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="56cda0f0-d663-482c-944d-0ff8bf804d46"/>
	<meta>
		<lastUpdated value="2017-05-01T18:42:00+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="fc09b056-a869-41c3-ad7b-b2074c3d97b6"/>
	</identifier>
	<type value="document"/>
	<!--Outpatient Letter Composition-->
	<entry>
		<fullUrl value="urn:uuid:17e783b1-8fe0-4846-957e-e3ada2559762"/>
		<resource>
			<Composition>
				<id value="17e783b1-8fe0-4846-957e-e3ada2559762"/>
				<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="700433006"/>
							<display value="Gastroenterology service"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="88f3e08a-4f29-4132-80dd-ce41a2efb2da"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<!--Reference to the clinical encounter or type of care this documentation is associated with.-->
				<encounter>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</encounter>
				<!--The composition editing time, when the composition was last logically changed by the author.-->
				<date value="2017-05-01T16:42:00+00:00"/>
				<!--Identifies who is responsible for the information in the composition, 
    not necessarily who typed it in-->
				<author>
					<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				</author>
				<title value="Gastroenterology Service Outpatient Letter"/>
				<!--Identifies the organization responsible for ongoing maintenance of 
    and access to the composition/document information.-->
				<custodian>
					<reference value="urn:uuid:3e31975f-1460-4fc0-8beb-b26191d1c152"/>
				</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>Amoxicillin</td>
									</tr>
									<tr>
										<th>Description of reaction</th>
										<td>Urticarial rash in the form of a generalised severe rash</td>
									</tr>
									<tr>
										<th>Date first experienced</th>
										<td>She first experienced a reaction aged 12.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--Reference to Allergy List-->
					<entry>
						<reference value="urn:uuid:627bd799-7a86-40bd-a931-d8526b412fa5"/>
					</entry>
				</section>
				<!--Attendance details 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 
	  Ms. Critchard to the gastroenterology outpatient clinic.<br/>
										</td>
									</tr>
									<tr>
										<th>Date and time of contact</th>
										<td>01 May 2017 12:00</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. Ruth Jones (Consultant Gastroenterologist)</td>
									</tr>
									<tr>
										<th>Specialty</th>
										<td>Gastroenterology</td>
									</tr>
									<tr>
										<th>Service</th>
										<td>Gastroenterology service</td>
									</tr>
									<tr>
										<th>Seen by</th>
										<td>
											<p>Prefix: Dr</p>
											<p>Given Name: Ruth</p>
											<p>Family Name: Jones</p>
											<p>Role: Consultant Gastroenterologist</p>
											<p>Tel: 01234 562170 (Work)</p>
										</td>
									</tr>
									<tr>
										<th>Care professionals present</th>
										<td>
											<p>Prefix: Mrs</p>
											<p>Given Name: N</p>
											<p>Family Name: Bryant</p>
											<p>Role: IBD Specialist Nurse</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-->
					<entry>
						<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
					</entry>
				</section>
				<!--Clinical summary-->
				<section>
					<title value="Clinical summary"/>
					<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>
									</tr>
									<tr>
										<td>Findings are suggestive of IBD. Rigid sigmoidoscopy looks like UC. 
	  5ASA treatment commenced today pending further investigation.</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="additional"/>
						<div xmlns="http://www.w3.org/1999/xhtml">
							<table width="100%">
								<tbody>
									<tr>
										<th>Diagnosis name</th>
										<td>Proctitis</td>
									</tr>
								</tbody>
							</table>
							<table width="100%">
								<tbody>
									<tr>
										<th>Diagnosis name</th>
										<td>Dyspepsia</td>
									</tr>
									<tr>
										<th>Comment</th>
										<td>Ms. Critchard has longstanding mild dyspepsia for which 
	  she takes antacid as necessary. It has never been investigated.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--Reference to the Condition List-->
					<entry>
						<reference value="urn:uuid:ea41d09b-8c90-4856-9955-4d318ee890e99"/>
					</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: Ms</p>
											<p>Given Name: Agatha</p>
											<p>Family Name: Critchard</p>
										</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--Reference to the practitioner entry as recipient of information-->
					<entry>
						<reference value="urn:uuid:137bc838-e3ab-4eb2-99e9-32b0c02e70eb"/>
					</entry>
					<!--Reference to the patient entry as recipient of information-->
					<entry>
						<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
					</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>
									</tr>
									<tr>
										<td>The abdomen was found to be soft but mainly tender in the left iliac fossa. 
