Examples
NEWS2 example
<Bundle xmlns="http://hl7.org/fhir"> <id value="news2-report" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/RCB/PAS" /> <value value="14038913245354" /> </identifier> <type value="message" /> <entry> <fullUrl value="urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448" /> <resource> <MessageHeader> <id value="22ed2deb-effa-408c-9437-d3c4975ff448" /> <eventCoding> <system value="https://fhir.lhcre.nhs.uk/CodeSystem/message-event" /> <code value="unsolicited-observation" /> <display value="Unsolicited Observations" /> </eventCoding> <destination> <name value="ROUTE" /> <target> <display value="ROUTE" /> </target> <endpoint value="ROUTE" /> </destination> <sender> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="RCB" /> </identifier> <display value="RCB" /> </sender> <source> <name value="PAS" /> <endpoint value="PAS" /> </source> <focus> <reference value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" /> </focus> </MessageHeader> </resource> </entry> <entry> <fullUrl value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" /> <resource> <DiagnosticReport> <id value="3915b469-57b7-470f-942f-e276c4458d63" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374" /> </identifier> <status value="unknown" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="118227000" /> <display value="Vital Signs" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <effectivePeriod> <start value="2018-05-21T13:45:05+01:00" /> </effectivePeriod> <result> <reference value="urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" /> </result> <result> <reference value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" /> </result> <result> <reference value="urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" /> </result> <result> <reference value="urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" /> </result> <result> <reference value="urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" /> </result> <result> <reference value="urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" /> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" /> <resource> <Observation> <id value="11842d63-f473-4374-a00d-4caffc94c0f5" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-1" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="364075005" /> <display value="Heart Rate" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <effectiveDateTime value="2018-05-11T22:05:25+01:00" /> <valueQuantity> <value value="73.0" /> <unit value="/min" /> </valueQuantity> <referenceRange> <text value="60-100" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" /> <resource> <Observation> <id value="926b9534-c247-45da-916c-b5bbbfb3da6d" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-2" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="103228002" /> <display value="Blood oxygen saturation" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <effectiveDateTime value="2018-05-11T22:05:25+01:00" /> <valueQuantity> <value value="98.0" /> <unit value="%" /> </valueQuantity> <referenceRange> <text value="94-100" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" /> <resource> <Observation> <id value="ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-3" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="722742002" /> <display value="Breathing room air" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" /> <resource> <Observation> <id value="87e13a1f-0173-415a-9f5d-66ac2746b382" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-4" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1104441000000107" /> <display value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="248234008" /> <display value="Mentally alert" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" /> <resource> <Observation> <id value="3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-5" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="86290005" /> <display value="Respiratory rate" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <valueQuantity> <value value="20.0" /> <unit value="/min" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" /> <resource> <Observation> <id value="6c87c7b5-632f-431d-b15d-fad1d93d360c" /> <identifier> <system value="https://fhir.mytrust.nhs.uk/Id/NK" /> <value value="108512374-BP" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="75367002" /> <display value="Blood Pressure" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="72313002" /> <display value="Systolic arterial pressure" /> </coding> </code> <valueQuantity> <value value="132.0" /> <unit value="mm[Hg]" /> </valueQuantity> </component> <component> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1091811000000102" /> <display value="Diastolic arterial pressure" /> </coding> </code> <valueQuantity> <value value="86.0" /> <unit value="mm[Hg]" /> </valueQuantity> </component> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> <resource> <Patient> <id value="d980f514-8d01-4d6b-9b52-29436fda1231" /> <identifier> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus" /> <code value="01" /> </coding> </valueCodeableConcept> </extension> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="3333333333" /> </identifier> <name> <family value="SMITH" /> <given value="FREDRICA" /> <prefix value="MRS" /> </name> <telecom> <system value="phone" /> <value value="+441234567890" /> <use value="home" /> </telecom> <gender value="female" /> <birthDate value="1965-12-13" /> <address> <use value="home" /> <city value="MALTON" /> <district value="NORTH YORKSHIRE" /> <postalCode value="YO32 5TT" /> </address> <generalPractitioner> <identifier> <system value="https://fhir.hl7.org.uk/Id/gmc-number" /> <value value="G5612908" /> </identifier> <display value="Dr Gregory Townley" /> </generalPractitioner> <managingOrganization> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="Y06601" /> </identifier> <display value="MALTON GP PRACTICE" /> </managingOrganization> </Patient> </resource> </entry> </Bundle>
{ "resourceType": "Bundle", "id": "news2-report", "identifier": { "system": "https://fhir.mytrust.nhs.uk/Id/RCB/PAS", "value": "14038913245354" }, "type": "message", "entry": [ { "fullUrl": "urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448", "resource": { "resourceType": "MessageHeader", "id": "22ed2deb-effa-408c-9437-d3c4975ff448", "eventCoding": { "system": "https://fhir.lhcre.nhs.uk/CodeSystem/message-event", "code": "unsolicited-observation", "display": "Unsolicited Observations" }, "destination": [ { "name": "ROUTE", "target": { "display": "ROUTE" }, "endpoint": "ROUTE" } ], "sender": { "identifier": { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "RCB" }, "display": "RCB" }, "source": { "name": "PAS", "endpoint": "PAS" }, "focus": [ { "reference": "urn:oid:3915b469-57b7-470f-942f-e276c4458d63" } ] } }, { "fullUrl": "urn:oid:3915b469-57b7-470f-942f-e276c4458d63", "resource": { "resourceType": "DiagnosticReport", "id": "3915b469-57b7-470f-942f-e276c4458d63", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374" } ], "status": "unknown", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "118227000", "display": "Vital Signs" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "effectivePeriod": { "start": "2018-05-21T13:45:05+01:00" }, "result": [ { "reference": "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" }, { "reference": "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" }, { "reference": "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" }, { "reference": "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" }, { "reference": "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" }, { "reference": "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" } ] } }, { "fullUrl": "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5", "resource": { "resourceType": "Observation", "id": "11842d63-f473-4374-a00d-4caffc94c0f5", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-1" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "364075005", "display": "Heart Rate" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "effectiveDateTime": "2018-05-11T22:05:25+01:00", "valueQuantity": { "value": 73.0, "unit": "/min" }, "referenceRange": [ { "text": "60-100" } ] } }, { "fullUrl": "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d", "resource": { "resourceType": "Observation", "id": "926b9534-c247-45da-916c-b5bbbfb3da6d", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-2" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "103228002", "display": "Blood oxygen saturation" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "effectiveDateTime": "2018-05-11T22:05:25+01:00", "valueQuantity": { "value": 98.0, "unit": "%" }, "referenceRange": [ { "text": "94-100" } ] } }, { "fullUrl": "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46", "resource": { "resourceType": "Observation", "id": "ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-3" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "722742002", "display": "Breathing room air" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" } } }, { "fullUrl": "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382", "resource": { "resourceType": "Observation", "id": "87e13a1f-0173-415a-9f5d-66ac2746b382", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-4" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1104441000000107", "display": "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "valueCodeableConcept": { "coding": [ { "system": "http://snomed.info/sct", "code": "248234008", "display": "Mentally alert" } ] } } }, { "fullUrl": "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92", "resource": { "resourceType": "Observation", "id": "3d69129a-7c83-4fa4-adbb-d21a8d5d7d92", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-5" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "86290005", "display": "Respiratory rate" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "valueQuantity": { "value": 20.0, "unit": "/min" } } }, { "fullUrl": "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c", "resource": { "resourceType": "Observation", "id": "6c87c7b5-632f-431d-b15d-fad1d93d360c", "identifier": [ { "system": "https://fhir.mytrust.nhs.uk/Id/NK", "value": "108512374-BP" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "75367002", "display": "Blood Pressure" } ] }, "subject": { "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" }, "component": [ { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "72313002", "display": "Systolic arterial pressure" } ] }, "valueQuantity": { "value": 132.0, "unit": "mm[Hg]" } }, { "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "1091811000000102", "display": "Diastolic arterial pressure" } ] }, "valueQuantity": { "value": 86.0, "unit": "mm[Hg]" } } ] } }, { "fullUrl": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231", "resource": { "resourceType": "Patient", "id": "d980f514-8d01-4d6b-9b52-29436fda1231", "identifier": [ { "extension": [ { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus", "code": "01" } ] } } ], "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "3333333333" } ], "name": [ { "family": "SMITH", "given": [ "FREDRICA" ], "prefix": [ "MRS" ] } ], "telecom": [ { "system": "phone", "value": "+441234567890", "use": "home" } ], "gender": "female", "birthDate": "1965-12-13", "address": [ { "use": "home", "city": "MALTON", "district": "NORTH YORKSHIRE", "postalCode": "YO32 5TT" } ], "generalPractitioner": [ { "identifier": { "system": "https://fhir.hl7.org.uk/Id/gmc-number", "value": "G5612908" }, "display": "Dr Gregory Townley" } ], "managingOrganization": { "identifier": { "system": "https://fhir.nhs.uk/Id/ods-organization-code", "value": "Y06601" }, "display": "MALTON GP PRACTICE" } } } ] }
remora-daily
<Bundle xmlns="http://hl7.org/fhir"> <id value="epro-daily" /> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="69046ae8-cc9b-4e57-9aba-00569bcb638c" /> </identifier> <type value="message" /> <entry> <fullUrl value="urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448" /> <resource> <MessageHeader> <eventCoding> <system value="https://fhir.lhcre.nhs.uk/CodeSystem/message-event" /> <code value="patient-form" /> <display value="Patient Form" /> </eventCoding> <destination> <name value="GM Rhapsody" /> <target> <display value="GM Rhapsody" /> </target> <endpoint value="https://urlofrhapsodyendpoint" /> </destination> <sender> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="QRP" /> </identifier> <display value="GM ePRO" /> </sender> <source> <name value="ePRO" /> <endpoint value="https://urlofepro" /> </source> <focus> <reference value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" /> </focus> </MessageHeader> </resource> </entry> <entry> <fullUrl value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" /> <resource> <QuestionnaireResponse> <identifier> <system value="https://fhir.epro.uk/Id/FormId" /> <value value="108512374" /> </identifier> <questionnaire value="https://fhir.gm.nhs.uk/Questionnaire/remora-daily" /> <status value="completed" /> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <authored value="2020-09-24T04:44:16+00:00" /> <source> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </source> <item> <linkId value="1.1" /> <text value="Pain" /> <answer> <valueReference> <reference value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" /> </valueReference> </answer> </item> <item> <linkId value="1.2" /> <text value="Function" /> <answer> <valueInteger value="5" /> </answer> </item> <item> <linkId value="1.3" /> <text value="Fatigue" /> <answer> <valueInteger value="5" /> </answer> </item> <item> <linkId value="1.4" /> <text value="Sleep" /> <answer> <valueInteger value="5" /> </answer> </item> <item> <linkId value="1.5" /> <text value="Physical well-being" /> <answer> <valueInteger value="6" /> </answer> </item> <item> <linkId value="1.6" /> <text value="Emotional well-being" /> <answer> <valueInteger value="7" /> </answer> </item> <item> <linkId value="1.7" /> <text value="Coping" /> <answer> <valueInteger value="4" /> </answer> </item> <item> <linkId value="1.9" /> <text value="Morning stiffness" /> <answer> <valueInteger value="60" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" /> <resource> <Observation> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="443394008" /> <display value="Visual analogue scale pain score" /> </coding> </code> <subject> <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> </subject> <effectiveDateTime value="2020-09-24T04:44:16+00:00" /> <valueQuantity> <value value="5" /> </valueQuantity> <referenceRange> <text value="0-10" /> </referenceRange> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" /> <resource> <Patient> <id value="d980f514-8d01-4d6b-9b52-29436fda1231" /> <identifier> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus" /> <code value="01" /> </coding> </valueCodeableConcept> </extension> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="3333333333" /> </identifier> <name> <family value="SMITH" /> <given value="FREDRICA" /> <prefix value="MRS" /> </name> <telecom> <system value="phone" /> <value value="+441234567890" /> <use value="home" /> </telecom> <gender value="female" /> <birthDate value="1965-12-13" /> <address> <use value="home" /> <city value="MALTON" /> <district value="NORTH YORKSHIRE" /> <postalCode value="YO32 5TT" /> </address> <generalPractitioner> <identifier> <system value="https://fhir.hl7.org.uk/Id/gmc-number" /> <value value="G5612908" /> </identifier> <display value="Dr Gregory Townley" /> </generalPractitioner> <managingOrganization> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="Y06601" /> </identifier> <display value="MALTON GP PRACTICE" /> </managingOrganization> </Patient> </resource> </entry> </Bundle>
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pathology
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value="urn:oid:13eae6c0-5318-49d4-b222-448cb61efb3f" /> </result> <result> <reference value="urn:oid:57ac3c7f-9afa-483e-a340-9bd6ba5b879b" /> </result> <result> <reference value="urn:oid:464fb5be-e3a7-4820-94dc-f920f1e58a00" /> </result> <result> <reference value="urn:oid:a58414a0-91f1-4d00-9cca-9da4405ac966" /> </result> <result> <reference value="urn:oid:30662a39-9d1a-41df-a06d-70f6541f3f14" /> </result> <result> <reference value="urn:oid:4a0e28a2-d223-45bb-a813-babd7dba3cba" /> </result> <result> <reference value="urn:oid:ffdd8254-9e2f-4f93-a10d-9a17ed8ccf82" /> </result> <result> <reference value="urn:oid:17e95cbd-e3ac-4508-abe6-d68944426d98" /> </result> </DiagnosticReport> </resource> </entry> <entry> <fullUrl value="urn:oid:484aa19c-b75a-4877-b5fc-98552fa7a031" /> <resource> <Observation> <identifier> <system value="urn:oid:" /> <value value="484aa19c-b75a-4877-b5fc-98552fa7a031" /> </identifier> <status value="unknown" /> <code> <coding> <system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" /> <code value="1UE" /> <display value="Urea+Electrolytes" /> </coding> </code> <subject> <reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" /> </subject> <effectiveDateTime value="2020-02-26T14:54:00.000Z" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:oid:3af4a735-6135-43e2-855c-9308dde119a4" /> <resource> <Observation> <identifier> <system value="urn:oid:" /> <value value="3af4a735-6135-43e2-855c-9308dde119a4" /> </identifier> <status value="corrected" /> <code> <coding> <system value="https://fhir.christie.nhs.uk/CodeSystem/OBS" /> <code value="1NA" /> <display value="Sodium" /> </coding> <coding> <system value="https://snomed.info" /> <code value="1020681000000107" /> <display value="Sodium level" /> </coding> </code> <subject> <reference value="urn:oid:8f9ed341-9876-4b1e-91ac-0380fc27b976" /> </subject> <effectiveDateTime value="2020-02-26T14:54:00.000Z" /> <performer> <reference 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frailty and dementia Care Plan
