<ServiceRequestxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-AdditionalContact-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact"><valueReference><referencevalue="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" /></valueReference></extension><!-- **************extension end ****************** --><statusvalue="active" /><intentvalue="order" /><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><requester><referencevalue="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" /></requester></ServiceRequest>
JSON View
{"resourceType": "ServiceRequest","id": "Extension-UKCore-AdditionalContact-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdditionalContact","valueReference": {"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"}}],"status": "active","intent": "order","subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"requester": {"reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"}}
An example to illustrate the extension for an encounter to support the method by which an individual was admitted into hospital
Table View
Encounter.id[0]
Extension-UKCore-AdmissionMethod-Example
Encounter.text[0].status[0]
additional
Encounter.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension for an encounter to support the method by which an individual was admitted into hospital </div>
An example to illustrate the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid
Table View
AllergyIntolerance.id[0]
Extension-UKCore-AllergyIntolEnd-Example
AllergyIntolerance.text[0].status[0]
additional
AllergyIntolerance.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the date when the allergy or intolerance was no longer valid, and/or, the reason why the allergy or intolerance is no longer valid</div>
<AllergyIntolerancexmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-AllergyIntolEnd-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><clinicalStatus><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd"><extensionurl="endDate"><valueDateTimevalue="2021-07-20T17:10:00+00:00" /></extension><extensionurl="reasonEnded"><valueStringvalue="Administrative error corrected on patient record - confirmed that allergy not experienced with the patient." /></extension></extension><!-- **************extension end************** --><coding><systemvalue="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" /><codevalue="inactive" /><displayvalue="Inactive" /></coding></clinicalStatus><verificationStatus><coding><systemvalue="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" /><codevalue="confirmed" /><displayvalue="Confirmed" /></coding></verificationStatus><code><coding><systemvalue="http://snomed.info/sct" /><codevalue="372687004" /><displayvalue="Amoxicillin" /></coding></code><patient><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></patient><encounter><referencevalue="Encounter/UKCore-Encounter-InpatientEncounter-Example" /></encounter><recordedDatevalue="2019-12-10T13:00:00+00:00" /><recorder><referencevalue="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" /></recorder><asserter><referencevalue="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" /></asserter></AllergyIntolerance>
JSON View
{"resourceType": "AllergyIntolerance","id": "Extension-UKCore-AllergyIntolEnd-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"clinicalStatus": {"extension": [{"extension": [{"url": "endDate","valueDateTime": "07/20/2021 17:10:00"},{"url": "reasonEnded","valueString": "Administrative error corrected on patient record - confirmed that allergy not experienced with the patient."}],"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AllergyIntoleranceEnd"}],"coding": [{"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical","code": "inactive","display": "Inactive"}]},"verificationStatus": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification","code": "confirmed","display": "Confirmed"}]},"code": {"coding": [{"system": "http://snomed.info/sct","code": "372687004","display": "Amoxicillin"}]},"patient": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"encounter": {"reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"},"recordedDate": "12/10/2019 13:00:00","recorder": {"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"},"asserter": {"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"}}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-BirthPlace-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/patient-birthPlace"><valueAddress><linevalue="MATERNITY UNIT" /><linevalue="LENVILLE UNIVERSITY HOSPITAL" /><linevalue="BEWLEY STREET" /><cityvalue="LENVILLE" /><postalCodevalue="LEN 7TF" /><countryvalue="ENGLAND" /></valueAddress></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-BirthPlace-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/patient-birthPlace","valueAddress": {"line": ["MATERNITY UNIT","LENVILLE UNIVERSITY HOSPITAL","BEWLEY STREET"],"city": "LENVILLE","postalCode": "LEN 7TF","country": "ENGLAND"}}]}
system : http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender
code : F
display : Female
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-BirthSex-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex"><valueCodeableConcept><coding><systemvalue="http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender" /><codevalue="F" /><displayvalue="Female" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-BirthSex-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex","valueCodeableConcept": {"coding": [{"system": "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender","code": "F","display": "Female"}]}}]}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-BirthTime-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><birthDate><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/patient-birthTime"><valueDateTimevalue="2002-03-11T15:39:00+00:00" /></extension><!-- **************extension end************** --></birthDate></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-BirthTime-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"_birthDate": {"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/patient-birthTime","valueDateTime": "03/11/2002 15:39:00"}]}}
<Specimenxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-BodySiteReference-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="available" /><type><coding><systemvalue="http://snomed.info/sct" /><codevalue="119297000" /><displayvalue="Blood specimen" /></coding></type><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><receivedTimevalue="2016-02-05T11:10:00Z" /><collection><collector><referencevalue="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" /></collector><collectedDateTimevalue="2016-02-09T16:00:00Z" /><method><coding><systemvalue="http://snomed.info/sct" /><codevalue="28520004" /><displayvalue="Venipuncture for blood test" /></coding></method><bodySite><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference"><valueReference><referencevalue="BodyStructure/UKCore-BodyStructure-MedianCubitalVeinExample" /></valueReference></extension><!-- **************extension end************** --><textvalue="vein on the inner left arm" /></bodySite></collection></Specimen>
JSON View
{"resourceType": "Specimen","id": "Extension-UKCore-BodySiteReference-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "available","type": {"coding": [{"system": "http://snomed.info/sct","code": "119297000","display": "Blood specimen"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"receivedTime": "02/05/2016 11:10:00","collection": {"collector": {"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"},"collectedDateTime": "02/09/2016 16:00:00","method": {"coding": [{"system": "http://snomed.info/sct","code": "28520004","display": "Venipuncture for blood test"}]},"bodySite": {"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BodySiteReference","valueReference": {"reference": "BodyStructure/UKCore-BodyStructure-MedianCubitalVeinExample"}}],"text": "vein on the inner left arm"}}}
An example to illustrate whether the patient authorised the donation of body parts after death using the core-defined extension
Table View
Patient.id[0]
Extension-UKCore-CadavericDonor-Example
Patient.text[0].status[0]
additional
Patient.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate whether the patient authorised the donation of body parts after death using the core-defined extension</div>
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CadavericDonor-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor"><valueBooleanvalue="true" /></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-CadavericDonor-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/patient-cadavericDonor","valueBoolean": true}]}
<Compositionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CareSettingType-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="789718008" /><displayvalue="Cardiology service" /></coding></valueCodeableConcept></extension><statusvalue="final" /><type><coding><systemvalue="http://snomed.info/sct" /><codevalue="373942005" /><displayvalue="Discharge summary" /></coding></type><datevalue="2020-11-11T21:30:00+00:00" /><author><referencevalue="urn:uuid:6555b7a7-380d-46ff-a1c5-7abc4e68f8bc" /></author><titlevalue="Discharge summary" /></Composition>
JSON View
{"resourceType": "Composition","id": "Extension-UKCore-CareSettingType-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CareSettingType","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "789718008","display": "Cardiology service"}]}}],"status": "final","type": {"coding": [{"system": "http://snomed.info/sct","code": "373942005","display": "Discharge summary"}]},"date": "11/11/2020 21:30:00","author": [{"reference": "urn:uuid:6555b7a7-380d-46ff-a1c5-7abc4e68f8bc"}],"title": "Discharge summary"}
An example to illustrate the use of the CodeableConcept.text field only if the coding system and code is unknown
Table View
Condition.id[0]
Extension-UKCore-CodingSCT-CodeUnknown-Example
Condition.text[0].status[0]
additional
Condition.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the use of the CodeableConcept.text field only if the coding system and code is unknown</div>
Condition.code[0].text[0]
Myocardial infarction
Condition.subject[0].reference[0]
Patient/UKCore-Patient-RichardSmith-Example
Tree View
Condition
id : Extension-UKCore-CodingSCT-CodeUnknown-Example
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-CodeUnknown-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><code><textvalue="Myocardial infarction" /></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-CodingSCT-CodeUnknown-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"text": "Myocardial infarction"},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
An example to illustrate the use of an extension to represent a SNOMED CT concept with a specific Description ID — typically to preserve or specify which synonym or preferred term was originally used in a clinical system
Table View
Condition.id[0]
Extension-UKCore-CodingSCT-Heart-Example
Condition.text[0].status[0]
additional
Condition.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the use of an extension to represent a SNOMED CT concept with a specific Description ID — typically to preserve or specify which synonym or preferred term was originally used in a clinical system</div>
