API Hub
Explore and Make use of Nationally Defined Messaging APIs
This is a HL7 FHIR server, and as you appear to be accessing this page from a web browser you are seeing a HTML version of the requested resource(s). You can also access this URL from a FHIR client as a ReSTful API call. For more details please see the HL7 FHIR specification.
<Bundle xmlns="http://hl7.org/fhir">
<id value="cb5626c6-ef5b-486d-9de9-e193d7cfd9d0"/>
<meta>
<lastUpdated value="2015-02-12T21:00:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="434f40c3-de6c-435a-914d-fb274b9a5e99"/>
</identifier>
<type value="document"/>
<!--Emergency Care Composition-->
<entry>
<fullUrl value="urn:uuid:6c15fc6e-e017-4ead-b12a-d7d05370d1c4"/>
<resource>
<!--A resource carrying a set of healthcare-related information about the patient-->
<Composition>
<id value="6c15fc6e-e017-4ead-b12a-d7d05370d1c4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-ECD-Composition-1"/>
</meta>
<!-- Extension to carry details of the Correspondence Care Setting Type. -->
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-CareSettingType-1">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394576009"/>
<display value="Accident & emergency"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="2d361270-039f-4a48-827b-ef255ff8b6c4"/>
</identifier>
<!--The workflow/clinical status of this composition. The status is a marker for the clinical standing of the document.-->
<status value="final"/>
<type>
<!--Discharge Summary document type-->
<coding>
<system value="http://snomed.info/sct"/>
<code value="373942005"/>
<display value="Discharge summary"/>
</coding>
</type>
<!--Reference to the patient subject of the Composition-->
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<!--Reference to the clinical encounter or type of care this documentation is associated with.-->
<encounter>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</encounter>
<!--The composition editing time, when the composition was last logically changed by the author.-->
<date value="2015-02-12T19:00:00+00:00"/>
<!--Identifies who is responsible for the information in the composition, not necessarily who typed it in-->
<author>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</author>
<title value="Accident & Emergency Discharge summary"/>
<!--Identifies the organization responsible for ongoing maintenance of and access to the composition/document information.-->
<custodian>
<reference value="urn:uuid:120633ae-1a20-4e0e-b807-b78fb59679cc"/>
</custodian>
<!--Allergies and adverse reactions-->
<section>
<title value="Allergies and adverse reactions"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886921000000105"/>
<display value="Allergies and adverse reactions"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Causative agent</th>
<td>Penicillin -class of antibiotic</td>
</tr>
<tr>
<th>Description of reaction</th>
<td>Eruption due to drug</td>
</tr>
<tr>
<th>Severity</th>
<td>Mild</td>
</tr>
<tr>
<th>Certainty</th>
<td>Certain</td>
</tr>
<tr>
<th>Comment</th>
<td>No swelling</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to Allergies List as the source of information for this section-->
<entry>
<reference value="urn:uuid:b37c89af-c5da-425f-8e6d-58c043ccf94b"/>
</entry>
</section>
<!--Attendance details-->
<section>
<title value="Attendance details"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1077881000000105"/>
<display value="Attendance details"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Date and time of contact</th>
<td>12-Feb-2015 07:00</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Clinical narrative-->
<section>
<title value="Clinical narrative"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1077901000000108"/>
<display value="Clinical narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Clinical narrative</th>
</tr>
<tr>
<td>
<p>60 year old man complaining of chest pain lasting around 2 hours.</p>
<p>Examination unremarkable.</p>
<p>Inferior ischaemic changes on ECG.</p>
</td>
</tr>
</tbody>
</table>
<table>
<tbody>
<tr>
<td>
<pre>
Full Blood Count
Test Value Units Reference Range
White Cell Count 11.1 x10*9/L 3.5 - 10.0
Red Cell Count 5.0 x10*12/L 4.25 - 5.75
Haemoglobin 150 g/L 13.0 - 17.0
Haematocrit 0.230 L/L 0.400 - 0.500
Mean Cell Volume 90 fL 84 - 98
Mean Cell Hb 33.0 pg 27.5 - 32.0
Mean Cell Hb Con 34.0 pg 31.0 - 35.0
RDW 12.0 % < 14.5
Platelet Count 300 x10*9/L 150 - 400
Machine Differential
Test Value Units Reference Range
Neutrophils 7.0 x10*9/L 1.7 - 7.5
Lymphocytes 3.5 x10*9/L 1.0 - 3.5
Monocytes 0.3 x10*9/L < 0.6