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value="urn:uuid:56f112d6751ea0ed112315a384ca804f" /> </valueReference> </answer> </item> <item> <linkId value="39" /> <text value="Resource with id KEY_WORKER" /> <answer> <valueReference> <reference value="urn:uuid:0006e8cc1411a43d65f6fb3360ffdabc" /> </valueReference> </answer> </item> <item> <linkId value="40" /> <text value="Resource with id FORMAL_CARER1" /> <answer> <valueReference> <reference value="urn:uuid:4517e1c9516c713d928899fdb0a1cdfa" /> </valueReference> </answer> </item> <item> <linkId value="41" /> <text value="Resource with id FORMAL_CARER2" /> <answer> <valueReference> <reference value="urn:uuid:f3d7e8b0ec5330751e2be4907e03992d" /> </valueReference> </answer> </item> <item> <linkId value="42" /> <text value="Resource with id FORMAL_CARER_4" /> <answer> <valueReference> <reference value="urn:uuid:dae8c06948c1ef09bd8550ffc398dbd5" /> </valueReference> </answer> </item> <item> <linkId value="43" /> <text value="Resource with id MAIN_INFORMAL_CARER" /> <answer> <valueReference> <reference value="urn:uuid:59a753b982edd27e3710f5c66412e4e6" /> </valueReference> </answer> </item> <item> <linkId value="44" /> <text value="Missing Link CarePlan" /> <answer> <valueReference> <reference value="urn:uuid:3977f3566b05e392664387b68f12e5f1" /> </valueReference> </answer> </item> <item> <linkId value="45" /> <text value="Missing Link DocumentReference" /> <answer> <valueReference> <reference value="urn:uuid:cecf91fb2e6a6a3e0ee3aaebc42d288f" /> </valueReference> </answer> </item> <item> <linkId value="46" /> <text value="Missing Link Condition" /> <answer> <valueReference> <reference value="urn:uuid:c3c913d9241f9284995f4a9dd2f156d1" /> </valueReference> </answer> </item> <item> <linkId value="47" /> <text value="Missing Link Observation - Lives in supported housing" /> <answer> <valueReference> <reference value="urn:uuid:33b48bc7c6bd0e120c937f277bacd4b5" /> </valueReference> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="urn:uuid:518ece906b5a4bda434a811a8b9bf8cb" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Acquired hypothyroidism. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="97" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="C04..00" /> <display value="Acquired hypothyroidism" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="111566002" /> <display value="Acquired hypothyroidism" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Acquired hypothyroidism" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:f6a8dfbdcda6aa77ff52d11c53511b50" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Chronic renal failure. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="96" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="K05..00" /> <display value="Chronic renal failure" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="90688005" /> <display value="Chronic renal failure" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Chronic renal failure" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:fa929a7dc38328b635bd58d816547adf" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Brittle asthma. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="95" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="H334.00" /> <display value="Brittle asthma" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="225057002" /> <display value="Brittle asthma" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Brittle asthma" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:2e7a5ec04d3ea26c4518ca712873474a" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Essential hypertension. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="94" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="G20..00" /> <display value="Essential hypertension" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="59621000" /> <display value="Essential hypertension" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Essential hypertension" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:829dbcf3ab7d93f7eecb2055308a44c4" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Type 2 diabetes mellitus. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="93" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="C10F.00" /> <display value="Type 2 diabetes mellitus" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="44054006" /> <display value="Type 2 diabetes mellitus" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Type 2 diabetes mellitus" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:5c74f23a0515fac35968e10a94892903" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Chronic obstructive lung disease. Significant Problem/High Priority. Active Problem/Actual Problem.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="92" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> </coding> </clinicalStatus> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" /> <code value="1" /> <display value="Significant Problem/High Priority" /> </coding> </severity> <code> <coding> <system value="http://read.info/readv2" /> <code value="^ESCTCH271623" /> <display value="Chronic obstructive lung disease" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="13645005" /> <display value="Chronic obstructive lung disease" /> </coding> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" /> <code value="1" /> <display value="Active Problem/Actual Problem" /> </coding> <text value="Chronic obstructive lung disease" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <recordedDate value="2020-08-17" /> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:2c0ea433efaa5ebdc2d698393df0ac85" /> <resource> <MedicationRequest> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">17-Aug-2020 Levothyroxine sodium 25microgram tablets, One To Be Taken Each Morning At Least 30 Minutes Before Breakfast, Caffeine-containing Drinks Or Other Medication. 56 tablet.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="9872" /> </identifier> <status value="active" /> <intent value="order" /> <medicationCodeableConcept> <text value="Levothyroxine sodium 25microgram tablets" /> </medicationCodeableConcept> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <authoredOn value="2020-08-17" /> <dosageInstruction> <text value="One To Be Taken Each Morning At Least 30 Minutes Before Breakfast, Caffeine-containing Drinks Or Other Medication" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="56" /> <unit value="tablet" /> </quantity> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:84498397bce2bf3650c06ec32ae88003" /> <resource> <MedicationRequest> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">17-Aug-2020 Bumetanide 1mg tablets, Half A Tablet To Be Taken Each Morning. 28 tablet.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="9873" /> </identifier> <status value="active" /> <intent value="order" /> <medicationCodeableConcept> <text value="Bumetanide 1mg tablets" /> </medicationCodeableConcept> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <authoredOn value="2020-08-17" /> <dosageInstruction> <text value="Half A Tablet To Be Taken Each Morning" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="28" /> <unit value="tablet" /> </quantity> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:b77daa25afdf1522dc4c6af26dc1cd33" /> <resource> <MedicationRequest> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">17-Aug-2020 Simvastatin 10mg tablets, One To Be Taken At Night. 56 tablet.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="9874" /> </identifier> <status value="active" /> <intent value="order" /> <medicationCodeableConcept> <text value="Simvastatin 10mg tablets" /> </medicationCodeableConcept> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <authoredOn value="2020-08-17" /> <dosageInstruction> <text value="One To Be Taken At Night" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="56" /> <unit value="tablet" /> </quantity> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:72f128f8cb206e5864e3de7b17accebb" /> <resource> <MedicationRequest> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">17-Aug-2020 Paracetamol 500mg soluble tablets, One To Be Taken Every 4-6 Hours Up To Four Times A Day. 112 tablet.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="9875" /> </identifier> <status value="active" /> <intent value="order" /> <medicationCodeableConcept> <text value="Paracetamol 500mg soluble tablets" /> </medicationCodeableConcept> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <authoredOn value="2020-08-17" /> <dosageInstruction> <text value="One To Be Taken Every 4-6 Hours Up To Four Times A Day" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="112" /> <unit value="tablet" /> </quantity> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:21166768afd2c26c55cadd5b1148ac79" /> <resource> <MedicationRequest> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">06-Oct-2020 Co-codamol 8mg/500mg capsules, One To Be Taken Four Times A Day. 20 capsule.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="9876" /> </identifier> <status value="active" /> <intent value="order" /> <medicationCodeableConcept> <text value="Co-codamol 8mg/500mg capsules" /> </medicationCodeableConcept> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <authoredOn value="2020-10-06" /> <dosageInstruction> <text value="One To Be Taken Four Times A Day" /> </dosageInstruction> <dispenseRequest> <quantity> <value value="20" /> <unit value="capsule" /> </quantity> </dispenseRequest> </MedicationRequest> </resource> </entry> <entry> <fullUrl value="urn:uuid:3f66aa8d032d50ddb117072ec7a0aeb3" /> <resource> <AllergyIntolerance> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Allergy to penicillin</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="98" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" /> <code value="active" /> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" /> <code value="confirmed" /> </coding> </verificationStatus> <type value="allergy" /> <code> <coding> <system value="http://read.info/readv2" /> <code value="ZV14000" /> <display value="Allergy to penicillin" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="91936005" /> <display value="Allergy to penicillin" /> </coding> <text value="Allergy to penicillin" /> </code> <patient> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </patient> <recordedDate value="2020-08-17" /> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:3a19fc8ecd8cf6474d2793e1030fd454" /> <resource> <AllergyIntolerance> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Allergy to house dust mite</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="99" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" /> <code value="active" /> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" /> <code value="confirmed" /> </coding> </verificationStatus> <type value="allergy" /> <code> <coding> <system value="http://read.info/readv2" /> <code value="^ESCTAL503512" /> <display value="Allergy to house dust mite" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="232350006" /> <display value="Allergy to house dust mite" /> </coding> <text value="Allergy to house dust mite" /> </code> <patient> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </patient> <recordedDate value="2020-08-17" /> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:6b3fe66b254383105b2a4fe9c0df0899" /> <resource> <AllergyIntolerance> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Cat allergy</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="910" /> </identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" /> <code value="active" /> </coding> </clinicalStatus> <verificationStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" /> <code value="confirmed" /> </coding> </verificationStatus> <type value="allergy" /> <code> <coding> <system value="http://read.info/readv2" /> <code value="H171.11" /> <display value="Cat allergy" /> </coding> <coding> <system value="http://snomed.info/sct" /> <code value="232346004" /> <display value="Cat allergy" /> </coding> <text value="Cat allergy" /> </code> <patient> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </patient> <recordedDate value="2020-08-17" /> </AllergyIntolerance> </resource> </entry> <entry> <fullUrl value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> <resource> <Patient> <extension url="http://fhir.blackpear.com/currentPatientType"> <valueCodeableConcept> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/StatusType/PatientType" /> <code value="5" /> <display value="Temporary" /> </coding> <text value="Temporary" /> </valueCodeableConcept> </extension> <extension url="http://fhir.blackpear.com/currentRegistrationStatus"> <valueCodeableConcept> <coding> <system value="http://www.e-mis.com/emisopen/MedicalRecord/StatusType/Code" /> <code value="8" /> <display value="Correctly registered" /> </coding> <text value="Correctly registered" /> </valueCodeableConcept> </extension> <extension url="http://fhir.blackpear.com/currentRegistrationPeriod"> <valuePeriod> <start value="2020-04-21" /> </valuePeriod> </extension> <extension url="http://fhir.blackpear.com/patientAddress#temporary"> <valueString value="564b Test Street, Test Town, Greater Manchester, M23 8JH" /> </extension> <extension url="http://fhir.blackpear.com/patientGPSystem"> <valueString value="EMIS" /> </extension> <identifier> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9690869035" /> </identifier> <identifier> <system 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</CarePlan> </resource> </entry> <entry> <fullUrl value="urn:uuid:ca4273f1533c32a9b5e39433ff801c25" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Inform patient status: Patient has been informed frailty_dementia record will be shared</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="INFORM_PATIENT_STATUS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="INFORM_PATIENT_STATUS" /> <display value="Inform patient status" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_INFORMED_FRAILTY_DEMENTIA_SHARING_BASIS" /> <display value="Patient has been informed frailty_dementia record will be shared" /> </coding> </valueCodeableConcept> </Observation> 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value="256970019" /> </extension> <extension url="descriptionDisplay"> <valueString value="Independent on stairs" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="165249009" /> <display value="Independent on stairs" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="3992." /> <display value="Independent on stairs" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:03063aeebc2cd2519ef04bb428f8a8f1" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Uses stair lift: Uses stair lift</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="USES_STAIR_LIFT" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="USES_STAIR_LIFT" /> <display value="Uses stair lift" /> </coding> <text value="Uses stair lift" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="ZOB2311" /> <display value="Uses stair lift" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="442999017" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="442999017" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="442999017" /> </extension> <extension url="descriptionDisplay"> <valueString value="Uses stair lift" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="301627005" /> <display value="Uses stair lift" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="Xa81Z" /> <display value="Uses stair lift" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:65e4aff188103d1d680d4d1411cbc069" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">House living: Lives upstairs in house</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HOUSE_LIVING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HOUSE_LIVING" /> <display value="House living" /> </coding> <text value="House living" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LIVES_UPSTAIRS_IN_HOUSE" /> <display value="Lives upstairs in house" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:33b48bc7c6bd0e120c937f277bacd4b5" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Lives in supported housing:: Lives in warden controlled accommodation</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LIVES_IN_SUPPORTED_HOUSING:" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LIVES_IN_SUPPORTED_HOUSING" /> <display value="Lives in supported housing:" /> </coding> <text value="Lives in supported housing:" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="13F4.11" /> <display value="Lives in warden controlled accommodation" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="337207013" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="337207013" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="337207013" /> </extension> <extension url="descriptionDisplay"> <valueString value="Lives in warden controlled accommodation" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="224221006" /> <display value="Lives in warden controlled accommodation" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="13F4." /> <display value="Lives in warden controlled accommodation" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4b009ea44ec7af4dced31fe8cddcdaef" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Housebound: Housebound</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HOUSEBOUND" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HOUSEBOUND" /> <display value="Housebound" /> </coding> <text value="Housebound" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="13CA.00" /> <display value="Housebound" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="250485014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="250485014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="250485014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Housebound" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="160689007" /> <display