frailty and dementia Care Plan

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<text value="Inform patient status" />
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<reference value="urn:uuid:b71324081feba2720a902f63cb3288dc" />
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<reference value="urn:uuid:721b3e443c5b7dae93f9d26baad0be6d" />
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<text value="Lives alone" />
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<text value="Accommodation information" />
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<text value="Active repeat prescriptions" />
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<text value="Recent acute prescriptions" />
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<text value="Allergies" />
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<reference value="urn:uuid:c56a66cd3824824192f3378486a897fc" />
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<text value="Liver blood tests" />
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<reference value="urn:uuid:60d976c87266062cc4408a9c3b8c93bc" />
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<text value="Full blood count" />
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<text value="Full blood count (2)" />
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<reference value="urn:uuid:6a0fab60cc912d93a0cb2247f6290b24" />
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<text value="Hyperlipidaemia screening" />
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<reference value="urn:uuid:a682f01eeb3e4a53df1a4799120b06ae" />
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<text value="Random glucose" />
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<reference value="urn:uuid:9249c5d068b256929205525b494cd98b" />
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<text value="HbA1C history" />
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<text value="Thyroid function test history" />
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<reference value="urn:uuid:8c77cd89a5b143323982050c7972e79c" />
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<text value="Vitamin B12 history" />
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<reference value="urn:uuid:959adef815b14f50aaa7a979fb7add27" />
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<text value="ESR history" />
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<reference value="urn:uuid:7750316e7aea4d068e87fb196ecb7dc9" />
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<text value="Serum folate history" />
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<text value="Serum calcium history" />
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<reference value="urn:uuid:6df8e48f9bd610cf103dd7c31692b92e" />
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<text value="Package of care items" />
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<reference value="urn:uuid:9d3ed6d240a73692d1ec0a46fb93044a" />
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<text value="Sensory items" />
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<text value="Mobility items" />
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<reference value="urn:uuid:622376098a25b858e3712c38c8709851" />
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<text value="Risk items" />
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<text value="Nutrition skin continence" />
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<text value="Community physical observations" />
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<text value="Barthel Scale" />
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<text value="Legal items" />
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<text value="Community MDT" />
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<text value="Frailty items" />
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<text value="Memory function Dementia Teams" />
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<text value="Resource with id KEY_WORKER" />
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<text value="Missing Link CarePlan" />
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<text value="Missing Link Observation - Lives in supported housing" />
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<fullUrl value="urn:uuid:518ece906b5a4bda434a811a8b9bf8cb" />
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<Condition>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">Acquired hypothyroidism. Significant Problem/High Priority. Active Problem/Actual Problem.</div>
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<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="97" />
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<code value="active" />
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<code value="24484000" />
<display value="Severe" />
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<code value="1" />
<display value="Significant Problem/High Priority" />
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<system value="http://read.info/readv2" />
<code value="C04..00" />
<display value="Acquired hypothyroidism" />
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<code value="111566002" />
<display value="Acquired hypothyroidism" />
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<code value="1" />
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<text value="Acquired hypothyroidism" />
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<fullUrl value="urn:uuid:f6a8dfbdcda6aa77ff52d11c53511b50" />
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<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>
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<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="96" />
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<code value="24484000" />
<display value="Severe" />
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<system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" />
<code value="1" />
<display value="Significant Problem/High Priority" />
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<code>
<coding>
<system value="http://read.info/readv2" />
<code value="K05..00" />
<display value="Chronic renal failure" />
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<coding>
<system value="http://snomed.info/sct" />
<code value="90688005" />
<display value="Chronic renal failure" />
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<coding>
<system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" />
<code value="1" />
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<text value="Chronic renal failure" />
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<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" />
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<system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
<code value="active" />
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<system value="http://snomed.info/sct" />
<code value="24484000" />
<display value="Severe" />
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<coding>
<system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/Significance" />
<code value="1" />
<display value="Significant Problem/High Priority" />
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</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" />
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<coding>
<system value="http://www.e-mis.com/emisopen/MedicalRecord/Problem/ProblemStatus" />
<code value="1" />
<display value="Active Problem/Actual Problem" />
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<text value="Brittle asthma" />
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<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" />
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<system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
<code value="active" />
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<system value="http://snomed.info/sct" />
<code value="24484000" />
<display value="Severe" />
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<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" />
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<text value="Essential hypertension" />
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<fullUrl value="urn:uuid:829dbcf3ab7d93f7eecb2055308a44c4" />
