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="d730b478-d881-4cd4-b3a1-6abbb761de5e"/>
<meta>
<lastUpdated value="2017-05-11T18:38:00+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="f18f5330-a1e0-4f34-9e7d-3fcf6e3f0b8b"/>
</identifier>
<type value="document"/>
<!--Outpatient Letter Composition-->
<entry>
<fullUrl value="urn:uuid:1640ce91-05db-4174-aa9a-3db6b4a205c2"/>
<resource>
<Composition>
<id value="1640ce91-05db-4174-aa9a-3db6b4a205c2"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-OPL-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="3621000175101"/>
<display value="Rheumatology service"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="94a7c4b9-1e92-4b3b-bf6a-5e3a9c35d0d5"/>
</identifier>
<status value="final"/>
<type>
<!--Outpatient letter-->
<coding>
<system value="http://snomed.info/sct"/>
<code value="823681000000100"/>
<display value="Outpatient letter"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<!--Reference to the clinical encounter or type of care this documentation is associated with.-->
<encounter>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</encounter>
<!--The composition editing time, when the composition was last logically changed by the author.-->
<date value="2017-05-11T14:38:00+00:00"/>
<!--Identifies who is responsible for the information in the composition, not necessarily who typed it in-->
<author>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</author>
<title value="Rheumatology Service Outpatient letter"/>
<!--Identifies the organization responsible for ongoing maintenance of and access to the composition/document information.-->
<custodian>
<reference value="urn:uuid:1cb3ed43-370c-4a1b-a6d4-1fab57f1646f"/>
</custodian>
<!--Sections are included here-->
<!-- Allergies and adverse reactions section-->
<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="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Causative agent</th>
<td>No known allergy</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the allergy list-->
<entry>
<reference value="urn:uuid:57529fe5-9ab9-417c-bb7a-d616a3399c36"/>
</entry>
</section>
<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>
<td colspan="2" style="width:100%">Dear Dr. O'Reilly<br/>Thank you for referring Miss Gently to my rheumatology outpatient clinic.</td>
</tr>
<tr>
<th>Date and time of contact</th>
<td>11-May-2017 13:00</td>
</tr>
<tr>
<th>Contact type</th>
<td>First attendance face to face</td>
</tr>
<tr>
<th>Consultation method</th>
<td>Face-to-face</td>
</tr>
<tr>
<th>Responsible healthcare professional</th>
<td>Dr H.H. Crippen (Consultant Rheumatologist)</td>
</tr>
<tr>
<th>Specialty</th>
<td>Rheumatology</td>
</tr>
<tr>
<th>Service</th>
<td>Rheumatology service</td>
</tr>
<tr>
<th>Seen by</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: H.H.</p>
<p>Family Name: Crippen</p>
<p>Role: Consultant Rheumatologist</p>
<p>Tel: 01234 569879 (Work)</p>
</td>
</tr>
<tr>
<th>Outcome of outpatient attendance</th>
<td>Appointment to be made at a later date</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to Encounter resource-->
<entry>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</entry>
</section>
<!-- Clinical review of systems section-->
<section>
<title value="Clinical review of systems"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887121000000105"/>
<display value="Review of systems"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Clinical review of systems</th>
<td>Poor Sleep</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!-- Clinical summary section-->
<section>
<title value="Clinical summary"/>
<!--SNOMED CT classification of section-->
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887181000000106"/>
<display value="Clinical summary"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Clinical summary</th>
<td>Symptoms are unlikely to improve until sleep disturbance is tackled. I suggest Amitriptyline is prescribed.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Diagnoses section-->
<section>
<title value="Diagnoses"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887161000000102"/>
<display value="Diagnoses"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Multiple joint pain</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Fatigue</td>
</tr>
<tr>
<th>Comment</th>
<td>No evidence of inflammatory arthritis</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Type 1 diabetes mellitus</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Hypothyroidism</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the Condition List resource-->
<entry>
<reference value="urn:uuid:f0f67e53-647f-4216-933a-4ebd2c257969"/>
</entry>
</section>
<!--Distribution list-->
<section>
<title value="Distribution list"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887261000000109"/>
<display value="Distribution list"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: C</p>
<p>Family Name: O'Reilly</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>General Medical Practitioner</td>
</tr>
<tr>
<th>Organisation name</th>
<td>Canvas Health Centre</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Miss</p>