value="Housebound" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="13CA." /> <display value="Housebound" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f233dd925f2aa4485f4c369c02fafb51" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Door key available: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DOOR_KEY_AVAILABLE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DOOR_KEY_AVAILABLE" /> <display value="Door key available" /> </coding> <text value="Door key available" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f1d02e55f472b8eea6dab6322354ed08" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Key safe number: 1234567890</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ACCESS_KEY_SAFE_NUMBER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ACCESS_KEY_SAFE_NUMBER" /> <display value="Key safe number" /> </coding> <text value="Key safe number" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="1234567890" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b84a8cee9706f4b61087f547689e9ef6" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Key holder telephone number: 0160 123 4567</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="KEY_HOLDER_TELEPHONE_NUMBER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="KEY_HOLDER_TELEPHONE_NUMBER" /> <display value="Key holder telephone number" /> </coding> <text value="Key holder telephone number" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="0160 123 4567" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ba266b6523969d930695a360e7b38245" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Environment access information: Environment access information--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ENVIRONMENT_ACCESS_INFORMATION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ENVIRONMENT_ACCESS_INFORMATION" /> <display value="Environment access information" /> </coding> <text value="Environment access information" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Environment access information--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e37c8d64117b0419a1e14ff1762676d5" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Package of care details: Add details of package of care--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PACKAGE_OF_CARE_DETAILS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PACKAGE_OF_CARE_DETAILS" /> <display value="Package of care details" /> </coding> <text value="Package of care details" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Add details of package of care--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bec3ef96939ca5e1e25e83877b4c3324" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Hearing status: Hearing normal</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HEARING_STATUS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HEARING_STATUS" /> <display value="Hearing status" /> </coding> <text value="Hearing status" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1C11.00" /> <display value="Hearing normal" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="253156012" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="253156012" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="253156012" /> </extension> <extension url="descriptionDisplay"> <valueString value="Hearing normal" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="162339002" /> <display value="Hearing normal" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="1C11." /> <display value="Hearing normal" /> </coding> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_SIGNIFICANT_HEARING_PROBLEM" /> <display value="Patient has significant hearing problem" /> </coding> </valueCodeableConcept> <note id="DescriptiveText"> <text value="Hearing normal--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d4a93fac89957b144b9c09dadadca947" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Cochlear implant: Cochlear implant in situ</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="COCHLEAR_IMPLANT" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="COCHLEAR_IMPLANT" /> <display value="Cochlear implant" /> </coding> <text value="Cochlear implant" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2912474015" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2912474015" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2912474015" /> </extension> <extension url="descriptionDisplay"> <valueString value="Cochlear implant in situ" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="449840001" /> <display value="Cochlear implant in situ" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:93f7141c505b7f3f79e19744204d9ead" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Communication impairment: Communication impairment</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="COMMUNICATION_IMPAIRMENT" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="COMMUNICATION_IMPAIRMENT" /> <display value="Communication impairment" /> </coding> <text value="Communication impairment" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="213823014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="213823014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="213823014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Communication impairment" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="32000005" /> <display value="Communication impairment" /> </coding> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_SPEECH_PROBLEM" /> <display value="Patient has speech problem" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ea97f456b8fc68548c1d851b3e581582" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Lip reads: Lip reads</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LIP_READS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LIP_READS" /> <display value="Lip reads" /> </coding> <text value="Lip reads" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2502921000000111" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2502921000000111" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2502921000000111" /> </extension> <extension url="descriptionDisplay"> <valueString value="Lip reads" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="441092009" /> <display value="Lip reads" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:844811592caa7027e16bfbaa6bc49a40" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Uses sign language: Uses sign language</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="USES_SIGN_LANGUAGE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="USES_SIGN_LANGUAGE" /> <display value="Uses sign language" /> </coding> <text value="Uses sign language" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="13o8M00" /> <display value="Uses sign language" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2532745018" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2532745018" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2532745018" /> </extension> <extension url="descriptionDisplay"> <valueString value="Uses sign language" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="404903008" /> <display value="Uses sign language" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="Xad28" /> <display value="Uses sign language" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b40f13b6ab63f27743b456808b1c4f35" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Language spoken: Navaho</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LANGUAGE_SPOKEN" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LANGUAGE_SPOKEN" /> <display value="Language spoken" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Navaho" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b0f01ac299aa793c03c7d6764c04bac2" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Is interpreter needed: Interpreter needed</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="INTERPRETER_NEEDED" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="IS_INTERPRETER_NEEDED" /> <display value="Is interpreter needed" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="9NU0.00" /> <display value="Interpreter needed" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="460112014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="460112014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="460112014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Interpreter needed" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="315594003" /> <display value="Interpreter needed" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaI8X" /> <display value="Interpreter needed" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:27509aba6b737dbf07c37def82ca9d95" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Communication comments: Comments re communication--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="COMMUNICATION_COMMENTS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="COMMUNICATION_COMMENTS" /> <display value="Communication comments" /> </coding> <text value="Communication comments" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Comments re communication--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:1ce0e36d760b4cb3dd963a319be4747b" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Vision: Poor vision</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="VISION_STATUS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="VISION" /> <display value="Vision" /> </coding> <text value="Vision" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2164164017" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2164164017" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2164164017" /> </extension> <extension url="descriptionDisplay"> <valueString value="Poor vision" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="7973008" /> <display value="Poor vision" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="Xa1Ih" /> <display value="Poor vision" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bb1b140bc14367e85547a6fa7f59f8cd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Blindness: Blindness, one eye, unspecified</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BLINDNESS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BLINDNESS" /> <display value="Blindness" /> </coding> <text value="Blindness" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="F495000" /> <display value="Blindness, one eye, unspecified" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="38553019" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="38553019" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="38553019" /> </extension> <extension url="descriptionDisplay"> <valueString value="Blindness of one eye" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="22950006" /> <display value="Blindness of one eye" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="F4950" /> <display value="Blindness, one eye, unspecified" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:52dc8b80280273ef61dd507616e68204" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Blind register: Registered partially sighted</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BLIND_REGISTER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BLIND_REGISTER" /> <display value="Blind register" /> </coding> <text value="Blind register" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="6688.00" /> <display value="Registered partially sighted" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="442202014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="442202014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="442202014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Registered partially sighted" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="300994001" /> <display value="Registered partially sighted" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="6688." /> <display value="Registered partially sighted" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8edce2e0d9794428975642c116605af8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Vision comments: Comments re vision--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="VISION_COMMENTS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="VISION_COMMENTS" /> <display value="Vision comments" /> </coding> <text value="Vision comments" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Comments re vision--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:be486950f6dd8f635a596dccd3c266e0" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Fully mobile: Fully mobile</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FULLY_MOBILE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FULLY_MOBILE" /> <display value="Fully mobile" /> </coding> <text value="Fully mobile" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="13C1.00" /> <display value="Fully mobile" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="250463015" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="250463015" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="250463015" /> </extension> <extension url="descriptionDisplay"> <valueString value="Fully mobile" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="160680006" /> <display value="Fully mobile" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="13C1." /> <display value="Fully mobile" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:360dbed0c8021a27917ee56692b60678" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Vulnerable adult: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="VULNERABLE_ADULT" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="VULNERABLE_ADULT" /> <display value="Vulnerable adult" /> </coding> <text value="Vulnerable adult" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a207532542e57e968e7a8b17844693e3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Safeguarding alerts: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SAFEGUARDING_ALERTS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SAFEGUARDING_ALERTS" /> <display value="Safeguarding alerts" /> </coding> <text value="Safeguarding alerts" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:eec894755cd8d7754cd3a26baa50eb68" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Wandering: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="WANDERING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="WANDERING" /> <display value="Wandering" /> </coding> <text value="Wandering" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e0d9f97938625e53b673c7313feb95bc" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Other risks: Risks Other--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="OTHER_RISKS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="OTHER_RISKS" /> <display value="Other risks" /> </coding> <text value="Other risks" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Risks Other--18-09-2020" /> <note id="DescriptiveText"> <text value="Additional notes re risks--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d7d4f29b35870f0e87189738e8376749" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Car driver: Car driver</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CAR_DRIVER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="CAR_DRIVER" /> <display value="Car driver" /> </coding> <text value="Car driver" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="0I37.11" /> <display value="Car driver" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1219240013" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1219240013" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1219240013" /> </extension> <extension url="descriptionDisplay"> <valueString value="Car driver" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="106538001" /> <display value="Car driver" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="0I37." /> <display value="Car driver" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:843efaa0b34cffdc575d3f104d5b60dd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Fitness to drive: Fit to drive</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FITNESS_TO_DRIVE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FITNESS_TO_DRIVE" /> <display value="Fitness to drive" /> </coding> <text value="Fitness to drive" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="692A.00" /> <display value="Fit to drive" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="265528010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="265528010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="265528010" /> </extension> <extension url="descriptionDisplay"> <valueString value="Fit to drive" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="171353001" /> <display value="Fit to drive" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="692A." /> <display value="Fit to drive" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f9c12ea7f177e32d80a29238a5a8c2bc" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Patient advised to inform DVLA: Patient Advised to inform DVLA</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PATIENT_ADVISED_TO_INFORM_DVLA" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_ADVISED_TO_INFORM_DVLA" /> <display value="Patient advised to inform DVLA" /> </coding> <text value="Patient advised to inform DVLA" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="8CA9.00" /> <display value="Patient Advised to inform DVLA" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="283004011" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="283004011" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="283004011" /> </extension> <extension url="descriptionDisplay"> <valueString value="Patient advised to