	  There was no guarding or rebound and bowel sounds normal.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</section>
				<!--Family history-->
				<section>
					<title value="Family history"/>
					<code>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="887111000000104"/>
							<display value="Family history"/>
						</coding>
					</code>
					<text>
						<status value="additional"/>
						<div xmlns="http://www.w3.org/1999/xhtml">
							<table width="100%">
								<tbody>
									<tr>
										<th>Family history</th>
									</tr>
									<tr>
										<td>Ms. Critchard has no family history of I.B.D. </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:00e2ec13-891d-4335-b383-5bb6043331db"/>
					</entry>
				</section>
				<!--History-->
				<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>History of each presenting complaint or issue</th>
										<td>Ms. Critchard presents with ongoing symptoms of bloody diarrhoea, weight loss, 
										and abdominal discomfort that are unresponsive to treatment. 
										She has a 2 month history of bloody diarrhoea. Her bowels open 5-6 per day with 1-2 nocturnal episodes. 
										Ms. Critchard has experienced weight loss of 1 stone over the same period. 
										She experiences a crampy left iliac fossa pain intermittently.
She has no history of travel, unwell contacts or previous similar symptoms. 
She has longstanding mild dyspepsia for which she takes antacid as necessary. It has never been investigated.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</section>
				<!--Investigation results-->
				<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 result</th>
									</tr>
									<tr>
										<td>Facael calprotein levels were 247mcg/g faeces (normal less than 50)</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</section>
				<!--Medications-->
				<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>Asacol 800mg MR gastro-resistant tablets (Allergan Ltd)</td>
									</tr>
									<tr>
										<th>Form</th>
										<td>Gastro-resistant oral tablet</td>
									</tr>
									<tr>
										<th>Route</th>
										<td>Oral</td>
									</tr>
									<tr>
										<th>Dose amount description</th>
										<td>3 x 800mg</td>
									</tr>
									<tr>
										<th>Dose timing description</th>
										<td>Once a 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>Ongoing</td>
									</tr>
									<tr>
										<th>Indication</th>
										<td>Treat symptoms</td>
									</tr>
									<tr>
										<th>Comment/recommendation</th>
										<td>A 14xday course was prescribed in clinic, 
	  please renew in 2xweeks time.</td>
									</tr>
									<tr>
										<th>Status</th>
										<td>Added</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--Reference to medication list-->
					<entry>
						<reference value="urn:uuid:9788d750-dda9-4c73-b9d5-c08ac2d603fe"/>
					</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: Ms</p>
											<p>Given Name: Agatha</p>
											<p>Family Name: Critchard</p>
										</td>
									</tr>
									<tr>
										<th>Date of birth</th>
										<td>1 February 1964</td>
									</tr>
									<tr>
										<th>Gender</th>
										<td>Female</td>
									</tr>
									<tr>
										<th>NHS number</th>
										<td>1243567890</td>
									</tr>
									<tr>
										<th>Other identifier</th>
										<td>TL89765</td>
									</tr>
									<tr>
										<th>Patient address</th>
										<td>
											<p>Address Line: 30, Acacia Road</p>
											<p>Post Code: BM9 6PL</p>
										</td>
									</tr>
									<tr>
										<th>Patient email address</th>
										<td>frances@delatour.net</td>
									</tr>
									<tr>
										<th>Patient telephone number</th>
										<td>Mobile: 077 1234 7777</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--reference to further information carried in the patient resource-->
					<entry>
						<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
					</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="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: Ruth</p>
											<p>Family Name: Jones</p>
										</td>
									</tr>
									<tr>
										<th>Role</th>
										<td>Consultant Gastroenterologist</td>
									</tr>
									<tr>
										<th>Specialty</th>
										<td>Gastroenterology</td>
									</tr>
									<tr>
										<th>Professional identifier</th>
										<td>GMC: 6775555</td>
									</tr>
									<tr>
										<th>Date and time completed</th>
										<td>01 May 2017 16:42</td>
									</tr>
									<tr>
										<th>Contact details</th>
										<td>Tel: 01234 562170</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--reference to practitioner entry-->
					<entry>
						<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
					</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 healthcare professionals</th>
										<td>A flexible sigmoidoscopy has been requested on an urgent basis by Ruth Jones on 01/05/17. 
