Social Care Data Service

There are multiple scenarios where visibility of the social care context for a patient will assist a care giver to make better decisions and hence improve the patient’s experience and level of service received, for example:

An Emergency Department may be able to avoid an hospital admission if they can identify that the patient has a care package, and they can contact the provider to make sure they have been alerted of the incident and will be checking on the individual later
A Community Health Worker may be able to see that social care have recently undertaken an Occupational Therapy Assessment, and therefore avoid duplication of activity by discussing the outcome with the appropriate social care team
A hospital discharge team could use the social care context to help identify the appropriate discharge needs of an individual.

The diagram below shows the system interactions:

Business Context

The Social Care Data Service supports sharing of the following:

Data Object	Business Context	FHIR Resource
Citizen/Service User	Basic demographic details of individual, as per local social care system	Patient
Packages of Care	Social care packages/services that have been commissioned by the Local Authority	EpisodeOfCare
Referrals	Details of any referrals received by the Local Authority	ReferralRequest
Assessments/Tasks	Summary of assessments and tasks/actions that the Local Authority has performed (or is performing) on behalf of a patient	Task
Warnings/Alerts	Local Authority's view of prospective warnings of potential issues regarding a patient	Flag
Equipment/Assets	Details of equipment/asset (or modifications) that the Local Authority has provided to the patient.	Device
Related People	Detail of individuals that the Local Authority have recorded as having a relationship to the patient	RelatedPerson
Support Reasons	Why Social Care are involved with the Patient, including the ‘Primary’ Support Reason which is used to classify an individual for National Reporting on Short and Long Term Services (SALT)	Procedure
Key Workers	Key Workers who are involved with a Patient from a Social Care perspective	CareTeam
Local Authority	Local Authority Responsible for Social Care for the Person	CareTeam

HTTPS Request

Method:

GET

Host Environments:

The Host URLs will determined by the service provider, for example the host URLs for the Nottinghamshire County Council Social Care Data Service are:

Environment	Host
Test	health-interoperability-test.nottscc.gov.uk
Live	health-interoperability.nottscc.gov.uk

Base URL:

/CareDataService/v2/Patient

Query Parameters:

Name	Card.	Type	Note
_format	0..1	Coded	Optional parameter for the consumer to specify alternative response formats to the default. Both json and xml formats currently supported.
identifier	1..1	String	The NHS number of the Patient in the format https://fhir.nhs.uk/Id/nhs-number\|{NHS Number}. The value SHALL be URL Encoded
_revinclude	0..*	Coded	Optional parameter for the consumer to request any additional resource (by type) that reference the requested Patient Resource, see table below for supported resource types. The value SHALL be URL Encoded

The HTTP GET will consist of 'https://'+'{Host}'+'{BaseURL}'+'?'+'{QueryString}'

See examples for an illustration of a search query and respective URL encoding

Supported _revinclude Resources

Resource	Property value	Business Context
EpisodeofCare	EpisodeOfCare:patient	Packages of Care
ReferralRequest	ReferralRequest:subject	Referrals
Task	Task:for	Assessments/Events
Flag	Flag:subject	Alerts/Warnings
Device	Device:patient	Equipment/Assets
RelatedPerson	RelatedPerson:patient	Related People
Procedure	Procedure:subject	Primary Support Reason
CareTeam	CareTeam:subject	Key Workers

Response

The API resposne will be a single Bundle Resource with zero or one Patient entries, plus any resourcs (of the requested types) that reference the Patient:

In addition to the core resources (in blue), those resouces may also refererence supporting resourcse, namely:

Organization that is providing a care package, has submitted a referral, etc
Practitioner who is undertaking an assessment, who submitted a referral, or part of a CareTeam etc.

Partial Response

The Social Care Data Service also supports the inclusion of an OperationOutcome to indicate if the provider was unable to provide all the data requested, see below:

{
    "resourceType": "OperationOutcome",
    "id": "search-outcome-1",
    "issue":  [
        {
            "severity": "warning",
            "code": "incomplete",
            "diagnostics": "Failed to return 1 Task resource due to internal errors",
            "expression":  [
                "Task"
            ]
        },
        {
            "severity": "warning",
            "code": "incomplete",
            "diagnostics": "Failed to return 2 ReferralRequest resources due to internal errors",
            "expression":  [
                "ReferralRequest"
            ]
        }
    ]
}

Profiles

StructureDefinition	Version
CareConnect-CDS-Patient-1	0.0.1
CareConnect-CDS-EpisodeofCare-1	0.0.1
CareConnect-CDS-ReferralRequest-1	0.0.1
CareConnect-CDS-Task	0.0.1
CareConnect-CDS-Flag-1	0.0.1
CDS-Device	0.0.1
CareConnect-CDS-RelatedPerson-1	0.0.1
CareConnect-CDS-Procedure-1	0.0.1
CareConnect-CDS-Organization-1	0.0.1
CareConnect-CDS-Practitioner-1	0.0.1
CareConnect-CDS-Careteam-1	0.0.1

Extensions	Version
Extension-CareConnect-NHSNumberVerificationStatus-1	1.1.0
Extension-CDS-PrimarySupportReasonFlag	0.0.1

ValueSets	Version
Care Connect NHS Number Verification Status	1.1.0
Social Care Package Detail Category	0.0.1
Social Care Task Detail Category	0.0.1
Social Care Support Reason	0.0.1

CodeSystems	Version
Care Connect NHS Number Verification Status	1.1.0
Social Care Package Detail Category	0.0.1
Social Care Task Detail Category	0.0.1
Social Care Support Reason	0.0.1

Resource metadata

Each resource contains an element "meta", of type "Meta", which is a set of metadata that provides technical and workflow context to the resource. The metadata items are all optional, though some or all of them may be required in particular implementations or contexts of use.

