++ b/wiremock/stubs/mappings/migrateStructuredRecord PWTP9.json @@ -8,7 +8,7 @@ }, "response": { "status": 200, - "bodyFileName": "EMISPatientStructurede2eResponsePWTP9.json", + "bodyFileName": "diagnostic_specimen_test.json", "headers": { "Server": "nginx", "Date": "{{now format='E, d MMM y HH:mm:ss z'}}",