# This is an OpenAPI Specification (https://swagger.io/specification/) # for gp-connect/patient-facing/access-record-fhir/FHIR/STU3 owned by NHS Digital (https://digital.nhs.uk/) openapi: '3.0.0' info: title: 'gp-connect/patient-facing/access-record-fhir/FHIR/STU3' version: 'Computed and injected at build time by `scripts/set_version.py`' description: | ## Overview ![GP Connect Patient Facing Access Record FHIR Overview](https://raw.githubusercontent.com/NHSDigital/gp-connect-access-record-fhir/master/specification/images/overview_diagram.svg) Use this API to access structured and coded information from a patient's GP practice record to consume in a patient facing service. The API accesses GP principal supplier systems and provides a consistent interface and data model. You can retrieve patient record data for the following: - medications - allergies - immunisations - consultations - problems - investigations - reviewed attachments/documents You cannot currently use this API to: - write back to the GP record Providers of this API must ensure that consultations with draft status, diary entries, unfiled test results and unreviewed documents are **NOT** returned. The level of detail returned is in accordance with the patient's permission level that is set at their GP practice, further detail surrounding this can be found [here](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Build/Permission-Levels?version=current). ## Who can use this API This API can be used by developers of patient facing systems that support patients gaining access to their GP practice medical record. This API: * is intended only for use by patient-facing applications * is intended only for non-clinical use * can only be used where there is a legal basis to do so Make sure you have a valid use case before you go too far with development. To do this, contact us. You must do this before you can go live (see Onboarding below). ### Prerequisites #### Information governance (IG) You must: * be compliant with the GP Connect Direct Care API Information Governance Model #### Clinical safety You must: * have a clinical safety officer (CSO) who is responsible for DCB0129 and, if necessary, DCB0160. For more on clinical risk management, visit Clinical risk management standards ## Related APIs The following APIs are related to this API: * [GP Connect (Patient Facing) User Permissions API](https://digital.nhs.uk/developer/api-catalogue/gp-connect-patient-facing-user-permissions) - use this API to manage a patient's permissions as held by the GP practice systems. * [GP Connect (Patient Facing) Appointment Management - FHIR API](https://digital.nhs.uk/developer/api-catalogue/gp-connect-patient-facing-appointment-management-fhir) - use this API to manage GP practice appointments. * [GP Connect (Patient Facing) Prescriptions - FHIR API ](https://digital.nhs.uk/developer/api-catalogue/gp-connect-patient-facing-prescriptions-fhir) - use this API to manage a patient's prescriptions. * [GP Connect Access Record: Structured - FHIR API](https://digital.nhs.uk/developer/api-catalogue/gp-connect-access-record-structured-fhir) - use this API for clinical access to the record, including structured medications linked to other elements of the patient record. ## API status and roadmap This API is [in production.](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#statuses) ## Service level This API is a silver service, meaning it is operational 24 hours a day, 365 days a year but only supported during business hours (8am to 6pm), Monday to Friday excluding bank holidays. For more details, see [service levels](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#service-levels). ## Technology This API is a FHIR API. It receives a FHIR STU3 payload. For more details, see [FHIR](https://digital.nhs.uk/developer/guides-and-documentation/our-api-technologies#fhir). ### Resources Use the [GP Connect Patient Facing Access Record Implementation Guide](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home?version=current) to assist with your integration. This is the FHIR specification for GP Connect Access Record - FHIR API. ## Network access This API is available on the internet and, indirectly, on the [Health and Social Care Network (HSCN)](https://digital.nhs.uk/services/health-and-social-care-network). For more details, see [Network access for APIs](https://digital.nhs.uk/developer/guides-and-documentation/network-access-for-apis). ## Security and authorisation This API is [user-restricted](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis), meaning an end user must be present and authenticated to use it. The end user must be: * a patient * authenticated with NHS login to P9 identity verification level The API uses Open ID Connect to authenticate the end user and OAuth 2.0 to authorise the calling system. It supports the following security pattern using NHS login: * [User-restricted RESTful APIs - NHS login separate authentication and authorisation](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/user-restricted-restful-apis-nhs-login-separate-authentication-and-authorisation) ## Environments and testing | Purpose | URL | | ------- | --- | | Sandbox | [https://sandbox.api.service.nhs.uk/gp-connect/patient-facing/access-record-fhir/FHIR/STU3](https://sandbox.api.service.nhs.uk/gp-connect/patient-facing/access-record-fhir/FHIR/STU3) | | Integration test | Not yet available | | Production | Not yet available ### Sandbox testing Our [sandbox environment](https://digital.nhs.uk/developer/guides-and-documentation/testing#sandbox-testing): * is for early developer testing * only covers a limited set of scenarios * is stateless, so it does not store data * is open access, so does not allow you to test authorisation For more details on sandbox testing, or to try out the sandbox using our "Try this API" feature, see the documentation for each endpoint. Alternatively, you can try out the sandbox using our Postman collection: [![Run in Postman](https://run.pstmn.io/button.svg)](https://god.gw.postman.com/run-collection/34036044-983959f2-6905-4ee0-91ba-5ed6990e2537?action=collection%2Ffork&source=rip_markdown&collection-url=entityId%3D34036044-983959f2-6905-4ee0-91ba-5ed6990e2537%26entityType%3Dcollection%26workspaceId%3Dbad72f85-20d6-41c3-bd55-f30bf83f8c63) ### Integration testing (not yet available) Our [integration test environment](https://digital.nhs.uk/developer/guides-and-documentation/testing#integration-testing): * is for formal integration testing * is stateful, so it does persist data * includes authorisation For more details see [integration testing with our RESTful APIs](https://digital.nhs.uk/developer/guides-and-documentation/testing#integration-testing-with-our-restful-apis). ## Onboarding The GP Connect Patient Facing APIs are currently only available for New Market Entrant suppliers as data providers, and are in use with the NHS App as the consumer. At the time of writing (July 2025), we are not onboarding any additional consumer suppliers to use these APIs. ### Hazard log The GP Connect Access Record: Structured generic hazard log shows you the clinical risks of using GP Connect functionality through a consumer system. Use it to identify the clinical risks of consuming clinical data and presenting it in your system, and record these in your own system-specific hazard log. If necessary, take mitigating action to ensure clinical safety. ## Errors We use standard HTTP status codes to show whether an API request succeeded or not. They are usually in the range: - 200 to 299 if it succeeded, including code 202 if it was accepted by an API that needs to wait for further action - 400 to 499 if it failed because of a client error by your application - 500 to 599 if it failed because of an error on our server Errors specific to each API are shown in the Endpoints section, under Response. See our [reference guide](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#http-status-codes) for more on errors. ## Contact us For help and support connecting to our APIs and to join our developer community, see [Help and support building healthcare software](https://digital.nhs.uk/developer/help-and-support). contact: name: 'gp-connect/patient-facing/access-record-fhir/FHIR/STU3 API Support' url: 'https://digital.nhs.uk/developer/help-and-support' email: api.management@nhs.net x-spec-publication: operation-order: - group: Access Record operations: - method: POST path: /FHIR/STU3/Patient/$gpc.getstructuredrecord - group: Documents operations: - method: GET path: /FHIR/STU3/documents/Patient/{id} - method: GET path: /FHIR/STU3/Patient/{id}/DocumentReference - method: GET path: /FHIR/STU3/documents/Binary/{id} servers: - url: 'https://sandbox.api.service.nhs.uk/gp-connect/patient-facing/access-record-fhir/FHIR/STU3/' description: Sandbox environment. - url: 'https://int.api.service.nhs.uk/gp-connect/patient-facing/access-record-fhir/FHIR/STU3/' description: Integration test environment. - url: 'https://api.service.nhs.uk/gp-connect/patient-facing/access-record-fhir/FHIR/STU3/' description: Production environment. paths: /Patient/$gpc.getstructuredrecord: post: operationId: get-structured-record summary: Access a structured record relating to a patient description: > ## Overview This end point returns a patient's record in structured format using FHIR Operations. It returns a Bundle. The request body must be a Parameters resource. For administrative purposes, every response must return the following resources within the Bundle: * Patient resource matching the NHS Number sent in the body of the request * Organization matching the patient's registered GP practice, referenced from Patient.generalPractitioner * Organization matching the organisation serving the request, if different from above, referenced from Patient.managingOrganization * Practitioner matching the patient's usual GP, if they have one, referenced from Patient.generalPractitioner * PractitionerRole matching the usual GP's role parameters: - $ref: "#/components/parameters/BearerAuthorization" - $ref: "#/components/parameters/CorrelationID" - $ref: "#/components/parameters/RequestID" requestBody: required: true description: Valid request for the entire record. content: application/fhir+json: schema: type: object description: > Request all information that has been recorded for the patient in the last three months. Information on how the parameters resource is populated can be found [here.](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Build/Retrieve-a-patient-s-structured-record.page.md?version=current) examples: fullRecordRequest: value: resourceType: Parameters parameter: - name: patientNHSNumber valueIdentifier: system: https://fhir.nhs.uk/Id/nhs-number value: '9000000009' - name: includeAllergies part: - name: includeResolvedAllergies valueBoolean: true - name: includeConsultations part: - name: consultationSearchPeriod valuePeriod: start: '2019-12-21' end: '2020-02-21' - name: includeProblems part: - name: filterStatus valueCode: active - name: filterSignificance valueCode: major - name: includeImmunizations part: - name: includeNotGiven valueBoolean: true - name: includeStatus valueBoolean: true - name: includeInvestigations - name: includeMedication repeatOnlyRequest: value: resourceType: Parameters parameter: - name: patientNHSNumber valueIdentifier: system: https://fhir.nhs.uk/Id/nhs-number value: '9999999999' - name: includeMedication part: - name: medicationSearchFromDate valueDate: '2019-02-21' - name: prescriptionType value: repeat responses: '200': description: > Information surrounding how a patients structured is retrieved can be found [here.](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Build/Retrieve-a-patient-s-structured-record.page.md?version=current) Examples of the payload requests and responses can be found here: * [Allergies FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Allergies?version=current) * [Medications FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Medications?version=current) * [Immunizations FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Immunizations?version=current) * [Consultations FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Consultations?version=current) * [Investigations FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Investigations?version=current) * [Combined FHIR examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Multiple-combined?version=current) * [Problems examples](https://simplifier.net/guide/GP-Connect-Patient-Facing-Access-Record/Home/Examples/Problems?version=current) content: application/fhir+json: schema: type: object examples: immunizations: value: resourceType: Bundle type: collection meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1 entry: - resource: resourceType: Patient id: 04603d77-1a4e-4d63-b246-d7504f8bd833 meta: versionId: '1469448000000' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: registrationPeriod valuePeriod: start: '1962-07-13T00:00:00+00:00' identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9999999999' active: true name: - use: official text: JACKSON Jane (Miss) family: Jackson given: - Jane prefix: - Miss telecom: - system: phone value: '01454587554' use: home gender: female birthDate: '1952-05-31' address: - use: home type: physical line: - Cable Place - Roundhay city: Leeds district: West Yorkshire postalCode: LS1 5HT generalPractitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 managingOrganization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb - resource: resourceType: Organization id: db67f447-b30d-442a-8e31-6918d1367eeb meta: versionId: '636064088098730113' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1 identifier: - system: https://fhir.nhs.uk/Id/ods-organization-code value: O001 name: The Trevelyan Practice address: - line: - Trevelyan Square - Boar Ln city: Leeds district: West Yorkshire postalCode: LS1 6AE telecom: - system: phone value: '03003035678' use: work - resource: resourceType: Practitioner id: 6c41ebfd-57c3-4162-9d7b-208c171a2fd7 meta: versionId: '1469448000000' lastUpdated: '2016-07-25T12:00:00.000+00:00' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1 identifier: - system: https://fhir.nhs.uk/Id/sds-user-id value: G13579135 name: - use: usual family: Gilbert given: - Nichole prefix: - Miss gender: female - resource: meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1 resourceType: PractitionerRole id: e0244de8-07ef-4274-9f7a-d7067bcc8d21 practitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 organization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb code: - coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1 code: R0260 display: General Medical Practitioner - resource: resourceType: Organization id: db67f447-b30d-442a-8e31-6918d1367eec meta: versionId: '636064088098730113' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1 name: Acme Drug Corp - resource: resourceType: Location id: '17' meta: versionId: '636064088100870233' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1 name: The Trevelyan Practice address: line: - Trevelyan Square - Boar Ln - Leeds postalCode: LS1 6AE telecom: system: phone value: '03003035678' use: work managingOrganization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Immunisations code: coding: - code: '1102181000000102' display: Immunisations system: http://snomed.info/sct subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 date: '2019-03-01T10:57:34+00:00' orderedBy: coding: - code: event-date system: http://hl7.org/fhir/list-order entry: - item: reference: Immunization/eba25af1-5b74-4790-aa5a-2134fd27ad45 - resource: resourceType: Immunization id: eba25af1-5b74-4790-aa5a-2134fd27ad45 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ParentPresent-1 valueBoolean: true - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-DateRecorded-1 valueDateTime: '2019-06-28T10:00:00+01:00' - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '170378007' display: First hepatitis A vaccination identifier: - system: https://provider.nhs.uk/data-identifier value: '874365876458743' status: completed notGiven: false vaccineCode: coding: - system: 'http://hl7.org/fhir/v3/NullFlavor ' code: UNK text: Unknown patient: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 encounter: reference: Encounter/Encounter1 date: '2019-06-28' primarySource: true location: reference: Location/17 manufacturer: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eec lotNumber: AAJN11K expirationDate: '2019-12-15' site: coding: - system: http://snomed.info/sct code: '368209003' display: Right upper arm route: coding: - system: http://snomed.info/sct code: '34206005' display: Subcutaneous route doseQuantity: value: 0.5 system: http://unitsofmeasure.org code: ml practitioner: - role: coding: - system: http://hl7.org/fhir/stu3/valueset-immunization-role.html code: AP actor: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 note: - text: Notes on adminstration of vaccine explanation: reason: - coding: - system: http://snomed.info/sct code: '171279008' display: Immunisation due vaccinationProtocol: - doseSequence: 1 seriesDoses: 3 targetDisease: - coding: - system: http://snomed.info/sct code: '40468003' display: Viral hepatitis, type A doseStatus: coding: - system: http://hl7.org/fhir/stu3/valueset-vaccination-protocol-dose-status.html code: count display: Counts allergies: value: resourceType: Bundle meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1 type: collection entry: - resource: resourceType: Patient id: 04603d77-1a4e-4d63-b246-d7504f8bd833 meta: versionId: '1469448000000' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: registrationPeriod valuePeriod: start: '1962-07-13T00:00:00+00:00' identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9999999999' active: true name: - use: official text: JACKSON Jane (Miss) family: Jackson given: - Jane prefix: - Miss telecom: - system: phone value: '01454587554' use: home gender: female birthDate: '1952-05-31' address: - use: home type: physical line: - Cable Place - Roundhay city: Leeds district: West Yorkshire postalCode: LS1 5HT generalPractitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 managingOrganization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb - resource: resourceType: Organization id: db67f447-b30d-442a-8e31-6918d1367eeb meta: versionId: '636064088098730113' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1 identifier: - system: https://fhir.nhs.uk/Id/ods-organization-code value: O001 name: The Trevelyan Practice address: - line: - Trevelyan Square - Boar Ln city: Leeds district: West Yorkshire postalCode: LS1 6AE telecom: - system: phone value: '03003035678' use: work - resource: resourceType: Practitioner id: 6c41ebfd-57c3-4162-9d7b-208c171a2fd7 meta: versionId: '1469448000000' lastUpdated: '2016-07-25T12:00:00.000+00:00' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1 identifier: - system: https://fhir.nhs.uk/Id/sds-user-id value: G13579135 name: - use: usual family: Gilbert given: - Nichole prefix: - Miss gender: female - resource: meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1 resourceType: PractitionerRole id: e0244de8-07ef-4274-9f7a-d7067bcc8d21 practitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 organization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb code: - coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1 code: R0260 display: General Medical Practitioner - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current title: Active Allergies code: coding: - display: Allergies and adverse reaction system: http://snomed.info/sct code: '886921000000105' entry: - item: reference: AllergyIntolerance/561850bd-360c-4d17-b3c8-a837ef0cbfba - item: reference: AllergyIntolerance/6bff710a-0bdc-4c9b-b98b-40db0a107edc - item: reference: AllergyIntolerance/5eb0f76a-cecb-4b83-999d-ddb76e551a9b - item: reference: AllergyIntolerance/d92b7d42-554d-4c92-b829-e76508185702 date: '2018-03-01T10:57:34+00:00' mode: snapshot orderedBy: coding: - system: http://hl7.org/fhir/list-order code: event-date subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 - resource: resourceType: List contained: - resourceType: AllergyIntolerance id: Resolved-1 identifier: - system: https://provider.nhs.uk/data-identifier value: '83426283749629' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-AllergyIntoleranceEnd-1 extension: - url: endDate valueDateTime: '2018-03-01' - url: reasonEnded valueString: Patient reports no subsequent recurrence on same medication reaction: - manifestation: - coding: - display: Vomiting code: '422400008' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '2647992016' - url: DescriptionDisplay valueString: Emesis severity: severe verificationStatus: unconfirmed assertedDate: '2011-05-07T00:00:00+00:00' type: intolerance code: coding: - display: Aspirin 75mg dispersible tablet code: '319773006' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '56962301000001119' clinicalStatus: resolved patient: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 note: - text: 'Allergy Type: Adverse Reaction, Certainty: Absolute, Severity: Very Severe, NOTES: Some freetext notes' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 category: - medication meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1 criticality: low meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current title: Resolved Allergies code: coding: - display: Resolved Allergies system: http://snomed.info/sct code: TBD entry: - item: reference: '#Resolved-1' date: '2018-03-01T10:57:34+00:00' mode: snapshot orderedBy: coding: - system: http://hl7.org/fhir/list-order code: event-date subject: identifier: system: https://fhir.nhs.uk/Id/nhs-number value: '1234567890' - resource: resourceType: AllergyIntolerance id: 6bff710a-0bdc-4c9b-b98b-40db0a107edc identifier: - system: https://provider.nhs.uk/data-identifier value: '83426283749639' reaction: - manifestation: - coding: - display: O/E - itchy rash code: '304386008' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '446685017' severity: mild verificationStatus: unconfirmed assertedDate: '2012-05-07T00:00:00+00:00' type: allergy code: coding: - display: Amoxicillin 250mg capsules code: '323509004' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '56966201000001112' clinicalStatus: active patient: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 note: - text: 'Certainty: Likely, Severity: Minimal, NOTES: Some freetext notes' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 category: - medication meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1 criticality: low - resource: resourceType: AllergyIntolerance id: 5eb0f76a-cecb-4b83-999d-ddb76e551a9b identifier: - system: https://provider.nhs.uk/data-identifier value: '83426283749649' reaction: - manifestation: - coding: - display: Peanut-induced anaphylaxis code: '241933001' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '362151013' text: Anaphalactic shock severity: severe verificationStatus: unconfirmed assertedDate: '2016-02-08T10:57:34+00:00' type: allergy code: coding: - display: Peanut - dietary code: '256349002' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '381852012' - url: DescriptionDisplay valueString: Peanut text: Nut allergy clinicalStatus: active patient: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 note: - text: 'Certainty: Certain, Severity: Life Threatening, NOTES: notes on the peanut allergy' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 category: - environment meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1 criticality: high - resource: resourceType: AllergyIntolerance id: d92b7d42-554d-4c92-b829-e76508185702 identifier: - system: https://provider.nhs.uk/data-identifier value: '83426283749659' verificationStatus: unconfirmed type: allergy code: coding: - display: Transfer-degraded drug allergy code: '196461000000101' system: http://snomed.info/sct extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '294801000000114' text: Allergy to paracetemol clinicalStatus: active patient: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 note: - text: 'NOTES: This was entered incorrectly on the source system as a history/journal entry and not as a drug allergy' assertedDate: '2016-01-08T11:57:34+00:00' category: - medication recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1 fullRecordResponse: value: resourceType: Bundle id: 37bf5683-8134-4621-9904-19f2c99b183f meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1 type: collection entry: - resource: resourceType: Patient id: f8ac400000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 versionId: E6F60FC8AD9B8B63E4F96DE5CE0AB430 lastUpdated: '2023-02-10T11:41:36+00:00' identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9465701947' name: - prefix: - Mrs given: - Test family: TppMisc use: official address: - use: home type: both line: - The House - 1 Northern Parade city: Portsmouth district: Hampshire postalCode: PO2 9PF birthDate: '1974-03-18' gender: female active: true managingOrganization: reference: Organization/0100000000000000_0b00000000000000 generalPractitioner: - reference: Practitioner/26f1000000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: registrationPeriod valuePeriod: start: '2010-12-09T00:00:00+00:00' - url: registrationType valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-RegistrationType-1 code: R display: Regular - url: preferredBranchSurgery valueReference: reference: Location/0100000000000000_0b00000000000000 - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Allergies and adverse reactions code: coding: - system: http://snomed.info/sct code: '886921000000105' display: Allergies and adverse reactions subject: reference: Patient/f8ac400000000000 note: - text: Information not available emptyReason: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1 code: no-content-recorded display: No Content Recorded extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Ended allergies code: coding: - system: http://snomed.info/sct code: '1103671000000101' display: Ended allergies subject: reference: Patient/f8ac400000000000 note: - text: Information not available emptyReason: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1 code: no-content-recorded display: No Content Recorded extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: MedicationStatement id: 1000000000000000_8b55c40000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_8b55c40000000000 basedOn: - reference: MedicationRequest/1000000000000000_8b55c40000000000_plan context: reference: Encounter/4000000000000000_8844170000000000 status: active medicationReference: reference: Medication/QWxjb2hvbCAtIEJlZXIgb3IgQ2lkZXI= effectivePeriod: start: '2010-12-16' subject: reference: Patient/f8ac400000000000 taken: unk dateAsserted: '2010-08-17T15:00:29+01:00' dosage: - text: Used 2-6 days per week extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1 valueDateTime: '2010-12-16' - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1 code: prescribed-at-gp-practice display: Prescribed at GP practice - resource: resourceType: MedicationRequest id: 1000000000000000_8b55c40000000000_plan meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_8b55c40000000000_plan status: active intent: plan medicationReference: reference: Medication/QWxjb2hvbCAtIEJlZXIgb3IgQ2lkZXI= context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 dosageInstruction: - text: Used 2-6 days per week dispenseRequest: quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Primary) Route=Oral, Age first use=16 years validityPeriod: start: '2010-12-16' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: MedicationRequest id: 1000000000000000_8b55c40000000000_order meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_8b55c40000000000_order status: active intent: order medicationReference: reference: Medication/QWxjb2hvbCAtIEJlZXIgb3IgQ2lkZXI= context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 basedOn: - reference: MedicationRequest/1000000000000000_8b55c40000000000_plan dosageInstruction: - text: Used 2-6 days per week dispenseRequest: quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Primary) Route=Oral, Age first use=16 years validityPeriod: start: '2010-12-16' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: Medication id: QWxjb2hvbCAtIEJlZXIgb3IgQ2lkZXI= meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1 code: coding: - system: http://snomed.info/sct code: '196421000000109' display: Transfer-degraded medication entry text: Alcohol - Beer or Cider - resource: resourceType: MedicationStatement id: 1000000000000000_9b55c40000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_9b55c40000000000 basedOn: - reference: MedicationRequest/1000000000000000_9b55c40000000000_plan context: reference: Encounter/4000000000000000_8844170000000000 status: completed medicationReference: reference: Medication/SGFsbHVjaW5vZ2VucyAtIEtldGFtaW5l effectivePeriod: start: '1977-07-14' end: '2007-04-12' subject: reference: Patient/f8ac400000000000 taken: unk dateAsserted: '2010-08-17T15:00:29+01:00' dosage: - text: Used once per week or less extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1 valueDateTime: '1977-07-14' - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1 code: prescribed-at-gp-practice display: Prescribed at GP practice - resource: resourceType: MedicationRequest id: 1000000000000000_9b55c40000000000_plan meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_9b55c40000000000_plan status: completed intent: plan medicationReference: reference: Medication/SGFsbHVjaW5vZ2VucyAtIEtldGFtaW5l context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 dosageInstruction: - text: Used once per week or less dispenseRequest: expectedSupplyDuration: value: 10864 unit: day system: http://unitsofmeasure.org code: d quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Secondary) Route=Sniff, Age first use=15 years validityPeriod: start: '1977-07-14' end: '2007-04-12' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: MedicationRequest id: 1000000000000000_9b55c40000000000_order meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_9b55c40000000000_order status: completed intent: order medicationReference: reference: Medication/SGFsbHVjaW5vZ2VucyAtIEtldGFtaW5l context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 basedOn: - reference: MedicationRequest/1000000000000000_9b55c40000000000_plan dosageInstruction: - text: Used once per week or less dispenseRequest: expectedSupplyDuration: value: 10864 unit: day system: http://unitsofmeasure.org code: d quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Secondary) Route=Sniff, Age first use=15 years validityPeriod: start: '1977-07-14' end: '2007-04-12' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: Medication id: SGFsbHVjaW5vZ2VucyAtIEtldGFtaW5l meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1 code: coding: - system: http://snomed.info/sct code: '196421000000109' display: Transfer-degraded medication entry text: Hallucinogens - Ketamine - resource: resourceType: MedicationStatement id: 1000000000000000_ab55c40000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_ab55c40000000000 basedOn: - reference: MedicationRequest/1000000000000000_ab55c40000000000_plan context: reference: Encounter/4000000000000000_8844170000000000 status: active medicationReference: reference: Medication/U29sdmVudHMgLSBBbXlsIE5pdHJhdGU= effectivePeriod: start: '2010-05-12' subject: reference: Patient/f8ac400000000000 taken: unk dateAsserted: '2010-08-17T15:00:29+01:00' dosage: - text: Used more than once daily extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1 valueDateTime: '2010-05-12' - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1 code: prescribed-at-gp-practice display: Prescribed at GP practice - resource: resourceType: MedicationRequest id: 1000000000000000_ab55c40000000000_plan meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_ab55c40000000000_plan status: active intent: plan medicationReference: reference: Medication/U29sdmVudHMgLSBBbXlsIE5pdHJhdGU= context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 dosageInstruction: - text: Used more than once daily dispenseRequest: quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Tertiary) Route=Inject, Age first use=0 years validityPeriod: start: '2010-05-12' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: MedicationRequest id: 1000000000000000_ab55c40000000000_order meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 1000000000000000_ab55c40000000000_order status: active intent: order medicationReference: reference: Medication/U29sdmVudHMgLSBBbXlsIE5pdHJhdGU= context: reference: Encounter/4000000000000000_8844170000000000 subject: reference: Patient/f8ac400000000000 authoredOn: '2010-08-17T15:00:29+01:00' recorder: reference: Practitioner/26f1000000000000 basedOn: - reference: MedicationRequest/1000000000000000_ab55c40000000000_plan dosageInstruction: - text: Used more than once daily dispenseRequest: quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: (Tertiary) Route=Inject, Age first use=0 years validityPeriod: start: '2010-05-12' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 code: delayed-prescribing display: Delayed prescribing - resource: resourceType: Medication id: U29sdmVudHMgLSBBbXlsIE5pdHJhdGU= meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1 code: coding: - system: http://snomed.info/sct code: '196421000000109' display: Transfer-degraded medication entry text: Solvents - Amyl Nitrate - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Medications and medical devices code: coding: - system: http://snomed.info/sct code: '933361000000108' display: Medications and medical devices subject: reference: Patient/f8ac400000000000 entry: - item: reference: MedicationStatement/1000000000000000_8b55c40000000000 - item: reference: MedicationStatement/1000000000000000_9b55c40000000000 - item: reference: MedicationStatement/1000000000000000_ab55c40000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: Observation id: 5000000000000000_67eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_67eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '255266011' system: http://snomed.info/sct code: '163939000' display: O/E - visual acuity R-eye=6/12 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 effectiveDateTime: '2010-08-17T15:00:29+01:00' issued: '2010-12-16T14:53:36+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_77eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_77eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344804017' system: http://snomed.info/sct code: '230065006' display: Chain smoker subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 effectiveDateTime: '2010-08-17T15:00:29+01:00' issued: '2010-12-16T14:53:36+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_57eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_57eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '255284013' system: http://snomed.info/sct code: '163954006' display: O/E - visual acuity L-eye=6/18 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 effectiveDateTime: '2010-08-17T15:00:29+01:00' issued: '2010-12-16T14:53:36+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_37eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_37eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '255282012' system: http://snomed.info/sct code: '163952005' display: O/E - visual acuity L-eye =6/9 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 effectiveDateTime: '2010-08-17T15:00:29+01:00' issued: '2010-12-16T14:53:36+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Visual aid: Correction Type - Spectacles' - resource: resourceType: Observation id: 5000000000000000_47eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_47eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '255264014' system: http://snomed.info/sct code: '163937003' display: O/E - visual acuity R-eye =6/6 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 effectiveDateTime: '2010-08-17T15:00:29+01:00' issued: '2010-12-16T14:53:36+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Visual aid: Correction Type - Spectacles' - resource: resourceType: Observation id: 5000000000000000_c5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Smear Under Other GMS subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_b5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2791776014' system: http://snomed.info/sct code: '438633009' display: Sampling of vaginal vault for smear text: Vaginal vault smear subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: |- These are the notes on the smear with some line breaks related: - type: has-member target: reference: Observation/5000000000000000_c5fb070000000000 - type: has-member target: reference: Observation/5000000000000000_d5fb070000000000 - type: has-member target: reference: Observation/5000000000000000_e5fb070000000000 - type: has-member target: reference: Observation/5000000000000000_f5fb070000000000 - type: has-member target: reference: Observation/5000000000000000_e4fb070000000000 - type: has-member target: reference: Observation/5000000000000000_f4fb070000000000 - type: has-member target: reference: Observation/5000000000000000_d4fb070000000000 - type: has-member target: reference: Observation/5000000000000000_15fb070000000000 - type: has-member target: reference: Observation/5000000000000000_05fb070000000000 - resource: resourceType: Observation id: 5000000000000000_d5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Speculum Serial Number subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: hhhhh related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_e5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '355048014' system: http://snomed.info/sct code: '236886002' display: Hysterectomy subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_f5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2549581015' system: http://snomed.info/sct code: '417036008' display: Liquid based cervical cytology screening subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_e4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Smear information leaflet given subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_f4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Smear consent given subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_d4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '458552019' system: http://snomed.info/sct code: '314229006' display: Presence of chaperone subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Notes on the chaperone related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_15fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_15fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: 'Smear Reason: Clinically Indicated' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_05fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_05fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '4634601019' system: http://snomed.info/sct code: '263844007' display: Maternal postnatal period text: Postnatal subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 effectiveDateTime: '2010-09-02T12:27:25+01:00' issued: '2011-02-16T12:27:25+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_b5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_0adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_0adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2566881000000119' system: http://snomed.info/sct code: '1023721000000106' display: Urine nitrite level text: Urine nitrite subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6 unit: mmol/L - resource: resourceType: Observation id: 5000000000000000_f9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '1476337014' system: http://snomed.info/sct code: '394965000' display: Urine leucocyte test not done subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_2adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_2adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '259826014' system: http://snomed.info/sct code: '167296002' display: Urine blood test not done subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_1adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_1adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '259816019' system: http://snomed.info/sct code: '167286006' display: Urine ketone test not done subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_c9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Urine Nitrite test negative subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_b9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '411680017' system: http://snomed.info/sct code: '275741008' display: Leucocytes in urine subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 5 unit: 10*6/L - resource: resourceType: Observation id: 5000000000000000_e9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2584761000000110' system: http://snomed.info/sct code: '1003291000000105' display: Urine total protein text: Urine total protein level subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: g/L - resource: resourceType: Observation id: 5000000000000000_d9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2585411000000116' system: http://snomed.info/sct code: '1003181000000102' display: Urine test for glucose text: Urine glucose test NOS subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 1 unit: mmol/L - resource: resourceType: Observation id: 5000000000000000_9adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_9adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '397732011' system: http://snomed.info/sct code: '266919005' display: Never smoked tobacco subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Smoking notes - resource: resourceType: Observation id: 5000000000000000_8adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_8adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '264765019' system: http://snomed.info/sct code: '170804003' display: Ideal body weight subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 80 unit: Kg comment: Ideal Body Weight notes - resource: resourceType: Observation id: 5000000000000000_aadb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_aadb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '370729019' system: http://snomed.info/sct code: '248333004' display: Standing height text: O/E - height subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ValueApproximation-1 valueBoolean: true value: 2 unit: m comment: These are some height notes - resource: resourceType: Observation id: 5000000000000000_cadb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_cadb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '100716012' system: http://snomed.info/sct code: '60621009' display: Body mass index text: Body mass index - observation subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 18.75 unit: Kg/m² - resource: resourceType: Observation id: 5000000000000000_badb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_badb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '45352010' system: http://snomed.info/sct code: '27113001' display: Body weight text: O/E - weight subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 75 comparator: '>' unit: Kg comment: These are some weight notes with numbers 1234567890 - resource: resourceType: Observation id: 5000000000000000_4adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_4adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '259802012' system: http://snomed.info/sct code: '167272007' display: Urine protein test not done subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_3adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_3adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '451206016' system: http://snomed.info/sct code: '307821001' display: Urine blood test text: Urine blood test NOS subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 2 unit: mmol/L - resource: resourceType: Observation id: 5000000000000000_5adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_5adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '259789013' system: http://snomed.info/sct code: '167260001' display: Urine glucose test not done subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_7adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_7adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '412457018' system: http://snomed.info/sct code: '276361009' display: Waist circumference subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 100 unit: cm comment: Girth notes - resource: resourceType: Observation id: 5000000000000000_6adb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_6adb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '31196014' system: http://snomed.info/sct code: '18491006' display: Peak expiratory flow rate subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 10 unit: L/min comment: |- These are some Peak Flow Rate notes with symbols after a CR !