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        "title": "Cardiology Service Discharge Summary",
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              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Reason for admission</th><td>ECG: inferior ischaemia</td></tr><tr><th>Admission method</th><td>Accident and emergency or dental casualty department of the Health Care Provider</td></tr><tr><th>Source of admission</th><td>NHS other Hospital Provider - Ward for general Patients or the younger physically \ndisabled or A and E department</td></tr><tr><th>Date/time of admission</th><td>12-Feb-2015 09:00</td></tr></tbody></table></div>"
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Causative agent</th><td>Penicillin -class of antibiotic-</td></tr><tr><th>Reaction details</th><td><p>Description of reaction: Eruption due to drug</p><p>Date recorded: 12 February 2015</p><p>Severity: Mild</p><p>Certainty: Certain</p><p>Comment: No swelling</p></td></tr></tbody></table></div>"
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Assessment scale</th><td>TIMI assessment</td></tr></tbody></table></div>"
            }
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Clinical Summary</th></tr><tr><td><p>60 year old man complaining of chest pain lasting around 2 hours.</p><p>Examination unremarkable.</p><p>Inferior ischaemic changes on ECGs.</p><p>Coronary angiogram demonstrated diseased RCA, drug eluting stent successfully placed.</p><p>Appropriate secondary prevention medications prescribed for follow up with Cardiac Rehabilitation team.</p></td></tr></tbody></table></div>"
            }
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            "title": "Diagnoses",
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Diagnosis name</th><td>Chest pain</td></tr><tr><th>Comment</th><td>Patient arrived in Accident and Emergency complaining of chest pain and admitted to \nward for further tests.</td></tr><tr><th>Diagnosis name</th><td>Coronary arteriosclerosis</td></tr><tr><th>Comment</th><td>The coronary angiogram indicates a diseased RCA.</td></tr><tr><th>Diagnosis name</th><td>ECG: inferior ischaemia</td></tr><tr><th>Comment</th><td>ECG shows inferior ischaemic changes.</td></tr></tbody></table></div>"
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Discharging consultant</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>Discharging specialty/department</th><td>Cardiology</td></tr><tr><th>Discharge location</th><td><p>Name: Cramer ward</p><p>Identifier: RR8CRAM</p></td></tr><tr><th>Date/time of discharge</th><td>16-Feb-2015 15:00</td></tr><tr><th>Discharge method</th><td>Patient discharged on clinical advice or with clinical consent</td></tr><tr><th>Discharge destination</th><td>Discharge type: Usual place of residence unless listed below, for example, \na private dwelling whether owner occupied or owned by Local Authority, housing association \nor other landlord. This includes wardened accommodation but not residential accommodation \nwhere health care is provided. It also includes Patients with no fixed abode.</td></tr></tbody></table></div>"
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              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Mrs</p><p>Given Name: Angela</p><p>Family Name: Jones</p></td></tr><tr><th>Role</th><td>Community Nurse</td></tr><tr><th>Organisation</th><td>Leeds Community Healthcare NHS Trust</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>Role</th><td>General Medical Practitioner</td></tr><tr><th>Organisation</th><td>MGP Medical Centre</td></tr></tbody></table></div>"
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>GP name</th><td><p>Prefix: Dr</p><p>Given Name: John</p><p>Family Name: Lorenzo</p></td></tr><tr><th>GP practice details</th><td><p>Name: MGP Medical Centre</p><p>Address:</p><p>Address Line: 1 MGP House, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 7PA</p></td></tr></tbody></table></div>"
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Individual requirements</th><td>Hospital needs to arrange for transportation to the patient's home.</td></tr></tbody></table></div>"
            }
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          {
            "title": "Information and advice given",
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Information and advice given</th><td><p>Patient seen by Cardiac Rehab and information given regarding the diagnosis and \npossible life style changes when he is discharged.</p><p>Richard is concerned about whether he can drive and asks about this as he is a self employed electrician.</p><p>Dr Paul Rastall advised him that he should not to drive for at least a week, \nbut reassured him that he should be able to drive once recovered and said \nhe will arrange for a community follow-up.</p></td></tr></tbody></table></div>"