inform DVLA" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="183077002" /> <display value="Patient advised to inform DVLA" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="8CA9." /> <display value="Patient advised to inform DVLA" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a9e5e0ddc0c15a98ce074162080587cb" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Healthcare practitioner informed DVLA: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HEALTHCARE_PRACTITIONER_INFORMED_DVLA" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HEALTHCARE_PRACTITIONER_INFORMED_DVLA" /> <display value="Healthcare practitioner informed DVLA" /> </coding> <text value="Healthcare practitioner informed DVLA" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d300f5e4b2913ca50b2ccd483a342ac9" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Smoking status:: Never smoked tobacco</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SMOKING_STATUS:" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SMOKING_STATUS:" /> <display value="Smoking status:" /> </coding> <text value="Smoking status:" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1371.00" /> <display value="Never smoked tobacco" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="397732011" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="397732011" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="397732011" /> </extension> <extension url="descriptionDisplay"> <valueString value="Never smoked tobacco" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="266919005" /> <display value="Never smoked tobacco" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="1371." /> <display value="Never smoked tobacco" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:eb40acf93d8bd8b76a91bb8aa8929e9f" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Average units of alcohol per week: 1000 units/week</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="AVERAGE_UNITS_OF_ALCOHOL_PER_WEEK" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="AVERAGE_UNITS_OF_ALCOHOL_PER_WEEK" /> <display value="Average units of alcohol per week" /> </coding> <text value="Average units of alcohol per week" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1000" /> <unit value="units/week" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:5082d8ad5b6c4b4c6d6c79c7bb921e0d" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Advice relating to alcohol consumption: Advice relating to alcohol consumption</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ADVICE_RELATING_TO_ALCOHOL_CONSUMPTION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ADVICE_RELATING_TO_ALCOHOL_CONSUMPTION" /> <display value="Advice relating to alcohol consumption" /> </coding> <text value="Advice relating to alcohol consumption" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2575919017" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2575919017" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2575919017" /> </extension> <extension url="descriptionDisplay"> <valueString value="Advice relating to alcohol consumption" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="281078001" /> <display value="Advice relating to alcohol consumption" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b37bead1efa6991c8f599315e1a26b9f" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Advised to reduce alcohol consumption: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ADVISED_TO_REDUCE_ALCOHOL_CONSUMPTION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ADVISED_TO_REDUCE_ALCOHOL_CONSUMPTION" /> <display value="Advised to reduce alcohol consumption" /> </coding> <text value="Advised to reduce alcohol consumption" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:7b086cdf0e85987ed67eb2b6942829e4" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Alcohol dependence: Alcohol dependence</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ALCOHOL_DEPENDENCE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ALCOHOL_DEPENDENCE" /> <display value="Alcohol dependence" /> </coding> <text value="Alcohol dependence" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="110628016" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="110628016" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="110628016" /> </extension> <extension url="descriptionDisplay"> <valueString value="Alcohol dependence" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="66590003" /> <display value="Alcohol dependence" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XE1aw" /> <display value="Alcohol dependence" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9693dcb956e4ad2c92762f8b2cdcb01a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Swallowing status: No problem swallowing</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SWALLOWING_STATUS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SWALLOWING_STATUS" /> <display value="Swallowing status" /> </coding> <text value="Swallowing status" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1941.00" /> <display value="No problem swallowing" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="252546010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="252546010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="252546010" /> </extension> <extension url="descriptionDisplay"> <valueString value="No problem swallowing" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="162023004" /> <display value="No problem swallowing" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="1941." /> <display value="No problem swallowing" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:50855b87df0cd1e691528a8ec69576e7" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Normal diet: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="NORMAL_DIET" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="NORMAL_DIET" /> <display value="Normal diet" /> </coding> <text value="Normal diet" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6aa8122b643cb1cfcbe545d57a2c8ae4" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Soft foods: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SOFT_FOODS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SOFT_FOODS" /> <display value="Soft foods" /> </coding> <text value="Soft foods" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f390887c912d73515c636df191bef275" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Thickened foods: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="THICKENED_FOODS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="THICKENED_FOODS" /> <display value="Thickened foods" /> </coding> <text value="Thickened foods" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0e660fca2cf8180c9c0fdd05c7d87804" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Pureed foods: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PUREED_FOODS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PUREED_FOODS" /> <display value="Pureed foods" /> </coding> <text value="Pureed foods" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:52814a543a59ed99391ec3b473a2a63c" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Additional notes on diet: Additional notes on diet--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ADDITIONAL_NOTES_ON_DIET" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ADDITIONAL_NOTES_ON_DIET" /> <display value="Additional notes on diet" /> </coding> <text value="Additional notes on diet" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Additional notes on diet--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:45b55bcd878be0151da86248cfd971c3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Urinary continence: Bladder: fully continent</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="URINARY_CONTINENCE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="URINARY_CONTINENCE" /> <display value="Urinary continence" /> </coding> <text value="Urinary continence" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="3942.00" /> <display value="Bladder: fully continent" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="256952017" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="256952017" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="256952017" /> </extension> <extension url="descriptionDisplay"> <valueString value="Bladder: fully continent" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="165234001" /> <display value="Bladder: fully continent" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="3942." /> <display value="Bladder: fully continent" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:84f04394ca94aaf96b01c376c9190c75" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Faecal continence: Bowels: fully continent</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FAECAL_CONTINENCE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FAECAL_CONTINENCE" /> <display value="Faecal continence" /> </coding> <text value="Faecal continence" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="3932.00" /> <display value="Bowels: fully continent" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="481790010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="481790010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="481790010" /> </extension> <extension url="descriptionDisplay"> <valueString value="Bowels: fully continent" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="24029004" /> <display value="Bowels: fully continent" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="3932." /> <display value="Bowels: fully continent" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4924d9083d6e0e68f24c4d72fae4793a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Pressure sore: Pressure sore</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PRESSURE_SORE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PRESSURE_SORE" /> <display value="Pressure sore" /> </coding> <text value="Pressure sore" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="M270.13" /> <display value="Pressure sore" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1779199011" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1779199011" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1779199011" /> </extension> <extension url="descriptionDisplay"> <valueString value="Pressure sore" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="399912005" /> <display value="Pressure sore" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="M270." /> <display value="Pressure sore" /> </coding> </valueCodeableConcept> <note id="DescriptiveText"> <text value="Skin- Grade/location--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:12b5aaa04e8188d60dea2fa25a59db36" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Waterlow score: Patient Waterlow Score at risk</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="WATERLOW_SCORE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="WATERLOW_SCORE" /> <display value="Waterlow score" /> </coding> <text value="Waterlow score" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_WATERLOW_AT_RISK" /> <display value="Patient Waterlow Score at risk" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:209ee2278b4f99eb322a55eed03a671a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Malnutrition score: Patient MUST score low risk</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MALNUTRITION_SCORE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MALNUTRITION_SCORE" /> <display value="Malnutrition score" /> </coding> <text value="Malnutrition score" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_MUST_LOW_RISK" /> <display value="Patient MUST score low risk" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:64373f0a4bd6215acf2049e9f919ebfa" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Physical Observations Date and time, 18-Sep-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PHYSICAL_OBSERVATIONS_DATE_AND_TIME" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PHYSICAL_OBSERVATIONS_DATE_AND_TIME" /> <display value="Physical Observations Date and time" /> </coding> <text value="Physical Observations Date and time" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valuePeriod> <start value="2020-09-18T00:01:00.000Z" /> </valuePeriod> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:52185889c7cc39fc954c2fe6e5d8d42c" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Consciousness level: patient alert</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CONSCIOUSNESS_LEVEL" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="CONSCIOUSNESS_LEVEL" /> <display value="Consciousness level" /> </coding> <text value="Consciousness level" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_ALERT" /> <display value="patient alert" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e430753d5ecfe7613cb3dab87253b21d" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Physical Observations Temperature: 37 ºC</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PHYSICAL_OBSERVATIONS_TEMPERATURE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PHYSICAL_OBSERVATIONS_TEMPERATURE" /> <display value="Physical Observations Temperature" /> </coding> <text value="Physical Observations Temperature" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="37" /> <unit value="ºC" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:289159e18e7f516b6a2183b812931241" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Pulse rate: 102</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PULSE_RATE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PULSE_RATE" /> <display value="Pulse rate" /> </coding> <text value="Pulse rate" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="102" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ed92cdd538242f8a528e4272ad871a63" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Systolic BP - sitting: 103</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SYSTOLIC_BP_-_SITTING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SYSTOLIC_BP_-_SITTING" /> <display value="Systolic BP - sitting" /> </coding> <text value="Systolic BP - sitting" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="103" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:383c505c30645afa126aa18e8181c7f3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Diastolic BP - sitting: 104</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DIASTOLIC_BP_-_SITTING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DIASTOLIC_BP_SITTING" /> <display value="Diastolic BP - sitting" /> </coding> <text value="Diastolic BP - sitting" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="104" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c386f8b65832e0ff68661e9465d9d8d3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Respiratory rate: 20 breaths/min</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="RESPIRATORY_RATE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="RESPIRATORY_RATE" /> <display value="Respiratory rate" /> </coding> <text value="Respiratory rate" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="20" /> <unit value="breaths/min" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f4dade567e6d546ae71e78f38b29db81" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Peripheral blood oxygen saturation: 80 %</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PERIPHERAL_BLOOD_OXYGEN_SATURATION_AT_REST" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PERIPHERAL_BLOOD_OXYGEN_SATURATION" /> <display value="Peripheral blood oxygen saturation" /> </coding> <text value="Peripheral blood oxygen saturation" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="80" /> <unit value="%" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:7efd56b12d1b7ffdbc0a0bc87cdda7ba" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Peripheral oxygen saturation on room air on exertion: 81</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PERIPHERAL_OXYGEN_SATURATION_ON_ROOM_AIR_ON_EXERTION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PERIPHERAL_OXYGEN_SATURATION_ON_ROOM_AIR_ON_EXERTION" /> <display value="Peripheral oxygen saturation on room air on exertion" /> </coding> <text value="Peripheral oxygen saturation on room air on exertion" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="81" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:764366991ac5f6602316bbebc2e2bf90" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Peripheral blood oxygen saturation on supplemental oxygen: 83</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PERIPHERAL_O2_SATURATION_ON_OXYGEN" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PERIPHERAL_BLOOD_O2_SATURATION_ON_OXYGEN" /> <display value="Peripheral blood oxygen saturation on supplemental oxygen" /> </coding> <text value="Peripheral blood oxygen saturation on supplemental oxygen" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="83" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4a5cca3b29ec1fb58614dd3264a3f2c4" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Target O2 saturation: 84</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="TARGET_O2_SATURATION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="TARGET_O2_SATURATION" /> <display value="Target O2 saturation" /> </coding> <text value="Target O2 saturation" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="84" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:db1d9a679a1a762ad55db14a055c2002" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Home oxygen supply: Home oxygen supply</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HOME_OXYGEN_SUPPLY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HOME_OXYGEN_SUPPLY" /> <display value="Home oxygen supply" /> </coding> <text value="Home oxygen supply" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="6639.00" /> <display