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<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" />
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<system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
<code value="active" />
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<system value="http://snomed.info/sct" />
<code value="24484000" />
<display value="Severe" />
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<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" />
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<coding>
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<code value="1" />
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<text value="Type 2 diabetes mellitus" />
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<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" />
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<system value="http://terminology.hl7.org/CodeSystem/condition-clinical" />
<code value="active" />
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<coding>
<system value="http://snomed.info/sct" />
<code value="24484000" />
<display value="Severe" />
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<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" />
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<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 value="http://www.e-mis.com/emisopen/MedicalRecord/PatientID" />
<value value="9" />
</identifier>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="5f3a7de3e388fa28165c3369" />
</identifier>
<name>
<use value="official" />
<text value="Mr Michael Smith" />
<family value="Smith" />
<given value="Michael" />
<prefix value="Mr" />
</name>
<name>
<use value="usual" />
<text value="Mike" />
</name>
<telecom>
<system value="phone" />
<value value="07746672595" />
<use value="home" />
</telecom>
<telecom>
<system value="phone" />
<value value="07746672655" />
<use value="work" />
</telecom>
<telecom>
<system value="phone" />
<value value="07746672656" />
<use value="mobile" />
</telecom>
<telecom>
<system value="email" />
<value value="Michael.smith-Test@virgin.co.uk" />
<use value="home" />
</telecom>
<gender value="male" />
<birthDate value="1946-07-31" />
<address>
<use value="home" />
<text value="564 Test Street, Test Town, Greater Manchester, M23 8JH" />
<line value="564 Test Street" />
<city value="Test Town" />
<state value="Greater Manchester" />
<postalCode value="M23 8JH" />
</address>
<managingOrganization>
<reference value="urn:uuid:e92da62110a6bfdcd20fc44b1512101d" />
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="QPH" />
</identifier>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:dfb309e5c2c3d07b88b576df9cf34c36" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACTIVE_PROBLEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ACTIVE_SIGNIFICANT_PROBLEMS" />
<display value="Active significant problems" />
</coding>
<text value="Active significant problems" />
</code>
<date value="2020-10-06" />
<entry>
<item>
<reference value="urn:uuid:518ece906b5a4bda434a811a8b9bf8cb" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f6a8dfbdcda6aa77ff52d11c53511b50" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:fa929a7dc38328b635bd58d816547adf" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:2e7a5ec04d3ea26c4518ca712873474a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:829dbcf3ab7d93f7eecb2055308a44c4" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5c74f23a0515fac35968e10a94892903" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:13c1ea72c4a0f601ec2f3a28b79161af" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACCOMMODATION" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ACCOMMODATION_INFO" />
<display value="Accommodation information" />
</coding>
<text value="Accommodation information" />
</code>
<entry>
<item>
<reference value="urn:uuid:d2394d8d2690bfe1f33af4b96c23a28b" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1c431c639ee5ffd88c8af70c2376da6f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:af6a5442cd1fdcbe5c86ae0fe4e20382" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:03063aeebc2cd2519ef04bb428f8a8f1" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:65e4aff188103d1d680d4d1411cbc069" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4b009ea44ec7af4dced31fe8cddcdaef" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9c6fcfddcd39cbcddcade32d0ee455b0" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACCESS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<entry>
<item>
<reference value="urn:uuid:f233dd925f2aa4485f4c369c02fafb51" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f1d02e55f472b8eea6dab6322354ed08" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b84a8cee9706f4b61087f547689e9ef6" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ba266b6523969d930695a360e7b38245" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ad385f9c08f846174d5155d07a5a68d1" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACTIVE_REPEATS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ACTIVE_REPEATS" />
<display value="Active repeat prescriptions" />
</coding>
<text value="Active repeat prescriptions" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ea74ac12db690c1ac6c0ee22c77a9ee7" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="RECENT_ACUTE_PRESCRIPTIONS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="RECENT_ACUTE_PRESCRIPTIONS" />
<display value="Recent acute prescriptions" />
</coding>
<text value="Recent acute prescriptions" />
</code>
<date value="2020-10-06" />
<entry>
<item>
<reference value="urn:uuid:2c0ea433efaa5ebdc2d698393df0ac85" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:84498397bce2bf3650c06ec32ae88003" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b77daa25afdf1522dc4c6af26dc1cd33" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:72f128f8cb206e5864e3de7b17accebb" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:21166768afd2c26c55cadd5b1148ac79" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c56a66cd3824824192f3378486a897fc" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ALLERGIES" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ALLERGIES" />
<display value="Allergies" />
</coding>
<text value="Allergies" />
</code>
<date value="2020-10-06" />
<entry>
<item>
<reference value="urn:uuid:3f66aa8d032d50ddb117072ec7a0aeb3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:3a19fc8ecd8cf6474d2793e1030fd454" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:6b3fe66b254383105b2a4fe9c0df0899" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ef4a66ca83fe25f062be47718aea0a45" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="FULL_BLOOD_COUNT" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="FULL_BLOOD_COUNT" />
<display value="Full blood count" />
</coding>
<text value="Full blood count" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:60d976c87266062cc4408a9c3b8c93bc" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="LIVER_BLOOD_TESTS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="LIVER_BLOOD_TESTS" />
<display value="Liver blood tests" />
</coding>
<text value="Liver blood tests" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6a0fab60cc912d93a0cb2247f6290b24" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="UREA_AND_ELECTROLYTES" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="UREA_AND_ELECTROLYTES" />
<display value="Urea and Electrolytes" />
</coding>
<text value="Urea and Electrolytes" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a682f01eeb3e4a53df1a4799120b06ae" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="HYPERLIPIDAEMIA_SCREENING" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="HYPERLIPIDAEMIA_SCREENING" />
<display value="Hyperlipidaemia screening" />
</coding>
<text value="Hyperlipidaemia screening" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9249c5d068b256929205525b494cd98b" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="RANDOM_GLUCOSE" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="RANDOM_GLUCOSE" />
<display value="Random glucose" />
</coding>
<text value="Random glucose" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:ce07b460de902382c39e076ed1f6fbd1" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="HBA1C_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="HBA1C_HISTORY" />
<display value="HbA1C history" />
</coding>
<text value="HbA1C history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8c77cd89a5b143323982050c7972e79c" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="THYROID_FUNCTION_TEST_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="THYROID_FUNCTION_TEST_HISTORY" />
