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="eab677e7-6503-4224-b543-e5df20a4efe1"/>
<meta>
<lastUpdated value="2017-05-11T17:38:00+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="fa7b0d14-2596-497e-b31c-abeaede9bce3"/>
</identifier>
<type value="document"/>
<!--Outpatient Letter Composition-->
<entry>
<fullUrl value="urn:uuid:286bfe88-8d90-489d-9eef-8c00e2731470"/>
<resource>
<Composition>
<id value="286bfe88-8d90-489d-9eef-8c00e2731470"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-OPL-Composition-1"/>
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-CareSettingType-1">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="893641000000102"/>
<display value="Palliative medicine service"/>
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="386f8c09-1139-4c3a-bce1-c0e20b557f18"/>
</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:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the clinical encounter or type of care this documentation is associated with.-->
<encounter>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</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:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</author>
<title value="Palliative Medicine Service Outpatient Letter"/>
<!--Identifies the organization responsible for ongoing maintenance of and access to the composition/document information.-->
<custodian>
<reference value="urn:uuid:3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
</custodian>
<!--Sections are included here-->
<!--Allergies-->
<section>
<title value="Allergies and adverse reactions"/>
<!--SNOMED CT classification of section-->
<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:2eabfc12-0994-48aa-ba85-0e58bb8bda14"/>
</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/>I had the pleasure of meeting Ms. Walker at the palliative care outpatient clinic today, referred by Susan Snodgrass from the community Macmillan team, Endowdown Centre, BM5 0TP on the 23 April 2017.<br/>
</td>
</tr>
<tr>
<th>Date and time of contact</th>
<td>01-May-2017 09:00</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. Doris Mackay (Consultant in Palliative Medicine)</td>
</tr>
<tr>
<th>Specialty</th>
<td>Palliative medicine</td>
</tr>
<tr>
<th>Service</th>
<td>Palliative Medicine Service</td>
</tr>
<tr>
<th>Seen by</th>
<td>
<p>Prefix: Dr</p>
<p>Given Name: Doris</p>
<p>Family Name: Mackay</p>
<p>Role: Consultant in Palliative Medicine</p>
<p>Tel: 01234 562987 (Work) Email: cpc@nhs.uk (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>Person accompanying patient</th>
<td>
<p>Prefix: Ms.</p>
<p>Given Name: Karen</p>
<p>Family Name: Walker</p>
<p>(daughter)</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:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</entry>
</section>
<!-- Clinical summary mandatory section - no information given-->
<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>Metastatic renal cell carcinoma</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Secondary liver cell carcinoma</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Necrotic subcutaneous soft tissue nodule (anterior to liver)</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Type 2 diabetes mellitus</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Osteoporosis</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Hiatus hernia</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Diagnosis name</th>
<td>Vertigo</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the Condition List-->
<entry>
<reference value="urn:uuid:3a2e303b-d851-474e-96ee-0ba4894513ae"/>
</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="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: 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: Mrs</p>
<p>Given Name: Susan</p>
<p>Family Name: Snodgrass</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>Macmillan nurse</td>
</tr>
<tr>
<th>Organisation name</th>
<td>Community Macmillan Team</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Mr</p>
<p>Family Name: Bromage</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>Urologist</td>
</tr>
<tr>
<th>Organisation name</th>
<td>St. Crispin's Hospital</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Professor</p>
<p>Family Name: Hawkins</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>Medical Oncologist</td>
</tr>
<tr>
<th>Organisation name</th>
<td>St. Crispin's Hospital</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Name</th>
<td>
<p>Prefix: Ms</p>
<p>Given Name: Margaret</p>
<p>Family Name: Walker</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to the practitioner entries as recipients of information-->
<entry>
<reference value="urn:uuid:251b960d-3a48-405b-9061-44d51fbf352b"/>
</entry>
<entry>
<reference value="urn:uuid:296a7f30-033f-4f31-b846-0c2e85836428"/>
