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{
  "resourceType": "Bundle",
  "id": "bundle-ORU2025090517014843407181",
  "type": "collection",
  "entry": [
    {
      "fullUrl": "https://hse.ie/fhir/Patient/123456789101112131",
      "resource": {
        "resourceType": "Patient",
        "id": "123456789101112131",
        "identifier": [
          { "system": "https://gov.ie/ppsn", "value": "12345678" },
          { "system": "https://hse.ie/ihi", "value": "123456789101112131" },
          { "system": "https://gov.ie/pcrs", "value": "12345678" }
        ],
        "name": [
          { "family": "ANON FAMILY NAME", "given": ["ANON GIVEN NAME"], "text": "ANON GIVEN NAME ANON FAMILY NAME" }
        ],
        "gender": "male",
        "birthDate": "1978-01-01",
        "address": [
          {
            "line": ["ADDRESS1", "ADDRESS2"],
            "district": "ADDRESS5"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Male, born 1978-01-01. Identifiers: PPSN 12345678; IHI 123456789101112131.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Organization/CDM-Clinical-Data-Repository",
      "resource": {
        "resourceType": "Organization",
        "id": "CDM-Clinical-Data-Repository",
        "name": "CDM Clinical Data Repository",
        "identifier": [
          { "system": "urn:oid:1.2.840.114350", "value": "99991" }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>CDM Clinical Data Repository (ID 99991)</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Organization/ANON-SENDING-FACILITY",
      "resource": {
        "resourceType": "Organization",
        "id": "ANON-SENDING-FACILITY",
        "name": "ANON SENDING FACILITY",
        "identifier": [
          { "system": "MCN.HLPracticeID", "value": "123456.1234" }
        ],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>ANON SENDING FACILITY</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Encounter/enc-2025-09-05",
      "resource": {
        "resourceType": "Encounter",
        "id": "enc-2025-09-05",
        "status": "finished",
        "class": { "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode", "code": "AMB", "display": "ambulatory" },
        "type": [
          {
            "coding": [
              { "system": "http://snomed.info/sct", "code": "50849002", "display": "Emergency department patient visit" },
              { "system": "http://snomed.info/sct", "code": "425044008", "display": "Physical exam section (record artefact)" }
            ],
            "text": "Clinic/ED visit with physical exam and labs"
          }
        ],
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "serviceProvider": { "reference": "https://hse.ie/fhir/Organization/ANON-SENDING-FACILITY" },
        "period": { "start": "2025-09-05T00:00:00+01:00", "end": "2025-09-05T23:59:59+01:00" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Visit on 2025-09-05 with vitals and laboratory testing.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-pulse-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-pulse-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "162986007", "display": "On examination - pulse rate (finding)" }], "text": "Pulse rate" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 80, "unit": "beats/minute", "system": "http://unitsofmeasure.org", "code": "/min" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Pulse 80 /min.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-pulse-rhythm-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-pulse-rhythm-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "364095004", "display": "Pulse rhythm (observable entity)" }], "text": "Pulse rhythm" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": {
          "coding": [{ "system": "http://snomed.info/sct", "code": "162999005", "display": "On examination - pulse rhythm regular (finding)" }],
          "text": "Regular"
        },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Pulse rhythm: regular.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-systolic-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-systolic-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "271649006", "display": "Systolic blood pressure" }], "text": "Systolic blood pressure" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 136, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Systolic BP 136 mmHg.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-diastolic-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-diastolic-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "271650006", "display": "Diastolic blood pressure" }], "text": "Diastolic blood pressure" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 70, "unit": "mmHg", "system": "http://unitsofmeasure.org", "code": "mm[Hg]" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Diastolic BP 70 mmHg.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-weight-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-weight-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "107647005", "display": "Weight" }], "text": "Body weight" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 160.0, "unit": "kg", "system": "http://unitsofmeasure.org", "code": "kg" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Weight 160.0 kg.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-height-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-height-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "162755006", "display": "Height" }], "text": "Body height" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 185.0, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Height 185.0 cm.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-bmi-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-bmi-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "301331008", "display": "Body mass index" }], "text": "BMI" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 46.75, "unit": "kg/m2", "system": "http://unitsofmeasure.org", "code": "kg/m2" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>BMI 46.75 kg/m².</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-waist-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-waist-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "vital-signs" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "276361009", "display": "Waist circumference" }], "text": "Waist circumference" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 170.0, "unit": "cm", "system": "http://unitsofmeasure.org", "code": "cm" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Waist 170.0 cm.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-smoking-status-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-smoking-status-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "308512009", "display": "Smoking monitoring status (finding)" }], "text": "Smoking status" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Never" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Smoking status: Never.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-ecig-status-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-ecig-status-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "social-history" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "722499006", "display": "Electronic cigarette user (finding)" }], "text": "E-cigarette use" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Never" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>E-cigarette use: Never.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-physical-activity-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-physical-activity-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "X0223-0", "display": "Physical Activity 30+ mins" }], "text": "Physical Activity 30+ mins" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "5-7 days (adequate)" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Physical activity: 5–7 days (adequate).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-alcohol-risk-score-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-alcohol-risk-score-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "X0331-0", "display": "Alcohol Risk Score" }], "text": "Alcohol Risk Score" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 4, "system": "http://unitsofmeasure.org" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Alcohol risk score: 4.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hb-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hb-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "26604007", "display": "Haemoglobin" }], "text": "Haemoglobin" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "encounter": { "reference": "https://hse.ie/fhir/Encounter/enc-2025-09-05" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 14.6, "unit": "g/dL", "system": "http://unitsofmeasure.org", "code": "g/dL" },
        "referenceRange": [{ "text": "(13.0-17.0)" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Hb 14.6 g/dL (13.0–17.0).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-chol-total-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-chol-total-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "121868005", "display": "Total Cholesterol" }], "text": "Total cholesterol" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 5.0, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" },
