GP Connect - Update Record (ITK3)

Part of the GP Connect product family

Mapping PRSB headings to FHIR

This ITK3 specification currently focuses on the following Community Pharmacy Services:

  • Pharmacy First (clinical pathways and minor illness)
  • Pharmacy Contraception Service
  • Hypertension Case Finding Service
Note: The examples in this page have intentionally missed out some elements required in FHIR for brevity - please refer to the examples to see how they are expected to be used.

How are PRSB headings represented within FHIR?

In previous ITK3 specifications, the NHS has asked providers to send this as HTML within the Composition.section.text element, along with a SNOMED code within Composition.section.code.

GP Connect does not follow this pattern, and prefers that uncategorised data be sent within the following FHIR profiles:

A value from the following code system should be used within meta.tag to articulate which headings the data item being represented aligns to. A link to the code system can be found below.

Code system: RecordStandardHeadings

In the event of multiple values for the same heading being sent, additional profiles will be sent.

Note: Only the main headings within PRSB standards are represented within this code-system. Sub-headings are not to be used, and can instead be inferred by the data being expressed in the profile.

More information about this can be found within the

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section of this specification.

Heading: History

The record of the person’s significant medical, surgical and mental health history. Including relevant previous diagnoses, problems and issues, procedures, investigations, specific anaesthesia issues, etc. (will include dental and obstetric history).

This is a required data item in the Community Pharmacy Standard, which means that Pharmacy Suppliers are obliged to provide this information if it is present within their clinical system.

Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="4ab82e30-64a6-45df-a171-89102ee02e98" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="history" />
<display value="History" />
</tag>
</meta>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="Patient has history of panic attacks" />
</ClinicalImpression>
ClinicalImpression.id[0]4ab82e30-64a6-45df-a171-89102ee02e98
ClinicalImpression.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]history
ClinicalImpression.meta[0].tag[0].display[0]History
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]Patient has history of panic attacks

Heading: Clinical Summary

A description detailing a patient’s reason for attendance, results from the diagnostic and treatment process.

This is a mandatory data item in the Community Pharmacy Standard, which means that Pharmacy Suppliers are obliged to provide this information.


Recorded as a free-text string within the ClinicalImpression.summary element.


If the patient expresses their pregnancy status, this should be recorded here as free-text. The wording used within your clinical system regarding pregnancy status should be approved by your Clinical Safety Officer.

There should be appropriate line spacing to avoid misinterpretation of information in the clinical summary section.

Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="e461896a-b0c8-457d-9397-b276c9aec312" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" />
<code value="clinical-summary" />
<display value="Clinical summary" />
</tag>
</meta>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="A description detailing a patient’s reason for attendance, any red flags, results from the diagnostic and treatment process. Patient reports they are pregnant or may be pregnant." />
</ClinicalImpression>
ClinicalImpression.id[0]e461896a-b0c8-457d-9397-b276c9aec312
ClinicalImpression.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]clinical-summary
ClinicalImpression.meta[0].tag[0].display[0]Clinical summary
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]A description detailing a patient’s reason for attendance, any red flags, results from the diagnostic and treatment process. Patient reports they are pregnant or may be pregnant.

Heading: Signpost details

These are the details of any services that the person has been signposted to. Signposting is in the form of providing the person with the name of an organisation and their contact details - for example, telephone number, website (it is not a referral).


Note: The concept of signposting within the PRSB is relatively new and not yet fully understood well enough to be mapped to FHIR in a structured fashion.

As such, free text is preferred to record the signpost details in this version of the specification.

Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="4ab82e30-64a6-45df-a171-89102ee02e92" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="signpost-details" />
<display value="Signpost details" />
</tag>
</meta>
<identifier>
<system value="https://identifiers.provider.test/clinicalImpression" />
<value value="urn:uuid:4ab82e30-64a6-45df-a171-89102ee02e92" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="Signposted to John Brown, a Senior Mental Health Social Working in the Cambridge Medical Health team due to signs of depression were noted during the consultation." />
</ClinicalImpression>
ClinicalImpression.id[0]4ab82e30-64a6-45df-a171-89102ee02e92
ClinicalImpression.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]signpost-details
ClinicalImpression.meta[0].tag[0].display[0]Signpost details
ClinicalImpression.identifier[0].system[0]https://identifiers.provider.test/clinicalImpression
ClinicalImpression.identifier[0].value[0]urn:uuid:4ab82e30-64a6-45df-a171-89102ee02e92
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]Signposted to John Brown, a Senior Mental Health Social Working in the Cambridge Medical Health team due to signs of depression were noted during the consultation.

Heading: Information and advice given

The information or advice given to the person, carer, other authorised representative, care professional or other third party. May include advice about actions related to medicines or other ongoing care activities on an ‘information prescription'. State here if there are concerns about the extent to which the person and/or carer understand the information provided about diagnosis, prognosis and treatment.


Recorded as a free-text string within the ClinicalImpression.summary element.


Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="17cbf68a-1b91-4b54-a253-3b4b79f42a30" />
<meta>
<tag>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings" />
<code value="information-and-advice-given" />
<display value="Information and advice given" />
</tag>
</meta>
<identifier>
<system value="https://identifiers.provider.test/clinicalImpression" />
<value value="urn:uuid:17cbf68a-1b91-4b54-a253-3b4b79f42a30" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="Relevant information and advice provided to the patient during the consultation" />
</ClinicalImpression>
ClinicalImpression.id[0]17cbf68a-1b91-4b54-a253-3b4b79f42a30
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]information-and-advice-given
ClinicalImpression.meta[0].tag[0].display[0]Information and advice given
ClinicalImpression.identifier[0].system[0]https://identifiers.provider.test/clinicalImpression
ClinicalImpression.identifier[0].value[0]urn:uuid:17cbf68a-1b91-4b54-a253-3b4b79f42a30
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]Relevant information and advice provided to the patient during the consultation

Heading: Planned and requested actions

The details of planned investigations, procedures and treatment, and whether this plan has been agreed with the person or their legitimate representative.


Recorded as a free-text string within the ClinicalImpression.summary element.

Important: The concept of tasking between healthcare systems within GP Connect has not yet been defined, thus, this heading cannot be used for creating "tasks" e.g. to request follow up or make a referral. The sending practitioner MUST contact the receiving practitioner (GP) directly to make a referral or request actions. A record of this can be made in this section.

The sending practitioner MUST contact the receiving practitioner (GP) directly to request tasks.

Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="4ab82e30-64a6-45df-a171-89102ee02e09" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="plan-and-requested-actions" />
<display value="Plan and requested actions" />
</tag>
</meta>
<identifier>
<system value="https://identifiers.provider.test/clinicalImpression" />
<value value="urn:uuid:4ab82e30-64a6-45df-a171-89102ee02e09" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="Plan and requested actions discussed with the patient go here." />
</ClinicalImpression>
ClinicalImpression.id[0]4ab82e30-64a6-45df-a171-89102ee02e09
ClinicalImpression.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]plan-and-requested-actions
ClinicalImpression.meta[0].tag[0].display[0]Plan and requested actions
ClinicalImpression.identifier[0].system[0]https://identifiers.provider.test/clinicalImpression
ClinicalImpression.identifier[0].value[0]urn:uuid:4ab82e30-64a6-45df-a171-89102ee02e09
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]Plan and requested actions discussed with the patient go here.

Heading: Red Flags

Confirmation of whether any red flags (symptoms that suggest more serious illness) were identified.

This is a required data item in the Community Pharmacy Standard, which means that Pharmacy Suppliers are obliged to provide this information if it is present within their clinical system.


Recorded as a free-text string within the ClinicalImpression.summary element.