</entry>
<entry>
<reference value="urn:uuid:d3767dcf-8211-41ce-a07f-906c0399c757"/>
</entry>
<entry>
<reference value="urn:uuid:92181479-95c0-49b8-9cf3-7ffb42823915"/>
</entry>
<!--Reference to the patient entry as recipient of information-->
<entry>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</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: 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:2f63f514-d18c-4f45-8c3e-696621271def"/>
</entry>
</section>
<!--History 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>Patient's reason for referral</th>
<td>Ms. Walker was referred for review of symptom control.</td>
</tr>
<tr>
<th>History since last contact</th>
<td>
<p>Pain: Ms. Walker struggles with pain predominantly around the right upper quadrant of her abdomen and this goes all the way round to the back, at worst described as 10/10. She has been reluctant to take full dose of Cocodamol - she intermittently takes one tablet at a time (30/500mg). According to Karen, Ms. Walker clearly has a high pain tolerance level and tends to underplay her symptoms.</p>
<p>Fatigue: Ms. Walker finds herself tiring out by the second half of the day, particularly if she has done a bit more than usual earlier on.</p>
<p>Psychologically: According to Karen, she and Ms. Walker have been intermittently tearful and upset given news of disease recurrence and are doing their best to deal with it. Ms. Walker wasn't expecting to hear about cancer recurrence in such a short period after her surgery.</p>
<p>She has been on pazopanib since May 2017.She had a right nephrectomy for clear cell renal carcinoma in Sept 2016, and now has metastatic disease.</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
</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>
</tr>
<tr>
<td>We discussed the benefit of being able to do more through the day and having better psychological well-being when pain is better controlled. I have explained how we would use long acting Morphine preparation along with Oramorph to get control of background as well as breakthrough cancer pain. Given the degree of tenderness around the subcutaneous nodule on the right upper quadrant, we have discussed that radiotherapy may be helpful with the pain.</td>
</tr>
<tr>
<td>We discussed that Ms. Walker's fatigue is part of the cancer presentation, and we discussed being pragmatic - doing activities with gaps in between to allow herself to conserve energy whilst pacing herself through the day. I have encouraged her to cut back on tasks that are not as important as others such as her household chores and to delegate them to others, such as family where possible. We acknowledged that this is a significant change in her lifestyle given that she was independently managing everything for a long time.</td>
</tr>
<tr>
<td>I explained that while the speed at which disease recurrence has happened doesn't bode well, we will need to see how Ms. Walker is likely to respond to potential treatment options. We are likely to know more about prognosis following her appointment with the Oncologist in the next couple of weeks - we don't know how she will respond to treatment in itself. It may be that the treatment might be effective but that she might not be strong enough to cope with it on a long term basis; however we are hopeful that there will be some positive outcome with the treatment. I have encouraged her to proceed with planning ahead and deciding about what she would prefer to happen irrespective of her prognosis.</td>
</tr>
<tr>
<td>I have agreed that Ms. Walker's wish not to be resuscitated in the event of a cardio respiratory arrest was sensible and advised her either yourself or I could complete a community DNACPR form in the near future. Her son and daughter are aware that she could have an appointed LPA on matters of her health and well-being. She is considering funeral arrangement plans.</td>
</tr>
<tr>
<td>I have advised that Ms. Walker can get in touch with me if there are any concerns.</td>
</tr>
</tbody>
</table>
</div>
</text>
</section>
<!--Legal information section-->
<section>
<title value="Legal information"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="886961000000102"/>
<display value="Legal information"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table width="100%">
<tbody>
<tr>
<th>Lasting power of attorney for personal welfare or court-appointed deputy (or equivalent)</th>
<td>Ms. Walker's son, Timothy, and daughter, Karen, have an LPA for handling her financial matters.</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 colspan="2">I have given Ms. Walker the following prescriptions for new medications<br/>
(only changes to medications and medical devices as a result of the outpatient encounter are included):<br/>
New medication:<br/>