value="Home oxygen supply" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="401519010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="401519010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="401519010" /> </extension> <extension url="descriptionDisplay"> <valueString value="Home oxygen supply" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="268512000" /> <display value="Home oxygen supply" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="6639." /> <display value="Home oxygen supply" /> </coding> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_HOME_OXYGEN_SUPPLY" /> <display value="Patient has home oxygen supply" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:cf460d7da46c60beae92fb96f1371cc6" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Oxygen flow rate: 10 l/min</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="OXYGEN_FLOW_RATE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="OXYGEN_FLOW_RATE" /> <display value="Oxygen flow rate" /> </coding> <text value="Oxygen flow rate" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="10" /> <unit value="l/min" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b0d1ad66b3e49a9394ab5f87bdbbb1d7" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Feeding: Patient unable to feed themselves</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FEEDING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FEEDING" /> <display value="Feeding" /> </coding> <text value="Feeding" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_FEEDING_UNABLE" /> <display value="Patient unable to feed themselves" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:03d8d1d12a7295ec0fe515795bfaa3af" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Bathing: Patient is dependent for bathing needs</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BATHING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BATHING" /> <display value="Bathing" /> </coding> <text value="Bathing" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_BATHING_DEPENDENT" /> <display value="Patient is dependent for bathing needs" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:042b6a33ea131d2c62ae61f24152e376" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Grooming: Patient needs help with PADL</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="GROOMING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="GROOMING" /> <display value="Grooming" /> </coding> <text value="Grooming" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_GROOMING_NEEDS_HELP_WITH_PADL" /> <display value="Patient needs help with PADL" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d0bde4826600ab27a98042281b0946aa" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Dressing: Patient dependent for dressing</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DRESSING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DRESSING" /> <display value="Dressing" /> </coding> <text value="Dressing" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_DRESSING_DEPENDENT" /> <display value="Patient dependent for dressing" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:808692608428cd8336bcdd1774cc26f1" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Bowels: Patient has bowel incontinence</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BOWELS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BOWELS" /> <display value="Bowels" /> </coding> <text value="Bowels" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_BOWELS_INCONTINENT" /> <display value="Patient has bowel incontinence" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0d1d43adf1a277fd688272ec32436c06" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Bladder: Patient is unable to manage bladder</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BLADDER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BLADDER" /> <display value="Bladder" /> </coding> <text value="Bladder" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_BLADDER_UNABLE_TO_MANAGE" /> <display value="Patient is unable to manage bladder" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3d431c92cf15c2af917bc3ba28ac2f70" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Toileting: Patient is dependent with toileting</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="TOILETING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="TOILETING" /> <display value="Toileting" /> </coding> <text value="Toileting" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_TOILETING_DEPENDENT" /> <display value="Patient is dependent with toileting" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:71ef8e4d4bf6c08ec7c6c3403144e352" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Transfers: Patient unable to transfer unaided</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="TRANSFERS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="TRANSFERS" /> <display value="Transfers" /> </coding> <text value="Transfers" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_TRANSFERS_UNABLE" /> <display value="Patient unable to transfer unaided" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:bdad24252b0075ca56d57e726247cd48" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Mobility: Patient immobile</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MOBILITY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MOBILITY" /> <display value="Mobility" /> </coding> <text value="Mobility" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_MOBILITY_IMMOBILE" /> <display value="Patient immobile" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:9f9d04bf9b3f42ac52453ae41d3858c6" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Stairs: Patient unable to climb stairs</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="STAIRS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="STAIRS" /> <display value="Stairs" /> </coding> <text value="Stairs" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_BARTHEL_STAIRS_UNABLE" /> <display value="Patient unable to climb stairs" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:1d49a28322f6be1028160ec7f9d29b0e" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">barthel score: 0</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BARTHEL_SCORE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BARTHEL_SCORE" /> <display value="barthel score" /> </coding> <coding> <system value="http://read.info/readv2" /> <code value="ZR26.12" /> <display value="Barthel scale" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1062611000000111" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1062611000000111" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1062611000000111" /> </extension> <extension url="descriptionDisplay"> <valueString value="Barthel United Kingdom index of activities of daily living" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="493431000000103" /> <display value="Barthel United Kingdom index of activities of daily living" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XM0an" /> <display value="Barthel scale" /> </coding> <text value="barthel score" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueQuantity> <value value="0" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:35c30c038e200fda09701397bf51a702" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Deprivation of liberty: Standard authorisation for deprivation of liberty under Mental Capacity Act 2005 given</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DEPRIVATION_OF_LIBERTY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DEPRIVATION_OF_LIBERTY" /> <display value="Deprivation of liberty" /> </coding> <text value="Deprivation of liberty" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="9NgzG00" /> <display value="Standard authorisation for deprivation of liberty under Mental Capacity Act 2005 given" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2200641000000118" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2200641000000118" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2200641000000118" /> </extension> <extension url="descriptionDisplay"> <valueString value="Standard authorisation for deprivation of liberty under Mental Capacity Act 2005 given" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="849101000000103" /> <display value="Standard authorisation for deprivation of liberty under Mental Capacity Act 2005 given" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaZfO" /> <display value="Standard authorisation for deprivation of liberty under Mental Capacity Act 2005 given" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:cac83abf9a3d0b637170525453d066cd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">mental health advocate required: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MENTAL_HEALTH_ADVOCATE_REQUIRED" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MENTAL_HEALTH_ADVOCATE_REQUIRED" /> <display value="mental health advocate required" /> </coding> <text value="mental health advocate required" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:af9ba6069cb982448a0a321f3e8f1cab" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Mental Health Advocate Referral: Referral to independent mental health advocate</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MENTAL_HEALTH_ADVOCATE_REFERRAL" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MENTAL_HEALTH_ADVOCATE_REFERRAL" /> <display value="Mental Health Advocate Referral" /> </coding> <text value="Mental Health Advocate Referral" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1774771000000111" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1774771000000111" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1774771000000111" /> </extension> <extension url="descriptionDisplay"> <valueString value="Referral to independent mental health advocate" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="793901000000106" /> <display value="Referral to independent mental health advocate" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaY6o" /> <display value="Referral to independent mental health advocate" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:528f72f47d3feb48ab40c8093b3f3b82" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Under care of mental health team: Under care of mental health team</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="UNDER_CARE_OF_MENTAL_HEALTH_TEAM" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="UNDER_CARE_OF_MENTAL_HEALTH_TEAM" /> <display value="Under care of mental health team" /> </coding> <text value="Under care of mental health team" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="9NN7.00" /> <display value="Under care of mental health team" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1780461012" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1780461012" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1780461012" /> </extension> <extension url="descriptionDisplay"> <valueString value="Under care of mental health team" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="401272006" /> <display value="Under care of mental health team" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIvk" /> <display value="Under care of mental health team" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:fde27b20edb3b8556857876892a79d9e" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Mental health care by GP: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MENTAL_HEALTH_CARE_BY_GP" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MENTAL_HEALTH_CARE_BY_GP" /> <display value="Mental health care by GP" /> </coding> <text value="Mental health care by GP" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:cb993e61cfa9724aa67ade67d98df372" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Has appointed person with health and welfare lasting power of attorney: LPA for personal welfare none</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HAS_APPOINTED_POWER_OF_ATTORNEY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="816361000000101" /> <display value="Has appointed person with health and welfare lasting power of attorney" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LPA_PERSONAL_WELFARE_NONE" /> <display value="LPA for personal welfare none" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:32183092b75b47c0e591268e7b5647c2" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">LPA property: Patient does not have an LPA for property and financial affairs</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LPA_PROPERTY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LPA_PROPERTY" /> <display value="LPA property" /> </coding> <text value="LPA property" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LPA_PROPERTY_FINANCIAL_NONE" /> <display value="Patient does not have an LPA for property and financial affairs" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:14d945b8febe153064f03355d8a7c2f5" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">LPA registered with the office of public guardian: Patient LPA registered with office of public guardian</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LPA_REGISTERED_WITH_THE_OFFICE_OF_PUBLIC_GUARDIAN" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LPA_OFFICE_OF_PUBLIC_GUARDIAN" /> <display value="LPA registered with the office of public guardian" /> </coding> <text value="LPA registered with the office of public guardian" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LPA_REGISTERED_OFFICE_PUBLIC_GUARDIAN" /> <display value="Patient LPA registered with office of public guardian" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8468e9c4297b8f3f72ee1e9632bc2bcd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Memory function: Memory function normal</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MEMORY_FUNCTION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MEMORY_FUNCTION" /> <display value="Memory function" /> </coding> <text value="Memory function" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1S22.00" /> <display value="Memory function normal" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="369715012" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="369715012" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="369715012" /> </extension> <extension url="descriptionDisplay"> <valueString value="Memory function normal" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="247602005" /> <display value="Memory function normal" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="X75xR" /> <display value="Memory function normal" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6fb25c0c78ff99227f20bf7e63875a18" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Previous episode of delirium: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PREVIOUS_EPISODE_OF_DELIRIUM" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PREVIOUS_EPISODE_OF_DELIRIUM" /> <display value="Previous episode of delirium" /> </coding> <text value="Previous episode of delirium" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueBoolean value="true" /> <note id="DescriptiveText"> <text value="Cause of previous episode of delirium--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ab1fd9e4c2701328b8bb56d80f33dd6a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Patient understanding of dementia diagnosis: Patient fully aware of dementia diagnosis</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PATIENT_UNDERSTANDING_OF_DEMENTIA_DIAGNOSIS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_UNDERSTANDING_OF_DEMENTIA_DIAGNOSIS" /> <display value="Patient understanding of dementia diagnosis" /> </coding> <text value="Patient understanding of dementia diagnosis" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DEMENTIA_DIAGNOSIS_PATIENT_FULLY_AWARE" /> <display value="Patient fully aware of dementia diagnosis" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1d010c00b88a3b630c1b5921c491563" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Global deterioration scale: GDS level 4 - moderate cognitive decline</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="GLOBAL_DETERIORATION_SCALE_-_GD" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="GLOBAL_DETERIORATION_SCALE_-_GD" /> <display value="Global deterioration scale" /> </coding> <text value="Global deterioration scale" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-08-19T16:48:14.404Z" /> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="3AE3.00" /> <display value="GDS level 4 - moderate cognitive decline" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2621622011" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2621622011" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2621622011" /> </extension> <extension url="descriptionDisplay"> <valueString value="Global Deterioration Scale (GDS) level 4 - moderate cognitive decline" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="407632003" /> <display value="Global Deterioration Scale (GDS) level 4 - moderate cognitive decline" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaJBU" /> <display value="GDS level 4 - moderate cognitive decline" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ab160e4c322513d6dcad613795d25bc7" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD sleep: Good sleep pattern</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_SLEEP" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_SLEEP" /> <display value="BPSD sleep" /> </coding> <text value="BPSD sleep" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1B1R.00" /> <display value="Good sleep pattern" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="459356014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="459356014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="459356014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Good