Eosinophils 0.4 x10*9/L < 0.4
Basophils 0.1 x10*9/L < 0.1
LUCs 0.2 x10*9/L < 0.4
</pre>
</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Contact for further information-->
<section>
<title value="Contact for further information"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1077931000000102"/>
<display value="Contact for further information"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Contact for further information</th>
<td>Dr Paul Rastall Tel: 0113 6323200</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Diagnoses-->
<section>
<title value="Diagnoses"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887161000000102"/>
<display value="Diagnoses"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Acute ST segment elevation myocardial infarction</td>
</tr>
</tbody>
</table>
</div>
</text>
<!-- Reference to information in the Condition list resource-->
<entry>
<reference value="urn:uuid:0a46351b-bfe1-4085-956e-15d3b172e36f"/>
</entry>
</section>
<!--Discharge details-->
<section>
<title value="Discharge details"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886811000000106"/>
<display value="Discharge details"/>
</coding>
</code>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Discharge status</th>
<td>Streamed from emergency department to urgent care service following initial assessment</td>
</tr>
<tr>
<th>Date/time of discharge</th>
<td>12-Feb-2015 08:00</td>
</tr>
<tr>
<th>Discharge destination</th>
<td>NHS other Hospital Provider - Ward for general Patients or the younger physically disabled</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the Encounter entry as the source of information for this section-->
<entry>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</entry>
</section>
<!-- GP Practice-->
<section>
<title value="GP practice"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886711000000101"/>
<display value="GP practice"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>GP name</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: John</p>
<p>Family Name: Lorenzo</p>
</td>
</tr>
<tr>
<th>GP practice details</th>
<td>
<p>Name: MGP Medical Centre</p>
<p>Address:</p>
<p>Address Line: 1 MGP House, Overtown</p>
<p>City: Leeds</p>
<p>Post Code: LS21 7PA</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the Organisation entry as the source of information for this section-->
<entry>
<reference value="urn:uuid:e4058bb2-bf1a-47a4-ab10-1471161380a1"/>
</entry>
</section>
<!-- Information and advice given-->
<section>
<title value="Information and advice given"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1052951000000105"/>
<display value="Information and advice given"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Information and advice given</th>
<td>Patient advised to be admitted to ward for further tests after ECG results showed inferior ischaemic changes.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Medications and medical devices-->
<section>
<title value="Medications and medical devices"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="933361000000108"/>
<display value="Medications and medical devices"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Ramipril 2.5mg tablets (A A H Pharmaceuticals Ltd)</td>
</tr>
<tr>
<th>Form</th>
<td>Tablet</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose directions description</th>
<td>One 2.5mg tablet once a day.</td>
</tr>
<tr>
<th>Status</th>
<td>Continued</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Aspirin 75mg tablets (Sigma Pharmaceuticals Plc)</td>
</tr>
<tr>
<th>Form</th>
<td>Tablet</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose directions description</th>
<td>Take one 75mg tablet once a day.</td>
</tr>
<tr>
<th>Status</th>
<td>Continued</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Simvastatin 40mg tablets (Brown & Burk UK Ltd)</td>
</tr>
<tr>
<th>Form</th>
<td>Tablet</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose directions description</th>
<td>Take one 40mg tablet once a day.</td>
</tr>
<tr>
<th>Status</th>
<td>Continued</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Bisoprolol 5mg tablets (A A H Pharmaceuticals Ltd)</td>
</tr>
<tr>
<th>Form</th>
<td>Tablet</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose directions description</th>
<td>Take one 5mg tablet daily.</td>
</tr>
<tr>
<th>Comment/recommendation</th>
<td>Recommend Uptitrate according to BP and HR</td>
</tr>
<tr>
<th>Status</th>
<td>Continued</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to medication list-->
<entry>