</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>MST Continus 15mg tablets (Napp Pharmaceuticals 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 15mg</td>
</tr>
<tr>
<th>Dose timing description</th>
<td>Twice per day</td>
</tr>
<tr>
<th>Start date/time</th>
<td>11/05/17</td>
</tr>
<tr>
<th>End date/time</th>
<td>24/05/17</td>
</tr>
<tr>
<th>Indication</th>
<td>Pain relief</td>
</tr>
<tr>
<th>Comment/recommendation</th>
<td>Please renew the prescription in 2x weeks.</td>
</tr>
<tr>
<th>Status</th>
<td>Added</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Oramorph 10mg/5ml oral solution (Boehringer Ingelheim Ltd)</td>
</tr>
<tr>
<th>Form</th>
<td>Oral solution</td>
</tr>
<tr>
<th>Route</th>
<td>Oral</td>
</tr>
<tr>
<th>Dose amount description</th>
<td>2.5-5mg</td>
</tr>
<tr>
<th>Dose timing description</th>
<td>As necessary</td>
</tr>
<tr>
<th>Additional instruction</th>
<td>Not to be taken more frequently than once every two hours.</td>
</tr>
<tr>
<th>Start date/time</th>
<td>11/05/17</td>
</tr>
<tr>
<th>End date/time</th>
<td>24/05/17</td>
</tr>
<tr>
<th>Indication</th>
<td>Pain relief</td>
</tr>
<tr>
<th>Comment/recommendation</th>
<td>Please review the prescription if necessary.</td>
</tr>
<tr>
<th>Status</th>
<td>Added</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Metoclopramide 10mg 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 amount description</th>
<td>10mg</td>
</tr>
<tr>
<th>Dose timing description</th>
<td>As necessary</td>
</tr>
<tr>
<th>Additional instruction</th>
<td>Not to be taken more frequently than three times a day.</td>
</tr>
<tr>
<th>Start date/time</th>
<td>11/05/17</td>
</tr>
<tr>
<th>End date/time</th>
<td>24/05/17</td>
</tr>
<tr>
<th>Indication</th>
<td>Nausea</td>
</tr>
<tr>
<th>Comment/recommendation</th>
<td>Please review the prescription if necessary.</td>
</tr>
<tr>
<th>Status</th>
<td>Added</td>
</tr>
</tbody>
</table>
<table width="100%">
<tbody>
<tr>
<th>Medication name</th>
<td>Dexamethasone 2mg tablets (Almus Pharmaceuticals 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>4mg</td>
</tr>
<tr>
<th>Dose timing description</th>
<td>Once per day</td>
</tr>
<tr>
<th>Additional instruction</th>
<td>To be taken in the morning</td>
</tr>
<tr>
<th>Start date/time</th>
<td>11/05/17</td>
</tr>
<tr>
<th>End date/time</th>
<td>15/05/17</td>
</tr>
<tr>
<th>Indication</th>
<td>Increase energy levels and appetite</td>
</tr>
<tr>
<th>Status</th>
<td>Added</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--Reference to medication list-->
<entry>
<reference value="urn:uuid:f1a5b4ca-dd46-4242-84de-c57e29332e0b"/>
</entry>
</section>
<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>Ms. Walker is very clear that she wishes to have more as much detail as possible and asked about her prognosis. She does not wish to be resuscitated in the event of a cardio respiratory arrest.</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: Ms</p>
<p>Given Name: Margaret</p>
<p>Family Name: Walker</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>1243511100</td>
</tr>
<tr>
<th>Other identifier</th>
<td>TL89711</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>margaret@walker.net</td>
</tr>
<tr>
<th>Patient telephone number</th>
<td>Mobile: 077 1234 1111</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the patient resource-->
<entry>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</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: Doris</p>
<p>Family Name: Mackay</p>
</td>
</tr>
<tr>
<th>Role</th>
<td>Consultant in Palliative Medicine</td>
</tr>
<tr>
<th>Specialty</th>
<td>Palliative medicine</td>
</tr>
<tr>
<th>Professional identifier</th>
<td>GMC: 6775552</td>
</tr>
<tr>
<th>Date and time completed</th>
<td>01/05/17: 16:42</td>
</tr>
<tr>
<th>Contact details</th>
<td>Tel: 01234 562987 (Work) Email: pm@stcrispins.nhs.uk</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the practitioner resource-->
<entry>
<reference value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</entry>
</section>
<!--Plan and requested actions section-->
<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>
</tr>
<tr>
<td>Ms. Walker is to be supported to complete a community DNACPR form when she is ready (Doris MacKay or Dr. C. O'Reilly depending on timing).</td>
</tr>
<tr>
<td>Ms. Walker is to see Professor Hawkins for consideration of immunotherapy as it is hopeful that she will have some benefit from this treatment. Currently her performance status is around 1-2.</td>
</tr>
<tr>
<td>Professor Hawkins is requested to consider radiotherapy to help with pain as a result of degree of tenderness around the subcutaneous nodule on the right upper quadrant</td>
</tr>
<tr>