            }
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          {
            "title": "Investigation results",
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                  "system": "http://snomed.info/sct",
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            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table><tbody><tr><th>Investigation result</th></tr><tr><td><pre>Full Blood Count \n \nTestValueUnitsReference Range\nWhite Cell Count11.1x10*9/L3.5 - 10.0\nRed Cell Count5.0x10*12/L4.25 - 5.75 \nHaemoglobin150g/L13.0 - 17.0\nHaematocrit0.2300.400 - 0.500\nMean Cell Volume90fL84 - 98\nMean Cell Hb33.0pg27.5 - 32.0\nMean Cell Hb Con34.0pg31.0 - 35.0\nRDW12.0%&lt; 14.5\nPlatelet Count300x10*9/L150 - 400\n\nMachine Differential \n \nTest ValueUnits Reference Range\nNeutrophils7.0x10*9/L1.7 - 7.5\nLymphocytes3.5x10*9/L1.0 - 3.5 \nMonocytes0.3x10*9/L&lt; 0.6 \nEosinophils0.4x10*9/L&lt; 0.4 \nBasophils0.1x10*9/L&lt; 0.1 \nLUCs0.2x10*9/L&lt; 0.4</pre></td></tr></tbody></table></div>"
            }
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          {
            "title": "Medications and medical devices",
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                  "system": "http://snomed.info/sct",
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                  "display": "Medications and medical devices"
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            "text": {
              "status": "extensions",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Medication item</th><td>Medication name: Ramipril 2.5mg tablets</td><td>Form: Chewable tablet</td><td>Route: Oral</td><td>Dose directions description: One 2.5mg tablet once a day.</td></tr><tr><th>Medication change</th><td colspan=\"4\">Status: Continued</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication item</th><td>Medication name: Aspirin 75mg gastro-resistant tablets</td><td>Form: Chewable tablet</td><td>Route: Oral</td><td>Dose directions description: Take one 75mg tablet once a day.</td></tr><tr><th>Medication change</th><td colspan=\"4\">Status: Continued</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication item</th><td>Medication name: Clopidogrel 75mg tablets</td><td>Form: Chewable tablet</td><td>Route: Oral</td><td>Dose directions description: Take one 75mg tablet daily for one year then stop.</td></tr><tr><th>Medication change</th><td colspan=\"4\">Status: Added</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication item</th><td>Medication name: Simvastatin 40mg tablets</td><td>Form: Chewable tablet</td><td>Route: Oral</td><td>Dose directions description: Take one 40mg tablet once a day.</td></tr><tr><th>Medication change</th><td colspan=\"4\">Status: Continued</td></tr></tbody></table><table width=\"100%\"><tbody><tr><th>Medication item</th><td>Medication name: Bisoprolol 5mg tablets</td><td>Form: Chewable tablet</td><td>Route: Oral</td><td>Dose directions description: Take one 5mg tablet daily.</td></tr><tr><th>Course details</th><td colspan=\"4\">Comment/recommendation: Uptitrate according to BP and HR</td></tr><tr><th>Medication change</th><td colspan=\"4\">Status: Continued</td></tr></tbody></table></div>"
            },
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            "title": "Patient and carer concerns, expectations and wishes",
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Patient and carer concerns, expectations and wishes</th><td>The carer is concerned about the possibility of the patient suffering from a heart attack, \n bearing a similarity to the illness of the mother of the patient. \n The patient is worried about the impact of their illness on their ability to work and drive.</td></tr></tbody></table></div>"
            }
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          {
            "title": "Patient demographics",
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              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Patient name</th><td><p>Prefix: Mr</p><p>Given Name: Richard</p><p>Family Name: Smith</p></td></tr><tr><th>Date of birth</th><td>1 January 1957</td></tr><tr><th>Gender</th><td>Male</td></tr><tr><th>NHS number</th><td>1352465790</td></tr><tr><th>Patient address</th><td><p>Address Line: 21, Grove Street, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 1PF</p></td></tr><tr><th>Relevant contacts</th><td>\n                                 Name: Joy Smith\n                                 <p>Relationship: Next of kin</p><p>Contact details: Tel. 0712345678 Email. mrssmith@mymail.com</p></td></tr></tbody></table></div>"
            },
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          {
