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{ "resourceType": "Bundle", "type": "collection", "entry": [ { "fullUrl": "https://hse.ie/fhir/Patient/7009901CZ", "resource": { "resourceType": "Patient", "id": "7009901CZ", "identifier": [ { "system": "https://gov.ie/ppsn", "value": "7009901CZ" }, { "system": "https://hse.ie/ihi", "value": "539305410000990100" } ], "name": [ { "given": ["Ciarán"], "family": "Gallagher" } ], "gender": "male", "birthDate": "1971-03-12", "address": [ { "postalCode": "D02X3F4" } ], "telecom": [ { "system": "phone", "value": "800000000" }, { "system": "email", "value": "Ciarán.Gallagher_09901@HIDS.Health.App" } ], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Ciarán Gallagher, male, born 1971-03-12</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Organization/Org1", "resource": { "resourceType": "Organization", "id": "Org1", "name": "St Mary's Hospital", "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>St Mary's Hospital</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Practitioner/Pract1", "resource": { "resourceType": "Practitioner", "id": "Pract1", "name": [ { "given": ["Eimear"], "family": "Byrne" } ], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Dr Eimear Byrne</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Condition/cond-t2dm-90011", "resource": { "resourceType": "Condition", "id": "cond-t2dm-90011", "clinicalStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" }] }, "verificationStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed" }] }, "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "44054006", "display": "Type 2 diabetes mellitus" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "recordedDate": "2025-09-01", "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Type 2 diabetes mellitus (active, confirmed).</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Condition/cond-ihd-90012", "resource": { "resourceType": "Condition", "id": "cond-ihd-90012", "clinicalStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-clinical", "code": "active" }] }, "verificationStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status", "code": "confirmed" }] }, "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "414545008", "display": "Ischemic heart disease (disorder)" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "recordedDate": "2025-09-01", "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Ischemic heart disease (disorder) (active, confirmed).</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Encounter/enc-gp-20250906", "resource": { "resourceType": "Encounter", "id": "enc-gp-20250906", "status": "finished", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" }, "type": [ { "coding": [{ "system": "http://snomed.info/sct", "code": "185349003", "display": "General practice service" }] } ], "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "participant": [ { "individual": { "reference": "httpsse.ie/fhir/Practitioner/Pract1" } } ], "period": { "start": "2025-09-06T09:15:00+01:00", "end": "2025-09-06T09:35:00+01:00" }, "serviceProvider": { "reference": "https://hse.ie/fhir/Organization/Org1" }, "diagnosis": [ { "condition": { "reference": "https://hse.ie/fhir/Condition/cond-t2dm-90011" } }, { "condition": { "reference": "https://hse.ie/fhir/Condition/cond-ihd-90012" } } ], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>GP visit for diabetes and IHD review.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Encounter/enc-ed-20250920", "resource": { "resourceType": "Encounter", "id": "enc-ed-20250920", "status": "finished", "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "EMER", "display": "emergency" }, "type": [ { "coding": [{ "system": "http://snomed.info/sct", "code": "50849002", "display": "Emergency department patient visit" }] } ], "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "participant": [ { "individual": { "reference": "https://hse.ie/fhir/Practitioner/Pract1" } } ], "period": { "start": "2025-09-20T21:05:00+01:00", "end": "2025-09-21T00:10:00+01:00" }, "serviceProvider": { "reference": "https://hse.ie/fhir/Organization/Org1" }, "reasonCode": [ { "coding": [{ "system": "http://snomed.info/sct", "code": "29857009", "display": "Chest pain" }] } ], "diagnosis": [ { "condition": { "reference": "https://hse.ie/fhir/Condition/cond-ihd-90012" } } ], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>ED visit with chest pain; ruled out acute MI; IHD noted.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Observation/obs-hba1c-90021", "resource": { "resourceType": "Observation", "id": "obs-hba1c-90021", "status": "final", "category": [ { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }] } ], "code": { "coding": [{ "system": "http://loinc.org", "code": "4548-4", "display": "Hemoglobin A1c/Hemoglobin.total in Blood" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectiveDateTime": "2025-09-06", "valueQuantity": { "value": 8.0, "unit": "%", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "text": "<7.0%" }], "performer": [{ "reference": "https://hse.ie/fhir/Organization/Org1" }], "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-gp-20250906" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Hemoglobin A1c/Hemoglobin.total in Blood: 8.0 % (<7.0%) on 2025-09-06.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Observation/obs-fpg-90022", "resource": { "resourceType": "Observation", "id": "obs-fpg-90022", "status": "final", "category": [ { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }] } ], "code": { "coding": [{ "system": "http://loinc.org", "code": "1558-6", "display": "Fasting glucose [Mass/volume] in Serum or Plasma" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectiveDateTime": "2025-09-06", "valueQuantity": { "value": 158, "unit": "mg/dL", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "text": "70-99 mg/dL" }], "performer": [{ "reference": "https://hse.ie/fhir/Organization/Org1" }], "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-gp-20250906" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Fasting glucose [Mass/volume] in Serum or Plasma: 158 mg/dL (70-99 mg/dL) on 2025-09-06.