Meta			Meta	There are no (further) constraints on this element Element id Meta Short description Metadata about a resource Definition The metadata about a resource. This is content in the resource that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a rim: N/A
id		0..1	string	There are no (further) constraints on this element Element id Meta.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Comments Note that FHIR strings may not exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Meta.extension Short description Additional Content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
versionId	S Σ	0..1	id	There are no (further) constraints on this element Element id Meta.versionId Short description Version specific identifier Definition The version specific identifier, as it appears in the version portion of the URL. This values changes when the resource is created, updated, or deleted. Comments The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. Data type id Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
lastUpdated	S Σ	0..1	instant	There are no (further) constraints on this element Element id Meta.lastUpdated Short description When the resource version last changed Definition When the resource last changed - e.g. when the version changed. Comments This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
profile	S Σ	0..*	uri	There are no (further) constraints on this element Element id Meta.profile Short description Profiles this resource claims to conform to Definition A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. Comments It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
security	Σ	0..*	CodingBinding	There are no (further) constraints on this element Element id Meta.security Short description Security Labels applied to this resource Definition Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. Comments The security labels can be updated without changing the stated version of the resource The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
tag	Σ	0..*	Coding	Element id Meta.tag Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Sliced: Unordered, Open, by system(Value) Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Common Tags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
dataProvider	S Σ	0..*	Coding	There are no (further) constraints on this element Element id Meta.tag:dataProvider Short description Tags applied to this resource Definition Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. Comments The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Data type Coding Binding Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones" Common Tags (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 rim: CV orim: fhir:Coding rdfs:subClassOf dt:CDCoding
id		0..1	string	There are no (further) constraints on this element Element id Meta.tag:dataProvider.id Short description xml:id (or equivalent in JSON) Definition unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Comments Note that FHIR strings may not exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Meta.tag:dataProvider.extension Short description Additional Content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
system	Σ	1..1	uri	There are no (further) constraints on this element Element id Meta.tag:dataProvider.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	Σ	0..1	string	There are no (further) constraints on this element Element id Meta.tag:dataProvider.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	Σ	1..1	code	There are no (further) constraints on this element Element id Meta.tag:dataProvider.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Comments Note that FHIR strings may not exceed 1MB in size Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Meta.tag:dataProvider.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Comments Note that FHIR strings may not exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Meta.tag:dataProvider.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() \| (children().count() > id.count())` Mappings rim: n/a v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

The table below highlights how the meta element of the resources provided in the CDS Bundle response can be used to support a Shared Care Record implementation:

FHIR Element	Card.	Type	Description/Business Context
{Resource}.meta.versionId	0..1	id	Some shared care record may required the ability to recreate a view of a patient record presented to a clinician at a point in time, the tracking of FHIR resource versions will support that, and therefore a versionId SHOULD be included were possible. The versionId should only change between consecutive resource retrievals if one or more of the properties of the resource have changed.
{Resource}.meta.lastUpdated	0..1	instant	lastUpdated can be used by a shared care record to easily sort and display a timeline of interventions (regardless of resource type) to an end user. A lastUpdated SHOULD be provided wherever possible, where the source system does not provide a full audit log, lastUpdated may be the same as the created or authored DateTime.
{Resource}.meta.profile	0..*	uri	An assertion that the content conforms to a resource profile (i.e. StructureDefinition). The profile can be used by the consuming system to validate the resource content and/or apply business rule as to how to treat/display the resource. When the type of the canonical reference is a `uri`, the URL may include a version, in order be precise about which version of the resource is being referred to. To do this, append the version to the canonical url with a '\|' like this: <ProfileUri value="http://hl7.org/fhir/StructureDefinition/my-profile\|1.0.1"/>
{Resource}.meta.tag:dataProvider	0..*	Coding	The meta ‘dataProvider’ tag is a method of determining the provenance of a FHIR resource. It is especially important in federated shared care record solutions which aggregate data from multiple feeder systems, some of which may also be a federated solution (e.g. sharing LHCR to LHCR). In the absence of a national standard, each local solution will determine it's own dataProvider system and allocate codes accordingly. Some providers may be part of more than one shared care record, and hence include multiple ‘dataProvider’ tags.

Example of metadata elements in JSON

{
    "resourceType": "Meta",
    "versionId": "3",
    "lastUpdated": "2021-02-18T09:19:32.000+00:00",
    "profile":  [
        "http://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1"
    ],
    "tag":  [
        {
            "system": "http://fhir.nottinghamshire.gov.uk/data-provider",
            "code": "NCC-001-S",
            "display": "Nottinghamshire County Council"
        }
    ]
}

Example of metadata elements in XML

<Meta xmlns="http://hl7.org/fhir">
    <versionId value="3" />
    <lastUpdated value="2021-02-18T09:19:32.000+00:00" />
    <profile value="http://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1" />
    <tag>
        <system value="http://fhir.nottinghamshire.gov.uk/data-provider" />
        <code value="NCC-001-S" />
        <display value="Nottinghamshire County Council" />
    </tag>
</Meta>