            "title": "Person completing record",
            "code": {
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                  "system": "http://snomed.info/sct",
                  "code": "887231000000104",
                  "display": "Person completing record"
                }
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            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Name</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>Role</th><td>Consultant</td></tr><tr><th>Specialty</th><td>Cardiology</td></tr><tr><th>Professional identifier</th><td>GMC: 6122477</td></tr><tr><th>Date and time completed</th><td>17 Feb 2015 10:00</td></tr><tr><th>Contact details</th><td>Phone: 0113 6323200 (Work)</td></tr><tr><th>Organisation</th><td><p>Name: Leeds Teaching Hospitals NHS Trust,</p><p>Address Line: St James's University Hospital, Beckett Street</p><p>City: Leeds</p><p>Post Code: LS9 7TF</p></td></tr></tbody></table></div>"
            },
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          {
            "title": "Plan and requested actions",
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                  "display": "Plan and requested actions"
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            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Actions for healthcare professionals</th><td>\n                                 GP please continue secondary preventative medication.\n                                 <p>Status: Requested</p><p>Doses will be uptitrated by Cardiac Rehab team.</p><p>Status: Requested</p></td></tr><tr><th>Actions for patient or their carer</th><td>Patient to attend community follow up after discharge.</td></tr><tr><th>Agreed with patient or legitimate patient representative</th><td>Patient agreed to avoid driving for one week on discharge.</td></tr></tbody></table></div>"
            }
          },
          {
            "title": "Procedures",
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                  "system": "http://snomed.info/sct",
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            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Procedure name</th><td>\n                                 Percutaneous coronary intervention\n                                 <p>Anatomical site: Right coronary artery structure</p><p>Comment: Patient successfully underwent angioplasty procedure to place a drug eluting stent.</p></td></tr><tr><th>Procedure name</th><td>\n                                 Electrocardiographic monitoring\n                                 <p>Comment: ECGs showed inferior ischaemic changes and diseased RCA.</p></td></tr></tbody></table></div>"
            },
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          {
            "title": "Referrer details",
            "code": {
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                  "system": "http://snomed.info/sct",
                  "code": "1052891000000108",
                  "display": "Referrer details"
                }
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            "text": {
              "status": "generated",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Referrer details</th><td><p>Name:</p><p>Prefix: Dr.</p><p>Given name: Amanda</p><p>Family name: Smith</p><p>Role: Specialist Registrar</p><p>Tel: 0113 6323222 (work)</p><p>Organisation</p><p>Name: St. James's University Hospital Accident and Emergency Department</p><p>Address Line: St James's University Hospital, Beckett Street</p><p>City: Leeds</p><p>Post Code: LS9 7TF</p></td></tr></tbody></table></div>"
            },
            "entry": [
              {
                "reference": "urn:uuid:d791b058-2624-436a-bc02-db38d65325b8"
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              {
                "reference": "urn:uuid:5f76e146-3eaa-4f0e-aa3b-8d26b8b2febe"
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            ]
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          {
            "title": "Social context",
            "code": {
              "coding": [
                {
                  "system": "http://snomed.info/sct",
                  "code": "887051000000101",
                  "display": "Social context"
                }
              ]
            },
            "text": {
              "status": "additional",
              "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Household composition</th><td>Lives with wife</td></tr><tr><th>Occupational history</th><td>Self employed electrician</td></tr></tbody></table></div>"
            }
          }
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        "participant": [
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