<td>Kindly arrange for a blood glucose check next week as Dexamethasone might increase her BM levels. (She is aware that this is likely to be temporary and will get better with stopping Dexamethasone). (Action for Dr. C. O'Reilly).</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>Pain</p>
<p>Nausea</p>
<p>Fatigue</p>
<p>Psychologically: tearful and upset</p>
</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>
<td>Referrer name: <p>Prefix: Mrs</p>
<p>Given Name: Susan</p>
<p>Family Name: Snodgrass</p>
<p>Role: Macmillan nurse</p>
<p>Organisation Name: Community Macmillan Team</p>
<p>Address Line: Endowdown Centre</p>
<p>Post Code: BM9 0TP</p>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<!--reference to further information carried in the practitioner resource-->
<entry>
<reference value="urn:uuid:296a7f30-033f-4f31-b846-0c2e85836428"/>
</entry>
<!--Reference to the organisation resource-->
<entry>
<reference value="urn:uuid:acf62618-11e8-4734-887a-a77ebc514a7d"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<!--Encounter Example 1-->
<entry>
<fullUrl value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
<resource>
<Encounter>
<id value="a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
<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="3da3e1b0-76a6-411f-9b56-d19b73f8d901"/>
</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:159c7259-4253-4e21-90c7-87497a2ba863"/>
</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:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</individual>
</participant>
<participant>
<type>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="PART"/>
<display value="Participation"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:1dffd073-b889-4795-ad75-f4cf6fa2cfde"/>
</individual>
</participant>
<participant>
<type>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="PART"/>
<display value="Participation"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:76a4bad2-b852-4f2f-b413-2258c66eb12f"/>
</individual>
</participant>
<period>
<start value="2017-05-01T09:00:00+00:00"/>
<end value="2017-05-01T10:00:00+00:00"/>
</period>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2eabfc12-0994-48aa-ba85-0e58bb8bda14"/>
<resource>
<List>
<id value="2eabfc12-0994-48aa-ba85-0e58bb8bda14"/>
<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="4b1b78bd-9d4c-4bdb-8522-7a88f9c23737"/>
</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:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<encounter>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</encounter>
<source>
<reference value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</source>
<entry>
<item>
<reference value="urn:uuid:b309fbfe-7642-4e52-8b94-c6b8161602e5"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b309fbfe-7642-4e52-8b94-c6b8161602e5"/>
<resource>
<AllergyIntolerance>
<id value="b309fbfe-7642-4e52-8b94-c6b8161602e5"/>
<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="62679f41-42c0-4056-919e-8a03b6b06cbe"/>
</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:159c7259-4253-4e21-90c7-87497a2ba863"/>
</patient>
</AllergyIntolerance>
</resource>
</entry>
<!--Condition list-->
<entry>
<fullUrl value="urn:uuid:3a2e303b-d851-474e-96ee-0ba4894513ae"/>
<resource>
<List>
<id value="3a2e303b-d851-474e-96ee-0ba4894513ae"/>
<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="f87cce0b-a70d-47d8-953f-00439117d6dd"/>
</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:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<encounter>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</encounter>
<source>
<reference value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</source>
<entry>
<item>
<reference value="urn:uuid:25682e5b-1453-42ae-b830-091f75dedbd3"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:26aacb3d-e1aa-4f29-8103-69ca35c81b88"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:a5b3ac0b-11e3-4906-bf31-9797731acacb"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:d97c0b6c-fa12-47b5-87e6-1ec7964fc4ba"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:7383d629-d00a-4e13-99e7-e42b238bdb63"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:8770ebe2-8153-4248-ab0d-5d59bdf71ee6"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:542580ae-c5b3-4c8d-87b5-c9085a9fce0a"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Condition 1-->
<entry>
<fullUrl value="urn:uuid:25682e5b-1453-42ae-b830-091f75dedbd3"/>
<resource>
<Condition>
<id value="25682e5b-1453-42ae-b830-091f75dedbd3"/>
<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="702392008"/>
<display value="Metastatic renal cell carcinoma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 2-->
<entry>
<fullUrl value="urn:uuid:26aacb3d-e1aa-4f29-8103-69ca35c81b88"/>
<resource>
<Condition>
<id value="26aacb3d-e1aa-4f29-8103-69ca35c81b88"/>
<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="d1901194-bb4a-4991-a07d-b66220c7b0ce"/>