<reference value="urn:uuid:e3c8b45f-22d4-4ce6-970c-10a959831dca"/>
</entry>
</section>
<!-- Patient demographics-->
<section>
<title value="Patient demographics"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886731000000109"/>
<display value="Patient demographics"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Patient name</th>
<td>
<p>Prefix: Mr</p>
<p>Given Name: Richard</p>
<p>Family Name: Smith</p>
</td>
</tr>
<tr>
<th>Date of birth</th>
<td>1 January 1957</td>
</tr>
<tr>
<th>Gender</th>
<td>Male</td>
</tr>
<tr>
<th>NHS number</th>
<td>1352465790</td>
</tr>
<tr>
<th>Patient address</th>
<td>
<p>Address Line: 21, Grove Street, Overtown</p>
<p>City: Leeds</p>
<p>Post Code: LS21 1PF</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the patient resource-->
<entry>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</entry>
</section>
<!--Person completing record-->
<section>
<title value="Person completing record"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887231000000104"/>
<display value="Person completing record"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: Paul</p>
<p>Family Name: Rastall</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the practitioner entry as the source of information for this section-->
<entry>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</entry>
</section>
<!--Plan and requested actions-->
<section>
<title value="Plan and requested actions"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887201000000105"/>
<display value="Plan and requested actions"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Action</th>
<td>
<p>Patient has agreed to be admitted to Cramer ward for further tests to investigate causes of his chest pain on 12 February 2015.</p>
<p>Person responsible: Dr. Paul Rastall (Accident and Emergency Consultant, St. James's University Hospital Accident and Emergency Department)</p>
<p>Status: Completed</p>
<p>Outcome: Patient expects to find out the more information about the reasons for his chest pain when tests are carried out after admission.</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Presenting complaints or issues-->
<section>
<title value="Presenting complaints or issues"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886891000000102"/>
<display value="Presenting complaints or issues"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Presenting complaints or issue</th>
<td>Chest pain</td>
</tr>
</tbody>
</table>
</div>
</text>
<!-- Reference to information in the Condition list resource-->
<entry>
<reference value="urn:uuid:0a46351b-bfe1-4085-956e-15d3b172e36f"/>
</entry>
</section>
<!--Procedures-->
<section>
<title value="Procedures"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887171000000109"/>
<display value="Procedures"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<tbody>
<tr>
<th>Procedure name</th>
<td>Electrocardiographic monitoring</td>
</tr>
<tr>
<th>Comment</th>
<td>ECGs showed inferior ischaemic changes.</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the procedure list resource-->
<entry>
<reference value="urn:uuid:1e04ce96-6e52-4f82-bc26-93c89c5836a1"/>
</entry>
</section>
<!--Referrer details-->
<section>
<title value="Referrer details"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1052891000000108"/>
<display value="Referrer details"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Referrer details</th>
<td>Self-referral to accident and emergency department</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Senior reviewing clinician-->
<section>
<title value="Senior reviewing clinician"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1078901000000109"/>
<display value="Senior reviewing clinician"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Mr</p>
<p>Family Name: Abacus</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the practitioner resource-->
<entry>
<reference value="urn:uuid:d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!--Encounter Example 1-->
<entry>
<fullUrl value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
<resource>
<!--Encounter resource providing context for the discharge-->
<Encounter>
<id value="9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-EmergencyCareDischargeStatus-1">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1077031000000103"/>
<display value="Streamed from emergency department to urgent care service following initial assessment"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="ff84120c-43fe-4059-8839-dad2c4f9869c"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://hl7.org/fhir/v3-ActEncounterCode"/>