sleep pattern" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="314939008" /> <display value="Good sleep pattern" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaFqs" /> <display value="Good sleep pattern" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4b74fc53458c7121844149110ebedb02" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Wandering: Wanders at night</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_WANDERING" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_WANDERING" /> <display value="BPSD Wandering" /> </coding> <text value="BPSD Wandering" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1BN1.00" /> <display value="Wanders at night" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="454126012" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="454126012" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="454126012" /> </extension> <extension url="descriptionDisplay"> <valueString value="Wanders at night" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="310532000" /> <display value="Wanders at night" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaCJb" /> <display value="Wanders at night" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6550a81e7a1dcbbcee3839acc3d7ef3c" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Agitation: No psychomotor agitation</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_AGITATION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_AGITATION" /> <display value="BPSD Agitation" /> </coding> <text value="BPSD Agitation" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1BS9.00" /> <display value="No psychomotor agitation" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1488805016" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1488805016" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1488805016" /> </extension> <extension url="descriptionDisplay"> <valueString value="No psychomotor agitation" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="395106006" /> <display value="No psychomotor agitation" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIpp" /> <display value="No psychomotor agitation" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:326834e9557290148acfd93bbfb39673" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Aggression: Verbally abusive behaviour</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_AGGRESSION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_AGGRESSION" /> <display value="BPSD Aggression" /> </coding> <text value="BPSD Aggression" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1P52.00" /> <display value="Verbally abusive behaviour" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="338836015" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="338836015" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="338836015" /> </extension> <extension url="descriptionDisplay"> <valueString value="Verbally abusive behaviour" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="225478005" /> <display value="Verbally abusive behaviour" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="Ua1YD" /> <display value="Verbally abusive behaviour" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:648ca36f688c10182d31bfd6fc6b5efa" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Hallucinations: Hallucinations</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_HALLUCINATIONS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_HALLUCINATIONS" /> <display value="BPSD Hallucinations" /> </coding> <text value="BPSD Hallucinations" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1B1E.00" /> <display value="Hallucinations" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="501492014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="501492014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="501492014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Hallucinations" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="7011001" /> <display value="Hallucinations" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="1B1E." /> <display value="Hallucinations" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:12d9e8eeade5ac3f641eeb086ef52f44" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Paranoid ideation: [X]Paranoia</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_PARANOID_IDEATION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_PARANOID_IDEATION" /> <display value="BPSD Paranoid ideation" /> </coding> <text value="BPSD Paranoid ideation" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="Eu22015" /> <display value="[X]Paranoia" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2548181016" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2548181016" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2548181016" /> </extension> <extension url="descriptionDisplay"> <valueString value="Paranoid ideation" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="417233008" /> <display value="Paranoid ideation" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaKUl" /> <display value="Paranoid ideation" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0f7b46148fd85f8679bd9b9a8257f8e3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Delusions: Delusions</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_DELUSIONS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_DELUSIONS" /> <display value="BPSD Delusions" /> </coding> <text value="BPSD Delusions" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1BH..00" /> <display value="Delusions" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="480834016" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="480834016" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="480834016" /> </extension> <extension url="descriptionDisplay"> <valueString value="Delusions" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="2073000" /> <display value="Delusions" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="X75yp" /> <display value="Delusions" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:e3998c12b93d2a67031cb95e58e27980" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Disinhibited behaviour: Disinhibited behaviour</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_DISINHIBITED_BEHAVIOUR" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_DISINHIBITED_BEHAVIOUR" /> <display value="BPSD Disinhibited behaviour" /> </coding> <text value="BPSD Disinhibited behaviour" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1P02.00" /> <display value="Disinhibited behaviour" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="370202011" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="370202011" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="370202011" /> </extension> <extension url="descriptionDisplay"> <valueString value="Disinhibited behaviour" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="247973004" /> <display value="Disinhibited behaviour" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="X764Y" /> <display value="Disinhibited behaviour" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:aafa3caba00b65b556750253db9ccafa" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Mood: Normal mood</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_MOOD" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_MOOD" /> <display value="BPSD Mood" /> </coding> <text value="BPSD Mood" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="1BS0.00" /> <display value="Normal mood" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="216223010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="216223010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="216223010" /> </extension> <extension url="descriptionDisplay"> <valueString value="Normal mood" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="134417007" /> <display value="Normal mood" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIJ4" /> <display value="Normal mood" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:72769cc8aa23d18d319cd3c4d09b07ea" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">BPSD Notes: Additional notes about BPSD assessment--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="BPSD_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="BPSD_NOTES" /> <display value="BPSD Notes" /> </coding> <text value="BPSD Notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-17T23:00:00.000Z" /> <valueString value="Additional notes about BPSD assessment--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a6563d41215f2bfb55f0c5a1a5dffe70" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Most important to the patient: What is most important to the patient?--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MOST_IMPORTANT_TO_THE_PATIENT" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MOST_IMPORTANT_TO_THE_PATIENT" /> <display value="Most important to the patient" /> </coding> <text value="Most important to the patient" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="What is most important to the patient?--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:7f8ccfdc9f2069299e8e96f94aa299a0" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">This is me: Patient has this is me document completed</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="THIS_IS_ME" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="THIS_IS_ME" /> <display value="This is me" /> </coding> <text value="This is me" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_THIS_IS_ME_DOCUMENT_COMPLETED" /> <display value="Patient has this is me document completed" /> </coding> </valueCodeableConcept> <note id="DescriptiveText"> <text value="Location of personalised document:--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d4c9f59af04c697145fb0133324265fd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Memory Service: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MEMORY_SERVICE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MEMORY_SERVICE" /> <display value="Memory Service" /> </coding> <text value="Memory Service" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8110d824c3545340511aa3adf4038dd2" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Has treatment team: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HAS_TREATMENT_TEAM" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HAS_TREATMENT_TEAM" /> <display value="Has treatment team" /> </coding> <text value="Has treatment team" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c60edafffcfbb0b02f2ecd1cb8e6414e" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Dementia Liaison and Later Life: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DEMENTIA_LIAISON_AND_LATER_LIFE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DEMENTIA_LIAISON_AND_LATER_LIFE" /> <display value="Dementia Liaison and Later Life" /> </coding> <text value="Dementia Liaison and Later Life" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4abcd08385628fc8e31dc08ea53cc1c8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Dementia support worker: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DEMENTIA_SUPPORT_WORKER" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DEMENTIA_SUPPORT_WORKER" /> <display value="Dementia support worker" /> </coding> <text value="Dementia support worker" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4993011a22cb39b3305d14ea0561d369" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Admiral Nurse Service: Yes</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ADMIRAL_NURSE_SERVICE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ADMIRAL_NURSE_SERVICE" /> <display value="Admiral Nurse Service" /> </coding> <text value="Admiral Nurse Service" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueBoolean value="true" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ef0586fb1c8185e23ba15afcc61039b8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Other dementia team: Engagement with dementia and extended teams:--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="OTHER_DEMENTIA_TEAM" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="OTHER_DEMENTIA_TEAM" /> <display value="Other dementia team" /> </coding> <text value="Other dementia team" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Engagement with dementia and extended teams:--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a4d823d3561be3203ec513ec801e7b4a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Last seen by dementia team, 18-Sep-2020 - 25-Sep-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LAST_SEEN_BY_DEMENTIA_TEAM" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LAST_SEEN_BY_DEMENTIA_TEAM" /> <display value="Last seen by dementia team" /> </coding> <text value="Last seen by dementia team" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valuePeriod> <start value="2020-09-18" /> <end value="2020-09-25" /> </valuePeriod> <note id="DescriptiveText"> <text value="Outcome of last assessment by Dementia team:--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0937199cd90b570385a988a85c7310ba" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">referred to dementia teams: Patient has been referred to the following service(s):--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="REFERRED_TO_DEMENTIA_TEAMS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="REFERRED_TO_DEMENTIA_TEAMS" /> <display value="referred to dementia teams" /> </coding> <text value="referred to dementia teams" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Patient has been referred to the following service(s):--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:133250d9b567246444b31a833550655b" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Tameside MDT Completed, 18-Sep-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="TAMESIDE_MDT_COMPLETED" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="TAMESIDE_MDT_COMPLETED" /> <display value="Tameside MDT Completed" /> </coding> <text value="Tameside MDT Completed" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valuePeriod> <start value="2020-09-18" /> </valuePeriod> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:91b0e824626fae0b6325923a62a83c2c" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Community Nursing notes: Community Nursing notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="COMMUNITY_NURSING_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="COMMUNITY_NURSING_NOTES" /> <display value="Community Nursing notes" /> </coding> <text value="Community Nursing notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Community Nursing notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:5d1391955b9fff74a6211c757e11bace" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Physiotherapy notes: Physiotherapy notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PHYSIOTHERAPY_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PHYSIOTHERAPY_NOTES" /> <display value="Physiotherapy notes" /> </coding> <text value="Physiotherapy notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Physiotherapy notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0362f2f32c693cbf783352a6278e0e47" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Adult social care notes: Adult social care notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ADULT_SOCIAL_CARE_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ADULT_SOCIAL_CARE_NOTES" /> <display value="Adult social care notes" /> </coding> <text value="Adult social care notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Adult social care notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:49d7beef0a97c6d17ac6b4759e6f187b" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Occupational therapy notes: Occupational therapy notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="OCCUPATIONAL_THERAPY_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="OCCUPATIONAL_THERAPY_NOTES" /> <display value="Occupational therapy notes" /> </coding> <text value="Occupational therapy notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Occupational therapy notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:69970eceb17cbf62c2e98d4489bfb9f8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Health and wellbeing notes: Health and wellbeing notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HEALTH_AND_WELLBEING_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HEALTH_AND_WELLBEING_NOTES" /> <display value="Health and wellbeing notes" /> </coding> <text value="Health and wellbeing notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Health and wellbeing notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b2aaee1dec701aa4e6b353f144f0de02" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Social prescribing notes: Social prescribing notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="SOCIAL_PRESCRIBING_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="SOCIAL_PRESCRIBING_NOTES" /> <display value="Social prescribing notes" /> </coding> <text value="Social prescribing notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Social prescribing notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:713b1b340379d4231614706d4e6f74cb" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Health improvement notes: Health improvement notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HEALTH_IMPROVEMENT_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HEALTH_IMPROVEMENT_NOTES" /> <display value="Health improvement notes" /> </coding> <text value="Health improvement notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Health improvement notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a128bf4a02c38ad9ca6752a70c741261" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Fire and rescue