Problems
FHIR Problems Examples
Access Record Structured FHIR examples for Problems.
Request
Example of a call to return the following items from a patient's structured record:
- Problems
Request payload
{ "resourceType": "Parameters", "parameter": [ { "name": "patientNHSNumber", "valueIdentifier": { "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9465701262" } }, { "name": "includeProblems" }, ] }
Response payload
{ "resourceType": "Bundle", "id": "219b7cb8-da9e-447a-b279-82be7a3299da", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1" ] }, "type": "collection", "entry": [ { "resource": { "resourceType": "List", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1" ] }, "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" } ] } }, { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ListWarningCode-1", "valueCode": "confidential-items" }, { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ListWarningCode-1", "valueCode": "data-in-transit" } ], "status": "current", "mode": "snapshot", "title": "Problems", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "717711000000103", "display": "Problems" } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "date": "2021-06-16T13:32:43.056+00:00", "orderedBy": { "coding": [ { "system": "http://hl7.org/fhir/list-order", "code": "event-date", "display": "Sorted by Event Date" } ] }, "note": [ { "text": "Items excluded due to confidentiality and/or patient preferences. Patient record transfer from previous GP practice not yet complete; information recorded before 15-Oct-2020 may be missing." } ], "entry": [ { "item": { "reference": "Condition/9569AEF5-9527-4F6A-8EFB-417D0AB3E6B6-PROB" } }, { "item": { "reference": "Condition/3BC1331C-7C74-40D8-8576-0C990119514C-PROB" } }, { "item": { "reference": "Condition/0DAFB800-AA02-446C-9A9B-5860E9ADA3E0-PROB" } }, { "item": { "reference": "Condition/2BE35191-475E-4D5A-8CC8-EB769562B566-PROB" } }, { "item": { "reference": "Condition/F6FCF37E-F5D9-46FB-B39A-F94C32A69B11-PROB" } }, { "item": { "reference": "Condition/9A8BF064-43AC-462E-BB0A-AABD1FEF0B68-PROB" } }, { "item": { "reference": "Condition/FACC8DEB-9D81-476D-AA42-B90F56FF1846-PROB" } }, { "item": { "reference": "Condition/D92BE3A5-A8F5-472B-831F-455786BB4A9F-PROB" } }, { "item": { "reference": "Condition/828198DE-51DC-412D-B407-8E3253D14A18-PROB" } }, { "item": { "reference": "Condition/5EA6E5BC-96BF-403D-B4B2-3771F3791B7B-PROB" } }, { "item": { "reference": "Condition/FBDBFCEA-B088-4EE0-AC53-B36647E878A1-PROB" } }, { "item": { "reference": "Condition/BA875AB4-958F-4E9C-A5AC-B5BB6C4A077C-PROB" } }, { "item": { "reference": "Condition/D50E2934-E2C2-4C5C-8E79-294C7F79BD4A-PROB" } }, { "item": { "reference": "Condition/160827C3-6CC2-4816-8DEE-4A234746FA7B-PROB" } }, { "item": { "reference": "Condition/7499F1D6-5C58-43A0-8D0D-823CA7BD15B7-PROB" } }, { "item": { "reference": "Condition/6DEC4C76-9A0C-4E03-A1D1-51A7F87A2DA2-PROB" } }, { "item": { "reference": "Condition/82ACCC6C-D367-40B5-A4D3-ABA26E7363BD-PROB" } } ] } }, { "resource": { "resourceType": "Patient", "id": "144A1A2E-B3B3-4A66-B33B-148A5B75959D", "meta": { "versionId": "1624651194859004536", "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/EB3994A6-5A87-4B53-A414-913137072F57" } } ] } ], "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" } ], "text": "Number present and verified" } } ], "system": "https://fhir.nhs.uk/Id/nhs-number", "value": "9465701262" } ], "name": [ { "use": "official", "family": "Meyers", "given": [ "Yannis", "Rafal" ], "prefix": [ "Mr" ] } ], "gender": "male", "birthDate": "1946-04-10", "address": [ { "use": "home", "type": "physical", "line": [ "Roxton", "West Marsh Lane", "Barrow Haven" ], "city": "Barrow-Upon-Humber", "district": "S Humberside", "postalCode": "DN19 7HA" } ], "generalPractitioner": [ { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" } ], "managingOrganization": { "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" } } }, { "resource": { "resourceType": "Condition", "id": "9569AEF5-9527-4F6A-8EFB-417D0AB3E6B6-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "Immunization/9569AEF5-9527-4F6A-8EFB-417D0AB3E6B6" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "minor" } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D9569AEF595274F6A8EFB417D0AB3E6B6PROB" } ], "clinicalStatus": "inactive", "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.