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{
  "resourceType": "Bundle",
  "id": "92ac285b-f938-422b-a50a-a82c2e469708",
  "type": "collection",
  "timestamp": "2025-09-05T17:01:00Z",
  "entry": [
    {
      "fullUrl": "https://hse.ie/fhir/Patient/12345678",
      "resource": {
        "resourceType": "Patient",
        "id": "12345678",
        "identifier": [
          {
            "system": "https://pcrs.ie/gms",
            "value": "12345678",
            "type": {
              "coding": [
                {
                  "code": "GMS",
                  "display": "General Medical Services"
                }
              ]
            }
          },
          {
            "system": "https://gov.ie/ppsn",
            "value": "12345678"
          },
          {
            "system": "https://hse.ie/ihi",
            "value": "123456789101112131"
          }
        ],
        "name": [
          {
            "given": [
              "ANON GIVEN NAME"
            ],
            "family": "ANON FAMILY NAME",
            "use": "official"
          }
        ],
        "gender": "male",
        "birthDate": "1978-01-01",
        "address": [
          {
            "line": [
              "ADDRESS1",
              "ADDRESS2"
            ],
            "city": "ADDRESS5"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>ANON GIVEN NAME ANON FAMILY NAME, male, born 1978-01-01</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Encounter/enc-1",
      "resource": {
        "resourceType": "Encounter",
        "id": "enc-1",
        "status": "finished",
        "class": {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "AMB",
          "display": "ambulatory"
        },
        "type": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "11429006",
                "display": "Consultation (procedure)"
              }
            ]
          }
        ],
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "period": {
          "start": "2025-09-05",
          "end": "2025-09-05"
        },
        "participant": [
          {
            "individual": {
              "reference": "Practitioner/1234567",
              "display": "ANON GIVEN NAME ANON FAMILY NAME"
            }
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Consultation on 2025-09-05</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Organization/org-1",
      "resource": {
        "resourceType": "Organization",
        "id": "org-1",
        "identifier": [
          {
            "system": "https://pcrs.ie/practice",
            "value": "123456.1234"
          }
        ],
        "name": "ANON SENDING FACILITY",
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>ANON SENDING FACILITY</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-weight-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-weight-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "107647005",
              "display": "Weight"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 160.0,
          "unit": "kg",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Weight: 160.0 kg  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-height-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-height-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "162755006",
              "display": "Height"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 185.0,
          "unit": "cm",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Height: 185.0 cm  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-bmi-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-bmi-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "301331008",
              "display": "BMI"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 46.75,
          "unit": "kg/m2",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>BMI: 46.75 kg/m2  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-waist-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-waist-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "276361009",
              "display": "Waist Circumference"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 170.0,
          "unit": "cm",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Waist Circumference: 170.0 cm  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-pulse-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-pulse-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "162986007",
              "display": "Pulse rate"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 80.0,
          "unit": "bpm",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Pulse rate: 80 bpm  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-sbp-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-sbp-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271649006",
              "display": "Systolic blood pressure"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 136.0,
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Systolic blood pressure: 136 mmHg  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-dbp-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-dbp-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "vital-signs",
                "display": "Vital-signs"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "271650006",
              "display": "Diastolic blood pressure"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 70.0,
          "unit": "mmHg",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Diastolic blood pressure: 70 mmHg  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hb-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hb-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "26604007",
              "display": "Haemoglobin"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 14.6,
          "unit": "g/dL",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "(13.0-17.0)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Haemoglobin: 14.6 g/dL ((13.0-17.0)) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-chol-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-chol-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "121868005",
              "display": "Total Cholesterol"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 5.0,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "Less than 5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Total Cholesterol: 5.0 mmol/L (Less than 5.0) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hdl-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hdl-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "28036006",
              "display": "HDL Cholesterol"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 1.25,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "Greater than 1.00"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>HDL Cholesterol: 1.25 mmol/L (Greater than 1.00) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-nonhdl-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-nonhdl-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "312260007",
              "display": "Non HDL Cholesterol"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 3.75,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Non HDL Cholesterol: 3.75 mmol/L  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-ldl-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-ldl-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "113079009",
              "display": "LDL Cholesterol"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 5.0,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "Less than 5.0"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>LDL Cholesterol: 5.0 mmol/L (Less than 5.0) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-trig-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-trig-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "104784006",