service notes: Fire and rescue service notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FIRE_AND_RESCUE_SERVICE_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FIRE_AND_RESCUE_SERVICE_NOTES" /> <display value="Fire and rescue service notes" /> </coding> <text value="Fire and rescue service notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Fire and rescue service notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:d378603c41df59bc7610940af3c59ff4" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">patient.carePlan.tamesidemdt.communityResponseNotes: Community response service notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PATIENT.CAREPLAN.TAMESIDEMDT.COMMUNITYRESPONSENOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT.CAREPLAN.TAMESIDEMDT.COMMUNITYRESPONSENOTES" /> <display value="patient.carePlan.tamesidemdt.communityResponseNotes" /> </coding> <text value="patient.carePlan.tamesidemdt.communityResponseNotes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Community response service notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:56b9012f0b6737ac037c637a6f77f607" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">North West Ambulance Service notes: North West Ambulance Service (NWAS) notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="NORTH_WEST_AMBULANCE_SERVICE_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="NORTH_WEST_AMBULANCE_SERVICE_NOTES" /> <display value="North West Ambulance Service notes" /> </coding> <text value="North West Ambulance Service notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="North West Ambulance Service (NWAS) notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:4c3bee567acebda0f45a29c07dfdeec9" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Extensivist notes: Extensivist notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="EXTENSIVIST_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="EXTENSIVIST_NOTES" /> <display value="Extensivist notes" /> </coding> <text value="Extensivist notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Extensivist notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:651cd7ee572fc321c158a925defd15e5" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Carers Service notes: Carers Service notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CARERS_SERVICE_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="CARERS_SERVICE_NOTES" /> <display value="Carers Service notes" /> </coding> <text value="Carers Service notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Carers Service notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:2d66c0c4dc0846f9ddd463ac5264ad92" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Pharmacist notes: Pharmacist notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PHARMACIST_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PHARMACIST_NOTES" /> <display value="Pharmacist notes" /> </coding> <text value="Pharmacist notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Pharmacist notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:854774873dabf2349cf0f5855dad6cfd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Leisure notes: Leisure notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LEISURE_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="LEISURE_NOTES" /> <display value="Leisure notes" /> </coding> <text value="Leisure notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Leisure notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:1a74637be81b741892c0d62d8a5109c9" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Community Group Social Prescription notes: Community Group Social Prescription notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="COMMUNITY_GROUP_SOCIAL_PRESCRIPTION_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="COMMUNITY_GROUP_SOCIAL_PRESCRIPTION_NOTES" /> <display value="Community Group Social Prescription notes" /> </coding> <text value="Community Group Social Prescription notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Community Group Social Prescription notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:ae8097faf6abb396f8caf2fd4cc8c357" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">IUCT (Urgent) notes: IUCT (Urgent) notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="IUCT_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="IUCT_URGENT_NOTES" /> <display value="IUCT (Urgent) notes" /> </coding> <text value="IUCT (Urgent) notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="IUCT (Urgent) notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:7deb023aa0c22f52e03351dcb9331d29" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Mental Health notes: Mental Health notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MENTAL_HEALTH_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MENTAL_HEALTH_NOTES" /> <display value="Mental Health notes" /> </coding> <text value="Mental Health notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Mental Health notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:5d3c38bf35a087f86d45bbf74d803c98" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Housing notes: Housing notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HOUSING_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HOUSING_NOTES" /> <display value="Housing notes" /> </coding> <text value="Housing notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="Housing notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:14f8c468bc51d5d0353ba2012bbf30c3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">MDT outcomes notes: MDT outcomes notes--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MDT_OUTCOMES_NOTES" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MDT_OUTCOMES_NOTES" /> <display value="MDT outcomes notes" /> </coding> <text value="MDT outcomes notes" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="MDT outcomes notes--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b827cab1a81670e8e0a31c83d0832317" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">MDT outcomes review: MDT outcomes - subsequent review--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MDT_OUTCOMES_REVIEW" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="MDT_OUTCOMES_REVIEW" /> <display value="MDT outcomes review" /> </coding> <text value="MDT outcomes review" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="MDT outcomes - subsequent review--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:185b28aaed81068248a43ee7a86f52c8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Patient what is: What is the important thing to patient in relation to their care?--18-09-2020</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PATIENT_WHAT_IS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_WHAT_IS" /> <display value="Patient what is" /> </coding> <text value="Patient what is" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueString value="What is the important thing to patient in relation to their care?--18-09-2020" /> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:fd7ccc0405e2c9e65222af7c76bb634f" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Rockwood clinical frailty scale: Rockwood clinical frailty scale</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ROCKWOOD_CLINICAL_FRAILTY_SCALE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ROCKWOOD_CLINICAL_FRAILTY_SCALE" /> <display value="Rockwood clinical frailty scale" /> </coding> <text value="Rockwood clinical frailty scale" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="38DW.11" /> <display value="Rockwood clinical frailty scale" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2500651000000111" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2500651000000111" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2500651000000111" /> </extension> <extension url="descriptionDisplay"> <valueString value="Rockwood clinical frailty scale" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="445414007" /> <display value="Rockwood clinical frailty scale" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaQik" /> <display value="Rockwood clinical frailty scale" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:289655be362399632fae1be34b1596cd" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Rockwood clinical frailty scale outcome: Rockwood Clinical Frailty Scale level 1 - very fit</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="ROCKWOOD_CLINICAL_FRAILTY_SCALE_OUTCOME" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="ROCKWOOD_CLINICAL_FRAILTY_SCALE_OUTCOME" /> <display value="Rockwood clinical frailty scale outcome" /> </coding> <text value="Rockwood clinical frailty scale outcome" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueCodeableConcept> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1859251000000114" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1859251000000114" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1859251000000114" /> </extension> <extension url="descriptionDisplay"> <valueString value="Rockwood Clinical Frailty Scale level 1 - very fit" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="1129331000000101" /> <display value="Rockwood Clinical Frailty Scale level 1 - very fit" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:57a249a63f5240b743ffbc2ed5a0453a" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Frailty type: Mild frailty</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FRAILTY_TYPE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FRAILTY_TYPE" /> <display value="Frailty type" /> </coding> <text value="Frailty type" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="2Jd0.00" /> <display value="Mild frailty" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2373871000000117" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2373871000000117" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2373871000000117" /> </extension> <extension url="descriptionDisplay"> <valueString value="Mild frailty" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="925791000000100" /> <display value="Mild frailty" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XabdY" /> <display value="Mild frailty" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c74eac8219c0e46a9cb763fb50b3c287" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Falls in the last 12 months</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FALLS_IN_THE_LAST_12_MONTHS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FALLS_IN_THE_LAST_12_MONTHS" /> <display value="Falls in the last 12 months" /> </coding> <text value="Falls in the last 12 months" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:f4a3696c947788a24cc7e66189938dd2" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Four or more medications per day: 1</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FOUR_OR_MORE_MEDICATIONS_PER_DAY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FOUR_OR_MORE_MEDICATIONS_PER_DAY" /> <display value="Four or more medications per day" /> </coding> <text value="Four or more medications per day" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:6aa415ff559aed7b8f097e92565ffbd2" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Stroke or Parkinsons disease: 1</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="STROKE_OR_PARKINSONS_DISEASE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="STROKE_OR_PARKINSONS_DISEASE" /> <display value="Stroke or Parkinsons disease" /> </coding> <text value="Stroke or Parkinsons disease" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8aeac040fdf5a63c83474cf23a4da741" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">report of problems with balance: 1</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="REPORT_OF_PROBLEMS_WITH_BALANCE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="REPORT_OF_PROBLEMS_WITH_BALANCE" /> <display value="report of problems with balance" /> </coding> <text value="report of problems with balance" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:3b316d12d579c9f1763c3effaa5d1ea8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Unable to rise from chair: 1</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="UNABLE_TO_RISE_FROM_CHAIR" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="UNABLE_TO_RISE_FROM_CHAIR" /> <display value="Unable to rise from chair" /> </coding> <text value="Unable to rise from chair" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueQuantity> <value value="1" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:82037ce018801aaabab1855a1738f99f" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Falls risk score: At high risk of falls</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FALLS_RISK_SCORE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FALLS_RISK_SCORE" /> <display value="Falls risk score" /> </coding> <text value="Falls risk score" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="14OC000" /> <display value="At high risk of falls" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2170131000000112" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2170131000000112" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2170131000000112" /> </extension> <extension url="descriptionDisplay"> <valueString value="At high risk of falls" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="835591000000101" /> <display value="At high risk of falls" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaZHg" /> <display value="At high risk of falls" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:b3bc385632b078dcc915bc031fb811b3" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Falls risk assessment complete: Falls risk assessment complete</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FALLS_RISK_ASSESSMENT_COMPLETE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FALLS_RISK_ASSESSMENT_COMPLETE" /> <display value="Falls risk assessment complete" /> </coding> <text value="Falls risk assessment complete" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="9Og2.00" /> <display value="Falls risk assessment complete" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="141861000000116" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="141861000000116" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="141861000000116" /> </extension> <extension url="descriptionDisplay"> <valueString value="Falls risk assessment complete" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="93001000000106" /> <display value="Falls risk assessment complete" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaJ9X" /> <display value="Falls risk assessment complete" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:1e97e3552e2a8add70d6ef89d9ab5586" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index: 72 %</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FRAX_SCORE_USING_BMI" /> </identifier> <status value="final" /> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2737481000000112" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2737481000000112" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2737481000000112" /> </extension> <extension url="descriptionDisplay"> <valueString value="Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="1092681000000102" /> <display value="Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index" /> </coding> <text value="FRAX score using BMI" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueQuantity> <value value="72" /> <unit value="%" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:34afbf930ac014747b6a8f2a1018f519" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density: 73 %</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FRAX_SCORE_BMD" /> </identifier> <status value="final" /> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2737501000000115" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2737501000000115" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2737501000000115" /> </extension> <extension url="descriptionDisplay"> <valueString value="Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="1092691000000100" /> <display value="Ten year hip fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density" /> </coding> <text value="FRAX score BMD" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueQuantity> <value value="73" /> <unit value="%" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:874dafcd7bf83afae0786d30dbf1b98c" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index: 74</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FRAX_OSTEOPOROTIC_FRACTURE_BMI" /> </identifier> <status value="final" /> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2737431000000113" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2737431000000113" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2737431000000113" /> </extension> <extension url="descriptionDisplay"> <valueString value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="1092661000000106" /> <display value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index" /> </coding> <text value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with body mass index" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueQuantity> <value value="74" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:23d25e9f887f8d0a81980607db4c8eb0" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density: 75</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FRAX_10_YEAR_OSTEOPOROTIC_BMD" /> </identifier> <status value="final" /> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="2737461000000115" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="2737461000000115" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="2737461000000115" /> </extension> <extension url="descriptionDisplay"> <valueString