<p>Given Name: Ophelia</p>
<p>Family Name: Gently</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the practitioner entry as recipient of information-->
<entry>
<reference value="urn:uuid:37fdbe18-3dd5-4b37-b090-a2f222bc968c"/>
</entry>
<!--Reference to the patient entry as recipient of information-->
<entry>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</entry>
</section>
<!--Examination findings-->
<section>
<title value="Examination finding"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="715851000000102"/>
<display value="Examination findings"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Examination findings</th>
<td>Musculoskeletal system - Trapezius discomfort on elevation of the shoulders. Discomfort on active neck movements.</td>
</tr>
</tbody>
</table>
</div>
</text>
</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: C</p>
<p>Family Name: O'Reilly</p>
</td>
</tr>
<tr>
<th>GP practice details</th>
<td>
<p>Name: Canvas Health Centre</p>
<p>Address:</p>
<p>Address Line: 27, Acacia Road</p>
<p>Post Code: BM9 6PM</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:5c2e339d-3b3c-4de8-b61c-00cc9a4d6e41"/>
</entry>
</section>
<section>
<title value="History"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="717121000000105"/>
<display value="History"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Presenting complaints or issue</th>
<td>Miss Gently has had left wrist pain since December 2016. Since then she has also had right wrist pain and aching in the shoulders and knees. She describes tingling and burning in the forearms and in the calves and shins. Her symptoms are gradually worsening and they are now constant. She feels tired all the time and has broken unrefreshing sleep. She has been diagnosed with Type 1 diabetes and hypothyroidism.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Information and advice given section-->
<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>The patient was advised that previous abnormal blood results are not of any clinical significance other than reflecting known diagnosis of thyroid disease.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!-- Investigation results section-->
<section>
<title value="Investigation results"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1082101000000102"/>
<display value="Investigation results"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Investigation</th>
<td>Antinuclear antibodies</td>
</tr>
<tr>
<th>Investigation result</th>
<td>Normal</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Investigation</th>
<td>Complement levels</td>
</tr>
<tr>
<th>Investigation result</th>
<td>Normal</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Investigation</th>
<td>Immunoglobins</td>
</tr>
<tr>
<th>Investigation result</th>
<td>Normal</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Medications and medical devices section-->
<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>
<td style="width:100%">(only changes to medications and medical devices
as a result of the outpatient encounter are included)</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Amitriptyline 10mg tablets (Actavis UK Ltd)</td>
</tr>
<tr>
<th>Form</th>
<td>Tablet</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose amount description</th>
<td>1 x 10mg</td>
</tr>
<tr>
<th>Dose timing description</th>
<td>Once per day</td>
</tr>
<tr>
<th>Additional instruction</th>
<td>To be taken one hour before bed.</td>
</tr>
<tr>
<th>Start date/time</th>
<td>11/05/17</td>
</tr>
<tr>
<th>End date/time</th>
<td>23/05/17</td>
</tr>
<tr>
<th>Indication</th>
<td>Sleep disturbance</td>
</tr>
<tr>
<th>Comment/recommendation</th>
<td>Titrating upwards according to response and tolerance. Patient given 2xweek prescription in clinic. GP to please review in 2xweeks and renew or amend prescription as necessary.</td>
</tr>
<tr>
<th>Status</th>
<td>Added</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to medication list-->
<entry>
<reference value="urn:uuid:cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
</entry>
</section>
<section>
<title value="Participation in research"/>
<!--SNOMED CT classification of section-->
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886751000000102"/>
<display value="Participation in research"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Name of research study</th>
<td>
<a href="http://www.kcl.ac.uk/lsm/research/divisions/diiid/departments/rheumatology/research/clinical/current/apippra/apippra.aspx">
APIPPRA</a>
</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Patient and carer concerns-->
<section>
<title value="Patient and carer concerns, expectations and wishes"/>
<!--SNOMED CT classification of section-->
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1052941000000107"/>
<display value="Patient and carer concerns, expectations and wishes"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Patient and carer concerns, expectations and wishes</th>
<td>I just want to stop hurting all the time and to have some energy back.</td>
</tr>
</tbody>