	  FBC, U and E, LFT and CRP are to be measured, the patient was 
	  provided with a form at the appointment. Stool MC and S plus C. diff are to be taken, 
	  the patient was given forms and collection points at the appointment.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</section>
				<!--Problems and issues-->
				<section>
					<title value="Problems and issues"/>
					<code>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="887151000000100"/>
							<display value="Problems and issues"/>
						</coding>
					</code>
					<text>
						<status value="additional"/>
						<div xmlns="http://www.w3.org/1999/xhtml">
							<table width="100%">
								<tbody>
									<tr>
										<th>Problems and issues</th>
										<td>
											<p>Bloody diarrhoea</p>
											<p>Weight loss</p>
										</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</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 width="100%">
								<tbody>
									<tr>
										<th>Procedure name</th>
										<td>Rigid sigmoidoscopy</td>
									</tr>
									<tr>
										<th>Comment</th>
										<td>Performed to the 
	  limit of view at 20cm. It showed inflamed and ulcerated mucosa with contact 
	  bleeding to about 15cm. Proximally appears to improve.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
					<!--Reference to the Procedure List-->
					<entry>
						<reference value="urn:uuid:aca5e99f-702c-49cb-b162-173d4f5d7fe5"/>
					</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="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:137bc838-e3ab-4eb2-99e9-32b0c02e70eb"/>
					</entry>
					<!--Reference to the organisation resource-->
					<entry>
						<reference value="urn:uuid:00e2ec13-891d-4335-b383-5bb6043331db"/>
					</entry>
				</section>
				<!--Social context-->
				<section>
					<title value="Social context"/>
					<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>Household composition</th>
										<td>Ms. Critchard lives with her boyfriend.</td>
									</tr>
									<tr>
										<th>Occupational history</th>
										<td>Baker</td>
									</tr>
									<tr>
										<th>Smoking</th>
										<td>Ex-smoker, stopped 2 years</td>
									</tr>
									<tr>
										<th>Alcohol intake</th>
										<td>10-14 units of alcohol per week.</td>
									</tr>
								</tbody>
							</table>
						</div>
					</text>
				</section>
			</Composition>
		</resource>
	</entry>
	<!--Encounter Example 1-->
	<entry>
		<fullUrl value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
		<resource>
			<Encounter>
				<id value="a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				<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="85e88b9f-c6be-4d09-ae48-f4fa6687903d"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</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:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
					</individual>
				</participant>
				<participant>
					<type>
						<coding>
							<system value="http://hl7.org/fhir/v3/ParticipationType"/>
							<code value="SPRF"/>
							<display value="secondary performer"/>
						</coding>
					</type>
					<individual>
						<reference value="urn:uuid:8ece9986-9af0-4882-b0cf-23a96ea7b509"/>
					</individual>
				</participant>
				<period>
					<start value="2017-05-01T12:00:00+00:00"/>
					<end value="2017-05-01T13:00:00+00:00"/>
				</period>
			</Encounter>
		</resource>
	</entry>
	<!--Allergies List-->
	<entry>
		<fullUrl value="urn:uuid:627bd799-7a86-40bd-a931-d8526b412fa5"/>
		<resource>
			<List>
				<id value="627bd799-7a86-40bd-a931-d8526b412fa5"/>
				<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="9ca85d9b-c54c-4134-8fcc-3552796c7340"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<encounter>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</encounter>