</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="64859006"/>
<display value="Osteoporosis"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 3-->
<entry>
<fullUrl value="urn:uuid:a5b3ac0b-11e3-4906-bf31-9797731acacb"/>
<resource>
<Condition>
<id value="a5b3ac0b-11e3-4906-bf31-9797731acacb"/>
<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="cde9c268-4459-4fb9-a22c-652c2e92e259"/>
</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="84089009"/>
<display value="Hiatus hernia"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 4-->
<entry>
<fullUrl value="urn:uuid:d97c0b6c-fa12-47b5-87e6-1ec7964fc4ba"/>
<resource>
<Condition>
<id value="d97c0b6c-fa12-47b5-87e6-1ec7964fc4ba"/>
<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="cdb02716-c937-4f1f-8f93-99144e7db8dc"/>
</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="399153001"/>
<display value="Vertigo"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 5-->
<entry>
<fullUrl value="urn:uuid:7383d629-d00a-4e13-99e7-e42b238bdb63"/>
<resource>
<Condition>
<id value="7383d629-d00a-4e13-99e7-e42b238bdb63"/>
<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="7ff04ab5-500c-467b-8d6b-b53be89bb7c1"/>
</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="25370001"/>
<display value="Liver cell carcinoma"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 6-->
<entry>
<fullUrl value="urn:uuid:8770ebe2-8153-4248-ab0d-5d59bdf71ee6"/>
<resource>
<Condition>
<id value="8770ebe2-8153-4248-ab0d-5d59bdf71ee6"/>
<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="44c39a36-a0b3-47f8-83a3-bcdd06c8a10b"/>
</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="396559007"/>
<display value="Necrotic tumour"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!--Condition 7-->
<entry>
<fullUrl value="urn:uuid:542580ae-c5b3-4c8d-87b5-c9085a9fce0a"/>
<resource>
<Condition>
<id value="542580ae-c5b3-4c8d-87b5-c9085a9fce0a"/>
<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="440b7d68-b7f6-4325-8bc9-f47636ca7b0c"/>
</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="44054006"/>
<display value="Type 2 diabetes mellitus"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!--Reference to the encounter-->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
</Condition>
</resource>
</entry>
<!-- MedicationDispense example 1-->
<entry>
<fullUrl value="urn:uuid:04255f4b-4f56-4893-83a5-132295fc9252"/>
<resource>
<MedicationDispense>
<id value="04255f4b-4f56-4893-83a5-132295fc9252"/>
<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="cbf634a0-cf6b-4cd0-a4ae-099a1f5be239"/>
</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:f3794fb1-da60-4aa2-8513-76be59cea00e"/>
</medicationReference>
<!-- A reference to the patient resource -->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!-- A reference to the encounter resource -->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
<!-- The amount dispensed (supplied) -->
<quantity>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
<valueString value="840 mg"/>
</extension>
</quantity>
</MedicationDispense>
</resource>
</entry>
<!-- MedicationDispense example 2-->
<entry>
<fullUrl value="urn:uuid:16079bc3-569d-4ab1-9e20-aad7a3a37308"/>
<resource>
<MedicationDispense>
<id value="16079bc3-569d-4ab1-9e20-aad7a3a37308"/>
<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="a945d91a-104f-4b99-9837-8836403fa6b5"/>
</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:b60f319f-d57a-499e-bea8-2fa8a7a3c991"/>
</medicationReference>
<!-- A reference to the patient resource -->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!-- A reference to the encounter resource -->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
<!-- The amount dispensed (supplied) -->
<quantity>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
<valueString value="42 tablets"/>
</extension>
</quantity>
</MedicationDispense>
</resource>
</entry>
<!-- MedicationDispense example 3-->
<entry>
<fullUrl value="urn:uuid:b8ed9522-8e86-4044-93c5-e205f46bcc40"/>
<resource>
<MedicationDispense>
<id value="b8ed9522-8e86-4044-93c5-e205f46bcc40"/>
<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="5128efc6-c2ee-4944-8657-5c8c1234d415"/>
</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:4e36f600-a5aa-43a0-9216-c98e92359ad0"/>
</medicationReference>
<!-- A reference to the patient resource -->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!-- A reference to the encounter resource -->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
<!-- The amount dispensed (supplied) -->
<quantity>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
<valueString value="10 tablets"/>
</extension>
</quantity>
</MedicationDispense>
</resource>
</entry>
<!-- MedicationDispense example 4-->
<entry>