<code value="EMER"/>
<display value="emergency"/>
</class>
<!--Specific type of encounter-->
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="4525004"/>
<display value="Emergency department patient visit"/>
</coding>
</type>
<!--Reference to the patient as the subject of the Encounter-->
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<period>
<end value="2015-02-12T08:00:00+00:00"/>
</period>
<hospitalization>
<!-- Category or kind of location after discharge-->
<dischargeDisposition>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-DischargeDestination-1"/>
<code value="51"/>
<display value="NHS other Hospital Provider - Ward for general Patients or the younger physically disabled"/>
</coding>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<!--Medication list-->
<entry>
<fullUrl value="urn:uuid:e3c8b45f-22d4-4ce6-970c-10a959831dca"/>
<resource>
<List>
<id value="e3c8b45f-22d4-4ce6-970c-10a959831dca"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="d4f7c451-1523-4525-a5ed-420439bf04f9"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1102411000000102"/>
<display value="Active medications"/>
</coding>
</code>
<!--Patient subject of the list-->
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<encounter>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</encounter>
<source>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</source>
<entry>
<item>
<reference value="urn:uuid:86442fdb-15ad-41cb-bd6a-f9a85db48d07"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:77ae6ef0-7a02-4845-bbde-4a6e5739c727"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a5b3e68f-0f80-4077-96e7-c41a23e14fd0"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:4d3001fa-bf73-4a4a-b950-d9c6a4b405bb"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Medication statement example 1-->
<entry>
<fullUrl value="urn:uuid:86442fdb-15ad-41cb-bd6a-f9a85db48d07"/>
<resource>
<MedicationStatement>
<id value="86442fdb-15ad-41cb-bd6a-f9a85db48d07"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationStatement-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationChangeSummary-1">
<extension url="status">
<valueCode value="Continued"/>
</extension>
</extension>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:f4d39a59-b5e0-4d35-af9e-e2ae09a2b7fb"/>
</medicationReference>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<taken value="y"/>
<dosage>
<text value="One 2.5mg tablet once a day."/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Statement Example 2-->
<entry>
<fullUrl value="urn:uuid:77ae6ef0-7a02-4845-bbde-4a6e5739c727"/>
<resource>
<MedicationStatement>
<id value="77ae6ef0-7a02-4845-bbde-4a6e5739c727"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationStatement-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationChangeSummary-1">
<extension url="status">
<valueCode value="Continued"/>
</extension>
</extension>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:c51eda1e-bc1f-461c-8104-61c948c232be"/>
</medicationReference>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<taken value="y"/>
<dosage>
<text value="Take one 75mg tablet once a day."/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Statement Example 3-->
<entry>
<fullUrl value="urn:uuid:a5b3e68f-0f80-4077-96e7-c41a23e14fd0"/>
<resource>
<MedicationStatement>
<id value="a5b3e68f-0f80-4077-96e7-c41a23e14fd0"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationStatement-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationChangeSummary-1">
<extension url="status">
<valueCode value="Continued"/>
</extension>
</extension>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:edac8e03-894b-4793-8bca-fe3e0517aa84"/>
</medicationReference>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<taken value="y"/>
<dosage>
<text value="Take one 40mg tablet once a day."/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Statement Example 4-->
<entry>
<fullUrl value="urn:uuid:4d3001fa-bf73-4a4a-b950-d9c6a4b405bb"/>
<resource>
<MedicationStatement>
<id value="4d3001fa-bf73-4a4a-b950-d9c6a4b405bb"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationStatement-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationChangeSummary-1">
<extension url="status">
<valueCode value="Continued"/>
</extension>
</extension>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:2f9ea778-315b-41ae-aa1c-07d4fb4f6f42"/>
</medicationReference>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<taken value="y"/>
<dosage>