value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="1092671000000104" /> <display value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density" /> </coding> <text value="Ten year osteoporotic fracture probability score using FRAX (Fracture Risk Assessment Tool) with bone mineral density" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <issued value="2020-09-18T00:01:00.000Z" /> <valueQuantity> <value value="75" /> </valueQuantity> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:8a2c4a2de5ccd26244db801357d3dc53" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">History of fracture: H/O: fracture</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HISTORY_OF_FRACTURE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="HISTORY_OF_FRACTURE" /> <display value="History of fracture" /> </coding> <text value="History of fracture" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="14G9.00" /> <display value="H/O: fracture" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1485122018" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1485122018" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1485122018" /> </extension> <extension url="descriptionDisplay"> <valueString value="H/O: fracture" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="391095006" /> <display value="H/O: fracture" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIUD" /> <display value="H/O: fracture" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a6b2ebde91636531190366ee5c8ef60e" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Type of previous fracture: H/O: fragility fracture</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="TYPE_OF_PREVIOUS_FRACTURE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="TYPE_OF_PREVIOUS_FRACTURE" /> <display value="Type of previous fracture" /> </coding> <text value="Type of previous fracture" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="14G6.00" /> <display value="H/O: fragility fracture" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1485119015" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1485119015" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1485119015" /> </extension> <extension url="descriptionDisplay"> <valueString value="H/O: fragility fracture" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="391092009" /> <display value="H/O: fragility fracture" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIUA" /> <display value="H/O: fragility fracture" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:20379189c094c876fb11a7397d74b5b8" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">DEXA scan status: Patient has had a dexa scan</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DEXA_SCAN_STATUS" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="DEXA_SCAN_STATUS" /> <display value="DEXA scan status" /> </coding> <text value="DEXA scan status" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_HAD_DEXA_SCAN" /> <display value="Patient has had a dexa scan" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:0a7df8e8ff5aa3f50ad404d89434d283" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Falls reduction plan in place: Patient has a falls reduction plan in place</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FALLS_REDUCTION_PLAN_IN_PLACE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="FALLS_REDUCTION_PLAN_IN_PLACE" /> <display value="Falls reduction plan in place" /> </coding> <text value="Falls reduction plan in place" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="PATIENT_HAS_FALLS_REDUCTION_PLAN" /> <display value="Patient has a falls reduction plan in place" /> </coding> </valueCodeableConcept> <note id="DescriptiveText"> <text value="Notes re falls reduction plan:--18-09-2020" /> </note> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:088328b5bf5ac3f744ec1111dc8b4ecb" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Referral to falls service: Referral to falls service</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="REFERRAL_TO_FALLS_SERVICE" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="REFERRAL_TO_FALLS_SERVICE" /> <display value="Referral to falls service" /> </coding> <text value="Referral to falls service" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="8Hk1.00" /> <display value="Referral to falls service" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="405101000000119" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="405101000000119" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="405101000000119" /> </extension> <extension url="descriptionDisplay"> <valueString value="Referral to falls service" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="247541000000106" /> <display value="Referral to falls service" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaLqJ" /> <display value="Referral to falls service" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:c1a92f69310ba0a3c6ce4241a6160c0f" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Referral to community rehabilitation: Referral to intermediate care - community rehabilitation</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="REFERRAL_TO_COMMUNITY_REHABILITATION" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="REFERRAL_TO_COMMUNITY_REHABILITATION" /> <display value="Referral to community rehabilitation" /> </coding> <text value="Referral to community rehabilitation" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="8He1.00" /> <display value="Referral to intermediate care - community rehabilitation" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="450623014" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="450623014" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="450623014" /> </extension> <extension url="descriptionDisplay"> <valueString value="Referral to community rehabilitation" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="307376002" /> <display value="Referral to community rehabilitation" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaB4t" /> <display value="Referral to community rehabilitation" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:a1470fab8409b50a751b7b6e81ff1144" /> <resource> <Observation> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Referral for exercise therapy: Referral for exercise therapy</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="REFERRAL_FOR_EXERCISE_THERAPY" /> </identifier> <status value="final" /> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="REFERRAL_FOR_EXERCISE_THERAPY" /> <display value="Referral for exercise therapy" /> </coding> <text value="Referral for exercise therapy" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <valueCodeableConcept> <coding> <system value="http://read.info/readv2" /> <code value="8H7q.00" /> <display value="Referral for exercise therapy" /> </coding> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="1484897012" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="1484897012" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="1484897012" /> </extension> <extension url="descriptionDisplay"> <valueString value="Referral for exercise therapy" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="390864007" /> <display value="Referral for exercise therapy" /> </coding> <coding> <system value="http://read.info/ctv3" /> <code value="XaIPu" /> <display value="Referral for exercise therapy" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <entry> <fullUrl value="urn:uuid:67c590c00ae660b76d67a3f13c96f9f0" /> <resource> <Practitioner> <extension url="http://fhir.blackpear.com/type#authorDate"> <valueDateTime value="2020-10-06T12:44:25.092Z" /> </extension> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="AUTHOR" /> </identifier> <name> <use value="official" /> <text value="Mr David Somers" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:a28fbab843fc45eb3ef69219f7cca241" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LAST_AUTHOR" /> </identifier> <name> <use value="official" /> <text value="Mr David Somers" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:10cf082ed660caba21e1214687723e90" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CREATOR" /> </identifier> <name> <use value="official" /> <text value="Mr David Somers" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:56f112d6751ea0ed112315a384ca804f" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="USUAL_GP" /> </identifier> <name> <use value="official" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:0006e8cc1411a43d65f6fb3360ffdabc" /> <resource> <Practitioner> <extension url="http://fhir.blackpear.com/practitioner#placeOfWork"> <valueString value="Out there somewhere, Bolton" /> </extension> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="KEY_WORKER" /> </identifier> <name> <use value="official" /> <text value="Patrick Stewart" /> </name> <telecom> <system value="phone" /> <value value="0161 999 8888" /> <use value="work" /> </telecom> <telecom> <system value="phone" /> <value value="0161 999 7777" /> <use value="mobile" /> </telecom> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:4517e1c9516c713d928899fdb0a1cdfa" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FORMAL_CARER1" /> </identifier> <name> <use value="official" /> <text value="Dr Bob" /> </name> <telecom> <system value="phone" /> <value value="0161 999 5555" /> <use value="work" /> </telecom> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:f3d7e8b0ec5330751e2be4907e03992d" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FORMAL_CARER2" /> </identifier> <name> <use value="official" /> <text value="Dr Sue" /> </name> <telecom> <system value="phone" /> <value value="0161 999 4444" /> <use value="work" /> </telecom> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:dae8c06948c1ef09bd8550ffc398dbd5" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="FORMAL_CARER_4" /> </identifier> <name> <use value="official" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:62cc86e26655236d82f8d5ca631fd2ef" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PRIVATE_CARER" /> </identifier> <name> <use value="official" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:ddc43ca762f3d5f23d7ebd9673096a19" /> <resource> <Practitioner> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="STATUTORY_CARER" /> </identifier> <name> <use value="official" /> </name> </Practitioner> </resource> </entry> <entry> <fullUrl value="urn:uuid:b71324081feba2720a902f63cb3288dc" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Dementia.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HAS_DEMENTIA" /> </identifier> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="87274019" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="87274019" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="87274019" /> </extension> <extension url="descriptionDisplay"> <valueString value="Dementia" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="52448006" /> <display value="Dementia" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:721b3e443c5b7dae93f9d26baad0be6d" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Frailty.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="HAS_FRAILTY" /> </identifier> <code> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="370645010" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId value="370645010" /> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid"> <extension url="descriptionId"> <valueId value="370645010" /> </extension> <extension url="descriptionDisplay"> <valueString value="Frailty" /> </extension> </extension> <system value="http://snomed.info/sct" /> <code value="248279007" /> <display value="Frailty" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:c3c913d9241f9284995f4a9dd2f156d1" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Other relevant clinical issues. Other relevant clinical issues--18-09-2020.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="OTHER_RELEVANT_CLINICAL_ISSUES" /> </identifier> <code> <coding> <system value="http://fhir.blackpear.com/bpc" /> <code value="OTHER_RELEVANT_CLINICAL_ISSUES" /> <display value="Other relevant clinical issues" /> </coding> <text value="Other relevant clinical issues" /> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> <note id="DescriptiveText"> <text value="Other relevant clinical issues--18-09-2020" /> </note> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:2579c49220b97059951b595143876c04" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Acquired hypothyroidism.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DIAGNOSIS_OF_DELIRIUM" /> </identifier> <code> <coding> <system value="http://snomed.info/sct" /> <code value="111566002" /> <display value="Acquired hypothyroidism" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:56ed7e90ade02f2989073393dac4d03f" /> <resource> <Condition> <text> <status value="generated" /> <div xmlns="http://www.w3.org/1999/xhtml">Acquired hypothyroidism.</div> </text> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DIAGNOSIS_OF_DEMENTIA" /> </identifier> <code> <coding> <system value="http://snomed.info/sct" /> <code value="111566002" /> <display value="Acquired hypothyroidism" /> </coding> </code> <subject> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </subject> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:da19f00f0e4f3d5f26343c5a2b4f13fe" /> <resource> <Organization> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="AUTHOR_ORGANISATION" /> </identifier> <name value="EMIS Web Demo System" /> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:ffc18c8eab55677856fde582eb95689d" /> <resource> <Organization> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="LAST_AUTHOR_ORGANISATION" /> </identifier> <name value="EMIS Web Demo System" /> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:95241fa86b0a8b2e3960886176769853" /> <resource> <Organization> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CREATOR_ORGANISATION" /> </identifier> <name value="EMIS Web Demo System" /> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:54d4b68664d5b34c7b22840f1b533ffd" /> <resource> <Organization> <extension url="http://fhir.blackpear.com/organization#availability"> <valueString value="Care agency 1 - Availability--18-09-2020" /> </extension> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="CARE_AGENCY_1" /> </identifier> <name value="BUPA" /> <telecom> <system value="phone" /> <value value="0161 999 3333" /> <use value="work" /> </telecom> <address> <use value="work" /> <text value="Care agency 1 - Address--18-09-2020" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:e92da62110a6bfdcd20fc44b1512101d" /> <resource> <Organization> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="QPH" /> </identifier> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="291016" /> </identifier> <name value="GMCA LHCRE Test System" /> <telecom> <system value="phone" /> <value value="01254 235487" /> <use value="work" /> </telecom> <address> <use value="work" /> <text value="Churchgate House, 56 Oxford Street, Manchester, Greater Manchester, M1 6EU" /> <line value="Churchgate House" /> <line value="56 Oxford Street" /> <city value="Manchester" /> <state value="Greater Manchester" /> <postalCode value="M1 6EU" /> </address> </Organization> </resource> </entry> <entry> <fullUrl value="urn:uuid:6ab452330321cc12e035051440457a07" /> <resource> <RelatedPerson> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="PATIENT_LIVES_WITH_NAME" /> </identifier> <patient> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </patient> <relationship> <text value="Prime Minister" /> </relationship> <name> <use value="official" /> <text value="Boris Johnson" /> </name> </RelatedPerson> </resource> </entry> <entry> <fullUrl value="urn:uuid:59a753b982edd27e3710f5c66412e4e6" /> <resource> <RelatedPerson> <extension url="http://fhir.blackpear.com/availability#maincarer"> <valueString value="Night Time Only" /> </extension> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="MAIN_INFORMAL_CARER" /> </identifier> <patient> <reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" /> </patient> <relationship> <text value="Brother" /> </relationship> <name> <use value="official" /> <text value="Bob Smith" /> </name> <telecom> <system value="phone" /> <value value="0161 999 6666" /> <use value="work" /> </telecom> <address> <use value="home" /> <text value="101 Penny Lane, Manchester" /> </address> </RelatedPerson> </resource> </entry> <entry> <fullUrl value="urn:uuid:2dc88edd56887b037f399d86bebbd948" /> <resource> <DocumentReference> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="DEXA_SCAN_DOCUMENT" /> </identifier> <status value="current" /> <docStatus value="final" /> <date value="2020-09-22T09:40:17.674Z" /> <author> <display value="Mr David Somers" /> </author> <content> <attachment> <contentType value="application/pdf" /> <url value="https://endor.blackpear.com/pyruscloud/v1/esp/fhir/Binary/5f64ed5be388fa28165c351f" /> <size value="2061072" /> <title value="Screenshots EMIS + Black Pear Testing--18-09-2020.pdf" /> <creation value="2020-09-18T21:49:13.892Z" /> </attachment> </content> </DocumentReference> </resource> </entry> <entry> <fullUrl value="urn:uuid:cecf91fb2e6a6a3e0ee3aaebc42d288f" /> <resource> <DocumentReference> <masterIdentifier> <value value="https://endor.blackpear.com/pyruscloud/v1/esp/fhir/Binary/5f64ed5b6344e4281b66dfc7" /> </masterIdentifier> <identifier> <system value="http://www.blackpear.com/MedicalRecord/EntityID" /> <value value="e6f18bb2-90e3-4960-c81c-3d6d33ef317b" /> </identifier> <status value="current" /> <docStatus value="final" /> <type> <coding> <extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"> <valueId value="599751000000111" /> </extension> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid"> <valueId 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