<fullUrl value="urn:uuid:be7f7afa-6a86-4e85-ba5b-b6e3679782b8"/>
<resource>
<MedicationDispense>
<id value="be7f7afa-6a86-4e85-ba5b-b6e3679782b8"/>
<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="ae2d91e8-39e6-4038-b5f6-b5d201784bef"/>
</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:50700125-0e95-4318-acec-bf82b6869bef"/>
</medicationReference>
<!-- A reference to the patient resource -->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<!-- A reference to the encounter resource -->
<context>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</context>
<!-- The amount dispensed (supplied) -->
<quantity>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
<valueString value="28 tablets"/>
</extension>
</quantity>
</MedicationDispense>
</resource>
</entry>
<!-- Medication list-->
<entry>
<fullUrl value="urn:uuid:f1a5b4ca-dd46-4242-84de-c57e29332e0b"/>
<resource>
<List>
<id value="f1a5b4ca-dd46-4242-84de-c57e29332e0b"/>
<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="6e502319-e803-4320-9863-90148690d506"/>
</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>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<encounter>
<reference value="urn:uuid:a5c73078-72e8-4c2b-a4f6-a3fdcc53b39e"/>
</encounter>
<source>
<reference value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</source>
<entry>
<item>
<reference value="urn:uuid:ce94f1f1-98fe-4b10-b4d0-2a23219be31f"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:383e14f4-0482-495f-8ded-375403b8d26c"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:be646155-35a9-45be-9c5f-afc4c0fb4355"/>
</item>
</entry>
<entry>
<item>
<reference value="urn:uuid:230c45fa-4fa6-4488-aec5-89af63af0e6d"/>
</item>
</entry>
</List>
</resource>
</entry>
<!--Medication statement example 1-->
<entry>
<fullUrl value="urn:uuid:383e14f4-0482-495f-8ded-375403b8d26c"/>
<resource>
<MedicationStatement>
<id value="383e14f4-0482-495f-8ded-375403b8d26c"/>
<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>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="dc2c6d9b-f897-4491-857f-d4c99e52bbe1"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:f3794fb1-da60-4aa2-8513-76be59cea00e"/>
</medicationReference>
<!--Patient subject of the Medication statement-->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<taken value="y"/>
<dosage>
<text value="2.5-5mg as necessary"/>
<patientInstruction value="Not to be taken more frequently than once every two hours."/>
<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:f3794fb1-da60-4aa2-8513-76be59cea00e"/>
<resource>
<Medication>
<id value="f3794fb1-da60-4aa2-8513-76be59cea00e"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="3164311000001109"/>
<display value="Oramorph 10mg/5ml oral solution (Boehringer Ingelheim Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385023001"/>
<display value="Oral solution"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!--Medication statement example 2-->
<entry>
<fullUrl value="urn:uuid:ce94f1f1-98fe-4b10-b4d0-2a23219be31f"/>
<resource>
<MedicationStatement>
<id value="ce94f1f1-98fe-4b10-b4d0-2a23219be31f"/>
<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>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="4feab769-1b3e-437d-8a4a-e73baa273dbe"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:b60f319f-d57a-499e-bea8-2fa8a7a3c991"/>
</medicationReference>
<!--Patient subject of the Medication statement-->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<taken value="y"/>
<dosage>
<text value="10mg as necessary"/>
<patientInstruction value="Not to be taken more frequently than three times a day."/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Example 2-->
<entry>
<fullUrl value="urn:uuid:b60f319f-d57a-499e-bea8-2fa8a7a3c991"/>
<resource>
<Medication>
<id value="b60f319f-d57a-499e-bea8-2fa8a7a3c991"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66711000001100"/>
<display value="Metoclopramide 10mg 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 statement example 3-->
<entry>
<fullUrl value="urn:uuid:be646155-35a9-45be-9c5f-afc4c0fb4355"/>
<resource>
<MedicationStatement>
<id value="be646155-35a9-45be-9c5f-afc4c0fb4355"/>
<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>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="59fe5923-97c6-497c-b218-66c3e936b505"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:4e36f600-a5aa-43a0-9216-c98e92359ad0"/>
</medicationReference>
<!--Patient subject of the Medication statement-->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<taken value="y"/>
<dosage>
<text value="4mg once per day"/>
<patientInstruction value="To be taken in the morning"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Example 3-->
<entry>
<fullUrl value="urn:uuid:4e36f600-a5aa-43a0-9216-c98e92359ad0"/>
<resource>
<Medication>