<display value="Thyroid function test history" />
</coding>
<text value="Thyroid function test history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:959adef815b14f50aaa7a979fb7add27" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="VITAMIN_B12_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="VITAMIN_B12_HISTORY" />
<display value="Vitamin B12 history" />
</coding>
<text value="Vitamin B12 history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7750316e7aea4d068e87fb196ecb7dc9" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ESR_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ESR_HISTORY" />
<display value="ESR history" />
</coding>
<text value="ESR history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c7a76e98e0b14581fdfcb3595f307f32" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="SERUM_FOLATE_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="SERUM_FOLATE_HISTORY" />
<display value="Serum folate history" />
</coding>
<text value="Serum folate history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6df8e48f9bd610cf103dd7c31692b92e" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="SERUM_CALCIUM_HISTORY" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="SERUM_CALCIUM_HISTORY" />
<display value="Serum calcium history" />
</coding>
<text value="Serum calcium history" />
</code>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9d3ed6d240a73692d1ec0a46fb93044a" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="PACKAGE_OF_CARE_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="PACKAGE_OF_CARE_ITEMS" />
<display value="Package of care items" />
</coding>
<text value="Package of care items" />
</code>
<entry>
<item>
<reference value="urn:uuid:e37c8d64117b0419a1e14ff1762676d5" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:54d4b68664d5b34c7b22840f1b533ffd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:da19f00f0e4f3d5f26343c5a2b4f13fe" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:62cc86e26655236d82f8d5ca631fd2ef" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ddc43ca762f3d5f23d7ebd9673096a19" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2c8ae9126056d95e6cbf6dd8c6f05a6a" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="SENSORY_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="SENSORY_ITEMS" />
<display value="Sensory items" />
</coding>
<text value="Sensory items" />
</code>
<entry>
<item>
<reference value="urn:uuid:bec3ef96939ca5e1e25e83877b4c3324" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:93f7141c505b7f3f79e19744204d9ead" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ea97f456b8fc68548c1d851b3e581582" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:844811592caa7027e16bfbaa6bc49a40" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b40f13b6ab63f27743b456808b1c4f35" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b0f01ac299aa793c03c7d6764c04bac2" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:27509aba6b737dbf07c37def82ca9d95" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d4a93fac89957b144b9c09dadadca947" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1ce0e36d760b4cb3dd963a319be4747b" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:bb1b140bc14367e85547a6fa7f59f8cd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:52dc8b80280273ef61dd507616e68204" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8edce2e0d9794428975642c116605af8" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:622376098a25b858e3712c38c8709851" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="MOBILITY_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="MOBILITY_ITEMS" />
<display value="Mobility items" />
</coding>
<text value="Mobility items" />
</code>
<entry>
<item>
<reference value="urn:uuid:be486950f6dd8f635a596dccd3c266e0" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:84c81fd9027f97fb38c5cc067c30700a" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="RISK_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="RISK_ITEMS" />
<display value="Risk items" />
</coding>
<text value="Risk items" />
</code>
<entry>
<item>
<reference value="urn:uuid:360dbed0c8021a27917ee56692b60678" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a207532542e57e968e7a8b17844693e3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:eec894755cd8d7754cd3a26baa50eb68" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:e0d9f97938625e53b673c7313feb95bc" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d7d4f29b35870f0e87189738e8376749" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:843efaa0b34cffdc575d3f104d5b60dd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f9c12ea7f177e32d80a29238a5a8c2bc" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a9e5e0ddc0c15a98ce074162080587cb" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d300f5e4b2913ca50b2ccd483a342ac9" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:eb40acf93d8bd8b76a91bb8aa8929e9f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5082d8ad5b6c4b4c6d6c79c7bb921e0d" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b37bead1efa6991c8f599315e1a26b9f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:7b086cdf0e85987ed67eb2b6942829e4" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4ca0071fab7b6d63800a9fdb5b7cd76f" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="NUTRITION_SKIN_CONTINENCE" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="NUTRITION_SKIN_CONTINENCE" />
<display value="Nutrition skin continence" />
</coding>
<text value="Nutrition skin continence" />
</code>
<entry>
<item>
<reference value="urn:uuid:9693dcb956e4ad2c92762f8b2cdcb01a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:50855b87df0cd1e691528a8ec69576e7" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:6aa8122b643cb1cfcbe545d57a2c8ae4" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f390887c912d73515c636df191bef275" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0e660fca2cf8180c9c0fdd05c7d87804" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:52814a543a59ed99391ec3b473a2a63c" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:45b55bcd878be0151da86248cfd971c3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:84f04394ca94aaf96b01c376c9190c75" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4924d9083d6e0e68f24c4d72fae4793a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:12b5aaa04e8188d60dea2fa25a59db36" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:209ee2278b4f99eb322a55eed03a671a" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0c42e3a7032fe873cb7ec71a0b66eb19" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="COMMUNITY_PHYSICAL_OBSERVATIONS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="COMMUNITY_PHYSICAL_OBSERVATIONS" />
<display value="Community physical observations" />
</coding>
<text value="Community physical observations" />
</code>
<entry>
<item>
<reference value="urn:uuid:64373f0a4bd6215acf2049e9f919ebfa" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:52185889c7cc39fc954c2fe6e5d8d42c" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:e430753d5ecfe7613cb3dab87253b21d" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:289159e18e7f516b6a2183b812931241" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ed92cdd538242f8a528e4272ad871a63" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:383c505c30645afa126aa18e8181c7f3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:c386f8b65832e0ff68661e9465d9d8d3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f4dade567e6d546ae71e78f38b29db81" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:7efd56b12d1b7ffdbc0a0bc87cdda7ba" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:764366991ac5f6602316bbebc2e2bf90" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4a5cca3b29ec1fb58614dd3264a3f2c4" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:db1d9a679a1a762ad55db14a055c2002" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:cf460d7da46c60beae92fb96f1371cc6" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8c5bffd304dcaf69e8b69f88ecb45335" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="BARTHEL_SCALE" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="BARTHEL_SCALE" />
<display value="Barthel Scale" />
</coding>
<text value="Barthel Scale" />
</code>
<entry>
<item>