@#$%^&*()_+-={}[]:";'<>,.?/|\~` - resource: resourceType: Observation id: 5000000000000000_99db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_99db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '5066934011' system: http://snomed.info/sct code: '258574006' display: Mid-stream urine specimen text: Mid-stream urine sample subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_a9db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a9db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2569661000000115' system: http://snomed.info/sct code: '1019571000000108' display: Urine ketone test subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e444170000000000 effectiveDateTime: '2010-12-09T10:24:03+00:00' issued: '2010-12-09T10:24:03+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3 unit: mmol/L - resource: resourceType: Observation id: 5000000000000000_69db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_69db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344837015' system: http://snomed.info/sct code: '230088007' display: Spirits intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: Units/Week - resource: resourceType: Observation id: 5000000000000000_79db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_79db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 25 unit: Units/Week comment: These values have a range referenceRange: - low: value: 4 high: value: 57 - resource: resourceType: Observation id: 5000000000000000_89db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_89db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250313014' system: http://snomed.info/sct code: '160576006' display: Moderate drinker - 3-6u/day subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_59db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_59db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Bottles of wine subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 1 unit: Units/Week - resource: resourceType: Observation id: 5000000000000000_39db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_39db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Pints of beer subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: Units/Week - resource: resourceType: Observation id: 5000000000000000_19db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_19db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2159168015' system: http://snomed.info/sct code: '407567007' display: Patient on maximal tolerated antihypertensive therapy subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_49db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_49db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Glasses of wine subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f444170000000000 effectiveDateTime: '2010-12-09T10:28:24+00:00' issued: '2010-12-09T10:28:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: Units/Week - resource: resourceType: Observation id: 5000000000000000_a4eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a4eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Upper left 3rd molar (Wisdom tooth) subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Insertion of plastic restoration into tooth' - resource: resourceType: Observation id: 5000000000000000_94eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_94eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Upper left 2nd bicuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Insertion of plastic restoration into tooth' - resource: resourceType: Observation id: 5000000000000000_e8db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e8db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 21 unit: Units/Week referenceRange: - text: < 21 - resource: resourceType: Observation id: 5000000000000000_f8db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f8db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 21 unit: Units/Week referenceRange: - text: < 21 - resource: resourceType: Observation id: 5000000000000000_43eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_43eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left lateral subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Dental caries' - resource: resourceType: Observation id: 5000000000000000_73eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_73eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left 1st bicuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Fracture of tooth' - resource: resourceType: Observation id: 5000000000000000_83eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_83eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left 2nd bicuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Fracture of tooth' - resource: resourceType: Observation id: 5000000000000000_53eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_53eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left central subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Dental caries' - resource: resourceType: Observation id: 5000000000000000_63eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_63eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left cuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Tooth absent' - resource: resourceType: Observation id: 5000000000000000_e3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower right cuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Extraction of tooth' - resource: resourceType: Observation id: 5000000000000000_d3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower right lateral subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Extraction of tooth' - resource: resourceType: Observation id: 5000000000000000_04eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_04eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower right 2nd bicuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Exarticulation of tooth' - resource: resourceType: Observation id: 5000000000000000_f3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower right 1st bicuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Extraction of tooth' - resource: resourceType: Observation id: 5000000000000000_a3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left 2nd molar subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Tooth absent' - resource: resourceType: Observation id: 5000000000000000_93eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_93eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left 1st molar subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Tooth absent' - resource: resourceType: Observation id: 5000000000000000_c3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower right central subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Extraction of tooth' - resource: resourceType: Observation id: 5000000000000000_b3eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b3eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Lower left 3rd molar (Wisdom tooth) subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Extraction of tooth' - resource: resourceType: Observation id: 5000000000000000_64eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_64eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Upper left cuspid subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Tooth disorder: Insertion of plastic restoration into tooth' - 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url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Joint British Societies adjusted cardiovascular 10yr risk subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1944170000000000 effectiveDateTime: '2010-12-16T08:50:01+00:00' issued: '2010-12-16T08:50:01+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 32.833206 unit: '%' - resource: resourceType: Observation id: 5000000000000000_29eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_29eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Joint British Societies cardiovascular 10yr risk subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1944170000000000 effectiveDateTime: '2010-12-16T08:50:01+00:00' issued: '2010-12-16T08:50:01+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3.930332 unit: '%' - resource: resourceType: Observation id: 5000000000000000_59eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_59eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Joint British Societies cardiovascular 10yr risk subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2944170000000000 effectiveDateTime: '2010-12-16T08:50:37+00:00' issued: '2010-12-16T08:50:37+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3.930332 unit: '%' - resource: resourceType: Observation id: 5000000000000000_49eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_49eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Joint British Societies adjusted cardiovascular 10yr risk subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2944170000000000 effectiveDateTime: '2010-12-16T08:50:37+00:00' issued: '2010-12-16T08:50:37+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 32.833206 unit: '%' - resource: resourceType: Observation id: 5000000000000000_69eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_69eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3311118014' system: http://snomed.info/sct code: '718087004' display: QRISK2 cardiovascular disease 10 year risk score subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2944170000000000 effectiveDateTime: '2010-12-16T08:50:37+00:00' issued: '2010-12-16T08:50:37+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 68.29923 unit: '%' - resource: resourceType: Observation id: 5000000000000000_99eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_99eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '128451012' system: http://snomed.info/sct code: '77386006' display: Pregnancy text: Patient currently pregnant subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2944170000000000 effectiveDateTime: '2010-12-16T08:50:37+00:00' issued: '2010-12-16T08:50:37+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_79eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_79eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '457050018' system: http://snomed.info/sct code: '313192007' display: Expected peak expiratory flow rate subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2944170000000000 effectiveDateTime: '2010-12-16T08:50:37+00:00' issued: '2010-12-16T08:50:37+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 673 unit: L/min - resource: resourceType: Observation id: 5000000000000000_37fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_37fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2567371000000110' system: http://snomed.info/sct code: '1022921000000101' display: 60 minute serum prolactin level subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 - resource: resourceType: Observation id: 5000000000000000_27fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_27fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: 28 day history of paid work subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 15 comparator: < unit: Days - resource: resourceType: Observation id: 5000000000000000_47fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_47fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '440121018' system: http://snomed.info/sct code: '299240008' display: Active range of hip flexion subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 48 comparator: <= unit: degrees - resource: resourceType: Observation id: 5000000000000000_67fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_67fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2561391000000116' system: http://snomed.info/sct code: '1005281000000109' display: Alpha-2-antiplasmin level subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ValueApproximation-1 valueBoolean: true value: 2 unit: IU/dL - resource: resourceType: Observation id: 5000000000000000_57fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_57fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Active range of right hip internal rotation subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 79 unit: degrees - resource: resourceType: Observation id: 5000000000000000_0beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_0beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2770061000000110' system: http://snomed.info/sct code: '1106921000000100' display: Auditory threshold of right ear at 8000 Hertz text: Audio test right ear 8000 Hz subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 7 comparator: < unit: dB - resource: resourceType: Observation id: 5000000000000000_faeb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_faeb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '179485018' system: http://snomed.info/sct code: '112049007' display: Dipeptidyl carboxypeptidase I text: Angiotensin-converting enzyme subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 2 comparator: '>' unit: units/L - resource: resourceType: Observation id: 5000000000000000_1beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_1beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Total nitrogen requirement subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 9 comparator: <= unit: g/day - resource: resourceType: Observation id: 5000000000000000_17fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_17fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2570301000000113' system: http://snomed.info/sct code: '1023901000000100' display: 24 hour urine porphobilinogen output subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 17 comparator: '>=' unit: umol/L - resource: resourceType: Observation id: 5000000000000000_07fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_07fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '45352010' system: http://snomed.info/sct code: '27113001' display: Body weight text: O/E - weight subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ca44170000000000 effectiveDateTime: '2010-12-23T09:21:17+00:00' issued: '2010-12-23T09:21:16+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ValueApproximation-1 valueBoolean: true value: 90 unit: Kg - resource: resourceType: Observation id: 5000000000000000_5beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_5beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3311118014' system: http://snomed.info/sct code: '718087004' display: QRISK2 cardiovascular disease 10 year risk score subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3.4746923 unit: '%' - resource: resourceType: Observation id: 5000000000000000_6beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_6beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '457050018' system: http://snomed.info/sct code: '313192007' display: Expected peak expiratory flow rate subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 673 unit: L/min - resource: resourceType: Observation id: 5000000000000000_4beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_4beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3311118014' system: http://snomed.info/sct code: '718087004' display: QRISK2 cardiovascular disease 10 year risk score subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3.4746923 unit: '%' - resource: resourceType: Observation id: 5000000000000000_2beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_2beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 21 unit: Units/Week referenceRange: - text: < 21 - resource: resourceType: Observation id: 5000000000000000_3beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_3beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 21 unit: Units/Week referenceRange: - text: < 21 - resource: resourceType: Observation id: 5000000000000000_abeb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_abeb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '370759012' system: http://snomed.info/sct code: '248362003' display: Lean body mass subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 73.08 unit: Kg - resource: resourceType: Observation id: 5000000000000000_bbeb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_bbeb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '691171000000112' system: http://snomed.info/sct code: '366241000000106' display: 'General practice physical activity questionnaire physical activity index: active' text: 'GPPAQ physical activity index: active' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_9beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_9beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2569781000000116' system: http://snomed.info/sct code: '1020291000000106' display: GFR (glomerular filtration rate) calculated by abbreviated Modification of Diet in Renal Disease Study Group calculation text: GFR calculated abbreviated MDRD subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 104985.1 unit: mL/min/1.73m*2 - resource: resourceType: Observation id: 5000000000000000_7beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_7beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3637565018' system: http://snomed.info/sct code: '763008007' display: CHADS2 (congestive heart failure, hypertension, age 75 years or older, diabetes mellitus and previous stroke or transient ischaemic attack) score text: Cong heart fail, hypertens, age, diab, stroke 2 risk score subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 5 - resource: resourceType: Observation id: 5000000000000000_8beb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_8beb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2465711000000116' system: http://snomed.info/sct code: '968191000000100' display: Estimated creatinine clearance (Cockcroft-Gault formula) text: GFR calculated Cockcroft-Gault formula subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_da44170000000000 effectiveDateTime: '2010-12-23T09:33:27+00:00' issued: '2010-12-23T09:33:27+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 57777.777 unit: mL/min - resource: resourceType: Observation id: 5000000000000000_71fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_71fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2579861000000112' system: http://snomed.info/sct code: '1003721000000104' display: 120 minute blood glucose level subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_e254170000000000 effectiveDateTime: '2011-02-01T00:00:00+00:00' issued: '2011-02-16T14:26:24+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 5 unit: mmol/L comment: This is the bloog glucose level backdated date referenceRange: - low: value: 2 high: value: 9 - resource: resourceType: Observation id: 5000000000000000_e3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Asthma Control subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b254170000000000 effectiveDateTime: '2011-02-02T00:00:00+00:00' issued: '2011-02-16T13:13:39+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Attends asthma monitoring: Fair' - resource: resourceType: Observation id: 5000000000000000_d1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '23211011' system: http://snomed.info/sct code: '13601005' display: Paranoid personality disorder subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0354170000000000 effectiveDateTime: '2011-02-02T00:00:00+00:00' issued: '2011-02-16T14:28:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Notes on personality (New Episode) - resource: resourceType: Observation id: 5000000000000000_02fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_02fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3285638010' system: http://snomed.info/sct code: '712814005' display: Date of last seizure text: Last fit subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1354170000000000 effectiveDateTime: '2011-02-03T00:00:00+00:00' issued: '2011-02-16T14:28:45+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_12fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_12fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2916764016' system: http://snomed.info/sct code: '450759008' display: Framingham coronary heart disease 10 year risk score subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_3354170000000000 effectiveDateTime: '2011-02-09T00:00:00+00:00' issued: '2011-02-16T14:30:53+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6 unit: '%' comment: 'Is the moon made out of Green cheese: Yes' - resource: resourceType: Observation id: 5000000000000000_a5fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a5fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Smear Under GMS subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9c44170000000000 effectiveDateTime: '2011-02-16T12:26:35+00:00' issued: '2011-02-16T12:26:35+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_95fb070000000000 - resource: resourceType: Observation id: 5000000000000000_95fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_95fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3670762013' system: http://snomed.info/sct code: '767357000' display: Sampling of cervix for Papanicolaou smear done text: Cervical smear subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9c44170000000000 effectiveDateTime: '2011-02-16T12:26:35+00:00' issued: '2011-02-16T12:26:35+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: has-member target: reference: Observation/5000000000000000_a5fb070000000000 - resource: resourceType: Observation id: 5000000000000000_c4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250157016' system: http://snomed.info/sct code: '160474007' display: 'FH: Atopy' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_6c44170000000000 effectiveDateTime: '2011-02-16T12:37:12+00:00' issued: '2011-02-16T12:37:12+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: This is a family histiry entry which is JARC (just another read code) - resource: resourceType: Observation id: 5000000000000000_b4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '128451012' system: http://snomed.info/sct code: '77386006' display: Pregnancy text: Patient currently pregnant subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_3c44170000000000 effectiveDateTime: '2011-02-16T12:59:49+00:00' issued: '2011-02-16T12:59:49+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_a4fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a4fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Pints of beer subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 2 comparator: '>' unit: Units/Week - resource: resourceType: Observation id: 5000000000000000_94fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_94fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '342384011' system: http://snomed.info/sct code: '228330005' display: Total time drunk alcohol subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Notes on the alcohol summary - resource: resourceType: Observation id: 5000000000000000_84fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_84fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '250307017' system: http://snomed.info/sct code: '160573003' display: Alcohol intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ValueApproximation-1 valueBoolean: true value: 5 unit: Units/Week comment: Notes on alcohol - resource: resourceType: Observation id: 5000000000000000_54fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_54fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Glasses of wine subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6 comparator: '>=' unit: Units/Week referenceRange: - low: value: 1 high: value: 5 - resource: resourceType: Observation id: 5000000000000000_64fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_64fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Bottles of wine subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 3 comparator: < unit: Units/Week referenceRange: - text: < 7 - resource: resourceType: Observation id: 5000000000000000_74fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_74fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344837015' system: http://snomed.info/sct code: '230088007' display: Spirits intake subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_9254170000000000 effectiveDateTime: '2011-02-16T13:08:11+00:00' issued: '2011-02-16T13:08:07+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 19 comparator: <= unit: Units/Week comment: Notes on the spirits referenceRange: - text: '> 3' - resource: resourceType: Observation id: 5000000000000000_24fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_24fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2157868010' system: http://snomed.info/sct code: '406162001' display: Asthma management text: Asthma management plan given subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_14fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_14fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Home nebuliser subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_44fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_44fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '31196014' system: http://snomed.info/sct code: '18491006' display: Peak expiratory flow rate subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 7 comparator: '>' unit: L/min comment: Notes on PEFR referenceRange: - low: value: 3 high: value: 5 - resource: resourceType: Observation id: 5000000000000000_34fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_34fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '84715019' system: http://snomed.info/sct code: '50834005' display: Forced vital capacity subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 18 unit: L - resource: resourceType: Observation id: 5000000000000000_04fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_04fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '264540018' system: http://snomed.info/sct code: '170631002' display: Asthma disturbing sleep subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_c3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '1488421017' system: http://snomed.info/sct code: '394700004' display: Asthma annual review subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_b3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '264516014' system: http://snomed.info/sct code: '170614009' display: Inhaler technique observed subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Drug therapy observations: Fair' - resource: resourceType: Observation id: 5000000000000000_f3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3036434013' system: http://snomed.info/sct code: '160377001' display: Family history of asthma text: 'FH: Asthma' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_d3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_d3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Asthma Prophylaxis Drug ID subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a254170000000000 effectiveDateTime: '2011-02-16T13:11:40+00:00' issued: '2011-02-16T13:11:40+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Drug therapy observations: Yes - Notes on prophylaxis' - resource: resourceType: Observation id: 5000000000000000_a3fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a3fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2207951000000110' system: http://snomed.info/sct code: '852471000000107' display: Prothrombin time text: One stage prothrombin time subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c254170000000000 effectiveDateTime: '2011-02-16T13:13:57+00:00' issued: '2011-02-16T13:13:57+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 2.5 unit: s - resource: resourceType: Observation id: 5000000000000000_93fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_93fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2568401000000111' system: http://snomed.info/sct code: '991871000000101' display: Clotting screening test subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c254170000000000 effectiveDateTime: '2011-02-16T13:13:57+00:00' issued: '2011-02-16T13:13:57+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Just a partially completed coagulation template - resource: resourceType: Observation id: 5000000000000000_83fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_83fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2208031000000117' system: http://snomed.info/sct code: '852511000000103' display: Activated partial thromboplastin time text: Partial thromboplastin time activated subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c254170000000000 effectiveDateTime: '2011-02-16T13:13:57+00:00' issued: '2011-02-16T13:13:57+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 5 unit: s - resource: resourceType: Observation id: 5000000000000000_73fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_73fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '284646013' system: http://snomed.info/sct code: '184305005' display: Cause of death subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_d254170000000000 effectiveDateTime: '2011-02-16T14:19:44+00:00' issued: '2011-02-16T14:19:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: has-member target: reference: Observation/5000000000000000_41fb070000000000 - resource: resourceType: Observation id: 5000000000000000_81fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_81fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '100716012' system: http://snomed.info/sct code: '60621009' display: Body mass index text: Body mass index - observation subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_d254170000000000 effectiveDateTime: '2011-02-16T14:19:44+00:00' issued: '2011-02-16T14:19:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 25 unit: Kg/m² comment: This is the bmi - resource: resourceType: Observation id: 5000000000000000_91fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_91fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '443403011' system: http://snomed.info/sct code: '301898006' display: Body surface area subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_d254170000000000 effectiveDateTime: '2011-02-16T14:19:44+00:00' issued: '2011-02-16T14:19:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 50 unit: m² - resource: resourceType: Observation id: 5000000000000000_41fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_41fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '283820019' system: http://snomed.info/sct code: '183676005' display: Died in hospital subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_d254170000000000 effectiveDateTime: '2011-02-16T14:19:44+00:00' issued: '2011-02-16T14:19:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 related: - type: derived-from target: reference: Observation/5000000000000000_73fb070000000000 - resource: resourceType: Observation id: 5000000000000000_f1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_f1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '72831011' system: http://snomed.info/sct code: '43682008' display: Accident involving watercraft text: '[X]Water transport accidents' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f254170000000000 effectiveDateTime: '2011-02-16T14:26:58+00:00' issued: '2011-02-16T14:26:58+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_e1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_e1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '338105013' system: http://snomed.info/sct code: '224951007' display: Mature personality subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f254170000000000 effectiveDateTime: '2011-02-16T14:26:58+00:00' issued: '2011-02-16T14:26:58+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: It's so mature - resource: resourceType: Observation id: 5000000000000000_c1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_c1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '301485011' system: http://snomed.info/sct code: '195967001' display: Asthma subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f254170000000000 effectiveDateTime: '2011-02-16T14:26:58+00:00' issued: '2011-02-16T14:26:58+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Episodicity: New episode - Qualifiers to the asthma' - resource: resourceType: Observation id: 5000000000000000_a1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '127638013' system: http://snomed.info/sct code: '76880004' display: Angelman syndrome text: Angelman's syndrome subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f254170000000000 effectiveDateTime: '2011-02-16T14:26:58+00:00' issued: '2011-02-16T14:26:58+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Severity: Moderate (Ongoing Episode)' - resource: resourceType: Observation id: 5000000000000000_b1fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_b1fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '420380017' system: http://snomed.info/sct code: '282144007' display: Able to walk subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_f254170000000000 effectiveDateTime: '2011-02-16T14:26:58+00:00' issued: '2011-02-16T14:26:58+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Walks a bit - resource: resourceType: Observation id: 5000000000000000_38fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_38fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2310431000000117' system: http://snomed.info/sct code: '66214007' display: Substance misuse text: Harmful substance use subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c854170000000000 effectiveDateTime: '2011-06-15T13:03:45+01:00' issued: '2011-06-15T13:03:45+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: Minor - resource: resourceType: Observation id: 5000000000000000_4ddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_4ddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2556961000000114' system: http://snomed.info/sct code: '1010271000000100' display: Faeces pH subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6.5 unit: pH - resource: resourceType: Observation id: 5000000000000000_5ddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_5ddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2582351000000118' system: http://snomed.info/sct code: '1010261000000107' display: 3 day faecal fat estimation subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 12 unit: umol/L comment: This is an entry from an OLD template referenceRange: - low: value: 0 high: value: 15 - resource: resourceType: Observation id: 5000000000000000_4bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_4bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '263316015' system: http://snomed.info/sct code: '169741004' display: Breast fed subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_3ddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_3ddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '263544015' system: http://snomed.info/sct code: '169915004' display: Apgar at 5 minutes = 5 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_6bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_6bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '77095011' system: http://snomed.info/sct code: '46230007' display: Gestation period, 40 weeks text: Full term gestation - 40 weeks subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_5bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_5bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '487747015' system: http://snomed.info/sct code: '364589006' display: Birth weight subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6 unit: Kg - resource: resourceType: Observation id: 5000000000000000_7bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_7bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '486936013' system: http://snomed.info/sct code: '363812007' display: Head circumference subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: cm - resource: resourceType: Observation id: 5000000000000000_2ddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_2ddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '263525010' system: http://snomed.info/sct code: '169897007' display: Apgar at 1 minute = 1 subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_1ddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_1ddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '446951015' system: http://snomed.info/sct code: '304598004' display: Postnatal examination finding text: Postnatal examination observations subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_c144170000000000 effectiveDateTime: '2011-09-02T17:06:33+01:00' issued: '2011-09-02T17:06:33+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: This is an OLD template - resource: resourceType: Observation id: 5000000000000000_9bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_9bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2575784012' system: http://snomed.info/sct code: '225323000' display: Smoking cessation education text: Smoking cessation advice subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b144170000000000 effectiveDateTime: '2011-09-02T17:19:41+01:00' issued: '2011-09-02T17:19:41+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_8bdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_8bdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344793011' system: http://snomed.info/sct code: '230056004' display: Cigarette consumption subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b144170000000000 effectiveDateTime: '2011-09-02T17:19:41+01:00' issued: '2011-09-02T17:19:41+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 6 unit: Cigs/day - resource: resourceType: Observation id: 5000000000000000_abdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_abdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344794017' system: http://snomed.info/sct code: '230057008' display: Cigar consumption subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b144170000000000 effectiveDateTime: '2011-09-02T17:19:41+01:00' issued: '2011-09-02T17:19:41+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 valueQuantity: value: 4 unit: cigars / day - resource: resourceType: Observation id: 5000000000000000_cbdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_cbdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Started smoking again after birth subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b144170000000000 effectiveDateTime: '2011-09-02T17:19:41+01:00' issued: '2011-09-02T17:19:41+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_bbdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_bbdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '128130017' system: http://snomed.info/sct code: '77176002' display: Smoker subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_b144170000000000 effectiveDateTime: '2011-09-02T17:19:41+01:00' issued: '2011-09-02T17:19:41+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_ebdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_ebdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2988805011' system: http://snomed.info/sct code: '225560002' display: Pressure ulcer of malleolus text: Pressure sore on malleolus subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a144170000000000 effectiveDateTime: '2011-09-02T17:24:42+01:00' issued: '2011-09-02T17:24:42+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_dbdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_dbdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '4666914011' system: http://snomed.info/sct code: '225559007' display: Pressure injury of elbow text: Pressure sore on elbow subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a144170000000000 effectiveDateTime: '2011-09-02T17:24:42+01:00' issued: '2011-09-02T17:24:42+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_0cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_0cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '4666958011' system: http://snomed.info/sct code: '225563000' display: Pressure injury of buttock text: Pressure sore on buttocks subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a144170000000000 effectiveDateTime: '2011-09-02T17:24:42+01:00' issued: '2011-09-02T17:24:42+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_fbdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_fbdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '4667175011' system: http://snomed.info/sct code: '225562005' display: Pressure injury of sacral region of back text: Pressure sore on sacrum subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_a144170000000000 effectiveDateTime: '2011-09-02T17:24:42+01:00' issued: '2011-09-02T17:24:42+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_7cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_7cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Screened By Hospital Clinic subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_6cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_6cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Direct Ophthalmoscopy subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_8cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_8cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: Suggest Referral To Ophthalmic Clinic subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_acdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_acdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: 'Education : Impotence' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: This is just another template recording - resource: resourceType: Observation id: 5000000000000000_9cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_9cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '294691000000115' system: http://snomed.info/sct code: '196411000000103' display: Transfer-degraded record entry text: 'Diabetes Education Completed : Any Other Problems' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: 5000000000000000_2cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_2cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '305821000000110' system: http://snomed.info/sct code: '201141000000103' display: No diabetic retinopathy subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Side: Left' - resource: resourceType: Observation id: 5000000000000000_1cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_1cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '253774010' system: http://snomed.info/sct code: '162811006' display: O/E - cataract present subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Side: Right' - resource: resourceType: Observation id: 5000000000000000_3cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_3cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '3780158017' system: http://snomed.info/sct code: '390834004' display: Nonproliferative retinopathy due to diabetes mellitus text: Background diabetic retinopathy subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Side: Left' - resource: resourceType: Observation id: 5000000000000000_5cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_5cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '60458019' system: http://snomed.info/sct code: '36228007' display: Ophthalmic examination and evaluation text: Examination of eye subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: This is the opthalmology template - resource: resourceType: Observation id: 5000000000000000_4cdb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_4cdb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '91232018' system: http://snomed.info/sct code: '54885007' display: Extraction of cataract text: Cataract extractions subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0144170000000000 effectiveDateTime: '2011-09-02T17:30:07+01:00' issued: '2011-09-02T17:30:07+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Side: Left' - resource: resourceType: Observation id: 5000000000000000_0edb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_0edb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1244170000000000 effectiveDateTime: '2011-09-13T11:02:09+01:00' issued: '2011-09-13T11:02:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Minor: 80' - resource: resourceType: Observation id: 5000000000000000_fddb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_fddb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '254070019' system: http://snomed.info/sct code: '163025002' display: O/E - BP reading normal subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2244170000000000 effectiveDateTime: '2011-09-13T11:03:03+01:00' issued: '2011-09-13T11:03:38+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 'Minor: 120 (New Episode)' - resource: resourceType: Observation id: 5000000000000000_a9eb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 5000000000000000_a9eb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '251998017' system: http://snomed.info/sct code: '161714006' display: Estimated date of delivery subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_4944170000000000 effectiveDateTime: '2011-09-22T00:00:00+01:00' issued: '2010-12-16T08:53:17+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Observation id: BP-4edb070000000000-3edb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-4edb070000000000-3edb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_3244170000000000 effectiveDateTime: '2010-07-20T11:10:09+01:00' issued: '2011-09-13T11:10:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading valueQuantity: value: 130 unit: mm[Hg] - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 70 unit: mm[Hg] - resource: resourceType: Observation id: BP-29db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-29db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0544170000000000 effectiveDateTime: '2010-10-01T00:00:00+01:00' issued: '2010-12-09T10:30:35+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading valueQuantity: value: 120 unit: mm[Hg] - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure dataAbsentReason: coding: - system: http://hl7.org/fhir/data-absent-reason code: unknown display: Unknown - resource: resourceType: Observation id: BP-09db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-09db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1544170000000000 effectiveDateTime: '2010-10-02T00:00:00+01:00' issued: '2010-12-09T10:30:35+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure dataAbsentReason: coding: - system: http://hl7.org/fhir/data-absent-reason code: unknown display: Unknown - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 90 unit: mm[Hg] - resource: resourceType: Observation id: BP-c8db070000000000-d8db070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-c8db070000000000-d8db070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_2544170000000000 effectiveDateTime: '2010-12-09T10:30:44+00:00' issued: '2010-12-09T10:30:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading valueQuantity: value: 110 unit: mm[Hg] - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 80 unit: mm[Hg] - resource: resourceType: Observation id: BP-61fb070000000000-51fb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-61fb070000000000-51fb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_d254170000000000 effectiveDateTime: '2011-02-16T14:19:44+00:00' issued: '2011-02-16T14:19:44+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading valueQuantity: value: 120 unit: mm[Hg] - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 90 unit: mm[Hg] - resource: resourceType: Observation id: BP-2edb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-2edb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1244170000000000 effectiveDateTime: '2011-09-13T11:02:09+01:00' issued: '2011-09-13T11:02:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure dataAbsentReason: coding: - system: http://hl7.org/fhir/data-absent-reason code: unknown display: Unknown - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 90 unit: mm[Hg] - resource: resourceType: Observation id: BP-eddb070000000000-1edb070000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: BP-eddb070000000000-1edb070000000000 status: final code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '125176019' system: http://snomed.info/sct code: '75367002' display: Blood pressure subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1244170000000000 effectiveDateTime: '2011-09-13T11:02:09+01:00' issued: '2011-09-13T11:02:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 component: - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '120159016' system: http://snomed.info/sct code: '72313002' display: Systolic arterial pressure text: O/E - Systolic BP reading valueQuantity: value: 120 unit: mm[Hg] - code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '2734671000000117' system: http://snomed.info/sct code: '1091811000000102' display: Diastolic arterial pressure text: O/E - Diastolic BP reading valueQuantity: value: 120 unit: mm[Hg] - resource: resourceType: Encounter id: '4000000000000000_8844170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_8844170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-08-17T15:00:29+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Problems - consultations related to problems code: coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1 code: problems-consultations-related-to-problems display: Problems - consultations related to problems subject: reference: Patient/f8ac400000000000 entry: - item: reference: Encounter/4000000000000000_8844170000000000 - item: reference: Encounter/4000000000000000_e444170000000000 - item: reference: Encounter/4000000000000000_97c8590000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: Encounter id: '4000000000000000_e444170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_e444170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-09T10:24:03+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: Encounter id: 4000000000000000_97c8590000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_97c8590000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/6d5e000000000000 period: start: '2020-09-18' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: ProcedureRequest id: 6100000000000000_02ae000000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 6100000000000000_02ae000000000000 status: active intent: plan code: text: Doppler (post-ulcer) 3 monthly subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_97c8590000000000 occurrencePeriod: start: '2020-02-29T00:00:00+00:00' end: '2021-03-31T00:00:00+01:00' authoredOn: '2020-09-18' requester: agent: reference: Practitioner/6d5e000000000000 note: - text: Linked to a problem authorReference: reference: Practitioner/6d5e000000000000 time: '2020-09-18T13:50:20+01:00' - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Problems - diary entries related to problems code: coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1 code: problems-diary-entries-related-to-problems display: Problems - diary entries related to problems subject: reference: Patient/f8ac400000000000 entry: - item: reference: ProcedureRequest/6100000000000000_02ae000000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: Encounter id: 4000000000000000_cc44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_cc44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_cc44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_cc44170000000000 date: '2011-02-16T12:18:48+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_cc44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_4665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_4665500000000000' status: active intent: plan code: text: CHD Monitoring subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_cc44170000000000 occurrencePeriod: start: '1901-01-01T00:00:00+00:00' end: '1901-01-01T00:00:00+00:00' authoredOn: '2011-02-16T12:18:48+00:00' requester: agent: reference: Practitioner/26f1000000000000 note: - text: This is the recall with the UNK set up date authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:18:48+00:00' - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Consultations - diary entries contained in consultations code: coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1 code: consultations-diary-entries-contained-in-consultations display: Consultations - diary entries contained in consultations subject: reference: Patient/f8ac400000000000 entry: - item: reference: ProcedureRequest/6100000000000000_4665500000000000 - item: reference: ProcedureRequest/6100000000000000_3665500000000000 - item: reference: ProcedureRequest/6100000000000000_5665500000000000 - item: reference: ProcedureRequest/6100000000000000_6665500000000000 - item: reference: ProcedureRequest/6100000000000000_7665500000000000 - item: reference: ProcedureRequest/6100000000000000_1665500000000000 - item: reference: ProcedureRequest/6100000000000000_2665500000000000 - item: reference: ProcedureRequest/6100000000000000_72ae000000000000 - item: reference: ProcedureRequest/6100000000000000_02ae000000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: List id: 4000000000000000_cc44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_cc44170000000000 date: '2011-02-16T12:18:48+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_4665500000000000 - resource: resourceType: Encounter id: '4000000000000000_3244170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_3244170000000000' status: finished type: - text: Clinical - Face to face subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-07-20T11:10:09+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_3244170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Clinical - Face to face code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3244170000000000 date: '2011-09-13T11:10:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_3244170000000000_T_0a1e640000000000 - resource: resourceType: List id: 4000000000000000_3244170000000000_T_0a1e640000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3244170000000000 date: '2011-09-13T11:10:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_3244170000000000_T_0a1e640000000000_Cat_H - resource: resourceType: List id: 4000000000000000_3244170000000000_T_0a1e640000000000_Cat_H meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: History code: coding: - system: http://snomed.info/sct code: '24781000000107' display: Category (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3244170000000000 date: '2011-09-13T11:10:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/4000000000000000_3244170000000000_T_0a1e640000000000_Cat_H_Nar - item: reference: Observation/BP-4edb070000000000-3edb070000000000 - resource: resourceType: Observation id: 4000000000000000_3244170000000000_T_0a1e640000000000_Cat_H_Nar meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_3244170000000000_T_0a1e640000000000_Cat_H_Nar status: final code: coding: - system: http://snomed.info/sct code: '37331000000100' display: Comment note subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_3244170000000000 effectiveDateTime: '2010-07-20T11:10:09+01:00' issued: '2011-09-13T11:10:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 130 / 70mmHg - resource: resourceType: List id: 4000000000000000_8844170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_8844170000000000 date: '2010-12-16T14:53:36+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_8844170000000000_NoTopic - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Consultations - medications contained in consultations code: coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1 code: consultations-medications-contained-in-consultations display: Consultations - medications contained in consultations subject: reference: Patient/f8ac400000000000 entry: - item: reference: MedicationStatement/1000000000000000_8b55c40000000000 - item: reference: MedicationStatement/1000000000000000_9b55c40000000000 - item: reference: MedicationStatement/1000000000000000_ab55c40000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: Condition id: f200000000000000_4e08000000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: f200000000000000_4e08000000000000 clinicalStatus: active category: - coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1 code: problem-list-item display: Problem List Item code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: descriptionId valueId: '344804017' system: http://snomed.info/sct code: '230065006' display: Chain smoker subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8844170000000000 onsetDateTime: '2010-08-17T00:00:00+01:00' assertedDate: '2010-12-16T14:53:36+00:00' asserter: reference: Practitioner/26f1000000000000 note: - text: This problem is connected to the Stop Smoking goal extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1 valueCode: minor - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: reference: Encounter/4000000000000000_8844170000000000 - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: display: Goal items are not supported by the provider system. - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: reference: Encounter/4000000000000000_e444170000000000 - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: reference: Observation/5000000000000000_8adb070000000000 - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: reference: Encounter/4000000000000000_97c8590000000000 - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1 valueReference: reference: ProcedureRequest/6100000000000000_02ae000000000000 - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Consultations - problems contained in consultations code: coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1 code: consultations-problems-contained-in-consultations display: Consultations - problems contained in consultations subject: reference: Patient/f8ac400000000000 entry: - item: reference: Condition/f200000000000000_4e08000000000000 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: List id: 4000000000000000_8844170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_8844170000000000 date: '2010-12-16T14:53:36+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Goal items are not supported by the provider system. - item: reference: MedicationRequest/1000000000000000_8b55c40000000000_order - item: reference: MedicationRequest/1000000000000000_9b55c40000000000_order - item: reference: MedicationRequest/1000000000000000_ab55c40000000000_order - item: reference: Observation/5000000000000000_67eb070000000000 - item: reference: Observation/5000000000000000_77eb070000000000 - item: reference: Observation/5000000000000000_57eb070000000000 - item: reference: Observation/5000000000000000_37eb070000000000 - item: reference: Observation/5000000000000000_47eb070000000000 - item: reference: Condition/f200000000000000_4e08000000000000 - resource: resourceType: Encounter id: 4000000000000000_8c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_8c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-09-02T12:27:25+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_8c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_8c44170000000000 date: '2011-02-16T12:27:25+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_8c44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_3665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_3665500000000000' status: active intent: plan code: text: 'Cytology Smear: Awaiting Result' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_8c44170000000000 occurrencePeriod: start: '2010-12-02T00:00:00+00:00' end: '2010-12-02T00:00:00+00:00' authoredOn: '2010-09-02T12:27:25+01:00' requester: agent: reference: Practitioner/26f1000000000000 note: - text: These are the notes on the smear recall authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:27:25+00:00' - resource: resourceType: List id: 4000000000000000_8c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_8c44170000000000 date: '2011-02-16T12:27:25+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_3665500000000000 - item: reference: Observation/5000000000000000_c5fb070000000000 - item: reference: Observation/5000000000000000_b5fb070000000000 - item: reference: Observation/5000000000000000_d5fb070000000000 - item: reference: Observation/5000000000000000_e5fb070000000000 - item: reference: Observation/5000000000000000_f5fb070000000000 - item: reference: Observation/5000000000000000_e4fb070000000000 - item: reference: Observation/5000000000000000_f4fb070000000000 - item: reference: Observation/5000000000000000_d4fb070000000000 - item: reference: Observation/5000000000000000_15fb070000000000 - item: reference: Observation/5000000000000000_05fb070000000000 - resource: resourceType: List id: 4000000000000000_e444170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e444170000000000 date: '2010-12-09T10:24:03+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_e444170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_e444170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e444170000000000 date: '2010-12-09T10:24:03+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_0adb070000000000 - item: reference: Observation/5000000000000000_f9db070000000000 - item: reference: Observation/5000000000000000_2adb070000000000 - item: reference: Observation/5000000000000000_1adb070000000000 - item: reference: Observation/5000000000000000_c9db070000000000 - item: reference: Observation/5000000000000000_b9db070000000000 - item: reference: Observation/5000000000000000_e9db070000000000 - item: reference: Observation/5000000000000000_d9db070000000000 - item: reference: Observation/5000000000000000_9adb070000000000 - item: reference: Observation/5000000000000000_8adb070000000000 - item: reference: Observation/5000000000000000_aadb070000000000 - item: reference: Observation/5000000000000000_cadb070000000000 - item: reference: Observation/5000000000000000_badb070000000000 - item: reference: Observation/5000000000000000_4adb070000000000 - item: reference: Observation/5000000000000000_3adb070000000000 - item: reference: Observation/5000000000000000_5adb070000000000 - item: reference: Observation/5000000000000000_7adb070000000000 - item: reference: Observation/5000000000000000_6adb070000000000 - item: reference: Observation/5000000000000000_99db070000000000 - item: reference: Observation/5000000000000000_a9db070000000000 - resource: resourceType: Encounter id: 4000000000000000_f444170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_f444170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-09T10:28:24+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_f444170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f444170000000000 date: '2010-12-09T10:28:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_f444170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_f444170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f444170000000000 date: '2010-12-09T10:28:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_69db070000000000 - item: reference: Observation/5000000000000000_79db070000000000 - item: reference: Observation/5000000000000000_89db070000000000 - item: reference: Observation/5000000000000000_59db070000000000 - item: reference: Observation/5000000000000000_39db070000000000 - item: reference: Observation/5000000000000000_19db070000000000 - item: reference: Observation/5000000000000000_49db070000000000 - resource: resourceType: Encounter id: '4000000000000000_2544170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_2544170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-09T10:30:44+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_2544170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2544170000000000 date: '2010-12-09T10:30:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_2544170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_2544170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2544170000000000 date: '2010-12-09T10:30:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_a4eb070000000000 - item: reference: Observation/5000000000000000_94eb070000000000 - item: reference: Observation/5000000000000000_e8db070000000000 - item: reference: Observation/5000000000000000_f8db070000000000 - item: reference: Observation/BP-c8db070000000000-d8db070000000000 - item: reference: Observation/5000000000000000_43eb070000000000 - item: reference: Observation/5000000000000000_73eb070000000000 - item: reference: Observation/5000000000000000_83eb070000000000 - item: reference: Observation/5000000000000000_53eb070000000000 - item: reference: Observation/5000000000000000_63eb070000000000 - item: reference: Observation/5000000000000000_e3eb070000000000 - item: reference: Observation/5000000000000000_d3eb070000000000 - item: reference: Observation/5000000000000000_04eb070000000000 - item: reference: Observation/5000000000000000_f3eb070000000000 - item: reference: Observation/5000000000000000_a3eb070000000000 - item: reference: Observation/5000000000000000_93eb070000000000 - item: reference: Observation/5000000000000000_c3eb070000000000 - item: reference: Observation/5000000000000000_b3eb070000000000 - item: reference: Observation/5000000000000000_64eb070000000000 - item: reference: Observation/5000000000000000_54eb070000000000 - item: reference: Observation/5000000000000000_84eb070000000000 - item: reference: Observation/5000000000000000_74eb070000000000 - item: reference: Observation/5000000000000000_24eb070000000000 - item: reference: Observation/5000000000000000_14eb070000000000 - item: reference: Observation/5000000000000000_44eb070000000000 - item: reference: Observation/5000000000000000_34eb070000000000 - item: reference: Observation/5000000000000000_58db070000000000 - item: reference: Observation/5000000000000000_68db070000000000 - item: reference: Observation/5000000000000000_38db070000000000 - item: reference: Observation/5000000000000000_48db070000000000 - item: reference: Observation/5000000000000000_78db070000000000 - item: reference: Observation/5000000000000000_a8db070000000000 - item: reference: Observation/5000000000000000_b8db070000000000 - item: reference: Observation/5000000000000000_88db070000000000 - item: reference: Observation/5000000000000000_98db070000000000 - resource: resourceType: Encounter id: '4000000000000000_6544170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_6544170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-09T11:21:25+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_6544170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_6544170000000000 date: '2010-12-09T11:21:25+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_6544170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_6544170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_6544170000000000 date: '2010-12-09T11:21:25+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Membership items are not supported by the provider system. - resource: resourceType: Encounter id: '4000000000000000_3944170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_3944170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-16T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_3944170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3944170000000000 date: '2010-12-16T08:53:10+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_3944170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_3944170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3944170000000000 date: '2010-12-16T08:53:10+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_89eb070000000000 - resource: resourceType: Encounter id: '4000000000000000_0944170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_0944170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-16T08:48:16+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_0944170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0944170000000000 date: '2010-12-16T08:48:16+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_0944170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_0944170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0944170000000000 date: '2010-12-16T08:48:16+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_f8eb070000000000 - item: reference: Observation/5000000000000000_09eb070000000000 - item: reference: Observation/5000000000000000_19eb070000000000 - item: reference: Observation/5000000000000000_e8eb070000000000 - item: reference: Observation/5000000000000000_b8eb070000000000 - item: reference: Observation/5000000000000000_c8eb070000000000 - item: reference: Observation/5000000000000000_d8eb070000000000 - item: reference: Observation/5000000000000000_a8eb070000000000 - resource: resourceType: Encounter id: '4000000000000000_1944170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_1944170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-16T08:50:01+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_1944170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1944170000000000 date: '2010-12-16T08:50:01+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_1944170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_1944170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1944170000000000 date: '2010-12-16T08:50:01+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_39eb070000000000 - item: reference: Observation/5000000000000000_29eb070000000000 - resource: resourceType: Encounter id: '4000000000000000_2944170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_2944170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-16T08:50:37+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_2944170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2944170000000000 date: '2010-12-16T08:50:37+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_2944170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_2944170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2944170000000000 date: '2010-12-16T08:50:37+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_59eb070000000000 - item: reference: Observation/5000000000000000_49eb070000000000 - item: reference: Observation/5000000000000000_69eb070000000000 - item: reference: Observation/5000000000000000_99eb070000000000 - item: reference: Observation/5000000000000000_79eb070000000000 - resource: resourceType: Encounter id: 4000000000000000_a844170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_a844170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-16T15:21:19+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_a844170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a844170000000000 date: '2010-12-16T15:21:19+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_a844170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_a844170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a844170000000000 date: '2010-12-16T15:21:19+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Relationship items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_ca44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_ca44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-23T09:21:17+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_ca44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ca44170000000000 date: '2010-12-23T09:21:16+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_ca44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_ca44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ca44170000000000 date: '2010-12-23T09:21:16+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_37fb070000000000 - item: reference: Observation/5000000000000000_27fb070000000000 - item: reference: Observation/5000000000000000_47fb070000000000 - item: reference: Observation/5000000000000000_67fb070000000000 - item: reference: Observation/5000000000000000_57fb070000000000 - item: reference: Observation/5000000000000000_0beb070000000000 - item: reference: Observation/5000000000000000_faeb070000000000 - item: reference: Observation/5000000000000000_1beb070000000000 - item: reference: Observation/5000000000000000_17fb070000000000 - item: reference: Observation/5000000000000000_07fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_da44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_da44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2010-12-23T09:33:27+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_da44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_da44170000000000 date: '2010-12-23T09:33:27+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_da44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_da44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_da44170000000000 date: '2010-12-23T09:33:27+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_5beb070000000000 - item: reference: Observation/5000000000000000_6beb070000000000 - item: reference: Observation/5000000000000000_4beb070000000000 - item: reference: Observation/5000000000000000_2beb070000000000 - item: reference: Observation/5000000000000000_3beb070000000000 - item: reference: Observation/5000000000000000_abeb070000000000 - item: reference: Observation/5000000000000000_bbeb070000000000 - item: reference: Observation/5000000000000000_9beb070000000000 - item: reference: Observation/5000000000000000_7beb070000000000 - item: reference: Observation/5000000000000000_8beb070000000000 - resource: resourceType: Encounter id: 4000000000000000_0d44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_0d44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_0d44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0d44170000000000 date: '2011-02-16T12:18:07+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_0d44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_5665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_5665500000000000' status: active intent: plan code: text: COPD subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_0d44170000000000 occurrencePeriod: start: '2012-01-01T00:00:00+00:00' end: '2012-01-01T00:00:00+00:00' authoredOn: '2011' requester: agent: reference: Practitioner/26f1000000000000 note: - text: This is the year only recall authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:18:07+00:00' - resource: resourceType: List id: 4000000000000000_0d44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0d44170000000000 date: '2011-02-16T12:18:07+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_5665500000000000 - resource: resourceType: Encounter id: '4000000000000000_e254170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_e254170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-01T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_e254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e254170000000000 date: '2011-02-16T14:26:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_e254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_e254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e254170000000000 date: '2011-02-16T14:26:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_71fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_fc44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_fc44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: 2011-02 location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_fc44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_fc44170000000000 date: '2011-02-16T12:17:22+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_fc44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_6665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_6665500000000000' status: active intent: plan code: text: 'Diabetes: Foot Check' subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_fc44170000000000 occurrencePeriod: start: '2012-02-01T00:00:00+00:00' end: '2012-02-01T00:00:00+00:00' authoredOn: 2011-02 requester: agent: reference: Practitioner/26f1000000000000 note: - text: This is the month and year recall authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:17:22+00:00' - resource: resourceType: List id: 4000000000000000_fc44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_fc44170000000000 date: '2011-02-16T12:17:22+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_6665500000000000 - resource: resourceType: Encounter id: '4000000000000000_0354170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_0354170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-02T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_0354170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0354170000000000 date: '2011-02-16T14:28:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_0354170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_0354170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0354170000000000 date: '2011-02-16T14:28:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_d1fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_b254170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_b254170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-02T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_b254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_b254170000000000 date: '2011-02-16T13:13:39+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_b254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_b254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_b254170000000000 date: '2011-02-16T13:13:39+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_e3fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_ec44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_ec44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-03' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_ec44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ec44170000000000 date: '2011-02-16T12:05:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_ec44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_7665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_7665500000000000' status: active intent: plan code: text: Influenza Vaccination subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_ec44170000000000 occurrencePeriod: start: '2011-06-11T00:00:00+01:00' end: '2011-06-11T00:00:00+01:00' authoredOn: '2011-02-03' requester: agent: reference: Practitioner/26f1000000000000 note: - text: This is the imms recall authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:05:24+00:00' - resource: resourceType: List id: 4000000000000000_ec44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ec44170000000000 date: '2011-02-16T12:05:24+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_7665500000000000 - resource: resourceType: Encounter id: '4000000000000000_1354170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_1354170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-03T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_1354170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1354170000000000 date: '2011-02-16T14:28:45+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_1354170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_1354170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1354170000000000 date: '2011-02-16T14:28:45+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_02fb070000000000 - resource: resourceType: Encounter id: '4000000000000000_3354170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_3354170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-09T00:00:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_3354170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3354170000000000 date: '2011-02-16T14:30:53+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_3354170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_3354170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3354170000000000 date: '2011-02-16T14:30:53+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_12fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_2c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_2c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-10T23:04:00+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_2c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2c44170000000000 date: '2011-02-16T13:04:37+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_2c44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_2c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2c44170000000000 date: '2011-02-16T13:04:37+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Minor Surgery items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_be44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_be44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T11:53:05+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_be44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_be44170000000000 date: '2011-02-16T11:53:05+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_be44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_be44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_be44170000000000 date: '2011-02-16T11:53:05+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Equipment Loan items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_ce44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_ce44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T11:58:57+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_ce44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ce44170000000000 date: '2011-02-16T11:58:57+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_ce44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_ce44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_ce44170000000000 date: '2011-02-16T11:58:57+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Confidential Note items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_dc44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_dc44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:01:54+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_dc44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_dc44170000000000 date: '2011-02-16T12:01:54+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_dc44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_1665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_1665500000000000' status: active intent: plan code: text: CKD subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_dc44170000000000 occurrencePeriod: start: '2011-12-10T00:00:00+00:00' end: '2011-12-10T00:00:00+00:00' authoredOn: '2011-02-16T12:01:54+00:00' requester: agent: reference: Practitioner/26f1000000000000 note: - text: This is the recall authorReference: reference: Practitioner/26f1000000000000 time: '2011-02-16T12:01:54+00:00' - resource: resourceType: List id: 4000000000000000_dc44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_dc44170000000000 date: '2011-02-16T12:01:54+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_1665500000000000 - resource: resourceType: Encounter id: 4000000000000000_bc44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_bc44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:20:33+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_bc44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_bc44170000000000 date: '2011-02-16T12:20:33+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_bc44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_bc44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_bc44170000000000 date: '2011-02-16T12:20:33+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Care Plan items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_9c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_9c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:26:35+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_9c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_9c44170000000000 date: '2011-02-16T12:26:35+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_9c44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_9c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_9c44170000000000 date: '2011-02-16T12:26:35+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_a5fb070000000000 - item: reference: Observation/5000000000000000_95fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_7c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_7c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:31:48+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_7c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_7c44170000000000 date: '2011-02-16T12:31:48+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_7c44170000000000_NoTopic - resource: resourceType: Observation id: 9300000000000000_d72e640000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 9300000000000000_d72e640000000000 status: final code: coding: - system: http://snomed.info/sct code: '37331000000100' display: Comment note subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_7c44170000000000 effectiveDateTime: '2011-02-16T12:31:48+00:00' issued: '2011-02-16T12:31:48+00:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: This is just a quick notes - resource: resourceType: List id: 4000000000000000_7c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_7c44170000000000 date: '2011-02-16T12:31:48+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/9300000000000000_d72e640000000000 - resource: resourceType: Encounter id: 4000000000000000_6c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_6c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:37:12+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_6c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_6c44170000000000 date: '2011-02-16T12:37:12+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_6c44170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_6c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_6c44170000000000 date: '2011-02-16T12:37:12+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_c4fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_3c44170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_3c44170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T12:59:49+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_3c44170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3c44170000000000 date: '2011-02-16T12:59:49+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_3c44170000000000_NoTopic - resource: resourceType: ProcedureRequest id: '6100000000000000_2665500000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '6100000000000000_2665500000000000' status: active intent: plan code: text: Contraception subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_3c44170000000000 occurrencePeriod: start: '2012-02-16T00:00:00+00:00' end: '2012-02-16T00:00:00+00:00' authoredOn: '2011-02-16T12:59:49+00:00' requester: agent: reference: Practitioner/26f1000000000000 - resource: resourceType: List id: 4000000000000000_3c44170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_3c44170000000000 date: '2011-02-16T12:59:49+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: ProcedureRequest/6100000000000000_2665500000000000 - item: display: Maternity Claim items are not supported by the provider system. - item: reference: Observation/5000000000000000_b4fb070000000000 - resource: resourceType: Encounter id: '4000000000000000_9254170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_9254170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T13:08:11+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_9254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_9254170000000000 date: '2011-02-16T13:08:07+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_9254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_9254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_9254170000000000 date: '2011-02-16T13:08:07+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_a4fb070000000000 - item: reference: Observation/5000000000000000_94fb070000000000 - item: reference: Observation/5000000000000000_84fb070000000000 - item: reference: Observation/5000000000000000_54fb070000000000 - item: reference: Observation/5000000000000000_64fb070000000000 - item: reference: Observation/5000000000000000_74fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_a254170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_a254170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T13:11:40+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_a254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a254170000000000 date: '2011-02-16T13:11:40+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_a254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_a254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a254170000000000 date: '2011-02-16T13:11:40+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_24fb070000000000 - item: reference: Observation/5000000000000000_14fb070000000000 - item: reference: Observation/5000000000000000_44fb070000000000 - item: reference: Observation/5000000000000000_34fb070000000000 - item: reference: Observation/5000000000000000_04fb070000000000 - item: reference: Observation/5000000000000000_c3fb070000000000 - item: reference: Observation/5000000000000000_b3fb070000000000 - item: reference: Observation/5000000000000000_f3fb070000000000 - item: reference: Observation/5000000000000000_d3fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_c254170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_c254170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T13:13:57+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_c254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c254170000000000 date: '2011-02-16T13:13:57+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_c254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_c254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c254170000000000 date: '2011-02-16T13:13:57+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_a3fb070000000000 - item: reference: Observation/5000000000000000_93fb070000000000 - item: reference: Observation/5000000000000000_83fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_d254170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_d254170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T14:19:44+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_d254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_d254170000000000 date: '2011-02-16T14:19:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_d254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_d254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_d254170000000000 date: '2011-02-16T14:19:44+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_73fb070000000000 - item: reference: Observation/5000000000000000_81fb070000000000 - item: reference: Observation/5000000000000000_91fb070000000000 - item: reference: Observation/5000000000000000_41fb070000000000 - item: reference: Observation/BP-61fb070000000000-51fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_f254170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_f254170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-02-16T14:26:58+00:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_f254170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f254170000000000 date: '2011-02-16T14:26:58+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_f254170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_f254170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f254170000000000 date: '2011-02-16T14:26:58+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_f1fb070000000000 - item: reference: Observation/5000000000000000_e1fb070000000000 - item: reference: Observation/5000000000000000_c1fb070000000000 - item: reference: Observation/5000000000000000_a1fb070000000000 - item: reference: Observation/5000000000000000_b1fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_c854170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_c854170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-06-15T13:03:45+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_c854170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c854170000000000 date: '2011-06-15T13:03:45+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_c854170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_c854170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c854170000000000 date: '2011-06-15T13:03:45+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_38fb070000000000 - resource: resourceType: Encounter id: 4000000000000000_c144170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_c144170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:06:33+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_c144170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c144170000000000 date: '2011-09-02T17:06:33+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_c144170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_c144170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_c144170000000000 date: '2011-09-02T17:06:33+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_4ddb070000000000 - item: reference: Observation/5000000000000000_5ddb070000000000 - item: reference: Observation/5000000000000000_4bdb070000000000 - item: reference: Observation/5000000000000000_3ddb070000000000 - item: reference: Observation/5000000000000000_6bdb070000000000 - item: reference: Observation/5000000000000000_5bdb070000000000 - item: reference: Observation/5000000000000000_7bdb070000000000 - item: reference: Observation/5000000000000000_2ddb070000000000 - item: reference: Observation/5000000000000000_1ddb070000000000 - resource: resourceType: Encounter id: 4000000000000000_b144170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_b144170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:19:41+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_b144170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_b144170000000000 date: '2011-09-02T17:19:41+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_b144170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_b144170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_b144170000000000 date: '2011-09-02T17:19:41+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_9bdb070000000000 - item: reference: Observation/5000000000000000_8bdb070000000000 - item: reference: Observation/5000000000000000_abdb070000000000 - item: reference: Observation/5000000000000000_cbdb070000000000 - item: reference: Observation/5000000000000000_bbdb070000000000 - resource: resourceType: Encounter id: 4000000000000000_a144170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_a144170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:24:42+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_a144170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a144170000000000 date: '2011-09-02T17:24:42+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_a144170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_a144170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_a144170000000000 date: '2011-09-02T17:24:42+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Subject Access request Status items are not supported by the provider system. - item: reference: Observation/5000000000000000_ebdb070000000000 - item: reference: Observation/5000000000000000_dbdb070000000000 - item: reference: Observation/5000000000000000_0cdb070000000000 - item: reference: Observation/5000000000000000_fbdb070000000000 - resource: resourceType: Encounter id: '4000000000000000_0144170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_0144170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:30:07+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_0144170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0144170000000000 date: '2011-09-02T17:30:07+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_0144170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_0144170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_0144170000000000 date: '2011-09-02T17:30:07+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_7cdb070000000000 - item: reference: Observation/5000000000000000_6cdb070000000000 - item: reference: Observation/5000000000000000_8cdb070000000000 - item: reference: Observation/5000000000000000_acdb070000000000 - item: reference: Observation/5000000000000000_9cdb070000000000 - item: reference: Observation/5000000000000000_2cdb070000000000 - item: reference: Observation/5000000000000000_1cdb070000000000 - item: reference: Observation/5000000000000000_3cdb070000000000 - item: reference: Observation/5000000000000000_5cdb070000000000 - item: reference: Observation/5000000000000000_4cdb070000000000 - resource: resourceType: Encounter id: 4000000000000000_f044170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_f044170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:32:05+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_f044170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f044170000000000 date: '2011-09-02T17:32:05+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_f044170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_f044170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_f044170000000000 date: '2011-09-02T17:32:05+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Care Plan Review items are not supported by the provider system. - resource: resourceType: Encounter id: '4000000000000000_e044170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_e044170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:36:44+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_e044170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e044170000000000 date: '2011-09-02T17:36:44+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_e044170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_e044170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_e044170000000000 date: '2011-09-02T17:36:44+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Care Plan Step items are not supported by the provider system. - resource: resourceType: Encounter id: 4000000000000000_d044170000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_d044170000000000 status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-02T17:38:54+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_d044170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_d044170000000000 date: '2011-09-02T17:38:54+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_d044170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_d044170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_d044170000000000 date: '2011-09-02T17:38:54+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: display: Scheduling Suspension items are not supported by the provider system. - resource: resourceType: Encounter id: '4000000000000000_1244170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_1244170000000000' status: finished type: - text: Clinical - Face to face subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-13T11:02:09+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 - location: display: Surgery serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_1244170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Clinical - Face to face code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1244170000000000 date: '2011-09-13T11:02:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_1244170000000000_T_f91e640000000000 - item: reference: List/4000000000000000_1244170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_1244170000000000_T_f91e640000000000 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1244170000000000 date: '2011-09-13T11:02:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_1244170000000000_T_f91e640000000000_Cat_H - resource: resourceType: List id: 4000000000000000_1244170000000000_T_f91e640000000000_Cat_H meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: History code: coding: - system: http://snomed.info/sct code: '24781000000107' display: Category (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1244170000000000 date: '2011-09-13T11:02:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/4000000000000000_1244170000000000_T_f91e640000000000_Cat_H_Nar - item: reference: Observation/BP-2edb070000000000 - item: reference: Observation/BP-eddb070000000000-1edb070000000000 - resource: resourceType: Observation id: 4000000000000000_1244170000000000_T_f91e640000000000_Cat_H_Nar meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: 4000000000000000_1244170000000000_T_f91e640000000000_Cat_H_Nar status: final code: coding: - system: http://snomed.info/sct code: '37331000000100' display: Comment note subject: reference: Patient/f8ac400000000000 context: reference: Encounter/4000000000000000_1244170000000000 effectiveDateTime: '2011-09-13T11:02:09+01:00' issued: '2011-09-13T11:02:09+01:00' performer: - reference: Practitioner/26f1000000000000 - reference: Organization/0100000000000000_0b00000000000000 comment: 120 / 120mmHg - resource: resourceType: List id: 4000000000000000_1244170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_1244170000000000 date: '2011-09-13T11:02:09+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_0edb070000000000 - resource: resourceType: Encounter id: '4000000000000000_2244170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_2244170000000000' status: finished type: - text: Admin - Face to face subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-13T11:03:03+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_2244170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin - Face to face code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2244170000000000 date: '2011-09-13T11:03:38+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_2244170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_2244170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_2244170000000000 date: '2011-09-13T11:03:38+01:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_fddb070000000000 - resource: resourceType: Encounter id: '4000000000000000_4944170000000000' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1 identifier: - system: https://tpp-uk.com/Id/ccs-id value: '4000000000000000_4944170000000000' status: finished type: - text: Admin subject: reference: Patient/f8ac400000000000 participant: - type: - coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1 code: REC display: recorder individual: reference: Practitioner/26f1000000000000 period: start: '2011-09-22T00:00:00+01:00' location: - location: reference: Location/0100000000000000_0b00000000000000 serviceProvider: reference: Organization/0100000000000000_0b00000000000000 - resource: resourceType: List id: 4000000000000000_4944170000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_4944170000000000 date: '2010-12-16T08:53:17+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: List/4000000000000000_4944170000000000_NoTopic - resource: resourceType: List id: 4000000000000000_4944170000000000_NoTopic meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot code: coding: - system: http://snomed.info/sct code: '25851000000105' display: Topic (EHR) subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_4944170000000000 date: '2010-12-16T08:53:17+00:00' orderedBy: coding: - system: http://hl7.org/fhir/list-order code: system display: Sorted by System entry: - item: reference: Observation/5000000000000000_a9eb070000000000 - resource: resourceType: List id: 4000000000000000_97c8590000000000_Topics meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Admin code: coding: - system: http://snomed.info/sct code: '325851000000107' display: Consultation subject: reference: Patient/f8ac400000000000 encounter: reference: Encounter/4000000000000000_97c8590000000000 date: '2020-09-18T13:50:20+01:00' orderedBy: coding: - 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resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Immunisations code: coding: - system: http://snomed.info/sct code: '1102181000000102' display: Immunisations subject: reference: Patient/f8ac400000000000 note: - text: Information not available emptyReason: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-ListEmptyReasonCode-1 code: no-content-recorded display: No Content Recorded extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1 valueCodeableConcept: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Patient recall administration code: coding: - system: http://snomed.info/sct code: '714311000000108' display: Patient recall administration subject: reference: Patient/f8ac400000000000 note: - 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resource: resourceType: Patient id: 04603d77-1a4e-4d63-b246-d7504f8bd833 meta: versionId: '1469448000000' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: registrationPeriod valuePeriod: start: '1962-07-13T00:00:00+00:00' identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9999999999' active: true name: - use: official text: JACKSON Jane (Miss) family: Jackson given: - Jane prefix: - Miss telecom: - system: phone value: '01454587554' use: home gender: female birthDate: '1952-05-31' address: - use: home type: physical line: - Cable Place - Roundhay city: Leeds district: West Yorkshire postalCode: LS1 5HT generalPractitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 managingOrganization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb - 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coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1 code: R0260 display: General Medical Practitioner - resource: resourceType: List meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1 status: current mode: snapshot title: Medication List code: coding: - code: '933361000000108' display: Medications and medical devices system: http://snomed.info/sct subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 date: '2018-03-01T10:57:34+00:00' orderedBy: coding: - code: event-date system: http://hl7.org/fhir/list-order entry: - item: reference: MedicationStatement/6bff710a-0bdc-4c9b-b98b-40db0a107edc - item: reference: MedicationStatement/791ceb40-db0a-491d-ab0f-22f5a08509fd - resource: resourceType: MedicationStatement id: 6bff710a-0bdc-4c9b-b98b-40db0a107edc meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1 valueDateTime: '2016-05-10' - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1 code: prescribed-at-gp-practice display: Prescribed at GP practice identifier: - system: https://provider.nhs.uk/data-identifier value: '13426283749629' basedOn: reference: MedicationRequest/7e68abae-a50a-4dd2-8445-7a2aa9936bee status: completed medicationReference: reference: Medication/c260b451-9821-42de-81f9-ba86dcea2c32 effectiveDateTime: '2016-05-10' dateAsserted: '2016-05-10' subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 taken: unk note: - text: 'Pharmacy Notes: NOTES FOR PHARMACY' dosage: - patientInstruction: INSTRUCTIONS FOR PATIENT text: TAKE ONE DAILY - resource: resourceType: MedicationStatement id: 791ceb40-db0a-491d-ab0f-22f5a08509fd meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1 extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatementLastIssueDate-1 valueDateTime: '2016-09-11' - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1 code: prescribed-at-gp-practice display: Prescribed at GP practice identifier: - system: https://provider.nhs.uk/data-identifier value: '23426283749629' basedOn: reference: MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c status: active medicationReference: reference: Medication/8b339981-e9be-4e37-bf03-799295a6aec8 effectivePeriod: start: '2016-08-11' dateAsserted: '2016-08-11' subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 taken: unk note: - text: SOME NOTES dosage: - patientInstruction: INSTRUCTIONS FOR PATIENT text: TAKE ONE DAILY - resource: resourceType: MedicationRequest id: 8e078d04-8312-433a-b6b4-46bf52542b0c meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://provider.nhs.uk/data-identifier value: '53426283749629' groupIdentifier: value: urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75 status: active intent: plan medicationReference: reference: Medication/8b339981-e9be-4e37-bf03-799295a6aec8 subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 authoredOn: '2016-08-11' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 note: - text: NOTES FOR PHARMACY dosageInstruction: - patientInstruction: INSTRUCTIONS FOR PATIENT text: TAKE ONE 3 TIMES/DAY dispenseRequest: expectedSupplyDuration: code: - d value: '28' unit: day system: http://unitsofmeasure.org quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: tablets(s) value: '84' validityPeriod: start: '2016-08-11' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationRepeatInformation-1 extension: - url: numberOfRepeatPrescriptionsAllowed valuePositiveInt: 