				<source>
					<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				</source>
				<entry>
					<item>
						<reference value="urn:uuid:bae93050-79ec-45c6-9e3e-023593b06641"/>
					</item>
				</entry>
			</List>
		</resource>
	</entry>
	<!--Allergy Intolerance Example 1-->
	<entry>
		<fullUrl value="urn:uuid:bae93050-79ec-45c6-9e3e-023593b06641"/>
		<resource>
			<AllergyIntolerance>
				<id value="bae93050-79ec-45c6-9e3e-023593b06641"/>
				<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="9334f90a-7f48-453b-aaa6-7a7a42b8e7a8"/>
				</identifier>
				<clinicalStatus value="active"/>
				<verificationStatus value="unconfirmed"/>
				<code>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="372687004"/>
						<display value="Amoxicillin"/>
					</coding>
				</code>
				<patient>
					<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
				</patient>
				<onsetString value="She first experienced a reaction aged 12."/>
				<reaction>
					<manifestation>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="247472004"/>
							<display value="Urticarial rash"/>
						</coding>
					</manifestation>
				</reaction>
			</AllergyIntolerance>
		</resource>
	</entry>
	<!--Condition list-->
	<entry>
		<fullUrl value="urn:uuid:ea41d09b-8c90-4856-9955-4d318ee890e99"/>
		<resource>
			<List>
				<id value="ea41d09b-8c90-4856-9955-4d318ee890e99"/>
				<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="9e10304d-6e1f-4eea-9cbc-ad3373966a59"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<encounter>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</encounter>
				<source>
					<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				</source>
				<entry>
					<item>
						<reference value="urn:uuid:50141d4f-fe5a-4616-ab9e-9b0366333ea0"/>
					</item>
				</entry>
				<entry>
					<item>
						<reference value="urn:uuid:7ec3effa-da14-47c7-881f-0b04903861c6"/>
					</item>
				</entry>
			</List>
		</resource>
	</entry>
	<!--Condition 1-->
	<entry>
		<fullUrl value="urn:uuid:50141d4f-fe5a-4616-ab9e-9b0366333ea0"/>
		<resource>
			<Condition>
				<id value="50141d4f-fe5a-4616-ab9e-9b0366333ea0"/>
				<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="369b5cdc-b0aa-4175-8918-9af81651e613"/>
				</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="3951002"/>
						<display value="Proctitis"/>
					</coding>
				</code>
				<subject>
					<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<context>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</context>
			</Condition>
		</resource>
	</entry>
	<!--Condition 2-->
	<entry>
		<fullUrl value="urn:uuid:7ec3effa-da14-47c7-881f-0b04903861c6"/>
		<resource>
			<Condition>
				<id value="7ec3effa-da14-47c7-881f-0b04903861c6"/>
				<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="f3c08998-307c-49db-a0b0-4f0317a992cb"/>
				</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="162031009"/>
						<display value="Dyspepsia"/>
					</coding>
				</code>
				<subject>
					<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<context>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</context>
			</Condition>
		</resource>
	</entry>
	<!-- Procedure List-->
	<entry>
		<fullUrl value="urn:uuid:aca5e99f-702c-49cb-b162-173d4f5d7fe5"/>
		<resource>
			<List>
				<id value="aca5e99f-702c-49cb-b162-173d4f5d7fe5"/>
				<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="245472b9-244d-4b24-a6f8-75aa195a53b0"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<encounter>
					<reference value="urn:uuid:a7b5ce52-314f-4b82-a131-6ab90d435d30"/>
				</encounter>
				<source>
					<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				</source>