Examples

Search Query

Unencoded query string

https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient?_format=json&_revinclude=Task:for&_revinclude=ReferralRequest:subject&_revinclude=EpisodeOfCare:patient&_revinclude=Flag:subject&_revinclude=Procedure:subject&_revinclude=Device:patient&_revinclude=RelatedPerson:patient&identifier=https://fhir.nhs.uk/Id/nhs-number|9994449877

URL Encoded version

https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient?_format=json&_revinclude=Task%3Afor&_revinclude=ReferralRequest%3Asubject&_revinclude=EpisodeOfCare%3Apatient&_revinclude=Flag%3Asubject&_revinclude=Procedure%3Asubject&_revinclude=Device%3Apatient&_revinclude=RelatedPerson%3Apatient&_revinclude=CareTeam%3Asubject&identifier=https%3A%2F%2Ffhir.nhs.uk%2FId%2Fnhs-number%7C9994449877

Responses

A JSON example of a resposne to a Social Care Data Service query, in the form of a Bundle Resource is displayed below

{
    "resourceType": "Bundle",
    "id": "e7c01000-2985-4e0e-b7c7-008292733cda",
    "meta": {
        "lastUpdated": "2020-01-30T10:40:37.456+00:00"
    },
    "type": "searchset",
    "total": 13,
    "link":  [
        {
            "relation": "self",
            "url": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient?_format=json&_revinclude=Task%3Afor&_revinclude=ReferralRequest%3Asubject&_revinclude=EpisodeOfCare%3Apatient&_revinclude=Flag%3Asubject&_revinclude=Procedure%3Asubject&_revinclude=Device%3Apatient&_revinclude=RelatedPerson%3Apatient&_revinclude=CareTeam%3Asubject&identifier=https%3A%2F%2Ffhir.nhs.uk%2FId%2Fnhs-number%7C9994449877"
        }
    ],
    "entry":  [
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient/101539520",
            "resource": {
                "resourceType": "Patient",
                "id": "101539520",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Patient-1|0.0.1"
                    ]
                },
                "identifier":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
                                            "code": "01",
                                            "display": "Number present and verified"
                                        }
                                    ]
                                }
                            }
                        ],
                        "use": "official",
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9994449877"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "text": "Testcommunityfifty Testpatient",
                        "family": "Testpatient",
                        "given":  [
                            "Testcommunityfifty"
                        ]
                    }
                ],
                "gender": "male",
                "birthDate": "1967-06-06",
                "address":  [
                    {
                        "use": "home",
                        "text": "44a Sir John Robinson Way,  Arnold, Nottingham, NG5 6DB",
                        "line":  [
                            "44a Sir John Robinson Way",
                            "Arnold",
                            "Nottingham"
                        ],
                        "postalCode": "NG5 6DB"
                    }
                ]
            },
            "search": {
                "mode": "match"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Procedure/03dba7a6-d3de-4b1f-a286-4ce742f7a36b",
            "resource": {
                "resourceType": "Procedure",
                "id": "03dba7a6-d3de-4b1f-a286-4ce742f7a36b",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Procedure-1|0.0.1"
                    ]
                },
                "status": "in-progress",
                "category": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "299751000000102",
                            "display": "Social services procedure"
                        }
                    ],
                    "text": "Primary Support Reason"
                },
                "subject": {
                    "reference": "Patient/101539520"
                },
                "performedPeriod": {
                    "start": "2017-04-01"
                },
                "reasonCode":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-CDS-PrimarySupportReasonFlag",
                                "valueBoolean": "true"
                            }
                        ],
                        "coding":  [
                            {
                                "system": "hhttps://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareSupportReason",
                                "code": "mental-health",
                                "display": "Mental Health Support"
                            },
                            {
                                "system": "https://nottscc.gov.uk/service_user_group",
                                "display": "Mental Health Support"
                            },
                            {
                                "system": "https://nottscc.gov.uk/service_user_sub_group",
                                "display": "Mental Health Support"
                            }
                        ],
                        "text": "Mental Health Support"
                    }
                ]
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Flag/3653ff7b-4d18-4892-9903-bade2fc23131",
            "resource": {
                "resourceType": "Flag",
                "id": "3653ff7b-4d18-4892-9903-bade2fc23131",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Flag-1|0.0.1"
                    ]
                },
                "status": "active",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "514331000000104",
                            "display": "Referral to safeguarding adults team"
                        }
                    ],
                    "text": "Referral to safeguarding adults team"
                },
                "subject": {
                    "reference": "Patient/101539520"
                },
                "period": {
                    "start": "2019-03-04"
                }
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Device/2766fd1c-d0d1-461a-b448-b070106725a2",
            "resource": {
                "resourceType": "Device",
                "id": "2766fd1c-d0d1-461a-b448-b070106725a2",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Device|0.0.1"
                    ]
                },
                "type": {
                    "text": "Keysafe"
                },
                "patient": {
                    "reference": "Patient/101539520"
                },
                "note":  [
                    {
                        "text": "Keysafe by back door (not main front door)"
                    }
                ]
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Device/bbf2702c-41b0-4aac-a3b8-bb86c43d906g",
            "resource": {
                "resourceType": "Device",
                "id": "bbf2702c-41b0-4aac-a3b8-bb86c43d906g",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Device|0.0.1"
                    ]
                },
                "type": {
                    "text": "Lifeline Alarm"
                },
                "patient": {
                    "reference": "Patient/101539520"
                },
                "note":  [
                    {
                        "text": "Optional note about Lifeline alarm"
                    }
                ]
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/EpisodeOfCare/ae04b8ea-f27b-4702-9967-3e6c0b711036",
            "resource": {
                "resourceType": "EpisodeOfCare",
                "id": "ae04b8ea-f27b-4702-9967-3e6c0b711036",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-EpisodeOfCare-1|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Organization",
                        "id": "cds-organization-a",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1"
                            ]
                        },
                        "type":  [
                            {
                                "text": "Local Authority"
                            }
                        ],
                        "name": "Nottinghamshire County Council",
                        "contact":  [
                            {
                                "purpose": {
                                    "text": "Adult Social Care Enquiries"
                                },