<reference value="urn:uuid:b0d1ad66b3e49a9394ab5f87bdbbb1d7" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:03d8d1d12a7295ec0fe515795bfaa3af" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:042b6a33ea131d2c62ae61f24152e376" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d0bde4826600ab27a98042281b0946aa" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:808692608428cd8336bcdd1774cc26f1" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0d1d43adf1a277fd688272ec32436c06" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:3d431c92cf15c2af917bc3ba28ac2f70" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:71ef8e4d4bf6c08ec7c6c3403144e352" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:bdad24252b0075ca56d57e726247cd48" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:9f9d04bf9b3f42ac52453ae41d3858c6" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1d49a28322f6be1028160ec7f9d29b0e" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9d671de97632555ba13e9ceda7442d07" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="LEGAL_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<entry>
<item>
<reference value="urn:uuid:35c30c038e200fda09701397bf51a702" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:cac83abf9a3d0b637170525453d066cd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:af9ba6069cb982448a0a321f3e8f1cab" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:528f72f47d3feb48ab40c8093b3f3b82" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:fde27b20edb3b8556857876892a79d9e" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:cb993e61cfa9724aa67ade67d98df372" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:32183092b75b47c0e591268e7b5647c2" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:14d945b8febe153064f03355d8a7c2f5" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:646d417bdd7412cc1071390c41b3f0ca" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="MEMORY_FUNCTION_DEMENTIA_TEAMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="MEMORY_FUNCTION" />
<display value="Memory function" />
</coding>
<text value="Memory function" />
</code>
<entry>
<item>
<reference value="urn:uuid:8468e9c4297b8f3f72ee1e9632bc2bcd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:6fb25c0c78ff99227f20bf7e63875a18" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:2579c49220b97059951b595143876c04" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:56ed7e90ade02f2989073393dac4d03f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ab1fd9e4c2701328b8bb56d80f33dd6a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a1d010c00b88a3b630c1b5921c491563" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ab160e4c322513d6dcad613795d25bc7" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4b74fc53458c7121844149110ebedb02" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:6550a81e7a1dcbbcee3839acc3d7ef3c" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:326834e9557290148acfd93bbfb39673" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:648ca36f688c10182d31bfd6fc6b5efa" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:12d9e8eeade5ac3f641eeb086ef52f44" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0f7b46148fd85f8679bd9b9a8257f8e3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:e3998c12b93d2a67031cb95e58e27980" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:aafa3caba00b65b556750253db9ccafa" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:72769cc8aa23d18d319cd3c4d09b07ea" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a6563d41215f2bfb55f0c5a1a5dffe70" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:7f8ccfdc9f2069299e8e96f94aa299a0" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d4c9f59af04c697145fb0133324265fd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8110d824c3545340511aa3adf4038dd2" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:c60edafffcfbb0b02f2ecd1cb8e6414e" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4abcd08385628fc8e31dc08ea53cc1c8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4993011a22cb39b3305d14ea0561d369" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ef0586fb1c8185e23ba15afcc61039b8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a4d823d3561be3203ec513ec801e7b4a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0937199cd90b570385a988a85c7310ba" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2527af794f0561b8ca86de3c89d79972" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="COMMUNITY_MDT" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="COMMUNITY_MDT" />
<display value="Community MDT" />
</coding>
<text value="Community MDT" />
</code>
<entry>
<item>
<reference value="urn:uuid:133250d9b567246444b31a833550655b" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:91b0e824626fae0b6325923a62a83c2c" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5d1391955b9fff74a6211c757e11bace" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0362f2f32c693cbf783352a6278e0e47" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:49d7beef0a97c6d17ac6b4759e6f187b" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:69970eceb17cbf62c2e98d4489bfb9f8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b2aaee1dec701aa4e6b353f144f0de02" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:713b1b340379d4231614706d4e6f74cb" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a128bf4a02c38ad9ca6752a70c741261" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d378603c41df59bc7610940af3c59ff4" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:56b9012f0b6737ac037c637a6f77f607" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4c3bee567acebda0f45a29c07dfdeec9" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:651cd7ee572fc321c158a925defd15e5" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:2d66c0c4dc0846f9ddd463ac5264ad92" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:854774873dabf2349cf0f5855dad6cfd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1a74637be81b741892c0d62d8a5109c9" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:ae8097faf6abb396f8caf2fd4cc8c357" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:7deb023aa0c22f52e03351dcb9331d29" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5d3c38bf35a087f86d45bbf74d803c98" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:14f8c468bc51d5d0353ba2012bbf30c3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b827cab1a81670e8e0a31c83d0832317" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4fd2a9a3b6585c514dd5a87afbf5ffd3" />
<resource>
<List>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="FRAILTY_ITEMS" />
</identifier>
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="FRAILTY_ITEMS" />
<display value="Frailty items" />
</coding>
<text value="Frailty items" />
</code>
<entry>
<item>
<reference value="urn:uuid:185b28aaed81068248a43ee7a86f52c8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:fd7ccc0405e2c9e65222af7c76bb634f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:289655be362399632fae1be34b1596cd" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:57a249a63f5240b743ffbc2ed5a0453a" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:c74eac8219c0e46a9cb763fb50b3c287" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:f4a3696c947788a24cc7e66189938dd2" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:6aa415ff559aed7b8f097e92565ffbd2" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8aeac040fdf5a63c83474cf23a4da741" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:3b316d12d579c9f1763c3effaa5d1ea8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:82037ce018801aaabab1855a1738f99f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:b3bc385632b078dcc915bc031fb811b3" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:1e97e3552e2a8add70d6ef89d9ab5586" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:34afbf930ac014747b6a8f2a1018f519" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:874dafcd7bf83afae0786d30dbf1b98c" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:23d25e9f887f8d0a81980607db4c8eb0" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8a2c4a2de5ccd26244db801357d3dc53" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a6b2ebde91636531190366ee5c8ef60e" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:20379189c094c876fb11a7397d74b5b8" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:2dc88edd56887b037f399d86bebbd948" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0a7df8e8ff5aa3f50ad404d89434d283" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:088328b5bf5ac3f744ec1111dc8b4ecb" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:c1a92f69310ba0a3c6ce4241a6160c0f" />
