[DRAFT] GP Connect (Patient Facing) Access Record - FHIR API

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

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": [
                        {
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                                "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
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                                "display": "Problem List Item"
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                        ]
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                ],
                "code": {
                    "coding": [
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                            ],
                            "system": "http://snomed.info/sct",
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                            "userSelected": true
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                },
                "extension": [
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1",
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                            "reference": "Observation/6DEC4C76-9A0C-4E03-A1D1-51A7F87A2DA2"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
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                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "List/C94C9A73-4AF8-4D3A-8D92-FCA8758C0BFE-PG0"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
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                    },
                    {
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                        "valueReference": {
                            "reference": "Observation/84F97FAB-903E-4E8A-BCB1-A46FE4279038"
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                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
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                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "List/9C621603-70B0-44A8-B0B1-7DEF38756D2D-PG3"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "Observation/4AA333FA-A1B1-4A19-BDDA-8496108767FB"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
                        "valueCode": "major"
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1",
                        "extension": [
                            {
                                "url": "type",
                                "valueCode": "parent"
                            },
                            {
                                "url": "target",
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                            }
                        ]
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1",
                        "extension": [
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                                "url": "type",
                                "valueCode": "sibling"
                            },
                            {
                                "url": "target",
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                            }
                        ]
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                ],
                "identifier": [
                    {
                        "system": "https://TestGPSystem/Test",
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                    }
                ],
                "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": [
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                                    "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
                                    "extension": [
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                                            "url": "descriptionId",
                                            "valueId": "94884017"
                                        }
                                    ]
                                }
                            ],
                            "system": "http://snomed.info/sct",
                            "code": "57054005",
                            "display": "Acute myocardial infarction",
                            "userSelected": true
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D"
                },
                "context": {
                    "reference": "Encounter/C94C9A73-4AF8-4D3A-8D92-FCA8758C0BFE"
                },
                "onsetDateTime": "2021-03-24T11:39:00+00:00",
                "assertedDate": "2021-06-16T11:41:56.31+01:00",
                "asserter": {
                    "reference": "Practitioner/2DB481A3-306A-4133-9491-1558161D6A2B"
                }
            }
        },
        {
            "resource": {
                "resourceType": "Condition",
                "id": "82ACCC6C-D367-40B5-A4D3-ABA26E7363BD-PROB",
                "meta": {
                    "profile": [
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                    ]
                },
                "extension": [
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ActualProblem-1",
                        "valueReference": {
                            "reference": "Observation/82ACCC6C-D367-40B5-A4D3-ABA26E7363BD"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "Encounter/86EC1A71-6739-4A43-8484-896F863E851B"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "List/86EC1A71-6739-4A43-8484-896F863E851B-PG0"
                        }
                    },
                    {
                        "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/3A43A34E-CC8A-49AD-B619-E4D7F259926E"
                        }
                    },
                    {
                        "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-PG0"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
                        "valueReference": {
                            "reference": "Observation/55253F84-1DA1-439D-BF16-B682117780BA"
                        }
                    },
                    {
                        "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
                        "valueCode": "minor"
                    }
                ],
                "identifier": [
                    {
                        "system": "https://TestGPSystem/Test",
                        "value": "144A1A2EB3B34A66B33B148A5B75959D82ACCC6CD36740B5A4D3ABA26E7363BDPROB"
                    }
                ],
                "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": "1779359015"
                                        }
                                    ]
                                }
                            ],
                            "system": "http://snomed.info/sct",
                            "code": "400097005",
                            "display": "Ingrowing nail",
                            "userSelected": true
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/144A1A2E-B3B3-4A66-B33B-148A5B75959D"
                },
                "context": {
                    "reference": "Encounter/86EC1A71-6739-4A43-8484-896F863E851B"
                },
                "onsetDateTime": "2021-03-26",
                "assertedDate": "2021-03-26T11:45:25.077+00:00",
                "asserter": {
                    "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73"
                },
                "note": [
                    {
                        "text": "This problem was created whilst Adding a Document"
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "Organization",
                "id": "5E496953-065B-41F2-9577-BE8F2FBD0757",
                "meta": {
                    "versionId": "1112974926854455048",
                    "profile": [
                        "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
                    ]
                },
                "extension": [
                    {
                        "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MainLocation-1",
                        "valueReference": {
                            "reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57"
                        }
                    }
                ],
                "identifier": [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "A82038"
                    }
                ],
                "type": [
                    {
                        "coding": [
                            {
                                "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-OrganisationType-1",