                                "telecom":  [
                                    {
                                        "system": "phone",
                                        "value": "0115 984 2222",
                                        "use": "work"
                                    }
                                ]
                            }
                        ]
                    }
                ],
                "status": "active",
                "type":  [
                    {
                        "id": "6683",
                        "coding":  [
                            {
                                "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory",
                                "code": "package-name",
                                "display": "Package Name"
                            }
                        ],
                        "text": "Gemini Exclusive Care_NwkSher_AP_2"
                    },
                    {
                        "id": "381",
                        "coding":  [
                            {
                                "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory",
                                "code": "package-type",
                                "display": "Package Type"
                            }
                        ],
                        "text": "Adults Home Support"
                    }
                ],
                "patient": {
                    "reference": "Patient/101539520"
                },
                "managingOrganization": {
                    "reference": "#cds-organization-a"
                },
                "period": {
                    "start": "2019-03-11"
                }
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/EpisodeOfCare/cb22b5b2-179c-4f8b-96ba-266b3f7c5a48",
            "resource": {
                "resourceType": "EpisodeOfCare",
                "id": "cb22b5b2-179c-4f8b-96ba-266b3f7c5a48",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-EpisodeOfCare-1|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Organization",
                        "id": "cds-organization-b",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1"
                            ]
                        },
                        "type":  [
                            {
                                "text": "Local Authority"
                            }
                        ],
                        "name": "START Internal Supplier",
                        "contact":  [
                            {
                                "purpose": {
                                    "text": "Adult Social Care Enquiries"
                                },
                                "telecom":  [
                                    {
                                        "system": "phone",
                                        "value": "0115 984 2222",
                                        "use": "work"
                                    }
                                ]
                            }
                        ]
                    }
                ],
                "status": "finished",
                "type":  [
                    {
                        "id": "6841",
                        "coding":  [
                            {
                                "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory",
                                "code": "package-name",
                                "display": "Package Name"
                            }
                        ],
                        "text": "START"
                    },
                    {
                        "id": "369",
                        "coding":  [
                            {
                                "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory",
                                "code": "package-type",
                                "display": "Package Type"
                            }
                        ],
                        "text": "Reablement Service"
                    }
                ],
                "patient": {
                    "reference": "Patient/101539520"
                },
                "managingOrganization": {
                    "reference": "#cds-organization-b"
                },
                "period": {
                    "start": "2018-12-29",
                    "end": "2019-02-03"
                }
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/ReferralRequest/3a16c7bd-17f7-4810-bb41-fb3e97650660",
            "resource": {
                "resourceType": "ReferralRequest",
                "id": "3a16c7bd-17f7-4810-bb41-fb3e97650660",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Practitioner",
                        "id": "cds-practitioner-gp",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1"
                            ]
                        },
                        "name":  [
                            {
                                "text": "Dr Hannah Smith"
                            }
                        ]
                    },
                    {
                        "resourceType": "Organization",
                        "id": "cds-organization-s",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1"
                            ]
                        },
                        "name": "Riverside Surgery"
                    }
                ],
                "status": "active",
                "intent": "plan",
                "type": {
                    "text": "GP Referral"
                },
                "subject": {
                    "reference": "Patient/101539520"
                },
                "authoredOn": "2019-03-24T08:10:16+00:00",
                "requester": {
                    "agent": {
                        "reference": "#cds-practitioner-gp"
                    },
                    "onBehalfOf": {
                        "reference": "#cds-organization-s"
                    }
                },
                "description": "The patient has complained about difficultly getting dressed in a morning."
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/ReferralRequest/3a16c7bd-17f7-4810-bb41-fe3e97650660",
            "resource": {
                "resourceType": "ReferralRequest",
                "id": "3a16c7bd-17f7-4810-bb41-fe3e97650660",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Practitioner",
                        "id": "cds-practitioner-a",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1"
                            ]
                        },
                        "name":  [
                            {
                                "text": "IDT Nurse"
                            }
                        ]
                    },
                    {
                        "resourceType": "Organization",
                        "id": "cds-organization-c",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1"
                            ]
                        },
                        "name": "Nottingham Hospital"
                    }
                ],
                "status": "completed",
                "intent": "plan",
                "type": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "715591000000108",
                            "display": "Hospital Discharge Notification to Social Care"
                        }
                    ],
                    "text": "Hospital Discharge Notification to Social Care"
                },
                "subject": {
                    "reference": "Patient/101539520"
                },
                "authoredOn": "2018-12-24T08:10:16+00:00",
                "requester": {
                    "agent": {
                        "reference": "#cds-practitioner-a"
                    },
                    "onBehalfOf": {
                        "reference": "#cds-organization-c"
                    }
                },
                "description": "The patient was admitted due to a fall and will require some reablement support on discharge."
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Task/d53f2ed0-aa9d-4c86-9359-c77c3fc591e7",
            "resource": {
                "resourceType": "Task",
                "id": "d53f2ed0-aa9d-4c86-9359-c77c3fc591e7",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Task|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Practitioner",