Example

<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="db9e8c58-bbe7-4c52-b699-b4db78a6a88d" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="red-flags" />
<display value="Red flags" />
</tag>
</meta>
<identifier>
<system value="https://identifiers.provider.test/clinicalimpression" />
<value value="urn:uuid:db9e8c58-bbe7-4c52-b699-b4db78a6a88d" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5" />
</subject>
<context>
<reference value="urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0" />
</context>
<summary value="Details of red flag symptoms identified." />
</ClinicalImpression>
ClinicalImpression.id[0]db9e8c58-bbe7-4c52-b699-b4db78a6a88d
ClinicalImpression.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
ClinicalImpression.meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
ClinicalImpression.meta[0].tag[0].code[0]red-flags
ClinicalImpression.meta[0].tag[0].display[0]Red flags
ClinicalImpression.identifier[0].system[0]https://identifiers.provider.test/clinicalimpression
ClinicalImpression.identifier[0].value[0]urn:uuid:db9e8c58-bbe7-4c52-b699-b4db78a6a88d
ClinicalImpression.status[0]completed
ClinicalImpression.subject[0].reference[0]urn:uuid:42451c37-752d-4c8e-aa80-be8258a9a4e5
ClinicalImpression.context[0].reference[0]urn:uuid:43b4530b-7e0d-4009-a006-6a8d99cbd4f0
ClinicalImpression.summary[0]Details of red flag symptoms identified.

Heading: Procedures and therapies - ABPM declined

The details of any procedures performed. Includes both psychological and medical therapies and procedures (for example, cognitive behaviour therapy, hip replacement).


Note: At the time of writing, the only use case for this heading is for the Community Pharmacy Hypertension Case Finding Service.

Example

<Observation xmlns="http://hl7.org/fhir">
<id value="57eacdfb-12eb-48f7-8ce6-25dbe378613" />
<meta>
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="procedures-and-therapies" />
<display value="Procedures and therapies" />
</tag>
</meta>
<identifier>
<system value="https://identifiers.provider.test/flag" />
<value value="urn:uuid:57eacdfb-12eb-48f7-8ce6-25dbe378613c" />
</identifier>
<status value="final" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="861231000000105" />
<display value="Ambulatory blood pressure recording declined" />
</coding>
<text value="The reason the patient declined the ABPM can be recorded here." />
</code>
<subject>
<reference value="urn:uuid:f39b71e6-27d3-11ee-be56-0242ac120002" />
</subject>
</Observation>
{{table:57eacdfb-12eb-48f7-8ce6-25dbe378613}

Heading: Presenting Complaints

The health problem or issue experienced by the patient resulting in their attendance.

Note: At the time of writing, the only use case for this heading is for the Pharmacy First (minor illness and clinical pathways) Service.

Recorded as a SNOMED code within the Condition.code element.


Approved SNOMED codes for Clinical Pathways (last updated, May 2026)

Clinical Pathway condition SCTID Fully specified name Suggested display term
Shingles 4740000 Herpes zoster (disorder) Shingles
Uncomplicated urinary tract infection 1090711000000100 Uncomplicated urinary tract infection (disorder) Uncomplicated urinary tract infection
Impetigo 48277006 Impetigo (disorder) Impetigo
Infected insect bites 262550002 Infected insect bite (disorder) Infected insect bites
Acute Sinusitis 15805002 Acute sinusitis (disorder) Acute Sinusitis
Acute sore throat 267102003 Sore throat (finding) Acute sore throat
Acute Otitis media 3110003 Acute otitis media (disorder) Acute Otitis media

Approved SNOMED codes for Minor Illness (last updated, May 2026)


Criteria for Selection

  1. Preference was given to symptom codes (findings) rather than diagnostic codes (disorder) where available.
  2. The aim was to make the list as short as possible whilst still being useful (and covering the categories specified).
  3. Where possible, non-specific codes were chosen e.g. 'Sting of Skin' instead of bee sting/wasp sting/jellyfish sting.
  4. Where more than one code was available preference was given to codes already used frequently in general practice.
  5. Consideration was given to the parent and child codes of the codes selected to ensure they were consistent and not contradictory.

It is likely that these codes will be refined and added to as the service develops.