				<entry>
					<item>
						<reference value="urn:uuid:c3f61107-b238-43a0-b176-207b4fff9801"/>
					</item>
				</entry>
			</List>
		</resource>
	</entry>
	<!--Procedure example 1-->
	<entry>
		<fullUrl value="urn:uuid:c3f61107-b238-43a0-b176-207b4fff9801"/>
		<resource>
			<Procedure>
				<id value="c3f61107-b238-43a0-b176-207b4fff9801"/>
				<meta>
					<!--Identifies the profile being used-->
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Procedure-1"/>
				</meta>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="6b0b7066-c31d-48f7-ae3c-9f616728429b"/>
				</identifier>
				<status value="completed"/>
				<code>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="235153008"/>
						<display value="Rigid sigmoidoscopy"/>
					</coding>
				</code>
				<subject>
					<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
			</Procedure>
		</resource>
	</entry>
	<!--Medication List-->
	<entry>
		<fullUrl value="urn:uuid:9788d750-dda9-4c73-b9d5-c08ac2d603fe"/>
		<resource>
			<List>
				<id value="9788d750-dda9-4c73-b9d5-c08ac2d603fe"/>
				<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="95ba556b-a8b0-43bb-b30f-21b3d1699313"/>
				</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:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<entry>
					<item>
						<reference value="urn:uuid:11baa8fd-b670-47d1-ab3a-183488af5c6e"/>
					</item>
				</entry>
			</List>
		</resource>
	</entry>
	<!--Medication Statement Example 1-->
	<entry>
		<fullUrl value="urn:uuid:11baa8fd-b670-47d1-ab3a-183488af5c6e"/>
		<resource>
			<MedicationStatement>
				<id value="11baa8fd-b670-47d1-ab3a-183488af5c6e"/>
				<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>
				<status value="active"/>
				<medicationReference>
					<reference value="urn:uuid:253e4091-84c2-4c76-abfb-60b9c2ebd475"/>
				</medicationReference>
				<subject>
					<reference value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
				</subject>
				<taken value="unk"/>
				<dosage>
					<text value="3 x 800mg once a day"/>
					<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:253e4091-84c2-4c76-abfb-60b9c2ebd475"/>
		<resource>
			<Medication>
				<id value="253e4091-84c2-4c76-abfb-60b9c2ebd475"/>
				<meta>
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
				</meta>
				<code>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="13255311000001101"/>
						<display value="Asacol 800mg MR gastro-resistant tablets (Allergan Ltd)"/>
					</coding>
				</code>
				<form>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="385059007"/>
						<display value="Gastro-resistant oral tablet"/>
					</coding>
				</form>
			</Medication>
		</resource>
	</entry>
	<!--Patient-Example-1-->
	<entry>
		<fullUrl value="urn:uuid:29995d4a-1ba7-404d-b161-86670848675b"/>
		<resource>
			<Patient>
				<id value="29995d4a-1ba7-404d-b161-86670848675b"/>
				<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="1243567890"/>
				</identifier>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/local-patient-identifier"/>
					<value value="TL89765"/>
				</identifier>
				<name>
					<use value="official"/>
					<family value="Critchard"/>
					<given value="Agatha"/>
					<prefix value="Ms"/>
				</name>
				<telecom>
					<system value="phone"/>
					<value value="077 1234 7777"/>
					<use value="mobile"/>
				</telecom>
				<telecom>
					<system value="email"/>
					<value value="frances@delatour.net"/>
				</telecom>
				<gender value="female"/>
				<birthDate value="1964-02-01"/>
				<address>
					<line value="30 Acacia Road"/>
					<postalCode value="BM9 6PL"/>
				</address>
			</Patient>
		</resource>
	</entry>
	<!--Practitioner-Example-1-->
	<entry>