5 - url: numberOfRepeatPrescriptionsIssued valuePositiveInt: 2 - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - code: repeat display: Repeat system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 - resource: resourceType: MedicationRequest id: 8afe3af9-995d-4ccc-9211-f8c2620be670 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://provider.nhs.uk/data-identifier value: '63426283749629' basedOn: reference: MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c groupIdentifier: value: urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75 status: completed intent: order medicationReference: reference: Medication/8b339981-e9be-4e37-bf03-799295a6aec8 subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 authoredOn: '2016-08-11' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 note: - text: NOTES FOR PHARMACY dosageInstruction: - patientInstruction: INSTRUCTIONS FOR PATIENT text: TAKE ONE 3 TIMES/DAY dispenseRequest: expectedSupplyDuration: code: - d value: '28' unit: day system: http://unitsofmeasure.org quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: tablet(s) value: '84' validityPeriod: start: '2016-08-11' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - code: repeat display: Repeat system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 - resource: resourceType: MedicationRequest id: a946012a-283b-46c4-8312-e1312a54ab9c meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1 identifier: - system: https://provider.nhs.uk/data-identifier value: '73426283749629' basedOn: reference: MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c groupIdentifier: value: urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75 status: completed intent: order medicationReference: reference: Medication/8b339981-e9be-4e37-bf03-799295a6aec8 subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 authoredOn: '2016-09-11' recorder: reference: PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 note: - text: NOTES FOR PHARMACY dosageInstruction: - patientInstruction: INSTRUCTIONS FOR PATIENT text: TAKE ONE 3 TIMES/DAY dispenseRequest: expectedSupplyDuration: code: - d value: '28' unit: day system: http://unitsofmeasure.org quantity: extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1 valueString: tablet(s) value: '84' validityPeriod: start: '2016-09-11' extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1 valueCodeableConcept: coding: - code: repeat display: Repeat system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 - resource: resourceType: Medication meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1 id: c260b451-9821-42de-81f9-ba86dcea2c32 code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '56966201000001112' display: Amoxicillin 250mg capsules code: '323509004' system: http://snomed.info/sct - resource: resourceType: Medication id: 8b339981-e9be-4e37-bf03-799295a6aec8 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1 code: coding: - extension: - url: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid extension: - url: DescriptionID valueId: '462888013' - url: DescriptionDisplay valueString: Aspirin 75mg dispersible tablet display: Aspirin 75mg dispersible tablets code: '319773006' system: http://snomed.info/sct 4XX: description: | An error occured as follows: | HTTP Status | Spine error code | Description | | ----------- | ------------------ | ----------- | | 422 | INVALID_PARAMETER | The start date of the consultationSearchPeriod part parameter is greater than the end date | | 422 | INVALID_PARAMETER | The start date of the consultationSearchPeriod part parameter is greater than the current date | | 404 | PATIENT_NOT_FOUND | The request is for the record of a non-Regular/GMS patient (i.e. the patient's registered practice is somewhere else) | | 404 | PATIENT_NOT_FOUND | The request is for the record of an inactive or deceased patient | | 404 | PATIENT_NOT_FOUND | The request is for a sensitive patient | | 422 | INVALID_RESOURCE | The provider could not parse the Parameters resource | | 404 | PATIENT_NOT_FOUND | The patient's NHS number in the provider system is not associated with a NHS number status indicator code of 'Number present and verified' | | 400 | INVALID_NHS_NUMBER | The patientNHSNumber parameter value is invalid, for example it fails format or check digit tests | | 422 | INVALID_PARAMETER | The patientNHSNumber parameter is not provided | | 422 | INVALID_PARAMETER | The medicationSearchFromDate part parameter is greater than the current date | | 422 | INVALID_PARAMETER | The medicationSearchFromDate part parameter contains a partial date, or has a value containing a time or offset component | | 422 | INVALID_PARAMETER | The investigationSearchPeriod parameter value contains a partial date, or has a value containing a time or offset component | | 422 | INVALID_PARAMETER | The includeAllergies parameter is passed without the corresponding includeResolvedAllergies part parameter | | 422 | INVALID_PARAMETER | The filterStatus part parameter contains a value other than active or inactive | | 422 | INVALID_PARAMETER | The filterSignificance part parameter contains a value other than major or minor | | 422 | INVALID_PARAMETER | The diaryEntriesSearchDate part parameter is less than the current date | | 422 | INVALID_PARAMETER | The diaryEntriesSearchDate part parameter contains a partial date, or has a value containing a time or offset component | | 422 | INVALID_RESOURCE | The consultationSearchPeriod and includeNumberOfMostRecent part parameters are both populated | | 422 | INVALID_RESOURCE | The Parameters resource passed does not conform to that specified in the GPConnect-GetStructuredRecord-Operation-1 OperationDefinition | | 422 | INVALID_PARAMETER | No recognised parameters are provided | | 404 | PATIENT_NOT_FOUND | A patient could not be found matching the patientNHSNumber provided | | 404 | INVALID_PARAMETER | A part parameter is passed without a value | | 404 | INVALID_PARAMETER | A combination of parameters is included that isn't permitted | content: application/fhir+json: schema: type: object description: Link to GPConnect-OperationOutcome-1 resource population guidance [here](https://simplifier.net/guide/gpconnect-data-model/Home/FHIR-Assets/All-assets/Profiles/Profile--GPConnect-OperationOutcome-1?version=current). examples: example: value: resourceType: OperationOutcome meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-OperationOutcome-1 issue: - severity: error code: value details: coding: - system: https://fhir.nhs.uk/STU3/ValueSet/Spine-ErrorOrWarningCode-1 code: INVALID_NHS_NUMBER display: Invalid NHS Number /documents/Patient/{id}: get: operationId: get-document-patient summary: Find a patient by NHS number on the Access Document FHIR server description: > Use this endpoint to find a Patient. If searching for a Patient's document this endpoint must be used to obtain the correct patient id from the provider system. No request body is required for this endpoint. parameters: - $ref: "#/components/parameters/BearerAuthorization" - $ref: "#/components/parameters/CorrelationID" - $ref: "#/components/parameters/RequestID" - in: path name: id description: The NHS Number of the patient you are searching for. schema: type: string example: 9000000009 required: true responses: '200': description: > This endpoint returns a Patient resource. content: application/fhir+json: schema: type: object description: The response will be a populated Patient resource. example: resourceType: Bundle type: searchset entry: - resource: resourceType: Patient id: '2' meta: versionId: '1469448000000' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: preferredBranchSurgery valueReference: reference: Location/785b4ff5-aced-4bdf-b7ed-34f92131ce97 - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1 extension: - url: language valueCodeableConcept: coding: - system: https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-HumanLanguage-1 code: bn display: Bengali - url: interpreterRequired valueBoolean: false identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9476719931' active: true name: - use: official text: JACKSON Jane (Miss) family: Jackson given: - Jane prefix: - Miss telecom: - system: phone value: '01454587554' use: home gender: female birthDate: '1952-05-31' address: - use: home type: physical line: - Trevelyan Square - Boar Ln city: Leeds district: West Yorkshire postalCode: LS1 6AE managingOrganization: reference: Organization/14 4XX: description: | An error occured as follows: | HTTP Status | Spine error code | Description | | ----------- | ---------------- | ----------- | | 422 | INVALID_PARAMETER | The identifier parameter is not provided | | 422 | INVALID_PARAMETER | The identifier parameter contains a missing or unrecognised system | | 400 | INVALID_NHS_NUMBER | The NHS number provided is invalid, for example it fails format or check digit tests | content: application/fhir+json: schema: type: object description: Link to GPConnect-OperationOutcome-1 resource population guidance [here](https://simplifier.net/guide/gpconnect-data-model/Home/FHIR-Assets/All-assets/Profiles/Profile--GPConnect-OperationOutcome-1?version=current). examples: example: value: resourceType: OperationOutcome meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-OperationOutcome-1 issue: - severity: error code: value details: coding: - system: https://fhir.nhs.uk/STU3/ValueSet/Spine-ErrorOrWarningCode-1 code: INVALID_NHS_NUMBER display: Invalid NHS Number /documents/Binary/{id}: get: operationId: get-document summary: Get a specific document from a GP practice description: > Use this endpoint to retrieve a specific document using the id. The NHS number of the patient is also required as a query string parameter. No request body is required for this endpoint. parameters: - $ref: "#/components/parameters/BearerAuthorization" - $ref: "#/components/parameters/CorrelationID" - $ref: "#/components/parameters/RequestID" - in: path name: id description: The id of the document you are searching for. schema: type: string example: 07a6483f-732b-461e-86b6-edb665c45510 required: true - in: query name: patientNHSNumber description: The NHS number of the patient to whom the document belongs. required: true schema: type: string example: '9000000009' responses: '200': description: > A successful response to retrieve a document. This will return a document in encoded base 64. content: application/fhir+json: schema: type: object description: The response will be a populated Binary resource. example: resourceType: Binary id: 07a6483f-732b-461e-86b6-edb665c45510 contentType: application/msword content: 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4XX: description: | An error occured as follows: | HTTP Status | Spine error code | Description | | ----------- | ---------------- | ----------- | | 400 | INVALID_NHS_NUMBER | The NHS number provided is invalid, for example it fails format or check digit tests | | 404 | NO_RECORD_FOUND | A document could not be found with the document id provided | | 404 | NO_RECORD_FOUND | The document could not be retrieved due to it exceeding the file size limit | | 422 | INVALID_PARAMETER | The patientNHSNumber parameter is not provided | content: application/fhir+json: schema: type: object description: Link to GPConnect-OperationOutcome-1 resource population guidance [here](https://simplifier.net/guide/gpconnect-data-model/Home/FHIR-Assets/All-assets/Profiles/Profile--GPConnect-OperationOutcome-1?version=current). examples: example: value: resourceType: OperationOutcome meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-OperationOutcome-1 issue: - severity: error code: not-found details: coding: - system: https://fhir.nhs.uk/STU3/ValueSet/Spine-ErrorOrWarningCode-1 code: NO_RECORD_FOUND display: No record found /Patient/{id}/DocumentReference: get: operationId: search-document summary: Search for a patients documents description: > Use this endpoint to search for a patients documents from a GP Practice. Use the patient id obtained from the /documents/Patient/{id} endpoint (NOT NHS Number). The NHS number of the patient is also required as a query string parameter. Details on the included parameters can be found below. These parameters must be used to reduce the number of API calls. parameters: - $ref: "#/components/parameters/BearerAuthorization" - $ref: "#/components/parameters/CorrelationID" - $ref: "#/components/parameters/RequestID" - in: path name: id description: The id of the patient obtained by using the /documents/Patient/{id} endpoint using their NHS Number. This can vary depending on GP provider system. schema: type: string example: 9d43831b-b2c7-4f8f-b5b5-1d9429acf5fb required: true - in: query name: patientNHSNumber description: The NHS number of the patient for whom documents are being searched. required: true schema: type: string example: '9000000009' - in: query name: _include description: | DocumentReference:subject:Patient - Include Patient resources referenced within the returned DocumentReference resources DocumentReference:custodian:Organization - Details of organisations that are custodians for the documents that are returned in DocumentReference resources DocumentReference:author:Organization - Details of organisations that authored the documents that are returned in DocumentReference resources DocumentReference:author:Practitioner - Details of who/what authored the documents that are returned in DocumentReference resources required: false schema: type: array items: type: string enum: - DocumentReference:subject:Patient - DocumentReference:custodian:Organization - DocumentReference:author:Organization - DocumentReference:author:Practitioner - in: query name: _revinclude:recurse description: PractitionerRole:practitioner Include PractitionerRole resources referenced from matching Practitioner resources schema: type: array items: type: string enum: - PractitionerRole:practitioner required: false - in: query name: created description: > The created date yyyy-mm-dd. To use a range use authored-on=geyyyy-mm-dd&authored-on=leyyyy-mm-dd required: false schema: type: string examples: exact date: value: eq2010-10-22 description: Exact match date greater than or equals: value: g2022-01-15 description: Greater than or equals which matches 2022-01-15 or 2022-01-16 less than or equals: value: le2022-01-15 description: Less than or equals which matches 2022-01-15 or 2022-01-14 - in: query name: author description: > Who/what authored the documents that are returned required: false schema: type: string example: https://fhir.nhs.uk/Id/sds-user-id|G13579135 - in: query name: description description: > The description of the document that is returned required: false schema: type: string example: Discharge Summary responses: '200': description: > This endpoint returns a bundle containing relevant documents. content: application/fhir+json: schema: type: object description: The response will be a populated Binary resource. example: resourceType: Bundle meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Searchset-Bundle-1 type: searchset entry: - fullUrl: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 resource: resourceType: Patient id: 04603d77-1a4e-4d63-b246-d7504f8bd833 meta: versionId: '1469448000000' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1 extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1 extension: - url: registrationPeriod valuePeriod: start: '1962-07-13T00:00:00+00:00' identifier: - extension: - url: https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1 valueCodeableConcept: coding: - system: https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1 code: '01' display: Number present and verified system: https://fhir.nhs.uk/Id/nhs-number value: '9999999999' active: true name: - use: official text: JACKSON Jane (Miss) family: Jackson given: - Jane prefix: - Miss telecom: - system: phone value: '01454587554' use: home gender: female birthDate: '1952-05-31' address: - use: home type: physical line: - Cable Place - Roundhay city: Leeds district: West Yorkshire postalCode: LS1 5HT generalPractitioner: - reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 managingOrganization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb - fullUrl: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/DocumentReference/27863182736 resource: resourceType: DocumentReference id: '27863182736' meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DocumentReference-1 masterIdentifier: system: LocalSystem/1 value: bb2374e2-dde2-11e9-9d36-2a2ae2dbcce4 identifier: - system: https://fhir.nhs.uk/Id/cross-care-setting-identifier value: bb237762-dde2-11e9-9d36-2a2ae2dbcce4 status: current type: coding: - system: http://snomed.info/sct code: '824331000000106' display: Inpatient final discharge letter subject: reference: Patient/04603d77-1a4e-4d63-b246-d7504f8bd833 created: '2019-06-24T09:35:00+11:00' indexed: '2019-07-02T09:43:41+11:00' author: - reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 description: Discharge Summary content: - attachment: contentType: application/msword url: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/Binary/07a6483f-732b-461e-86b6-edb665c45510 size: 3654 context: practiceSetting: coding: - system: http://snomed.info/sct code: '1060971000000108' display: General practice service encounter: reference: Encounter/4 - fullUrl: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/Organization/db67f447-b30d-442a-8e31-6918d1367eeb resource: resourceType: Organization id: db67f447-b30d-442a-8e31-6918d1367eeb meta: versionId: '636064088098730113' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1 identifier: - system: https://fhir.nhs.uk/Id/ods-organization-code value: O001 name: The Trevelyan Practice address: - line: - Trevelyan Square - Boar Ln city: Leeds district: West Yorkshire postalCode: LS1 6AE telecom: - system: phone value: '03003035678' use: work - fullUrl: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 resource: resourceType: Practitioner id: 6c41ebfd-57c3-4162-9d7b-208c171a2fd7 meta: versionId: '1469448000000' lastUpdated: '2016-07-25T12:00:00.000+00:00' profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1 identifier: - system: https://fhir.nhs.uk/Id/sds-user-id value: G13579135 name: - use: usual family: Gilbert given: - Nichole prefix: - Miss gender: female - fullUrl: http://exampleGPSystem.co.uk/GP0001/STU3/1/gpconnect-documents/PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21 resource: resourceType: PractitionerRole id: e0244de8-07ef-4274-9f7a-d7067bcc8d21 meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1 practitioner: reference: Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7 organization: reference: Organization/db67f447-b30d-442a-8e31-6918d1367eeb code: - coding: - system: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1 code: R0260 display: General Medical Practitioner 4XX: description: | An error occured as follows: | HTTP Status | Spine error code | Description | | ----------- | ---------------- | ----------- | | 400 | INVALID_PARAMETER | The author query parameter contains an identifier other than an ODS code | | 400 | INVALID_PARAMETER | The request does not contain the mandatory _include parameters | | 400 | INVALID_NHS_NUMBER | The NHS number provided is invalid, for example it fails format or check digit tests | | 404 | PATIENT_NOT_FOUND | A patient could not be found with the patient id provided | | 404 | PATIENT_NOT_FOUND | The request is for the record of an inactive or deceased patient | | 404 | PATIENT_NOT_FOUND | The request is for the record of a non-Regular/GMS patient (i.e. the patient's registered practice is somewhere else) | | 404 | PATIENT_NOT_FOUND | The patient's NHS number in the provider system is not associated with a NHS number status indicator code of 'Number present and verified' | | 404 | PATIENT_NOT_FOUND | The request is for a sensitive Patient | | 422 | INVALID_PARAMETER | The patientNHSNumber parameter is not provided | content: application/fhir+json: schema: type: object description: Link to GPConnect-OperationOutcome-1 resource population guidance [here](https://simplifier.net/guide/gpconnect-data-model/Home/FHIR-Assets/All-assets/Profiles/Profile--GPConnect-OperationOutcome-1?version=current). examples: example: value: resourceType: OperationOutcome meta: profile: - https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-OperationOutcome-1 issue: - severity: error code: not-found details: coding: - system: https://fhir.nhs.uk/STU3/ValueSet/Spine-ErrorOrWarningCode-1 code: PATIENT_NOT_FOUND display: No patient found components: parameters: BearerAuthorization: in: header name: Authorization description: | An [OAuth 2.0 bearer token](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis). Required in all environments except sandbox. required: true schema: type: string format: '^Bearer\ [[:ascii:]]+$' example: 'Bearer g1112R_ccQ1Ebbb4gtHBP1aaaNM' CorrelationID: in: header name: X-Correlation-ID required: false description: | An optional ID which you can use to track transactions across multiple systems. It can have any value, but we recommend avoiding `.` characters. Mirrored back in a response header. schema: type: string example: 11C46F5F-CDEF-4865-94B2-0EE0EDCC26DA RequestID: in: header name: X-Request-ID required: true description: | A globally unique identifier (GUID) for the request, which we use to de-duplicate repeated requests and to trace the request if you contact our helpdesk. Must be a universally unique identifier (UUID) (ideally version 4). In the use case of accessing a patient's record, this UUID must be used as the id of the bundle returned. Mirrored back in a response header. If you re-send a failed request, use the same value in this header. Required in all environments except sandbox. schema: type: string pattern: '^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$' example: 60E0B220-8136-4CA5-AE46-1D97EF59D068