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "2533976011" }, { "url": "descriptionDisplay", "valueString": "First diphtheria tetanus and five component acellular pertussis, haemophilus influenzae type b, inactivated polio vaccination" } ] } ], "system": "http://snomed.info/sct", "code": "414259000", "display": "Administration of first dose of diphtheria and Haemophilus influenza B and five component acellular pertussis and inactivated poliomyelitis and tetanus vaccine", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "assertedDate": "2020-11-18T13:56:52.87+00:00", "asserter": { "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73" }, "note": [ { "text": "historical date\nhistorical date" } ] } }, { "resource": { "resourceType": "Condition", "id": "3BC1331C-7C74-40D8-8576-0C990119514C-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "Observation/3BC1331C-7C74-40D8-8576-0C990119514C" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/47BE9D54-A8A0-46DA-A0A8-A51C794777FE" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "minor" } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "E4AA89361BF14A4BAD332A119C2BD6F83BC1331C7C7440D885760C990119514CPROB" } ], "clinicalStatus": "inactive", "category": [ { "coding": [ { "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1", "code": "problem-list-item", "display": "Problem List Item" } ] } ], "code": { "coding": [ { "system": "http://read.info/readv2", "code": "E205.11", "display": "Nervous exhaustion", "userSelected": true }, { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "677031000006115" }, { "url": "descriptionDisplay", "valueString": "Nervous exhaustion" } ] } ], "system": "http://snomed.info/sct", "code": "78667006", "display": "Dysthymia" } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2006-04-25", "assertedDate": "2021-01-12T13:18:55.157+00:00", "asserter": { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } } }, { "resource": { "resourceType": "Condition", "id": "0DAFB800-AA02-446C-9A9B-5860E9ADA3E0-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "AllergyIntolerance/0DAFB800-AA02-446C-9A9B-5860E9ADA3E0" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "major" } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D0DAFB800AA02446C9A9B5860E9ADA3E0PROB" } ], "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.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "442112014" }, { "url": "descriptionDisplay", "valueString": "Latex allergy" } ] } ], "system": "http://snomed.info/sct", "code": "300916003", "display": "Allergy to latex", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2019", "assertedDate": "2021-03-26T11:15:05.483+00:00", "asserter": { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" } } }, { "resource": { "resourceType": "Condition", "id": "2BE35191-475E-4D5A-8CC8-EB769562B566-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "Observation/2BE35191-475E-4D5A-8CC8-EB769562B566" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "DocumentReference/7189F0C8-639C-45BB-806F-7E156DABA151" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "minor" }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1", "extension": [ { "url": "type", "valueCode": "parent" }, { "url": "target", "valueReference": { "reference": "Condition/F6FCF37E-F5D9-46FB-B39A-F94C32A69B11-PROB" } } ] } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D2BE35191475E4D5A8CC8EB769562B566PROB" } ], "clinicalStatus": "inactive", "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.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "961911000006112" }, { "url": "descriptionDisplay", "valueString": "Syncopal episodes (fainting)/dizziness" } ] } ], "system": "http://snomed.info/sct", "code": "961911000006108", "display": "Syncopal episodes (fainting)/dizziness", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2020-04-08", "abatementDateTime": "2021-07-15", "assertedDate": "2021-04-08T17:26:10.21+01:00", "asserter": { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" }, "note": [ { "text": "patient reports these have been ongoing for 3 to 4 weeks\n(Grouped with Breathless - moderate exertion)" } ] } }, { "resource": { "resourceType": "Condition", "id": "F6FCF37E-F5D9-46FB-B39A-F94C32A69B11-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "Observation/F6FCF37E-F5D9-46FB-B39A-F94C32A69B11" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "DocumentReference/7189F0C8-639C-45BB-806F-7E156DABA151" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/534E8774-16A4-48CB-A187-2A7683839A24" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Encounter/79649222-3B68-4905-A4DC-7410D29A4565" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "List/79649222-3B68-4905-A4DC-7410D29A4565-PG0" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Immunization/E151BC23-8CC1-479F-A8EC-5CB9998BA1E5" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/C94B1851-0AF6-4DE9-A405-63B4C8BA2205" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/20063759-2032-4474-AA6D-07472A213261" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "minor" }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1", "extension": [ { "url": "type", "valueCode": "parent" }, { "url": "target", "valueReference": { "reference": "Condition/FACC8DEB-9D81-476D-AA42-B90F56FF1846-PROB" } } ] }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1", "extension": [ { "url": "type", "valueCode": "child" }, { "url": "target", "valueReference": { "reference": "Condition/2BE35191-475E-4D5A-8CC8-EB769562B566-PROB" } } ] } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959DF6FCF37EF5D946FBB39AF94C32A69B11PROB" } ], "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.