                        "id": "cds-practitioner-contact",
                        "meta": {
                            "profile":  [
                                "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1"
                            ]
                        },
                        "name":  [
                            {
                                "text": "Hannah Smith"
                            }
                        ],
                        "telecom":  [
                            {
                                "system": "phone",
                                "value": "0115 917 5544",
                                "use": "work"
                            }
                        ]
                    }
                ],
                "basedOn":  [
                    {
                        "reference": "ReferralRequest/3a16c7bd-17f7-4810-bb41-fe3e97650660"
                    }
                ],
                "status": "completed",
                "intent": "plan",
                "code": {
                    "id": "696",
                    "coding":  [
                        {
                            "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareTaskDetailCategory",
                            "code": "task-name",
                            "display": "Task Name"
                        }
                    ],
                    "text": "Occupational Therapy Assessment"
                },
                "for": {
                    "reference": "Patient/101539520"
                },
                "executionPeriod": {
                    "start": "2018-12-27",
                    "end": "2018-12-29"
                },
                "owner": {
                    "reference": "#cds-practitioner-contact"
                },
                "output":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareTaskOutcomeType",
                                    "code": "outcome-summary",
                                    "display": "Outcome Summary"
                                }
                            ],
                            "text": "Outcome Summary"
                        },
                        "valueString": "START Package Commissioned"
                    }
                ]
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/RelatedPerson/007bb927-9e35-4f8f-b478-cf7ab04f8056",
            "resource": {
                "resourceType": "RelatedPerson",
                "id": "007bb927-9e35-4f8f-b478-cf7ab04f8056",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-RelatedPerson-1|0.0.1"
                    ]
                },
                "identifier":  [
                    {
                        "use": "official",
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9111111720"
                    }
                ],
                "patient": {
                    "reference": "Patient/101539520"
                },
                "relationship": {
                    "coding":  [
                        {
                            "system": "http://CareDataService/RelatedPerson/relationship-type",
                            "display": "Wife"
                        },
                        {
                            "system": "http://CareDataService/RelatedPerson/relationship-flag",
                            "display": "Next Of Kin"
                        },
                        {
                            "system": "http://CareDataService/RelatedPerson/relationship-flag",
                            "display": "Carer"
                        }
                    ]
                },
                "name":  [
                    {
                        "use": "official",
                        "text": "Test-16 Patient",
                        "family": "Patient",
                        "given":  [
                            "Test-16"
                        ]
                    }
                ],
                "birthDate": "1964-04-03"
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/CareTeam/3653ff7b-4d18-4892-9903-bade2fc12345",
            "resource": {
                "resourceType": "CareTeam",
                "id": "3653ff7b-4d18-4892-9903-bade2fc12345",
                "meta": {
                    "profile":  [
                        "https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-CareTeam-1|0.0.1"
                    ]
                },
                "contained":  [
                    {
                        "resourceType": "Practitioner",
                        "id": "pr1",
                        "name":  [
                            {
                                "family": "Key-OT-Worker",
                                "given":  [
                                    "Orlando"
                                ]
                            }
                        ],
                        "telecom":  [
                            {
                                "system": "phone",
                                "value": "0115 917 5678",
                                "use": "work"
                            }
                        ]
                    },
                    {
                        "resourceType": "Practitioner",
                        "id": "pr2",
                        "name":  [
                            {
                                "family": "Key-SocialWorker",
                                "given":  [
                                    "Sara"
                                ]
                            }
                        ],
                        "telecom":  [
                            {
                                "system": "phone",
                                "value": "0115 917 1234",
                                "use": "work"
                            }
                        ]
                    }
                ],
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "http://hl7.org/fhir/care-team-category",
                                "code": "longitudinal"
                            }
                        ]
                    }
                ],
                "name": "Social Care Team",
                "subject": {
                    "reference": "Patient/101539520"
                },
                "participant":  [
                    {
                        "role": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "106328005",
                                    "display": "Social worker"
                                }
                            ],
                            "text": "Key Social Worker"
                        },
                        "member": {
                            "reference": "#pr2"
                        }
                    },
                    {
                        "role": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "309427003",
                                    "display": "Social services occupational therapist"
                                }
                            ],
                            "text": "Key OT Worker"
                        },
                        "member": {
                            "reference": "#pr1"
                        }
                    }
                ]
            },
            "search": {
                "mode": "include"
            }
        },
        {
            "fullUrl": "https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/OperationOutcome/CDS-search-outcome",
            "resource": {
                "resourceType": "OperationOutcome",
                "id": "CDS-search-outcome",
                "issue":  [
                    {
                        "severity": "warning",
                        "code": "incomplete",
                        "diagnostics": "Failed to return 1 Task resource due to internal errors",
                        "expression":  [
                            "Task"
                        ]
                    },
                    {
                        "severity": "warning",
                        "code": "incomplete",
                        "diagnostics": "Failed to return 2 ReferralRequest resources due to internal errors",
                        "expression":  [
                            "ReferralRequest"
                        ]
                    }
                ]
            },
            "search": {
                "mode": "outcome"
            }
        }
    ]
}