		<fullUrl value="urn:uuid:8ece9986-9af0-4882-b0cf-23a96ea7b509"/>
		<resource>
			<Practitioner>
				<id value="8ece9986-9af0-4882-b0cf-23a96ea7b509"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
				</meta>
				<name>
					<family value="Bryant"/>
					<given value="N"/>
					<prefix value="Mrs"/>
				</name>
			</Practitioner>
		</resource>
	</entry>
	<!--Practitioner-Example-2-->
	<entry>
		<fullUrl value="urn:uuid:137bc838-e3ab-4eb2-99e9-32b0c02e70eb"/>
		<resource>
			<Practitioner>
				<id value="137bc838-e3ab-4eb2-99e9-32b0c02e70eb"/>
				<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-Example-3-->
	<entry>
		<fullUrl value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
		<resource>
			<Practitioner>
				<id value="c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				<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="6775555"/>
				</identifier>
				<name>
					<family value="Jones"/>
					<given value="Ruth"/>
					<prefix value="Dr"/>
				</name>
				<telecom>
					<system value="phone"/>
					<value value="01234 562170"/>
					<use value="work"/>
				</telecom>
			</Practitioner>
		</resource>
	</entry>
	<!--Practitioner roles-->
	<entry>
		<fullUrl value="urn:uuid:2b103117-a783-4a66-a0de-f308cd6b63cf"/>
		<resource>
			<PractitionerRole>
				<id value="2b103117-a783-4a66-a0de-f308cd6b63cf"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<practitioner>
					<reference value="urn:uuid:137bc838-e3ab-4eb2-99e9-32b0c02e70eb"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:00e2ec13-891d-4335-b383-5bb6043331db"/>
				</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>
	<entry>
		<fullUrl value="urn:uuid:ce3c48a6-3a26-4821-aa78-2d290e332629"/>
		<resource>
			<PractitionerRole>
				<id value="ce3c48a6-3a26-4821-aa78-2d290e332629"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<practitioner>
					<reference value="urn:uuid:c945c0a4-d63b-4cda-9299-12fe20524adc"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3e31975f-1460-4fc0-8beb-b26191d1c152"/>
				</organization>
				<code>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
						<code value="R0050"/>
						<display value="Consultant"/>
					</coding>
				</code>
				<specialty>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="394584008"/>
						<display value="Gastroenterology"/>
					</coding>
				</specialty>
			</PractitionerRole>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:0e1087cc-7138-4bd1-8d19-99dd73fead99"/>
		<resource>
			<PractitionerRole>
				<id value="0e1087cc-7138-4bd1-8d19-99dd73fead99"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<practitioner>
					<reference value="urn:uuid:8ece9986-9af0-4882-b0cf-23a96ea7b509"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3e31975f-1460-4fc0-8beb-b26191d1c152"/>
				</organization>
			</PractitionerRole>
		</resource>
	</entry>
	<!--Organization-Example-1-->
	<entry>
		<fullUrl value="urn:uuid:00e2ec13-891d-4335-b383-5bb6043331db"/>
		<resource>
			<Organization>
				<id value="00e2ec13-891d-4335-b383-5bb6043331db"/>
				<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:3e31975f-1460-4fc0-8beb-b26191d1c152"/>
		<resource>
			<Organization>
				<id value="3e31975f-1460-4fc0-8beb-b26191d1c152"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
				</meta>
				<name value="Gastroenterology Department"/>
				<telecom>
					<system value="phone"/>
					<value value="01234 567890"/>
					<use value="work"/>
				</telecom>
				<telecom>
					<system value="email"/>
					<value value="gd@stcrispins.nhs.uk"/>
					<use value="work"/>
				</telecom>
				<address>
					<line value="St Crispin’s Hospital"/>
					<line value="Donaldstown"/>
					<postalCode value="DO5 7TP"/>
				</address>
			</Organization>
		</resource>
	</entry>
</Bundle>