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "252385016" } ] } ], "system": "http://snomed.info/sct", "code": "161939006", "display": "Breathless - moderate exertion", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2020-09-15", "assertedDate": "2021-03-26T16:34:39.213+00:00", "asserter": { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" }, "note": [ { "text": "The descriptive text includes special characters!'£$%^7*()-={}][|\":/.#@, -~ (Grouped with Chest pain)\nThe descriptive text includes special characters!'£$%^7*()-={}][|\":/.,\n(Grouped with Chest pain)" } ] } }, { "resource": { "resourceType": "Condition", "id": "9A8BF064-43AC-462E-BB0A-AABD1FEF0B68-PROB", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1", "valueReference": { "reference": "Observation/9A8BF064-43AC-462E-BB0A-AABD1FEF0B68" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/7F987A44-FF18-4109-935B-C0A0A3976FD5" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/DAACC2C8-D0CA-4445-AB79-BA8476B61F49" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/16CD05AC-02C7-4152-8445-CB54A59E3689" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/87114350-4E1E-48CA-A4B9-101F81E8FFF1" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/EB632755-18FA-42AD-A686-3BF03A2C01C6" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/8A2F05CC-4CFE-4E53-896A-18856AA44CC5" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/DFC4F8B8-FEA3-43A5-9794-2947C3046678" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/C31A4281-1659-4836-AC3E-F7BE648BB52C" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/DAA52C30-A026-41CC-82B2-4990DA7AF022" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "MedicationRequest/9E12D923-66B4-44EB-9A84-6070AB7B1207" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/3F9B0582-3BCC-4E03-A36D-0A33A41C73F6" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "ReferralRequest/10BD3DCD-16BD-4FBC-BECF-0E70472E2B56" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/218164F4-6101-48E4-9AFE-1CD797644C29" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Encounter/9C621603-70B0-44A8-B0B1-7DEF38756D2D" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "List/9C621603-70B0-44A8-B0B1-7DEF38756D2D-PG1" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1", "valueReference": { "reference": "Observation/2494D07E-DB8B-471E-9171-6F79BC2E9F43" } }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1", "valueCode": "major" } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D9A8BF06443AC462EBB0AAABD1FEF0B68PROB" } ], "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.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "1215744012" }, { "url": "descriptionDisplay", "valueString": "Hypertensive disorder" } ] } ], "system": "http://snomed.info/sct", "code": "38341003", "display": "Hypertension", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2020-11-01", "assertedDate": "2020-11-18T14:19:48.68+00:00", "asserter": { "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" }, "note": [ { "text": "First entry with a lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. 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"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "E4AA89361BF14A4BAD332A119C2BD6F847BE9D54A8A046DAA0A8A51C794777FE" } ], "status": "final", "code": { "coding": [ { "system": "http://read.info/readv2", "code": "E205.11", "display": "Nervous exhaustion", "userSelected": true }, { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "677031000006115" }, { "url": "descriptionDisplay", "valueString": "Nervous exhaustion" } ] } ], "system": "http://snomed.info/sct", "code": "78667006", "display": "Dysthymia" } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "context": { "reference": "Encounter/BD772D1B-D984-49D4-A2F1-2CA7A654F287" }, "effectiveDateTime": "2006-03-21", "issued": "2021-01-12T13:18:55.157+00:00", "performer": [ { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } ], "comment": "Episode: First ever." } }, { "resource": { "resourceType": "AllergyIntolerance", "id": "0DAFB800-AA02-446C-9A9B-5860E9ADA3E0", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D0DAFB800AA02446C9A9B5860E9ADA3E0" } ], "clinicalStatus": "active", "verificationStatus": "unconfirmed", "category": [ "environment" ], "code": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "442112014" }, { "url": "descriptionDisplay", "valueString": "Latex allergy" } ] } ], "system": "http://snomed.info/sct", "code": "300916003", "display": "Allergy to latex", "userSelected": true } ] }, "patient": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "onsetDateTime": "2019", "assertedDate": "2021-03-26T11:15:05.483+00:00", "recorder": { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" }, "note": [ { "text": "Significance : Major\nEpisodicity : First" } ] } }, { "resource": { "resourceType": "Observation", "id": "2BE35191-475E-4D5A-8CC8-EB769562B566", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D2BE35191475E4D5A8CC8EB769562B566" } ], "status": "final", "code": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "961911000006112" }, { "url": "descriptionDisplay", "valueString": "Syncopal episodes (fainting)/dizziness" } ] } ], "system": "http://snomed.info/sct", "code": "961911000006108", "display": "Syncopal episodes (fainting)/dizziness", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "effectiveDateTime": "2020-04-08", "issued": "2021-04-08T17:26:10.21+01:00", "performer": [ { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" } ], "comment": "Significance : Minor\nEpisodicity : First\npatient reports these have been ongoing for 3 to 4 weeks\n(Grouped with Breathless - moderate exertion)" } }, { "resource": { "resourceType": "DocumentReference", "id": "7189F0C8-639C-45BB-806F-7E156DABA151", "meta": { "versionId": "1782816043182506730", "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DocumentReference-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D7189F0C8639C45BB806F7E156DABA151" } ], "status": "current", "type": { "text": "Referral for further care" }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "created": "2021-03-26T11:43:00+00:00", "indexed": "2021-03-26T11:45:24.763+00:00", "custodian": { "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" }, "description": "This document is linked to a Problem", "content": [ { "attachment": { "contentType": "text/plain", "url": "https://gpcassurance-b86047.test.thirdparty.nhs.uk/A82038/STU3/1/GPConnect/Documents/Binary/144A1A2EB3B34A66B33B148A5B75959D7189F0C8639C45BB806F7E156DABA151", "size": 33 } } ], "context": { "encounter": { "reference": "Encounter/86EC1A71-6739-4A43-8484-896F863E851B" } } } }, { "resource": { "resourceType": "Observation", "id": "F6FCF37E-F5D9-46FB-B39A-F94C32A69B11", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959DF6FCF37EF5D946FBB39AF94C32A69B11" } ], "status": "final", "code": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "252385016" } ] } ], "system": "http://snomed.info/sct", "code": "161939006", "display": "Breathless - moderate exertion", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "effectiveDateTime": "2020-09-15", "issued": "2021-03-26T16:34:39.213+00:00", "performer": [ { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" } ], "comment": "Significance : Minor\nEpisodicity : First\nThe descriptive text includes special characters!'£$%^7*()-={}][|\":/.#@, -~ (Grouped with Chest pain)\nThe descriptive text includes special characters!'£$%^7*()-={}][|\":/.,\n(Grouped with Chest pain)" } }, { "resource": { "resourceType": "Observation", "id": "534E8774-16A4-48CB-A187-2A7683839A24", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D534E877416A448CBA1872A7683839A24" } ], "status": "final", "code": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "252385016" } ] } ], "system": "http://snomed.info/sct", "code": "161939006", "display": "Breathless - moderate exertion", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "context": { "reference": "Encounter/79649222-3B68-4905-A4DC-7410D29A4565" }, "effectiveDateTime": "2020-11-18T13:56:00+00:00", "issued": "2021-03-29T14:38:13.75+01:00", "performer": [ { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } ], "comment": "Significance : Minor\nEpisodicity : Flare Up" } }, { "resource": { "resourceType": "Encounter", "id": "79649222-3B68-4905-A4DC-7410D29A4565", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D796492223B684905A4DC7410D29A4565" } ], "status": "finished", "type": [ { "text": "GP Surgery" } ], "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "participant": [ { "type": [ { "coding": [ { "system": "http://hl7.org/fhir/v3/ParticipationType", "code": "PPRF", "display": "primary performer" } ] } ], "individual": { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } }, { "type": [ { "coding": [ { "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1", "code": "REC", "display": "recorder" } ] } ], "individual": { "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" } } ], "period": { "start": "2020-11-18T13:56:00+00:00" }, "location": [ { "location": { "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" } } ], "serviceProvider": { "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757" } } }, { "resource": { "resourceType": "Immunization", "id": "E151BC23-8CC1-479F-A8EC-5CB9998BA1E5", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-DateRecorded-1", "valueDateTime": "2020-11-18T13:59:05.83+00:00" }, { "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1", "valueCodeableConcept": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "458773016" }, { "url": "descriptionDisplay", "valueString": "First meningitis C vaccination" } ] } ], "system": "http://snomed.info/sct", "code": "314414007", "display": "Administration of first dose of meningitis C vaccine", "userSelected": true } ] } } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959DE151BC238CC1479FA8EC5CB9998BA1E5" } ], "status": "completed", "notGiven": false, "vaccineCode": { "coding": [ { "system": "http://hl7.org/fhir/v3/NullFlavor", "code": "UNK", "display": "unknown" } ] }, "patient": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "encounter": { "reference": "Encounter/79649222-3B68-4905-A4DC-7410D29A4565" }, "date": "2020-11-18T13:56:00+00:00", "primarySource": true, "location": { "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57" }, "manufacturer": { "reference": "Organization/D7CFC8DB301548C1A3DB153C7FDDEDBC21624C4C-XMO" }, "lotNumber": "batch002", "expirationDate": "2023", "practitioner": [ { "role": { "coding": [ { "system": "http://hl7.org/fhir/v2/0443", "code": "AP", "display": "Administering Provider" } ] }, "actor": { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } }, { "role": { "coding": [ { "system": "http://hl7.org/fhir/v2/0443", "code": "EP", "display": "Entering Provider (probably not the same as transcriptionist?)" } ] }, "actor": { "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" } } ] } }, { "resource": { "resourceType": "Observation", "id": "C94B1851-0AF6-4DE9-A405-63B4C8BA2205", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959DC94B18510AF64DE9A40563B4C8BA2205" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "37331000000100", "display": "Comment note" } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "context": { "reference": "Encounter/79649222-3B68-4905-A4DC-7410D29A4565" }, "effectiveDateTime": "2020-11-18T13:56:00+00:00", "issued": "2020-11-18T14:04:45.87+00:00", "performer": [ { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } ], "comment": "Biochemistry - Venous blood specimen (Test request : Serum electrolytes, Test request : Liver Function Tests, Test request : Blood Glucose)" } }, { "resource": { "resourceType": "Observation", "id": "20063759-2032-4474-AA6D-07472A213261", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D2006375920324474AA6D07472A213261" } ], "status": "final", "code": { "coding": [ { "system": "http://snomed.info/sct", "code": "37331000000100", "display": "Comment note" } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "context": { "reference": "Encounter/79649222-3B68-4905-A4DC-7410D29A4565" }, "effectiveDateTime": "2020-11-18T13:56:00+00:00", "issued": "2020-11-18T14:04:46.79+00:00", "performer": [ { "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4" } ], "comment": "Biochemistry - Urine specimen (Test request : Urinary Microalbumin)" } }, { "resource": { "resourceType": "Observation", "id": "9A8BF064-43AC-462E-BB0A-AABD1FEF0B68", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" ] }, "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D9A8BF06443AC462EBB0AAABD1FEF0B68" } ], "status": "final", "code": { "coding": [ { "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid", "extension": [ { "url": "descriptionId", "valueId": "1215744012" }, { "url": "descriptionDisplay", "valueString": "Hypertensive disorder" } ] } ], "system": "http://snomed.info/sct", "code": "38341003", "display": "Hypertension", "userSelected": true } ] }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "effectiveDateTime": "2020-11-01", "issued": "2020-11-18T14:19:48.68+00:00", "performer": [ { "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" } ], "comment": "Significance : Major\nEpisodicity : First\nFirst entry with a lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. A lot of text and a number of repeating sentences. A lot of text and a number of repe\nFirst entry" } }, { "resource": { "resourceType": "MedicationRequest", "id": "7F987A44-FF18-4109-935B-C0A0A3976FD5", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" ] }, "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationRepeatInformation-1", "extension": [ { "url": "numberOfRepeatPrescriptionsAllowed", "valueUnsignedInt": 6 }, { "url": "numberOfRepeatPrescriptionsIssued", "valueUnsignedInt": 4 } ] }, { "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": "repeat", "display": "Repeat" } ] } } ], "identifier": [ { "system": "https://TestGPSystem/Test", "value": "144A1A2EB3B34A66B33B148A5B75959D7F987A44FF184109935BC0A0A3976FD5" } ], "status": "active", "intent": "plan", "medicationReference": { "reference": "Medication/CBD59674-FDAB-4345-98F4-6609EF2C60E1" }, "subject": { "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D" }, "authoredOn": "2021-06-16T11:06:09.56+01:00", "requester": { "agent": { "reference": "Practitioner/C8FD0E2C-3124-4C72-AC8D-ABEA65537D1B" } }, "recorder": { "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B" }, "dosageInstruction": [ { "text": "One To Be Taken Each Day" } ], "dispenseRequest": { "validityPeriod": { "start": "2020-11-09" }, "quantity": { "value": 28, "unit": "tablet" }, "expectedSupplyDuration": { "value": 28, "unit": "day", "system": "http://unitsofmeasure.org", "code": "d" } } } }, { "resource": { "resourceType": "MedicationRequest", "id": "DAACC2C8-D0CA-4445-AB79-BA8476B61F49", "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1" ] }, "extension": [ { "url": 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