A XML example of a resposne to a Social Care Data Service query, in the form of a Bundle Resource is displayed below

<Bundle xmlns="http://hl7.org/fhir">
    <id value="e7c01000-2985-4e0e-b7c7-008292733cda" />
    <meta>
        <lastUpdated value="2020-01-30T10:40:37.456+00:00" />
    </meta>
    <type value="searchset" />
    <total value="13" />
    <link>
        <relation value="self" />
        <url value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient?_format=json&amp;_revinclude=Task%3Afor&amp;_revinclude=ReferralRequest%3Asubject&amp;_revinclude=EpisodeOfCare%3Apatient&amp;_revinclude=Flag%3Asubject&amp;_revinclude=Procedure%3Asubject&amp;_revinclude=Device%3Apatient&amp;_revinclude=RelatedPerson%3Apatient&amp;_revinclude=CareTeam%3Asubject&amp;identifier=https%3A%2F%2Ffhir.nhs.uk%2FId%2Fnhs-number%7C9994449877" />
    </link>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Patient/101539520" />
        <resource>
            <Patient>
                <id value="101539520" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Patient-1|0.0.1" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
                                <code value="01" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9994449877" />
                </identifier>
                <name>
                    <use value="official" />
                    <text value="Testcommunityfifty Testpatient" />
                    <family value="Testpatient" />
                    <given value="Testcommunityfifty" />
                </name>
                <gender value="male" />
                <birthDate value="1967-06-06" />
                <address>
                    <use value="home" />
                    <text value="44a Sir John Robinson Way,  Arnold, Nottingham, NG5 6DB" />
                    <line value="44a Sir John Robinson Way" />
                    <line value="Arnold" />
                    <line value="Nottingham" />
                    <postalCode value="NG5 6DB" />
                </address>
            </Patient>
        </resource>
        <search>
            <mode value="match" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Procedure/03dba7a6-d3de-4b1f-a286-4ce742f7a36b" />
        <resource>
            <Procedure>
                <id value="03dba7a6-d3de-4b1f-a286-4ce742f7a36b" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Procedure-1|0.0.1" />
                </meta>
                <status value="in-progress" />
                <category>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="299751000000102" />
                        <display value="Social services procedure" />
                    </coding>
                    <text value="Primary Support Reason" />
                </category>
                <subject>
                    <reference value="Patient/101539520" />
                </subject>
                <performedPeriod>
                    <start value="2017-04-01" />
                </performedPeriod>
                <reasonCode>
                    <extension url="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/Extension-CDS-PrimarySupportReasonFlag">
                        <valueBoolean value="true" />
                    </extension>
                    <coding>
                        <system value="hhttps://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareSupportReason" />
                        <code value="mental-health" />
                        <display value="Mental Health Support" />
                    </coding>
                    <coding>
                        <system value="https://nottscc.gov.uk/service_user_group" />
                        <display value="Mental Health Support" />
                    </coding>
                    <coding>
                        <system value="https://nottscc.gov.uk/service_user_sub_group" />
                        <display value="Mental Health Support" />
                    </coding>
                    <text value="Mental Health Support" />
                </reasonCode>
            </Procedure>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Flag/3653ff7b-4d18-4892-9903-bade2fc23131" />
        <resource>
            <Flag>
                <id value="3653ff7b-4d18-4892-9903-bade2fc23131" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Flag-1|0.0.1" />
                </meta>
                <status value="active" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="514331000000104" />
                        <display value="Referral to safeguarding adults team" />
                    </coding>
                    <text value="Referral to safeguarding adults team" />
                </code>
                <subject>
                    <reference value="Patient/101539520" />
                </subject>
                <period>
                    <start value="2019-03-04" />
                </period>
            </Flag>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Device/2766fd1c-d0d1-461a-b448-b070106725a2" />
        <resource>
            <Device>
                <id value="2766fd1c-d0d1-461a-b448-b070106725a2" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Device|0.0.1" />
                </meta>
                <type>
                    <text value="Keysafe" />
                </type>
                <patient>
                    <reference value="Patient/101539520" />
                </patient>
                <note>
                    <text value="Keysafe by back door (not main front door)" />
                </note>
            </Device>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Device/bbf2702c-41b0-4aac-a3b8-bb86c43d906g" />
        <resource>
            <Device>
                <id value="bbf2702c-41b0-4aac-a3b8-bb86c43d906g" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CDS-Device|0.0.1" />
                </meta>
                <type>
                    <text value="Lifeline Alarm" />
                </type>
                <patient>
                    <reference value="Patient/101539520" />
                </patient>
                <note>
                    <text value="Optional note about Lifeline alarm" />
                </note>
            </Device>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/EpisodeOfCare/ae04b8ea-f27b-4702-9967-3e6c0b711036" />
        <resource>
            <EpisodeOfCare>
                <id value="ae04b8ea-f27b-4702-9967-3e6c0b711036" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-EpisodeOfCare-1|0.0.1" />
                </meta>
                <contained>
                    <Organization>
                        <id value="cds-organization-a" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1" />
                        </meta>
                        <type>
                            <text value="Local Authority" />
                        </type>
                        <name value="Nottinghamshire County Council" />
                        <contact>
                            <purpose>
                                <text value="Adult Social Care Enquiries" />
                            </purpose>
                            <telecom>
                                <system value="phone" />
                                <value value="0115 984 2222" />
                                <use value="work" />
                            </telecom>
                        </contact>
                    </Organization>
                </contained>
                <status value="active" />
                <type id="6683">
                    <coding>
                        <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory" />
                        <code value="package-name" />
                        <display value="Package Name" />