<id value="4e36f600-a5aa-43a0-9216-c98e92359ad0"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="17967911000001107"/>
<display value="Dexamethasone 2mg tablets (Almus Pharmaceuticals Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!--Medication statement example 4-->
<entry>
<fullUrl value="urn:uuid:230c45fa-4fa6-4488-aec5-89af63af0e6d"/>
<resource>
<MedicationStatement>
<id value="230c45fa-4fa6-4488-aec5-89af63af0e6d"/>
<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>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="bba2f77c-9c61-41c8-a466-04ee9d04ff1c"/>
</identifier>
<status value="active"/>
<medicationReference>
<reference value="urn:uuid:50700125-0e95-4318-acec-bf82b6869bef"/>
</medicationReference>
<!--Patient subject of the Medication statement-->
<subject>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</subject>
<taken value="y"/>
<dosage>
<text value="1 x 15mg twice per day"/>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="26643006"/>
<display value="Oral"/>
</coding>
</route>
</dosage>
</MedicationStatement>
</resource>
</entry>
<!--Medication Example 4-->
<entry>
<fullUrl value="urn:uuid:50700125-0e95-4318-acec-bf82b6869bef"/>
<resource>
<Medication>
<id value="50700125-0e95-4318-acec-bf82b6869bef"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
</meta>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="272811000001105"/>
<display value="MST Continus 15mg tablets (Napp Pharmaceuticals Ltd)"/>
</coding>
</code>
<form>
<coding>
<system value="http://snomed.info/sct"/>
<code value="385055001"/>
<display value="Tablet"/>
</coding>
</form>
</Medication>
</resource>
</entry>
<!--Patient-Example-1-->
<entry>
<fullUrl value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
<resource>
<Patient>
<id value="159c7259-4253-4e21-90c7-87497a2ba863"/>
<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="1243511100"/>
</identifier>
<identifier>
<system value="https://fhir.nhs.uk/Id/local-patient-identifier"/>
<value value="TL89711"/>
</identifier>
<name>
<use value="official"/>
<family value="Margaret"/>
<given value="Walker"/>
<prefix value="Mrs"/>
</name>
<telecom>
<system value="phone"/>
<value value="077 1234 1111"/>
<use value="mobile"/>
</telecom>
<telecom>
<system value="email"/>
<value value="margaret@walker.net"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1964-02-01"/>
<address>
<use value="home"/>
<line value="30 Acacia Road"/>
<postalCode value="BM9 6PL"/>
</address>
</Patient>
</resource>
</entry>
<!--Related person - patient's daughter-->
<entry>
<fullUrl value="urn:uuid:76a4bad2-b852-4f2f-b413-2258c66eb12f"/>
<resource>
<RelatedPerson>
<id value="76a4bad2-b852-4f2f-b413-2258c66eb12f"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-RelatedPerson-1"/>
</meta>
<patient>
<reference value="urn:uuid:159c7259-4253-4e21-90c7-87497a2ba863"/>
</patient>
<relationship>
<coding>
<system value="http://hl7.org/fhir/v3/RoleCode"/>
<code value="DAU"/>
<display value="natural daughter"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Walker"/>
<given value="Karen"/>
<prefix value="Ms"/>
</name>
</RelatedPerson>
</resource>
</entry>
<!--Practitioner-Example 1-->
<entry>
<fullUrl value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
<resource>
<Practitioner>
<id value="619ac49c-9409-4979-8594-c47d33ef6bfc"/>
<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="6775552"/>
</identifier>
<name>
<family value="MacKay"/>
<given value="Doris"/>
<prefix value="Dr"/>
</name>
<telecom>
<system value="phone"/>
<value value="01234 562987"/>
<use value="work"/>
</telecom>
<telecom>
<system value="email"/>
<value value="pm@stcrispins.nhs.uk"/>
<use value="work"/>
</telecom>
<address>
<line value="Department of Palliative Medicine, St. Crispin's Hospital"/>
<city value="Donaldstown"/>
<postalCode value="DO5 7TP"/>
</address>
</Practitioner>
</resource>
</entry>
<!--Practitioner-Example-2-->
<entry>
<fullUrl value="urn:uuid:251b960d-3a48-405b-9061-44d51fbf352b"/>
<resource>
<Practitioner>
<id value="251b960d-3a48-405b-9061-44d51fbf352b"/>
<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"/>
<use value="work"/>
</telecom>
</Practitioner>
</resource>
</entry>
<!--Practitioner role - General Medical Practitioner-->
<entry>
<fullUrl value="urn:uuid:81ebf8a3-f96a-426a-893b-0b81fcaec59d"/>
<resource>
<PractitionerRole>
<id value="81ebf8a3-f96a-426a-893b-0b81fcaec59d"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:251b960d-3a48-405b-9061-44d51fbf352b"/>
</practitioner>
<organization>
<reference value="urn:uuid:2f63f514-d18c-4f45-8c3e-696621271def"/>
</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:7d071f2c-6c2e-4a1b-befe-55ff24745985"/>
<resource>
<PractitionerRole>
<id value="7d071f2c-6c2e-4a1b-befe-55ff24745985"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:619ac49c-9409-4979-8594-c47d33ef6bfc"/>
