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>