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a1470fab8409b50a751b7b6e81ff1144" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:3977f3566b05e392664387b68f12e5f1" />
<resource>
<CarePlan>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="CARE_PLAN" />
</identifier>
<status value="unknown" />
<intent value="plan" />
<subject>
<reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" />
</subject>
<period>
<start value="2020-09-18T15:08:53.926Z" />
</period>
</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>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2b51a1e840faef9883a39aad418fb3e0" />
<resource>
<Observation>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">Patient lives with: Patient lives with other</div>
</text>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="PATIENT_LIVES_WITH" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="PATIENT_LIVES_WITH" />
<display value="Patient lives with" />
</coding>
</code>
<subject>
<reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" />
</subject>
<valueCodeableConcept>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="PATIENT_LIVES_WITH_OTHER" />
<display value="Patient lives with other" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d2394d8d2690bfe1f33af4b96c23a28b" />
<resource>
<Observation>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">Accommodation type: Lives in house</div>
</text>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACCOMODATION_TYPE" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ACCOMODATION_TYPE" />
<display value="Accommodation type" />
</coding>
<text value="Accommodation type" />
</code>
<subject>
<reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" />
</subject>
<valueCodeableConcept>
<coding>
<extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid">
<valueId value="395141000000112" />
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid">
<valueId value="395141000000112" />
</extension>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid">
<extension url="descriptionId">
<valueId value="395141000000112" />
</extension>
<extension url="descriptionDisplay">
<valueString value="Lives in house" />
</extension>
</extension>
<system value="http://snomed.info/sct" />
<code value="242711000000100" />
<display value="Lives in house" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1c431c639ee5ffd88c8af70c2376da6f" />
<resource>
<Observation>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">Housing tenure: Homeowner</div>
</text>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="ACCOMMODATION_TENURE" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="ACCOMMODATION_TENURE" />
<display value="Housing tenure" />
</coding>
<text value="Housing tenure" />
</code>
<subject>
<reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" />
</subject>
<valueCodeableConcept>
<coding>
<extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid">
<valueId value="443705017" />
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid">
<valueId value="443705017" />
</extension>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid">
<extension url="descriptionId">
<valueId value="443705017" />
</extension>
<extension url="descriptionDisplay">
<valueString value="Homeowner" />
</extension>
</extension>
<system value="http://snomed.info/sct" />
<code value="302145009" />
<display value="Homeowner" />
</coding>
<coding>
<system value="http://read.info/ctv3" />
<code value="Xa8E2" />
<display value="Homeowner" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:af6a5442cd1fdcbe5c86ae0fe4e20382" />
<resource>
<Observation>
<text>
<status value="generated" />
<div xmlns="http://www.w3.org/1999/xhtml">Ability on stairs: Independent on stairs</div>
</text>
<identifier>
<system value="http://www.blackpear.com/MedicalRecord/EntityID" />
<value value="STAIR_ABILITY" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="http://fhir.blackpear.com/bpc" />
<code value="STAIR_ABILITY" />
<display value="Ability on stairs" />
</coding>
<text value="Ability on stairs" />
</code>
<subject>
<reference value="urn:uuid:f7b9b5a79f03b81478d4e60f5237468c" />
</subject>
<valueCodeableConcept>
<coding>
<system value="http://read.info/readv2" />
<code value="3992.00" />
<display value="Independent on stairs" />
</coding>
<coding>
<extension url="http://hl7.org/fhir/StructureDefinition/coding-sctdescid">
<valueId value="256970019" />
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid">
<valueId value="256970019" />
</extension>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid">
<extension url="descriptionId">
<valueId 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" />
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{
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{
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}
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Key safe number: 1234567890</div>"
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Key holder telephone number: 0160 123 4567</div>"
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Environment access information: Environment access information--18-09-2020</div>"
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Package of care details: Add details of package of care--18-09-2020</div>"
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},
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "HEARING_STATUS"
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"status": "final",
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"system": "http://fhir.blackpear.com/bpc",
"code": "HEARING_STATUS",
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],
"text": "Hearing status"
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"code": "1C11.00",
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},
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"resource": {
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"value": "COCHLEAR_IMPLANT"
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],
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],
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"value": "LIP_READS"
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"code": "LIP_READS",
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Uses sign language: Uses sign language</div>"
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"value": "USES_SIGN_LANGUAGE"
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],
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"display": "Uses sign language"
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"code": "13o8M00",
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"valueId": "2532745018"
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Language spoken: Navaho</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "LANGUAGE_SPOKEN"
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],
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"resource": {
"resourceType": "Observation",
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Is interpreter needed: Interpreter needed</div>"
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "INTERPRETER_NEEDED"
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],
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"code": "9NU0.00",
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},
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"resource": {
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Communication comments: Comments re communication--18-09-2020</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "COMMUNICATION_COMMENTS"
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Vision: Poor vision</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "VISION_STATUS"
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],
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"code": {
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
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],
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"system": "http://fhir.blackpear.com/bpc",
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],
"text": "Blindness"
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"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueId": "38553019"
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}
},
{
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"resource": {
"resourceType": "Observation",
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Blind register: Registered partially sighted</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "BLIND_REGISTER"