                    </coding>
                    <text value="Gemini Exclusive Care_NwkSher_AP_2" />
                </type>
                <type id="381">
                    <coding>
                        <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory" />
                        <code value="package-type" />
                        <display value="Package Type" />
                    </coding>
                    <text value="Adults Home Support" />
                </type>
                <patient>
                    <reference value="Patient/101539520" />
                </patient>
                <managingOrganization>
                    <reference value="#cds-organization-a" />
                </managingOrganization>
                <period>
                    <start value="2019-03-11" />
                </period>
            </EpisodeOfCare>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/EpisodeOfCare/cb22b5b2-179c-4f8b-96ba-266b3f7c5a48" />
        <resource>
            <EpisodeOfCare>
                <id value="cb22b5b2-179c-4f8b-96ba-266b3f7c5a48" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-EpisodeOfCare-1|0.0.1" />
                </meta>
                <contained>
                    <Organization>
                        <id value="cds-organization-b" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1" />
                        </meta>
                        <type>
                            <text value="Local Authority" />
                        </type>
                        <name value="START Internal Supplier" />
                        <contact>
                            <purpose>
                                <text value="Adult Social Care Enquiries" />
                            </purpose>
                            <telecom>
                                <system value="phone" />
                                <value value="0115 984 2222" />
                                <use value="work" />
                            </telecom>
                        </contact>
                    </Organization>
                </contained>
                <status value="finished" />
                <type id="6841">
                    <coding>
                        <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory" />
                        <code value="package-name" />
                        <display value="Package Name" />
                    </coding>
                    <text value="START" />
                </type>
                <type id="369">
                    <coding>
                        <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCarePackageDetailCategory" />
                        <code value="package-type" />
                        <display value="Package Type" />
                    </coding>
                    <text value="Reablement Service" />
                </type>
                <patient>
                    <reference value="Patient/101539520" />
                </patient>
                <managingOrganization>
                    <reference value="#cds-organization-b" />
                </managingOrganization>
                <period>
                    <start value="2018-12-29" />
                    <end value="2019-02-03" />
                </period>
            </EpisodeOfCare>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/ReferralRequest/3a16c7bd-17f7-4810-bb41-fb3e97650660" />
        <resource>
            <ReferralRequest>
                <id value="3a16c7bd-17f7-4810-bb41-fb3e97650660" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1" />
                </meta>
                <contained>
                    <Practitioner>
                        <id value="cds-practitioner-gp" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1" />
                        </meta>
                        <name>
                            <text value="Dr Hannah Smith" />
                        </name>
                    </Practitioner>
                </contained>
                <contained>
                    <Organization>
                        <id value="cds-organization-s" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1" />
                        </meta>
                        <name value="Riverside Surgery" />
                    </Organization>
                </contained>
                <status value="active" />
                <intent value="plan" />
                <type>
                    <text value="GP Referral" />
                </type>
                <subject>
                    <reference value="Patient/101539520" />
                </subject>
                <authoredOn value="2019-03-24T08:10:16+00:00" />
                <requester>
                    <agent>
                        <reference value="#cds-practitioner-gp" />
                    </agent>
                    <onBehalfOf>
                        <reference value="#cds-organization-s" />
                    </onBehalfOf>
                </requester>
                <description value="The patient has complained about difficultly getting dressed in a morning." />
            </ReferralRequest>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/ReferralRequest/3a16c7bd-17f7-4810-bb41-fe3e97650660" />
        <resource>
            <ReferralRequest>
                <id value="3a16c7bd-17f7-4810-bb41-fe3e97650660" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-ReferralRequest-1|0.0.1" />
                </meta>
                <contained>
                    <Practitioner>
                        <id value="cds-practitioner-a" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1" />
                        </meta>
                        <name>
                            <text value="IDT Nurse" />
                        </name>
                    </Practitioner>
                </contained>
                <contained>
                    <Organization>
                        <id value="cds-organization-c" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Organization-1|0.0.1" />
                        </meta>
                        <name value="Nottingham Hospital" />
                    </Organization>
                </contained>
                <status value="completed" />
                <intent value="plan" />
                <type>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="715591000000108" />
                        <display value="Hospital Discharge Notification to Social Care" />
                    </coding>
                    <text value="Hospital Discharge Notification to Social Care" />
                </type>
                <subject>
                    <reference value="Patient/101539520" />
                </subject>
                <authoredOn value="2018-12-24T08:10:16+00:00" />
                <requester>
                    <agent>
                        <reference value="#cds-practitioner-a" />
                    </agent>
                    <onBehalfOf>
                        <reference value="#cds-organization-c" />
                    </onBehalfOf>
                </requester>
                <description value="The patient was admitted due to a fall and will require some reablement support on discharge." />
            </ReferralRequest>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/Task/d53f2ed0-aa9d-4c86-9359-c77c3fc591e7" />
        <resource>
            <Task>
                <id value="d53f2ed0-aa9d-4c86-9359-c77c3fc591e7" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Task|0.0.1" />
                </meta>
                <contained>
                    <Practitioner>
                        <id value="cds-practitioner-contact" />
                        <meta>