<text value="Take one 5mg tablet daily."/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Example 1-->
<entry>
<fullUrl value="urn:uuid:f4d39a59-b5e0-4d35-af9e-e2ae09a2b7fb"/>
<resource>
<Medication>
<id value="f4d39a59-b5e0-4d35-af9e-e2ae09a2b7fb"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="5884511000001100"/>
<display value="Ramipril 2.5mg tablets (A A H Pharmaceuticals Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!-- Medication example 2-->
<entry>
<fullUrl value="urn:uuid:c51eda1e-bc1f-461c-8104-61c948c232be"/>
<resource>
<Medication>
<id value="c51eda1e-bc1f-461c-8104-61c948c232be"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="29774911000001105"/>
<display value="Aspirin 75mg tablets (Sigma Pharmaceuticals Plc)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!-- Medication example 3-->
<entry>
<fullUrl value="urn:uuid:edac8e03-894b-4793-8bca-fe3e0517aa84"/>
<resource>
<Medication>
<id value="edac8e03-894b-4793-8bca-fe3e0517aa84"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="32495011000001103"/>
<display value="Simvastatin 40mg tablets (Brown & Burk UK Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!-- Medication example 4-->
<entry>
<fullUrl value="urn:uuid:2f9ea778-315b-41ae-aa1c-07d4fb4f6f42"/>
<resource>
<Medication>
<id value="2f9ea778-315b-41ae-aa1c-07d4fb4f6f42"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="249811000001104"/>
<display value="Bisoprolol 5mg tablets (A A H Pharmaceuticals Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!--Allergies list-->
<entry>
<fullUrl value="urn:uuid:b37c89af-c5da-425f-8e6d-58c043ccf94b"/>
<resource>
<List>
<id value="b37c89af-c5da-425f-8e6d-58c043ccf94b"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="4344f700-a737-4796-9887-df3f3a546387"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886921000000105"/>
<display value="Allergies and adverse reactions"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<encounter>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</encounter>
<source>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</source>
<entry>
<item>
<reference value="urn:uuid:4559a534-7ebc-4139-8ada-09627696710a"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4559a534-7ebc-4139-8ada-09627696710a"/>
<resource>
<AllergyIntolerance>
<id value="4559a534-7ebc-4139-8ada-09627696710a"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8c972218-c58a-4d8a-bc4a-c7ecedfb5d9f"/>
</identifier>
<clinicalStatus value="active"/>
<verificationStatus value="confirmed"/>
<category value="medication"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="373270004"/>
<display value="Penicillin -class of antibiotic-"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</patient>
<reaction>
<manifestation>
<coding>
<system value="http://snomed.info/sct"/>
<code value="28926001"/>
<display value="Eruption due to drug"/>
</coding>
</manifestation>
<severity value="mild"/>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
<!--Condition list-->
<entry>
<fullUrl value="urn:uuid:0a46351b-bfe1-4085-956e-15d3b172e36f"/>
<resource>
<List>
<id value="0a46351b-bfe1-4085-956e-15d3b172e36f"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="139e421f-ab9b-45f8-8e62-6185695bb6cf"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887161000000102"/>
<display value="Diagnoses"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<encounter>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</encounter>
<source>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</source>
<entry>
<item>
<reference value="urn:uuid:50dc3efe-1826-4ee0-bcba-439c4fb38ff4"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:80e53ab8-dcec-4b4d-aec2-eec9e00b5982"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Condition example 1-->
<entry>
<fullUrl value="urn:uuid:50dc3efe-1826-4ee0-bcba-439c4fb38ff4"/>
<resource>
<Condition>
<id value="50dc3efe-1826-4ee0-bcba-439c4fb38ff4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="4ebf5635-7bae-4051-80e4-5e7e06a2e055"/>
</identifier>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="presenting-complaint"/>
<display value="Presenting Complaint"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="29857009"/>
<display value="Chest pain"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<context>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition example 2-->
<entry>
<fullUrl value="urn:uuid:80e53ab8-dcec-4b4d-aec2-eec9e00b5982"/>
<resource>
<Condition>
<id value="80e53ab8-dcec-4b4d-aec2-eec9e00b5982"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="49e65c66-8c9f-4d54-a90d-a556e0e43f04"/>