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],
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"code": "BLIND_REGISTER",
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},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueBoolean": true
}
},
{
"fullUrl": "urn:uuid:6aa8122b643cb1cfcbe545d57a2c8ae4",
"resource": {
"resourceType": "Observation",
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Soft foods: Yes</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "SOFT_FOODS"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "SOFT_FOODS",
"display": "Soft foods"
}
],
"text": "Soft foods"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueBoolean": true
}
},
{
"fullUrl": "urn:uuid:f390887c912d73515c636df191bef275",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Thickened foods: Yes</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "THICKENED_FOODS"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "THICKENED_FOODS",
"display": "Thickened foods"
}
],
"text": "Thickened foods"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueBoolean": true
}
},
{
"fullUrl": "urn:uuid:0e660fca2cf8180c9c0fdd05c7d87804",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pureed foods: Yes</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PUREED_FOODS"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PUREED_FOODS",
"display": "Pureed foods"
}
],
"text": "Pureed foods"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueBoolean": true
}
},
{
"fullUrl": "urn:uuid:52814a543a59ed99391ec3b473a2a63c",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Additional notes on diet: Additional notes on diet--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "ADDITIONAL_NOTES_ON_DIET"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "ADDITIONAL_NOTES_ON_DIET",
"display": "Additional notes on diet"
}
],
"text": "Additional notes on diet"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueString": "Additional notes on diet--18-09-2020"
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},
{
"fullUrl": "urn:uuid:45b55bcd878be0151da86248cfd971c3",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Urinary continence: Bladder: fully continent</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "URINARY_CONTINENCE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "URINARY_CONTINENCE",
"display": "Urinary continence"
}
],
"text": "Urinary continence"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://read.info/readv2",
"code": "3942.00",
"display": "Bladder: fully continent"
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{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid",
"valueId": "256952017"
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{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid",
"valueId": "256952017"
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{
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"url": "descriptionDisplay",
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"code": "165234001",
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},
{
"fullUrl": "urn:uuid:84f04394ca94aaf96b01c376c9190c75",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Faecal continence: Bowels: fully continent</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "FAECAL_CONTINENCE"
}
],
"status": "final",
"code": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "FAECAL_CONTINENCE",
"display": "Faecal continence"
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],
"text": "Faecal continence"
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"code": "3932.00",
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"valueId": "481790010"
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{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-coding-sctdescid",
"valueId": "481790010"
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{
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},
{
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"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pressure sore: Pressure sore</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PRESSURE_SORE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PRESSURE_SORE",
"display": "Pressure sore"
}
],
"text": "Pressure sore"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueCodeableConcept": {
"coding": [
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"code": "M270.13",
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{
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"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid",
"valueId": "1779199011"
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"valueId": "1779199011"
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"url": "descriptionDisplay",
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"system": "http://snomed.info/sct",
"code": "399912005",
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"code": "M270.",
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},
"note": [
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"id": "DescriptiveText",
"text": "Skin- Grade/location--18-09-2020"
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]
}
},
{
"fullUrl": "urn:uuid:12b5aaa04e8188d60dea2fa25a59db36",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Waterlow score: Patient Waterlow Score at risk</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "WATERLOW_SCORE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "WATERLOW_SCORE",
"display": "Waterlow score"
}
],
"text": "Waterlow score"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"issued": "2020-09-17T23:00:00.000Z",
"valueCodeableConcept": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PATIENT_WATERLOW_AT_RISK",
"display": "Patient Waterlow Score at risk"
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]
}
}
},
{
"fullUrl": "urn:uuid:209ee2278b4f99eb322a55eed03a671a",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Malnutrition score: Patient MUST score low risk</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "MALNUTRITION_SCORE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "MALNUTRITION_SCORE",
"display": "Malnutrition score"
}
],
"text": "Malnutrition score"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"issued": "2020-09-17T23:00:00.000Z",
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"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "PATIENT_MUST_LOW_RISK",
"display": "Patient MUST score low risk"
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]
}
}
},
{
"fullUrl": "urn:uuid:64373f0a4bd6215acf2049e9f919ebfa",
"resource": {
"resourceType": "Observation",
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Physical Observations Date and time, 18-Sep-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PHYSICAL_OBSERVATIONS_DATE_AND_TIME"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PHYSICAL_OBSERVATIONS_DATE_AND_TIME",
"display": "Physical Observations Date and time"
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],
"text": "Physical Observations Date and time"
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"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valuePeriod": {
"start": "2020-09-18T00:01:00.000Z"
}
}
},
{
"fullUrl": "urn:uuid:52185889c7cc39fc954c2fe6e5d8d42c",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Consciousness level: patient alert</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "CONSCIOUSNESS_LEVEL"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "CONSCIOUSNESS_LEVEL",
"display": "Consciousness level"
}
],
"text": "Consciousness level"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueCodeableConcept": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "PATIENT_ALERT",
"display": "patient alert"
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]
}
}
},
{
"fullUrl": "urn:uuid:e430753d5ecfe7613cb3dab87253b21d",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Physical Observations Temperature: 37 ºC</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PHYSICAL_OBSERVATIONS_TEMPERATURE"
}
],
"status": "final",
"code": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "PHYSICAL_OBSERVATIONS_TEMPERATURE",
"display": "Physical Observations Temperature"
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],
"text": "Physical Observations Temperature"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueQuantity": {
"value": 37,
"unit": "ºC"
}
}
},
{