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Observation/obs-chol-90023", "resource": { "resourceType": "Observation", "id": "obs-chol-90023", "status": "final", "category": [ { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }] } ], "code": { "coding": [{ "system": "http://loinc.org", "code": "2093-3", "display": "Cholesterol [Mass/volume] in Serum or Plasma" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectiveDateTime": "2025-09-06", "valueQuantity": { "value": 232, "unit": "mg/dL", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "text": "<200 mg/dL" }], "performer": [{ "reference": "https://hse.ie/fhir/Organization/Org1" }], "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-gp-20250906" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Cholesterol [Mass/volume] in Serum or Plasma: 232 mg/dL (<200 mg/dL) on 2025-09-06.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Observation/obs-bnp-90024", "resource": { "resourceType": "Observation", "id": "obs-bnp-90024", "status": "final", "category": [ { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }] } ], "code": { "coding": [{ "system": "http://loinc.org", "code": "30934-4", "display": "Natriuretic peptide B [Mass/volume] in Serum or Plasma" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectiveDateTime": "2025-09-06", "valueQuantity": { "value": 210, "unit": "pg/mL", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "text": "<100 pg/mL" }], "performer": [{ "reference": "https://hse.ie/fhir/Organization/Org1" }], "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-gp-20250906" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Natriuretic peptide B [Mass/volume] in Serum or Plasma: 210 pg/mL (<100 pg/mL) on 2025-09-06.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Observation/obs-tropI-90025", "resource": { "resourceType": "Observation", "id": "obs-tropI-90025", "status": "final", "category": [ { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory", "display": "Laboratory" }] } ], "code": { "coding": [{ "system": "http://loinc.org", "code": "10839-9", "display": "Troponin I.cardiac [Mass/volume] in Serum or Plasma" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectiveDateTime": "2025-09-20T22:15:00+01:00", "valueQuantity": { "value": 0.03, "unit": "ng/mL", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "text": "<0.04 ng/mL" }], "performer": [{ "reference": "https://hse.ie/fhir/Organization/Org1" }], "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-ed-20250920" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Troponin I.cardiac [Mass/volume] in Serum or Plasma: 0.03 ng/mL (<0.04 ng/mL) on 2025-09-20.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/Procedure/proc-angiography-90031", "resource": { "resourceType": "Procedure", "id": "proc-angiography-90031", "status": "completed", "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "418808006", "display": "Coronary angiography" }] }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "performedDateTime": "2025-09-21", "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-ed-20250920" }, "performer": [{ "actor": { "reference": "https://hse.ie/fhir/Practitioner/Pract1" } }], "outcome": { "text": "Non-obstructive coronary disease" }, "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Coronary angiography completed; non-obstructive disease.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/MedicationStatement/med-metformin-90041", "resource": { "resourceType": "MedicationStatement", "id": "med-metformin-90041", "status": "active", "medicationCodeableConcept": { "coding": [{ "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "860975", "display": "Metformin 500 MG Oral Tablet" }], "text": "Metformin 500 mg tablet" }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectivePeriod": { "start": "2025-05-01" }, "dosage": [{ "text": "500 mg twice daily with meals" }], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Metformin 500 mg tablet, 500 mg twice daily with meals.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/MedicationStatement/med-atorvastatin-90042", "resource": { "resourceType": "MedicationStatement", "id": "med-atorvastatin-90042", "status": "active", "medicationCodeableConcept": { "coding": [{ "system": "http://www.nlm.nih.gov/research/umls/rxnorm", "code": "83367", "display": "Atorvastatin 20 MG Oral Tablet" }], "text": "Atorvastatin 20 mg tablet" }, "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "effectivePeriod": { "start": "2025-06-10" }, "dosage": [{ "text": "20 mg once nightly" }], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Atorvastatin 20 mg tablet, once nightly.</div>" } } }, { "fullUrl": "https://hse.ie/fhir/AllergyIntolerance/algy-penicillin-90051", "resource": { "resourceType": "AllergyIntolerance", "id": "algy-penicillin-90051", "clinicalStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical", "code": "active" }] }, "verificationStatus": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification", "code": "confirmed" }] }, "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "373270004", "display": "Allergy to penicillin" }], "text": "Penicillin" }, "patient": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "reaction": [{ "manifestation": [{ "coding": [{ "system": "http://snomed.info/sct", "code": "271807003", "display": "Rash" }], "text": "Rash" }], "severity": "moderate" }], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Allergy to penicillin (rash, moderate).</div>" } } }, { "fullUrl": "https://hse.ie/fhir/CarePlan/careplan-cdm-90061", "resource": { "resourceType": "CarePlan", "id": "careplan-cdm-90061", "status": "active", "intent": "plan", "subject": { "reference": "https://hse.ie/fhir/Patient/7009901CZ" }, "addresses": [ { "reference": "https://hse.ie/fhir/Condition/cond-t2dm-90011" }, { "reference": "https://hse.ie/fhir/Condition/cond-ihd-90012" } ], "activity": [ { "detail": { "kind": "ServiceRequest", "code": { "text": "Dietary counselling" }, "status": "scheduled" } }, { "detail": { "kind": "ServiceRequest", "code": { "text": "Cardiac rehab referral" }, "status": "scheduled" } } ], "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Care plan for T2DM and IHD: dietary counselling and cardiac rehab.</div>" } } } ] }
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