              "display": "Triglycerides"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 1.22,
          "unit": "mmol/L",
          "system": "http://unitsofmeasure.org"
        },
        "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)) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-hba1c-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-hba1c-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "43396009",
              "display": "HBA1c"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 43.0,
          "unit": "mmol/mol",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "(20-42)"
          }
        ],
        "interpretation": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation",
                "code": "H",
                "display": "High"
              }
            ]
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>HBA1c: 43 mmol/mol ((20-42)) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-creat-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-creat-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "113075003",
              "display": "Serum Creatinine"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 68.0,
          "unit": "umol/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "(64-104)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Serum Creatinine: 68 umol/L ((64-104)) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-egfr-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-egfr-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "80274001",
              "display": "eGFR"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 90.0,
          "unit": "ml/min/1.73m2",
          "system": "http://unitsofmeasure.org",
          "comparator": ">"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>eGFR: >90 ml/min/1.73m2  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-acr-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-acr-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "laboratory",
                "display": "Laboratory"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "250745003",
              "display": "Albumin/Creatinine Ratio"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 42.0,
          "unit": "g/L",
          "system": "http://unitsofmeasure.org"
        },
        "referenceRange": [
          {
            "text": "(35-50)"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Albumin/Creatinine Ratio: 42 g/L ((35-50)) on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-smoking-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-smoking-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "308512009",
              "display": "Smoking monitoring status"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "NV",
              "display": "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-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-ecig-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "722499006",
              "display": "Electronic cigarette user"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "NV",
              "display": "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-alcohol-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-alcohol-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social-history"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "X0331-0",
              "display": "Alcohol Risk Score"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueString": "4",
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Alcohol Risk Score: 4  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-cvd-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-cvd-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "exam",
                "display": "Exam"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "135877001",
              "display": "CVD Risk Score"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueQuantity": {
          "value": 9.6,
          "unit": "%",
          "system": "http://unitsofmeasure.org"
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>CVD Risk Score: 9.6 %  on 2025-09-05.</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Observation/obs-activity-1",
      "resource": {
        "resourceType": "Observation",
        "id": "obs-activity-1",
        "status": "final",
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                "code": "social-history",
                "display": "Social History"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://loinc.org",
              "code": "X0223-0",
              "display": "Physical Activity 30+ mins"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "effectiveDateTime": "2025-09-05",
        "valueCodeableConcept": {
          "coding": [
            {
              "code": "5",
              "display": "5-7 days (adequate)"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Physical Activity 30+ mins: 5-7 days (adequate)</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Condition/cond-hypertension-1",
      "resource": {
        "resourceType": "Condition",
        "id": "cond-hypertension-1",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "X0316-5",
              "display": "Hypertension Stage 1 (BP 140/90 to 155/99mmHg) with NO target organ damage"
            }
          ],
          "text": "Hypertension Stage 1 (BP 140/90 to 155/99mmHg) with NO target organ damage"
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "onsetDateTime": "2016",
        "recordedDate": "2025-09-05",
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Hypertension Stage 1, registered 2016</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Condition/cond-prediabetes-1",
      "resource": {
        "resourceType": "Condition",
        "id": "cond-prediabetes-1",
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ]
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ]
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/condition-category",
                "code": "encounter-diagnosis",
                "display": "Encounter Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "code": "X0316-4",
              "display": "Pre-Diabetes"
            }
          ],
          "text": "Pre-Diabetes"
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "onsetDateTime": "2025",
        "recordedDate": "2025-09-05",
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Pre-Diabetes, registered 2025</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/Procedure/proc-medreview-1",
      "resource": {
        "resourceType": "Procedure",
        "id": "proc-medreview-1",
        "status": "completed",
        "code": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "182836005",
              "display": "Review of medication (procedure)"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "performedDateTime": "2025-09-05",
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Medication review completed on 2025-09-05</div>"
        }
      }
    },
    {
      "fullUrl": "https://hse.ie/fhir/ServiceRequest/sr-diabetes-prev-1",
      "resource": {
        "resourceType": "ServiceRequest",
        "id": "sr-diabetes-prev-1",
        "status": "active",
        "intent": "order",
        "code": {
          "coding": [
            {
              "code": "X0326-0",
              "display": "Referred to Diabetes prevention programme"
            }
          ]
        },
        "subject": {
          "reference": "https://hse.ie/fhir/Patient/12345678"
        },
        "authoredOn": "2025-09-05",
        "note": [
          {
            "text": "Referred previously"
          }
        ],
        "text": {
          "status": "generated",
          "div": "<div xmlns='http://www.w3.org/1999/xhtml'>Referral to Diabetes prevention programme (referred previously)</div>"
        }
      }
    }
  ]
}

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