"fullUrl": "urn:uuid:289159e18e7f516b6a2183b812931241",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pulse rate: 102</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PULSE_RATE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PULSE_RATE",
"display": "Pulse rate"
}
],
"text": "Pulse rate"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 102
}
}
},
{
"fullUrl": "urn:uuid:ed92cdd538242f8a528e4272ad871a63",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Systolic BP - sitting: 103</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "SYSTOLIC_BP_-_SITTING"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "SYSTOLIC_BP_-_SITTING",
"display": "Systolic BP - sitting"
}
],
"text": "Systolic BP - sitting"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 103
}
}
},
{
"fullUrl": "urn:uuid:383c505c30645afa126aa18e8181c7f3",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Diastolic BP - sitting: 104</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "DIASTOLIC_BP_-_SITTING"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "DIASTOLIC_BP_SITTING",
"display": "Diastolic BP - sitting"
}
],
"text": "Diastolic BP - sitting"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 104
}
}
},
{
"fullUrl": "urn:uuid:c386f8b65832e0ff68661e9465d9d8d3",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Respiratory rate: 20 breaths/min</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "RESPIRATORY_RATE"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "RESPIRATORY_RATE",
"display": "Respiratory rate"
}
],
"text": "Respiratory rate"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 20,
"unit": "breaths/min"
}
}
},
{
"fullUrl": "urn:uuid:f4dade567e6d546ae71e78f38b29db81",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Peripheral blood oxygen saturation: 80 %</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PERIPHERAL_BLOOD_OXYGEN_SATURATION_AT_REST"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "PERIPHERAL_BLOOD_OXYGEN_SATURATION",
"display": "Peripheral blood oxygen saturation"
}
],
"text": "Peripheral blood oxygen saturation"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 80,
"unit": "%"
}
}
},
{
"fullUrl": "urn:uuid:7efd56b12d1b7ffdbc0a0bc87cdda7ba",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Peripheral oxygen saturation on room air on exertion: 81</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PERIPHERAL_OXYGEN_SATURATION_ON_ROOM_AIR_ON_EXERTION"
}
],
"status": "final",
"code": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "PERIPHERAL_OXYGEN_SATURATION_ON_ROOM_AIR_ON_EXERTION",
"display": "Peripheral oxygen saturation on room air on exertion"
}
],
"text": "Peripheral oxygen saturation on room air on exertion"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 81
}
}
},
{
"fullUrl": "urn:uuid:764366991ac5f6602316bbebc2e2bf90",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Peripheral blood oxygen saturation on supplemental oxygen: 83</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PERIPHERAL_O2_SATURATION_ON_OXYGEN"
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],
"status": "final",
"code": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "PERIPHERAL_BLOOD_O2_SATURATION_ON_OXYGEN",
"display": "Peripheral blood oxygen saturation on supplemental oxygen"
}
],
"text": "Peripheral blood oxygen saturation on supplemental oxygen"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueQuantity": {
"value": 83
}
}
},
{
"fullUrl": "urn:uuid:4a5cca3b29ec1fb58614dd3264a3f2c4",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Target O2 saturation: 84</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "TARGET_O2_SATURATION"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "TARGET_O2_SATURATION",
"display": "Target O2 saturation"
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],
"text": "Target O2 saturation"
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"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueQuantity": {
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}
}
},
{
"fullUrl": "urn:uuid:db1d9a679a1a762ad55db14a055c2002",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Home oxygen supply: Home oxygen supply</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "HOME_OXYGEN_SUPPLY"
}
],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "HOME_OXYGEN_SUPPLY",
"display": "Home oxygen supply"
}
],
"text": "Home oxygen supply"
},
"subject": {
"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
},
"valueCodeableConcept": {
"coding": [
{
"system": "http://read.info/readv2",
"code": "6639.00",
"display": "Home oxygen supply"
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{
"extension": [
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"valueId": "401519010"
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"valueId": "401519010"
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"system": "http://snomed.info/sct",
"code": "268512000",
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"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
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"url": "descriptionId",
"valueId": "216223010"
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{
"url": "descriptionDisplay",
"valueString": "Normal mood"
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]
}
],
"system": "http://snomed.info/sct",
"code": "134417007",
"display": "Normal mood"
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{
"system": "http://read.info/ctv3",
"code": "XaIJ4",
"display": "Normal mood"
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]
}
}
},
{
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"value": "BPSD_NOTES"
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"code": "BPSD_NOTES",
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"text": "BPSD Notes"
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{
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Most important to the patient: What is most important to the patient?--18-09-2020</div>"
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{
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"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">This is me: Patient has this is me document completed</div>"
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"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "THIS_IS_ME"
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"status": "final",
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"code": "THIS_IS_ME",
"display": "This is me"
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"text": "This is me"
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"code": "PATIENT_HAS_THIS_IS_ME_DOCUMENT_COMPLETED",
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"id": "DescriptiveText",
"text": "Location of personalised document:--18-09-2020"
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Memory Service: Yes</div>"
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"identifier": [
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"value": "MEMORY_SERVICE"
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"coding": [
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"code": "MEMORY_SERVICE",
"display": "Memory Service"
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"text": "Memory Service"
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"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueBoolean": true
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{
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Has treatment team: Yes</div>"
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"value": "HAS_TREATMENT_TEAM"
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"code": "HAS_TREATMENT_TEAM",
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"valueBoolean": true
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Dementia Liaison and Later Life: Yes</div>"
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"value": "DEMENTIA_LIAISON_AND_LATER_LIFE"
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"code": "DEMENTIA_LIAISON_AND_LATER_LIFE",
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"valueBoolean": true
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"resource": {
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "DEMENTIA_SUPPORT_WORKER"
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"code": "DEMENTIA_SUPPORT_WORKER",
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"valueBoolean": true
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Admiral Nurse Service: Yes</div>"
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "ADMIRAL_NURSE_SERVICE"