</table>
</div>
</text>
</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: Miss</p>
<p>Given Name: Ophelia</p>
<p>Family Name: Gently</p>
</td>
</tr>
<tr>
<th>Date of birth</th>
<td>1 April 1984</td>
</tr>
<tr>
<th>Gender</th>
<td>Female</td>
</tr>
<tr>
<th>NHS number</th>
<td>9876543210</td>
</tr>
<tr>
<th>Other identifier</th>
<td>TL98764</td>
</tr>
<tr>
<th>Patient address</th>
<td>
<p>Address Line: 22, Acacia Road</p>
<p>Post Code: BM9 6PL</p>
</td>
</tr>
<tr>
<th>Patient email address</th>
<td>ophelia@gently.net</td>
</tr>
<tr>
<th>Patient telephone number</th>
<td>Mobile: 077 7777 776</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the patient resource-->
<entry>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</entry>
</section>
<!--Person completing record section-->
<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="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: H.H.</p>
<p>Family Name: Crippen</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>Consultant Rheumatologist</td>
</tr>
<tr>
<th>Specialty</th>
<td>Rheumatology</td>
</tr>
<tr>
<th>Professional identifier</th>
<td>GMC: 2639598</td>
</tr>
<tr>
<th>Date and time completed</th>
<td>11/05/2017: 14:38</td>
</tr>
<tr>
<th>Contact details</th>
<td>Email: Hawley.crippen@nhs.net</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the practitioner resource-->
<entry>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</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>Actions for patient or their carer</th>
<td>Should endeavour to take regular, gentle exercise in gradually increasing amounts.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<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="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Referrer Name</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: C</p>
<p>Family Name: O'Reilly</p>
<p>Role: General Medical Practitioner</p>
<p>Tel: 01234 956412</p>
<p>Organisation Name: Canvas Health Centre</p>
<p>Address Line: 27 Acacia Road</p>
<p>Post Code: BM9 6PM</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the practitioner resource-->
<entry>
<reference value="urn:uuid:37fdbe18-3dd5-4b37-b090-a2f222bc968c"/>
</entry>
<!--Reference to the organisation resource-->
<entry>
<reference value="urn:uuid:5c2e339d-3b3c-4de8-b61c-00cc9a4d6e41"/>
</entry>
</section>
<!-- Social context section-->
<section>
<title value="Social context"/>
<!--SNOMED CT classification of section-->
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="887051000000101"/>
<display value="Social context"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Occupational history</th>
<td>Unemployed</td>
</tr>
<tr>
<th>Smoking</th>
<td>Ex-smoker</td>
</tr>
<tr>
<th>Alcohol intake</th>
<td>10-12 units weekly</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
</Composition>
</resource>
</entry>
<!--Encounter Example 1-->
<entry>
<fullUrl value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
<resource>
<Encounter>
<id value="3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
<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-OutcomeOfAttendance-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1"/>
<code value="3"/>
<display value="Appointment to be made at a later date"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="639bbd49-4ad5-40a0-918e-fd901ead30b7"/>
</identifier>
<status value="finished"/>
<class>
<system value="http://hl7.org/fhir/v3-ActEncounterCode"/>
<code value="AMB"/>
<display value="ambulatory"/>
</class>
<!--Specific type of encounter-->
<type>
<coding>
<system value="https://www.datadictionary.nhs.uk"/>
<code value="1"/>
<display value="First attendance face to face"/>
</coding>
</type>
<!--Reference to the patient as the subject of the Encounter-->
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<!--Reference to the participants present during the encounter-->
<participant>
<type>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="ATND"/>
<display value="attender"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</individual>
</participant>
<period>
<start value="2017-05-11T13:00:00+00:00"/>
<end value="2017-05-11T14:00:00+00:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:57529fe5-9ab9-417c-bb7a-d616a3399c36"/>
<resource>
<List>
<id value="57529fe5-9ab9-417c-bb7a-d616a3399c36"/>
<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="4e8e9a4a-3a49-4580-b500-fcb4e7b0c9cc"/>
</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:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<encounter>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</encounter>
<source>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</source>
<entry>
<item>
<reference value="urn:uuid:1f00f1e6-4a4c-4b48-a35d-e4ca69dd23a1"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:1f00f1e6-4a4c-4b48-a35d-e4ca69dd23a1"/>
<resource>
<AllergyIntolerance>
<id value="1f00f1e6-4a4c-4b48-a35d-e4ca69dd23a1"/>
<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="bfea85e8-4181-48fb-8a44-651dfe20c0dd"/>
</identifier>
<clinicalStatus value="active"/>