                                "code": "gp-practice"
                            }
                        ],
                        "text": "GP Practice"
                    }
                ],
                "name": "TEMPLE SOWERBY MEDICAL PRACTICE",
                "telecom": [
                    {
                        "system": "phone",
                        "value": "01133800000",
                        "use": "work",
                        "rank": 1
                    }
                ],
                "address": [
                    {
                        "use": "work",
                        "type": "physical",
                        "line": [
                            "Fulford Grange",
                            "Micklefield Lane",
                            "Rawdon",
                            "Rawdon"
                        ],
                        "city": "Leeds",
                        "district": "Yorkshire",
                        "postalCode": "LS19 6BA"
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "Practitioner",
                "id": "2DB481A3-306A-4133-9491-1558161D6A2B",
                "meta": {
                    "versionId": "4333436790463129417",
                    "profile": [
                        "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
                    ]
                },
                "identifier": [
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-user-id",
                        "value": "555079033108"
                    },
                    {
                        "system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
                        "value": "555079046103"
                    }
                ],
                "name": [
                    {
                        "use": "official",
                        "family": "TEMPLE SOWERBY",
                        "given": [
                            "GPONE"
                        ],
                        "prefix": [
                            "Mr"
                        ]
                    }
                ],
                "gender": "male"
            }
        },
        {
            "resource": {
                "resourceType": "Location",
                "id": "EB3994A6-5A87-4B53-A414-913137072F57",
                "meta": {
                    "versionId": "6653785719080073703",
                    "profile": [
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                    ]
                },
                "status": "active",
                "name": "Test Practice Location",
                "type": {
                    "text": "Main Surgery"
                },
                "telecom": [
                    {
                        "system": "phone",
                        "value": "01133800000",
                        "use": "work",
                        "rank": 1
                    }
                ],
                "address": {
                    "use": "work",
                    "type": "physical",
                    "line": [
                        "Fulford Grange",
                        "Micklefield Lane",
                        "Rawdon",
                        "Rawdon"
                    ],
                    "city": "Leeds",
                    "district": "Yorkshire",
                    "postalCode": "LS19 6BA"
                },
                "managingOrganization": {
                    "reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757",
                    "display": "TEMPLE SOWERBY MEDICAL PRACTICE"
                }
            }
        },
        {
            "resource": {
                "resourceType": "Immunization",
                "id": "9569AEF5-9527-4F6A-8EFB-417D0AB3E6B6",
                "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": "2020-11-18T13:56:52.87+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": "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
                                }
                            ]
                        }
                    }
                ],
                "identifier": [
                    {
                        "system": "https://TestGPSystem/Test",
                        "value": "144A1A2EB3B34A66B33B148A5B75959D9569AEF595274F6A8EFB417D0AB3E6B6"
                    }
                ],
                "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"
                },
                "primarySource": true,
                "manufacturer": {
                    "reference": "Organization/0D4D8C3BBF6C2736CA91BC7DD50659B4D61D71B6-XMO"
                },
                "lotNumber": "batch001",
                "expirationDate": "2025-12-01",
                "site": {
                    "coding": [
                        {
                            "extension": [
                                {
                                    "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
                                    "extension": [
                                        {
                                            "url": "descriptionId",
                                            "valueId": "1697871000006117"
                                        },
                                        {
                                            "url": "descriptionDisplay",
                                            "valueString": "Right buttock"
                                        }
                                    ]
                                }
                            ],
                            "system": "http://snomed.info/sct",
                            "code": "1697871000006101",
                            "display": "Right buttock"
                        }
                    ]
                },
                "practitioner": [
                    {
                        "role": {
                            "coding": [
                                {
                                    "system": "http://hl7.org/fhir/v2/0443",
                                    "code": "AP",
                                    "display": "Administering Provider"
                                }
                            ]
                        },
                        "actor": {
                            "reference": "Practitioner/6D340A1B-BC15-4D4E-93CF-BBCB5B74DF73"
                        }
                    },
                    {
                        "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"
                        }
                    }
                ],
                "note": [
                    {
                        "text": "GMS : GMS, Scheduled/Unscheduled : Unscheduled\nSignificance : Minor\nEpisodicity : First\nhistorical date\nhistorical date"
                    }
                ]
            }
        },
        {
            "resource": {
                "resourceType": "Observation",
                "id": "3BC1331C-7C74-40D8-8576-0C990119514C",
                "meta": {
                    "profile": [
                        "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
                    ]
                },
                "identifier": [
                    {
                        "system": "https://TestGPSystem/Test",
                        "value": "E4AA89361BF14A4BAD332A119C2BD6F83BC1331C7C7440D885760C990119514C"
                    }
                ],
                "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"
                },
                "effectiveDateTime": "2006-04-25",
                "issued": "2021-01-12T13:18:55.157+00:00",
                "performer": [
                    {
                        "reference": "Practitioner/3F42A9D0-65A9-4E2D-9CA4-67474CB83CA4"
                    }
                ],
                "comment": "Significance : Minor\nEpisodicity : First"
            }
        },
        {
            "resource": {
                "resourceType": "Observation",
                "id": "47BE9D54-A8A0-46DA-A0A8-A51C794777FE",
                "meta": {
                    "profile": [
                        "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": "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": "144A1A2EB3B34A66B33B148A5B75959DDAACC2C8D0CA4445AB79BA8476B61F49"
                    }
                ],
                "status": "active",
                "intent": "plan",
                "medicationReference": {
                    "reference": "Medication/0AD23CEB-615D-4724-BEB0-EC74E161DDEF"
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