                            <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-Practitioner-1|0.0.1" />
                        </meta>
                        <name>
                            <text value="Hannah Smith" />
                        </name>
                        <telecom>
                            <system value="phone" />
                            <value value="0115 917 5544" />
                            <use value="work" />
                        </telecom>
                    </Practitioner>
                </contained>
                <basedOn>
                    <reference value="ReferralRequest/3a16c7bd-17f7-4810-bb41-fe3e97650660" />
                </basedOn>
                <status value="completed" />
                <intent value="plan" />
                <code id="696">
                    <coding>
                        <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareTaskDetailCategory" />
                        <code value="task-name" />
                        <display value="Task Name" />
                    </coding>
                    <text value="Occupational Therapy Assessment" />
                </code>
                <for>
                    <reference value="Patient/101539520" />
                </for>
                <executionPeriod>
                    <start value="2018-12-27" />
                    <end value="2018-12-29" />
                </executionPeriod>
                <owner>
                    <reference value="#cds-practitioner-contact" />
                </owner>
                <output>
                    <type>
                        <coding>
                            <system value="https://fhir.nottinghamshire.gov.uk/STU3/codesystem/CDS-SocialCareTaskOutcomeType" />
                            <code value="outcome-summary" />
                            <display value="Outcome Summary" />
                        </coding>
                        <text value="Outcome Summary" />
                    </type>
                    <valueString value="START Package Commissioned" />
                </output>
            </Task>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/RelatedPerson/007bb927-9e35-4f8f-b478-cf7ab04f8056" />
        <resource>
            <RelatedPerson>
                <id value="007bb927-9e35-4f8f-b478-cf7ab04f8056" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-RelatedPerson-1|0.0.1" />
                </meta>
                <identifier>
                    <use value="official" />
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9111111720" />
                </identifier>
                <patient>
                    <reference value="Patient/101539520" />
                </patient>
                <relationship>
                    <coding>
                        <system value="http://CareDataService/RelatedPerson/relationship-type" />
                        <display value="Wife" />
                    </coding>
                    <coding>
                        <system value="http://CareDataService/RelatedPerson/relationship-flag" />
                        <display value="Next Of Kin" />
                    </coding>
                    <coding>
                        <system value="http://CareDataService/RelatedPerson/relationship-flag" />
                        <display value="Carer" />
                    </coding>
                </relationship>
                <name>
                    <use value="official" />
                    <text value="Test-16 Patient" />
                    <family value="Patient" />
                    <given value="Test-16" />
                </name>
                <birthDate value="1964-04-03" />
            </RelatedPerson>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/CareTeam/3653ff7b-4d18-4892-9903-bade2fc12345" />
        <resource>
            <CareTeam>
                <id value="3653ff7b-4d18-4892-9903-bade2fc12345" />
                <meta>
                    <profile value="https://fhir.nottinghamshire.gov.uk/STU3/StructureDefinition/CareConnect-CDS-CareTeam-1|0.0.1" />
                </meta>
                <contained>
                    <Practitioner>
                        <id value="pr1" />
                        <name>
                            <family value="Key-OT-Worker" />
                            <given value="Orlando" />
                        </name>
                        <telecom>
                            <system value="phone" />
                            <value value="0115 917 5678" />
                            <use value="work" />
                        </telecom>
                    </Practitioner>
                </contained>
                <contained>
                    <Practitioner>
                        <id value="pr2" />
                        <name>
                            <family value="Key-SocialWorker" />
                            <given value="Sara" />
                        </name>
                        <telecom>
                            <system value="phone" />
                            <value value="0115 917 1234" />
                            <use value="work" />
                        </telecom>
                    </Practitioner>
                </contained>
                <category>
                    <coding>
                        <system value="http://hl7.org/fhir/care-team-category" />
                        <code value="longitudinal" />
                    </coding>
                </category>
                <name value="Social Care Team" />
                <subject>
                    <reference value="Patient/101539520" />
                </subject>
                <participant>
                    <role>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="106328005" />
                            <display value="Social worker" />
                        </coding>
                        <text value="Key Social Worker" />
                    </role>
                    <member>
                        <reference value="#pr2" />
                    </member>
                </participant>
                <participant>
                    <role>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="309427003" />
                            <display value="Social services occupational therapist" />
                        </coding>
                        <text value="Key OT Worker" />
                    </role>
                    <member>
                        <reference value="#pr1" />
                    </member>
                </participant>
            </CareTeam>
        </resource>
        <search>
            <mode value="include" />
        </search>
    </entry>
    <entry>
        <fullUrl value="https://health-interoperability-test.nottscc.gov.uk/CareDataService/v2/OperationOutcome/CDS-search-outcome" />
        <resource>
            <OperationOutcome>
                <id value="CDS-search-outcome" />
                <issue>
                    <severity value="warning" />
                    <code value="incomplete" />
                    <diagnostics value="Failed to return 1 Task resource due to internal errors" />
                    <expression value="Task" />
                </issue>
                <issue>
                    <severity value="warning" />
                    <code value="incomplete" />
                    <diagnostics value="Failed to return 2 ReferralRequest resources due to internal errors" />
                    <expression value="ReferralRequest" />
                </issue>
            </OperationOutcome>
        </resource>
        <search>
            <mode value="outcome" />
        </search>
    </entry>
</Bundle>

Social Care Record