</practitioner>
<organization>
<reference value="urn:uuid:3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
</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="394806003"/>
<display value="Palliative medicine"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<!--Practitioner-Example-3-->
<entry>
<fullUrl value="urn:uuid:296a7f30-033f-4f31-b846-0c2e85836428"/>
<resource>
<Practitioner>
<id value="296a7f30-033f-4f31-b846-0c2e85836428"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="033345750626"/>
</identifier>
<name>
<family value="Snodgrass"/>
<given value="Susan"/>
<prefix value="Mrs"/>
</name>
</Practitioner>
</resource>
</entry>
<!--Practitioner role - Macmillan nurse-->
<entry>
<fullUrl value="urn:uuid:ef4f6df5-5081-4684-9239-b440c2169a9e"/>
<resource>
<PractitionerRole>
<id value="ef4f6df5-5081-4684-9239-b440c2169a9e"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:296a7f30-033f-4f31-b846-0c2e85836428"/>
</practitioner>
<organization>
<reference value="urn:uuid:acf62618-11e8-4734-887a-a77ebc514a7d"/>
</organization>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="224553003"/>
<display value="Macmillan nurse"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<!--Practitioner-Example-4-->
<entry>
<fullUrl value="urn:uuid:d3767dcf-8211-41ce-a07f-906c0399c757"/>
<resource>
<Practitioner>
<id value="d3767dcf-8211-41ce-a07f-906c0399c757"/>
<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="8122479"/>
</identifier>
<name>
<family value="Hawkins"/>
<prefix value="Professor"/>
</name>
<address>
<use value="work"/>
<line value="St. Crispin's Hospital"/>
<city value="Donaldstown"/>
<postalCode value="DO5 7TP"/>
</address>
</Practitioner>
</resource>
</entry>
<!--Practitioner role - 4-->
<entry>
<fullUrl value="urn:uuid:a3e9f6f0-801e-49b2-b7f1-e62c47fb7498"/>
<resource>
<PractitionerRole>
<id value="a3e9f6f0-801e-49b2-b7f1-e62c47fb7498"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:d3767dcf-8211-41ce-a07f-906c0399c757"/>
</practitioner>
<organization>
<reference value="urn:uuid:3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
</organization>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="310512001"/>
<display value="Medical oncologist"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<!--Practitioner-Example-5-->
<entry>
<fullUrl value="urn:uuid:92181479-95c0-49b8-9cf3-7ffb42823915"/>
<resource>
<Practitioner>
<id value="92181479-95c0-49b8-9cf3-7ffb42823915"/>
<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="8122470"/>
</identifier>
<name>
<family value="Bromage"/>
<prefix value="Mr"/>
</name>
<address>
<use value="work"/>
<line value="St. Crispin's Hospital"/>
<city value="Donaldstown"/>
<postalCode value="DO5 7TP"/>
</address>
</Practitioner>
</resource>
</entry>
<!--Practitioner role - 5-->
<entry>
<fullUrl value="urn:uuid:889a476e-279a-4e2f-a2ce-a9ca75df33de"/>
<resource>
<PractitionerRole>
<id value="889a476e-279a-4e2f-a2ce-a9ca75df33de"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:92181479-95c0-49b8-9cf3-7ffb42823915"/>
</practitioner>
<organization>
<reference value="urn:uuid:3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
</organization>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="24590004"/>
<display value="Urologist"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<!-- Practitioner example 6-->
<entry>
<fullUrl value="urn:uuid:1dffd073-b889-4795-ad75-f4cf6fa2cfde"/>
<resource>
<Practitioner>
<id value="1dffd073-b889-4795-ad75-f4cf6fa2cfde"/>
<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>
<!--Organization-Example-1-->
<entry>
<fullUrl value="urn:uuid:2f63f514-d18c-4f45-8c3e-696621271def"/>
<resource>
<Organization>
<id value="2f63f514-d18c-4f45-8c3e-696621271def"/>
<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"/>
<telecom>
<system value="phone"/>
<value value="01234 956412"/>
<use value="work"/>
</telecom>
<address>
<use value="work"/>
<line value="27 Acacia Road"/>
<postalCode value="BM9 6PM"/>
</address>
</Organization>
</resource>
</entry>
<!--Organization-Example-2-->
<entry>
<fullUrl value="urn:uuid:3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
<resource>
<Organization>
<id value="3faff938-09cb-4409-bd20-0c47d2fbdf6e"/>
<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="RX0000"/>
</identifier>
<name value="St Crispin's Hospital"/>
</Organization>
</resource>
</entry>
<!--Organization-Example-2-->
<entry>
<fullUrl value="urn:uuid:acf62618-11e8-4734-887a-a77ebc514a7d"/>
<resource>
<Organization>
<id value="acf62618-11e8-4734-887a-a77ebc514a7d"/>
<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="RX0645"/>
</identifier>
<name value="Community Macmillan Team"/>
<address>
<use value="work"/>
<line value="Endowdown Centre"/>
<postalCode value="BM5 0TP"/>
</address>
</Organization>
</resource>
</entry>
</Bundle>