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"code": "ADMIRAL_NURSE_SERVICE",
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"valueBoolean": true
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{
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Other dementia team: Engagement with dementia and extended teams:--18-09-2020</div>"
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"value": "OTHER_DEMENTIA_TEAM"
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"code": "OTHER_DEMENTIA_TEAM",
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Last seen by dementia team, 18-Sep-2020 - 25-Sep-2020</div>"
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"value": "LAST_SEEN_BY_DEMENTIA_TEAM"
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"code": "LAST_SEEN_BY_DEMENTIA_TEAM",
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"div": "<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>"
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"value": "REFERRED_TO_DEMENTIA_TEAMS"
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{
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Tameside MDT Completed, 18-Sep-2020</div>"
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"value": "TAMESIDE_MDT_COMPLETED"
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"code": "TAMESIDE_MDT_COMPLETED",
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Community Nursing notes: Community Nursing notes--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "COMMUNITY_NURSING_NOTES"
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"code": "COMMUNITY_NURSING_NOTES",
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"valueString": "Community Nursing notes--18-09-2020"
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Physiotherapy notes: Physiotherapy notes--18-09-2020</div>"
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PHYSIOTHERAPY_NOTES"
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"status": "final",
"code": {
"coding": [
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"code": "PHYSIOTHERAPY_NOTES",
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Adult social care notes: Adult social care notes--18-09-2020</div>"
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "ADULT_SOCIAL_CARE_NOTES"
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"code": "ADULT_SOCIAL_CARE_NOTES",
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"text": "Adult social care notes"
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"valueString": "Adult social care notes--18-09-2020"
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{
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"resource": {
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"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Occupational therapy notes: Occupational therapy notes--18-09-2020</div>"
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"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "OCCUPATIONAL_THERAPY_NOTES"
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"code": {
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"code": "OCCUPATIONAL_THERAPY_NOTES",
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"text": "Occupational therapy notes"
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"valueString": "Occupational therapy notes--18-09-2020"
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Health and wellbeing notes: Health and wellbeing notes--18-09-2020</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "HEALTH_AND_WELLBEING_NOTES"
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"code": {
"coding": [
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"code": "HEALTH_AND_WELLBEING_NOTES",
"display": "Health and wellbeing notes"
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"text": "Health and wellbeing notes"
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Social prescribing notes: Social prescribing notes--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "SOCIAL_PRESCRIBING_NOTES"
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"code": {
"coding": [
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"code": "SOCIAL_PRESCRIBING_NOTES",
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"text": "Social prescribing notes"
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"valueString": "Social prescribing notes--18-09-2020"
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Health improvement notes: Health improvement notes--18-09-2020</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "HEALTH_IMPROVEMENT_NOTES"
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"code": {
"coding": [
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"code": "HEALTH_IMPROVEMENT_NOTES",
"display": "Health improvement notes"
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"text": "Health improvement notes"
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Fire and rescue service notes: Fire and rescue service notes--18-09-2020</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "FIRE_AND_RESCUE_SERVICE_NOTES"
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"code": {
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"code": "FIRE_AND_RESCUE_SERVICE_NOTES",
"display": "Fire and rescue service notes"
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"text": "Fire and rescue service notes"
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">patient.carePlan.tamesidemdt.communityResponseNotes: Community response service notes--18-09-2020</div>"
},
"identifier": [
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"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "PATIENT.CAREPLAN.TAMESIDEMDT.COMMUNITYRESPONSENOTES"
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"code": "PATIENT.CAREPLAN.TAMESIDEMDT.COMMUNITYRESPONSENOTES",
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"valueString": "Community response service notes--18-09-2020"
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{
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"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">North West Ambulance Service notes: North West Ambulance Service (NWAS) notes--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "NORTH_WEST_AMBULANCE_SERVICE_NOTES"
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"coding": [
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"code": "NORTH_WEST_AMBULANCE_SERVICE_NOTES",
"display": "North West Ambulance Service notes"
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"valueString": "North West Ambulance Service (NWAS) notes--18-09-2020"
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},
{
"fullUrl": "urn:uuid:4c3bee567acebda0f45a29c07dfdeec9",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Extensivist notes: Extensivist notes--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "EXTENSIVIST_NOTES"
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],
"status": "final",
"code": {
"coding": [
{
"system": "http://fhir.blackpear.com/bpc",
"code": "EXTENSIVIST_NOTES",
"display": "Extensivist notes"
}
],
"text": "Extensivist notes"
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"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueString": "Extensivist notes--18-09-2020"
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},
{
"fullUrl": "urn:uuid:651cd7ee572fc321c158a925defd15e5",
"resource": {
"resourceType": "Observation",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Carers Service notes: Carers Service notes--18-09-2020</div>"
},
"identifier": [
{
"system": "http://www.blackpear.com/MedicalRecord/EntityID",
"value": "CARERS_SERVICE_NOTES"
}
],
"status": "final",
"code": {
"coding": [
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"system": "http://fhir.blackpear.com/bpc",
"code": "CARERS_SERVICE_NOTES",
"display": "Carers Service notes"
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],
"text": "Carers Service notes"
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"reference": "urn:uuid:f7b9b5a79f03b81478d4e60f5237468c"
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"valueString": "Carers Service notes--18-09-2020"
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},
{
"fullUrl": "urn:uuid:2d66c0c4dc0846f9ddd463ac5264ad92",
"resource": {
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"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pharmacist notes: Pharmacist notes--18-09-2020</div>"
},
"identifier": [
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