<verificationStatus value="confirmed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="716186003"/>
<display value="No known allergy"/>
</coding>
</code>
<patient>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<!-- MedicationDispense example 1-->
<entry>
<fullUrl value="urn:uuid:1b3d1381-2c83-4e86-a4c6-15625e8de087"/>
<resource>
<MedicationDispense>
<id value="1b3d1381-2c83-4e86-a4c6-15625e8de087"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="cda2cc22-8186-437c-9531-68ff1e89401d"/>
</identifier>
<!-- status of completed indicates the medication was dispensed -->
<status value="completed"/>
<category>
<coding>
<system value="http://hl7.org/fhir/medication-dispense-category"/>
<code value="Outpatient"/>
<display value="Outpatient"/>
<userSelected value="false"/>
</coding>
</category>
<!-- A reference to the medication resource -->
<medicationReference>
<reference value="urn:uuid:cc869708-b975-4fe5-a502-a6c22675c31e"/>
</medicationReference>
<!-- A reference to the patient resource -->
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<!-- A reference to the encounter resource -->
<context>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</context>
<!-- The amount dispensed (supplied) -->
<quantity>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
<valueString value="14 Tablets"/>
</extension>
</quantity>
</MedicationDispense>
</resource>
</entry>
<!--Medication List-->
<entry>
<fullUrl value="urn:uuid:cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
<resource>
<List>
<id value="cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
<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="871f3590-f050-40d0-975a-022668cfb4c3"/>
</identifier>
<status value="current"/>
<mode value="snapshot"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1102411000000102"/>
<display value="Active medications"/>
</coding>
</code>
<subject>
<!--Patient reference-->
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<encounter>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</encounter>
<source>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</source>
<entry>
<item>
<reference value="urn:uuid:a7da3060-d2f5-4761-b010-aa04e9e491dc"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Medication Statement Example 1-->
<entry>
<fullUrl value="urn:uuid:a7da3060-d2f5-4761-b010-aa04e9e491dc"/>
<resource>
<MedicationStatement>
<id value="a7da3060-d2f5-4761-b010-aa04e9e491dc"/>
<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="Added"/>
</extension>
</extension>
<partOf>
<reference value="urn:uuid:1b3d1381-2c83-4e86-a4c6-15625e8de087"/>
</partOf>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:cc869708-b975-4fe5-a502-a6c22675c31e"/>
</medicationReference>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<taken value="y"/>
<dosage>
<text value="1 x 10mg once per day"/>
<patientInstruction value="To be taken one hour before bed."/>
<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:cc869708-b975-4fe5-a502-a6c22675c31e"/>
<resource>
<Medication>
<id value="cc869708-b975-4fe5-a502-a6c22675c31e"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="268711000001108"/>
<display value="Amitriptyline 10mg tablets (Actavis UK Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!--Condition list-->
<entry>
<fullUrl value="urn:uuid:f0f67e53-647f-4216-933a-4ebd2c257969"/>
<resource>
<List>
<id value="f0f67e53-647f-4216-933a-4ebd2c257969"/>
<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="941d6d24-dbd8-4721-a950-b32da9678371"/>
</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:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<encounter>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</encounter>
<source>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</source>
<entry>
<item>
<reference value="urn:uuid:7c09df38-890a-4d4c-bb86-00f93cad74a5"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:0e5811d6-6e36-491a-9d2c-612149d4b3b9"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:5af206c3-b5b5-4140-a9fa-4c4daf59331c"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8a29b416-2b8e-43db-bb92-578ba36961af"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Diagnoses 1-->
<entry>
<fullUrl value="urn:uuid:7c09df38-890a-4d4c-bb86-00f93cad74a5"/>
<resource>
<Condition>
<id value="7c09df38-890a-4d4c-bb86-00f93cad74a5"/>
<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="bc8e4fc0-18dc-46b5-9f60-30857b24e42b"/>
</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="35678005"/>
<display value="Multiple joint pain"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<context>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</context>
</Condition>
</resource>
</entry>
<!--Diagnoses 2-->
<entry>
<fullUrl value="urn:uuid:0e5811d6-6e36-491a-9d2c-612149d4b3b9"/>
<resource>
<Condition>
<id value="0e5811d6-6e36-491a-9d2c-612149d4b3b9"/>
<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="9b5bfd05-4359-4639-93eb-28f13542013f"/>
</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="84229001"/>
<display value="Fatigue"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<context>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</context>