        "referenceRange": [{ "text": "Less than 5.0" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Total cholesterol 5.0 mmol/L (&lt;5.0).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hdl-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hdl-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "28036006", "display": "HDL Cholesterol" }], "text": "HDL cholesterol" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 1.25, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" },
        "referenceRange": [{ "text": "Greater than 1.00" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>HDL 1.25 mmol/L (&gt;1.00).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-non-hdl-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-non-hdl-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "312260007", "display": "Non HDL Cholesterol" }], "text": "Non-HDL cholesterol" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 3.75, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Non-HDL 3.75 mmol/L.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-ldl-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-ldl-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "113079009", "display": "LDL Cholesterol" }], "text": "LDL cholesterol" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 5.0, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" },
        "referenceRange": [{ "text": "Less than 5.0" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>LDL 5.0 mmol/L (&lt;5.0).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-trig-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-trig-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "104784006", "display": "Triglycerides" }], "text": "Triglycerides" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 1.22, "unit": "mmol/L", "system": "http://unitsofmeasure.org", "code": "mmol/L" },
        "referenceRange": [{ "text": "(0.60-1.70)" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Triglycerides 1.22 mmol/L (0.60–1.70).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hba1c-mmolmol-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hba1c-mmolmol-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "43396009", "display": "HBA1c" }], "text": "HbA1c" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 43, "unit": "mmol/mol", "system": "http://unitsofmeasure.org", "code": "mmol/mol" },
        "interpretation": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/v2-0078", "code": "H", "display": "High" }], "text": "High" }],
        "note": [{ "text": "DATA HAS BEEN REMOVED TO ENSURE ANONYMITY" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>HbA1c 43 mmol/mol (High).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-fasting-glucose-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-fasting-glucose-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "271062006", "display": "Fasting Glucose" }], "text": "Fasting glucose" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "dataAbsentReason": { "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/data-absent-reason", "code": "unknown" }], "text": "NA" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Fasting glucose: value not available.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-creatinine-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-creatinine-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "113075003", "display": "Serum Creatinine" }], "text": "Creatinine" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 68, "unit": "umol/L", "system": "http://unitsofmeasure.org", "code": "umol/L" },
        "referenceRange": [{ "text": "(64-104)" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Creatinine 68 umol/L (64–104).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-egfr-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-egfr-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "80274001", "display": "eGFR" }], "text": "eGFR" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "comparator": ">",
          "value": 90,
          "unit": "mL/min/1.73 m2",
          "system": "http://unitsofmeasure.org",
          "code": "mL/min/{1.73_m2}"
        },
        "note": [{ "text": "DATA HAS BEEN REMOVED TO ENSURE ANONYMITY" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>&gt;90 mL/min/1.73 m².</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-albumin-creatinine-ratio-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-albumin-creatinine-ratio-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "laboratory" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "250745003", "display": "Albumin/Creatinine Ratio" }], "text": "Albumin/Creatinine Ratio" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": { "value": 42, "unit": "g/L", "system": "http://unitsofmeasure.org", "code": "g/L" },
        "referenceRange": [{ "text": "(35-50)" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Albumin/Creatinine Ratio 42 g/L (35–50).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-med-review-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-med-review-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "procedure" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "182836005", "display": "Review of medication (procedure)" }], "text": "Medication review" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Yes" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Medication review: Yes.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-health-education-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-health-education-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "procedure" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "171035004", "display": "Health education given (situation)" }], "text": "Health education given" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Yes" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Health education given: Yes.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-referred-dpp-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-referred-dpp-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "procedure" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "X0326-0", "display": "Referred to Diabetes prevention programme" }], "text": "Referred to diabetes prevention programme" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Yes" },
        "note": [{ "text": "Referral details: Referred previously" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Referred to Diabetes prevention programme: Yes (referred previously).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-care-plan-goal-20250905",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-care-plan-goal-20250905",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey" }] }],
        "code": { "coding": [{ "system": "http://snomed.info/sct", "code": "722504006", "display": "Care plan goal agreed (finding)" }], "text": "Care plan goal agreed" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": { "text": "Declined" },
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Care plan goal agreed: Declined.</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-pp-reason-htn-2016",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-pp-reason-htn-2016",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey" }] }],
        "code": { "coding": [{ "system": "http://example.org/local", "code": "X0316-0", "display": "Reason for registration on PP" }], "text": "Reason for registration on PP" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2016-01-01",
        "valueCodeableConcept": { "text": "Hypertension Stage 1 (BP 140/90 to 155/99mmHg) with NO target organ damage" },
        "note": [{ "text": "Visit Type: PP Registration; Year of Registration: 2016" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>PP Registration reason (2016): Hypertension Stage 1 (no target organ damage).</div>" }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-pp-reason-prediabetes-2025",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-pp-reason-prediabetes-2025",
        "status": "final",
        "category": [{ "coding": [{ "system": "http://terminology.hl7.org/CodeSystem/observation-category", "code": "survey" }] }],
        "code": { "coding": [{ "system": "http://example.org/local", "code": "X0316-0", "display": "Reason for registration on PP" }], "text": "Reason for registration on PP" },
        "subject": { "reference": "https://hse.ie/fhir/Patient/123456789101112131" },
        "effectiveDateTime": "2025-01-01",
        "valueCodeableConcept": { "text": "Pre-Diabetes" },
        "note": [{ "text": "Visit Type: PP Registration; Year of Registration: 2025" }],
        "text": { "status": "generated", "div": "<div xmlns='http://www.w3.org/1999/xhtml'>PP Registration reason (2025): Pre-Diabetes.</div>" }
      }
    }
  ]
}

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