List of minor illness groups Condition split for SNOMED coding purpose SCTID Fully specified name Suggested display term
Acne, Spots and Pimples Acne, Spots and Pimples 95324001 Skin lesion (disorder) Skin lesion
Allergic reaction Allergic reaction 419076005 Allergic reaction (disorder) Allergic reaction
Ankle or Foot Pain or Swelling Ankle Pain 247373008 Ankle pain (finding) Ankle pain
Ankle Swelling 267039000 Swollen ankle (finding) Swollen ankle
Foot Pain 47933007 Foot pain (finding) Foot pain
Foot Swelling 297142003 Foot swelling (finding) Swollen foot
Athlete's Foot Athlete's Foot 6020002 Tinea pedis (disorder) Athlete's foot
Bites or Stings, Insect or Spider Insect bite 276433004 Insect bite - wound (disorder) Insect bite
Spider bite 403149008 Spider bite wound (disorder) Spider bite wound
Tick Bite 95898004 Tick bite (disorder) Tick bite
Animal Bite 399907009 Animal bite wound (disorder) Animal bite wound
Sting 299972003 Sting of skin (disorder) Sting of skin
Blisters Blisters 823996003 Blister of skin (disorder) Blister of skin
Cold and Flu Cold 82272006 Common cold (disorder) Common cold
Flu 95891005 Influenza-like illness (finding) Influenza-like illness
Constipation Constipation 14760008 Constipation (finding) Constipation
Cough Cough 49727002 Cough (finding) Cough
Diarrhoea Diarrhoea 62315008 Diarrhea (finding) Diarrhoea
Ear Discharge or Ear Wax Ear Discharge 300132001 Ear discharge (finding) Ear discharge
Ear Wax 271739002 Wax in ear canal (finding) Ear wax
Earache Earache 301354004 Pain of ear (finding) Ear ache
Eye, Red or Irritable Red eye 703630003 Red eye (finding) Red eye
Painful Eye 41652007 Pain in eye (finding) Eye pain
Irritable eye 308923001 Eye symptom (finding) Eye symptom
Eye, Sticky or Watery Sticky Eye 246679005 Discharge from eye (finding) Discharge from eye
Watery eye 420103007 Watery eye (finding) Watery eye
Eyelid Problems Eyelid Problems 60113004 Disorder of eyelid (disorder) Disorder of eyelid
Hair Loss Hair Loss 278040002 Loss of hair (finding) Hair loss
Headache Headache 25064002 Headache (finding) Headache
Hearing Problems or Blocked Ear Hearing Problems 300228004 Hearing problem (finding) Hearing problem
Blocked Ear 103281005 Sensation of blocked ear (finding) Blocked Ear
Hip, Thigh or Buttock Pain or Swelling Hip Pain 49218002 Hip pain (finding) Hip pain
Thigh Pain 78514002 Thigh pain (finding) Thigh pain
Buttock Pain 279043006 Pain in buttock (finding) Pain in buttock
Hip Swelling 299232002 Hip joint swollen Hip joint swollen
Thigh Swelling 449614009 Swelling of lower limb Swelling of lower limb
Buttock Swelling 441974004 Swelling of buttock (finding) Swelling of buttock
Itch Itch 418290006 Itching (finding) Itch
Knee or Lower Leg Pain Knee pain 1003722009 Pain of knee region (finding) Knee pain
Ankle pain 247373008 Ankle pain (finding) Ankle pain
Calf Pain 300954003 Pain in calf (finding) Pain in calf
Foot Pain 47933007 Foot pain (finding) Foot pain
Toe Pain 285365001 Pain in toe (finding) Toe pain
Knee swelling 248491001 Swelling of knee region (finding) Swollen knee
Ankle Swelling 267039000 Swollen ankle (finding) Swollen ankle
Calf Swelling 281792000 Swollen calf (finding) Swollen calf
Foot Swelling 297142003 Foot swelling (finding Foot swelling
Toe swelling 277890004 Toe swelling (finding) Toe swelling
Lower Limb Pain or Swelling Lower limb pain 10601006 Pain in lower limb (finding) Pain in lower limb
Lower limb swelling 449614009 Swelling of lower limb (finding) Swelling of lower limb