</Condition>
</resource>
</entry>
<!--Diagnoses 3-->
<entry>
<fullUrl value="urn:uuid:5af206c3-b5b5-4140-a9fa-4c4daf59331c"/>
<resource>
<Condition>
<id value="5af206c3-b5b5-4140-a9fa-4c4daf59331c"/>
<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="1d1f13a2-c3ea-4743-9bd2-af2047b8759f"/>
</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="46635009"/>
<display value="Type 1 diabetes mellitus"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<context>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</context>
</Condition>
</resource>
</entry>
<!--Diagnoses 4-->
<entry>
<fullUrl value="urn:uuid:8a29b416-2b8e-43db-bb92-578ba36961af"/>
<resource>
<Condition>
<id value="8a29b416-2b8e-43db-bb92-578ba36961af"/>
<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="1d1f13a2-c3ea-4743-9bd2-af2047b8759f"/>
</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="40930008"/>
<display value="Hypothyroidism"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
</subject>
<context>
<reference value="urn:uuid:3abcaae6-dfbc-4e6d-80ed-912e64f3052f"/>
</context>
</Condition>
</resource>
</entry>
<!--Patient-Example-1-->
<entry>
<fullUrl value="urn:uuid:bad2cc22-8186-437c-9531-68ff1e89104d"/>
<resource>
<Patient>
<id value="bad2cc22-8186-437c-9531-68ff1e89104d"/>
<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="9876543210"/>
</identifier>
<identifier>
<system value="https://fhir.nhs.uk/Id/local-patient-identifier"/>
<value value="TL98764"/>
</identifier>
<name>
<use value="official"/>
<family value="Gently"/>
<given value="Ophelia"/>
<prefix value="Miss"/>
</name>
<telecom>
<system value="phone"/>
<value value="077 7777 776"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="ophelia@gently.net"/>
</telecom>
<gender value="female"/>
<birthDate value="1984-04-01"/>
<address>
<line value="22 Acacia Road"/>
<postalCode value="BM9 6PL"/>
</address>
</Patient>
</resource>
</entry>
<!--Practitioner-Example-->
<entry>
<fullUrl value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
<resource>
<Practitioner>
<id value="9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
<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="2639598"/>
</identifier>
<name>
<family value="Crippen"/>
<given value="Hawley"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="email"/>
<value value="Hawley.crippen@nhs.net"/>
</telecom>
</Practitioner>
</resource>
</entry>
<!--Practitioner-Example-2-->
<entry>
<fullUrl value="urn:uuid:37fdbe18-3dd5-4b37-b090-a2f222bc968c"/>
<resource>
<Practitioner>
<id value="37fdbe18-3dd5-4b37-b090-a2f222bc968c"/>
<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="8122472"/>
</identifier>
<name>
<family value="O'Reilly"/>
<given value="C"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="phone"/>
<value value="01234 956412"/>
</telecom>
</Practitioner>
</resource>
</entry>
<!--Practitioner role - General Medical Practitioner-->
<entry>
<fullUrl value="urn:uuid:fcc956a8-a96f-4bd5-b0b2-196bbb1f0f66"/>
<resource>
<PractitionerRole>
<id value="fcc956a8-a96f-4bd5-b0b2-196bbb1f0f66"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:37fdbe18-3dd5-4b37-b090-a2f222bc968c"/>
</practitioner>
<organization>
<reference value="urn:uuid:5c2e339d-3b3c-4de8-b61c-00cc9a4d6e41"/>
</organization>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0260"/>
<display value="General Medical Practitioner"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<!--Practitioner roles -Consultant-->
<entry>
<fullUrl value="urn:uuid:cd734ce9-468d-4a36-8dac-e453aa4747e0"/>
<resource>
<PractitionerRole>
<id value="cd734ce9-468d-4a36-8dac-e453aa4747e0"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:9aaf5503-c48e-4ff8-9365-85f06295a11b"/>
</practitioner>
<organization>
<reference value="urn:uuid:1cb3ed43-370c-4a1b-a6d4-1fab57f1646f"/>
</organization>
<code>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0050"/>
<display value="Consultant"/>
</coding>
</code>
<specialty>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394810000"/>
<display value="Rheumatology"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<!--Organization-Example-1-->
<entry>
<fullUrl value="urn:uuid:5c2e339d-3b3c-4de8-b61c-00cc9a4d6e41"/>
<resource>
<Organization>
<id value="5c2e339d-3b3c-4de8-b61c-00cc9a4d6e41"/>
<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="A111111"/>
</identifier>
<name value="Canvas Health Centre"/>
<address>
<line value="27 Acacia Road"/>
<postalCode value="BM9 6PM"/>
</address>
</Organization>
</resource>
</entry>
<!--Organization-Example-2-->
<entry>
<fullUrl value="urn:uuid:1cb3ed43-370c-4a1b-a6d4-1fab57f1646f"/>
<resource>
<Organization>
<id value="1cb3ed43-370c-4a1b-a6d4-1fab57f1646f"/>
<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="RX00001"/>
</identifier>
<name value="Rheumatology Department"/>
<telecom>
<system value="phone"/>
<value value="01234 567890"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="rd@stcrispins.nhs.uk"/>
<use value="work"/>
</telecom>
<address>
<line value="St Crispin's Hospital"/>
<city value="Donaldstown"/>
<postalCode value="DO5 7TP"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>