</identifier>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="encounter-diagnosis"/>
<display value="Encounter Diagnosis"/>
</coding>
</category>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="401303003"/>
<display value="Acute ST segment elevation myocardial infarction"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<context>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</context>
</Condition>
</resource>
</entry>
<!-- Procedure List-->
<entry>
<fullUrl value="urn:uuid:1e04ce96-6e52-4f82-bc26-93c89c5836a1"/>
<resource>
<List>
<id value="1e04ce96-6e52-4f82-bc26-93c89c5836a1"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-List-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="cdd92a18-ffb2-4e3f-aacf-de0e01bb3120"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887171000000109"/>
<display value="Procedures"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<encounter>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</encounter>
<source>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</source>
<entry>
<item>
<reference value="urn:uuid:1a65a852-c14e-42ae-ae88-46ca1dc4d67f"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Procedure Example 1-->
<entry>
<fullUrl value="urn:uuid:1a65a852-c14e-42ae-ae88-46ca1dc4d67f"/>
<resource>
<Procedure>
<id value="1a65a852-c14e-42ae-ae88-46ca1dc4d67f"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="077287c1-28cc-4939-b3c4-5f3e97844ae0"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="46825001"/>
<display value="Electrocardiographic monitoring"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
</subject>
<context>
<reference value="urn:uuid:9a20cb92-354a-4015-82ec-ab0252efc5b9"/>
</context>
</Procedure>
</resource>
</entry>
<!--Patient-Example-1-->
<entry>
<fullUrl value="urn:uuid:c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
<resource>
<Patient>
<id value="c8225cc8-8026-466f-80f8-fc2832a4b9d5"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
</meta>
<identifier>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
<code value="01"/>
<display value="Number present and verified"/>
</coding>
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="1352465790"/>
</identifier>
<name>
<use value="official"/>
<family value="Smith"/>
<given value="Richard"/>
<prefix value="Mr"/>
</name>
<gender value="male"/>
<birthDate value="1957-01-01"/>
<address>
<line value="21, Grove Street, Overtown"/>
<city value="Leeds"/>
<postalCode value="LS21 1PF"/>
</address>
</Patient>
</resource>
</entry>
<!--Practitioner-Example-1-->
<entry>
<fullUrl value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
<resource>
<Practitioner>
<id value="369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</meta>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
<value value="6122477"/>
</identifier>
<name>
<family value="Rastall"/>
<given value="Paul"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<!--Practitioner-Example-2-->
<entry>
<fullUrl value="urn:uuid:d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
<resource>
<Practitioner>
<id value="d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/local-practitioner-identifier"/>
<value value="7773333"/>
</identifier>
<name>
<family value="Abacus"/>
<prefix value="Mr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:d9174bf6-0662-4ae1-b39a-f9fec278835d"/>
<resource>
<PractitionerRole>
<id value="d9174bf6-0662-4ae1-b39a-f9fec278835d"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:369d88a8-9f6b-407f-8560-6ee9d7ccc8bb"/>
</practitioner>
<organization>
<reference value="urn:uuid:120633ae-1a20-4e0e-b807-b78fb59679cc"/>
</organization>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0050"/>
<display value="Consultant"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<!--Organization-Example-1-->
<entry>
<fullUrl value="urn:uuid:e4058bb2-bf1a-47a4-ab10-1471161380a1"/>
<resource>
<Organization>
<id value="e4058bb2-bf1a-47a4-ab10-1471161380a1"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="GP123456"/>
</identifier>
<name value="MGP Medical Centre"/>
<address>
<line value="1 MGP House, Overtown"/>
<city value="Leeds"/>
<postalCode value="LS21 7PA"/>
</address>
</Organization>
</resource>
</entry>
<!--Organization-Example-2-->
<entry>
<fullUrl value="urn:uuid:120633ae-1a20-4e0e-b807-b78fb59679cc"/>
<resource>
<Organization>
<id value="120633ae-1a20-4e0e-b807-b78fb59679cc"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="RR8"/>
</identifier>
<name value="Leeds Teaching Hospitals NHS Trust"/>
</Organization>
</resource>
</entry>
</Bundle>