Hip, Thigh or Buttock Pain or Swelling Hip Pain 49218002 Hip pain (finding) Hip pain
Thigh Pain 78514002 Thigh pain (finding) Thigh pain
Buttock Pain 279043006 Pain in buttock (finding) Buttock pain
Hip Swelling 299232002 Hip joint swollen (finding) Hip joint swollen
Thigh Swelling 449614009 Swelling of lower limb (finding) Swelling of lower limb
Buttock Swelling 441974004 Swelling of buttock (finding) Swelling of buttock
Knee or Lower Leg Pain Knee pain 1003722009 Pain of knee region (finding) Knee pain
Ankle pain 247373008 Ankle pain (finding) Ankle pain
Calf Pain 300954003 Pain in calf (finding) Pain in calf
Foot Pain 47933007 Foot pain (finding) Foot pain
Toe Pain 285365001 Pain in toe (finding) Pain in toe
Lower Limb Pain or Swelling Knee swelling 248491001 Swelling of knee region (finding) Swollen knee
Ankle Swelling 267039000 Swollen ankle (finding) Swollen ankle
Calf Swelling 281792000 Swollen calf (finding) Swollen calf
Foot Swelling 297142003 Foot swelling (finding) Swollen foot
Toe swelling 277890004 Toe swelling (finding) Swollen toe
Lower Back Pain Lower Back Pain 279039007 Low back pain (finding) Low back pain
Mouth Ulcers Mouth Ulcers 26284000 Ulcer of mouth (disorder) Mouth ulcer
Nasal Congestion Nasal Congestion 68235000 Nasal congestion (finding) Nasal congestion
Pain and/or Frequency Passing Urine Pain in urination 49650001 Dysuria (finding) Urination painful
Frequent urination 162116003 Increased frequency of urination (finding) Frequent urination
Rectal Pain, Lump or Itch Rectal pain 77880009 Rectal pain (finding) Rectal pain
Perineal lump 300569009 Perineal lump (finding) Perineal lump
Rectal itch 90446007 Pruritus ani (disorder) Anal itch
Scabies Scabies 62752005 Infestation caused by Sarcoptes (disorder) Scabies
Scratches and Grazes Scratches 53181008 Scratch marks (finding) Scratch marks
Grazes 399963005 Abrasion (disorder) Abrasion
Shoulder Pain Shoulder Pain 45326000 Shoulder pain (finding) Shoulder pain
Sinusitis Sinusitis 36971009 Sinusitis (disorder) Sinusitis
Skin, Blisters or Rash Skin, Blisters or Rash 271807003 Eruption of skin (disorder) Skin rash
Sleep Difficulties Sleep Difficulties 301345002 Difficulty sleeping (finding) Difficulty sleeping
Sore throat Sore throat 267102003 Sore throat (finding) Sore throat
Teething Teething 8004003 Teething syndrome (finding) Teething
Tiredness Tiredness 84229001 Fatigue (finding) Fatigue
Toe Pain or Swelling Toe pain 285365001 Pain in toe (finding) Pain in toe
Toe swelling 277890004 Toe swelling (finding) Toe swelling
Vaginal Discharge Vaginal Discharge 271939006 Vaginal discharge (finding) Vaginal discharge
Vaginal Itch or Soreness Vaginal itch 161816004 Vaginal irritation (finding) Vaginal irritation
Vaginal soreness 38343000 Vaginal pain (finding) Vaginal pain
Vomiting Vomiting 422400008 Vomiting (disorder) Vomiting
Wound Problems – Management of Dressings Wound Problems – Management of Dressings 225358003 Wound care (regime/therapy) Wound care
Wrist, Hand or Finger pain or swelling Wrist pain 56608008 Pain in wrist (finding) Pain in wrist
Hand pain 53057004 Hand pain (finding) Hand pain
Finger pain 18876004 Pain in finger (finding) Pain in finger
Wrist swelling 298941006 Swelling of wrist joint (finding) Swelling of wrist joint
Hand swelling 299037003 Swelling of hand (finding) Swelling of hand
Finger swelling 299060006 Swelling of finger (finding) Swelling of finger
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