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-Heart-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><code><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Heart attack" /></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="37443015" /></extension><systemvalue="http://snomed.info/sct" /><codevalue="22298006" /><displayvalue="Myocardial infarction" /><userSelectedvalue="true" /></coding></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-CodingSCT-Heart-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"coding": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Heart attack"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "37443015"}],"system": "http://snomed.info/sct","code": "22298006","display": "Myocardial infarction","userSelected": true}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
An example to illustrate the use of two extensions, one to represent a SNOMED CT concept with a specific Description ID, the other to represent the associated SNOMED CT Term (text description) — typically to preserve or specify which synonym or preferred term was originally used in a clinical system
Table View
Observation.id[0]
Extension-UKCore-CodingSCT-IllicitDrugs-Example
Observation.text[0].status[0]
additional
Observation.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the use of two extensions, one to represent a SNOMED CT concept with a specific Description ID, the other to represent the associated SNOMED CT Term (text description) — typically to preserve or specify which synonym or preferred term was originally used in a clinical system</div>
<Observationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-IllicitDrugs-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="final" /><code><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Illicit medication use unknown" /></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="3449865011" /></extension><systemvalue="http://snomed.info/sct" /><codevalue="702771005" /><displayvalue="Illicit drug use unknown" /><userSelectedvalue="true" /></coding><textvalue="Not known whether uses illicit drugs" /><!-- what the user saw on screen, from a data entry template --></code><!-- **************Snippet end************** --><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Observation>
JSON View
{"resourceType": "Observation","id": "Extension-UKCore-CodingSCT-IllicitDrugs-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "final","code": {"coding": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Illicit medication use unknown"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "3449865011"}],"system": "http://snomed.info/sct","code": "702771005","display": "Illicit drug use unknown","userSelected": true}],"text": "Not known whether uses illicit drugs"},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
This is a FHIR Condition resource recording that the patient has a benign mole (melanocytic naevus) on the skin. It includes both CTV3 and SNOMED codes, along with user-facing text "Moles".
Table View
Condition.id[0]
Extension-UKCore-CodingSCT-MoleOfSkin-Example
Condition.text[0].status[0]
additional
Condition.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">This is a FHIR Condition resource recording that the patient has a benign mole (melanocytic naevus) on the skin. It includes both CTV3 and SNOMED codes, along with user-facing text "Moles".</div>
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-MoleOfSkin-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************Snippet start************** --><code><coding><systemvalue="http://read.info/ctv3" /><codevalue="X78Uv" /><!-- no term code, so CTV3 PT is implied? --><displayvalue="Benign melanocytic naevus skin" /><!-- text of V3 PT --></coding><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Mole of skin" /><!-- text for id = 1787065011 --></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="1787065011" /><!-- not the SNOMED PT --></extension><systemvalue="http://snomed.info/sct" /><codevalue="400010006" /><!-- SNOMED conceptId --><displayvalue="Melanocytic naevus of skin" /><!-- text of SNOMED PT --></coding><textvalue="Moles" /><!-- what user saw on screen, from data entry template --></code><!-- **************Snippet end************** --><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-CodingSCT-MoleOfSkin-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"coding": [{"system": "http://read.info/ctv3","code": "X78Uv","display": "Benign melanocytic naevus skin"},{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Mole of skin"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "1787065011"}],"system": "http://snomed.info/sct","code": "400010006","display": "Melanocytic naevus of skin"}],"text": "Moles"},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
This FHIR Condition resource records that the patient has had a myocardial infarction (heart attack), using the SNOMED code 22298006 with user-selected terminology.
Table View
Condition.id[0]
Extension-UKCore-CodingSCT-Myocardial-Example
Condition.text[0].status[0]
additional
Condition.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">This FHIR Condition resource records that the patient has had a myocardial infarction (heart attack), using the SNOMED code 22298006 with user-selected terminology.</div>
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-Myocardial-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************Snippet start************** --><code><coding><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="37436014" /></extension><systemvalue="http://snomed.info/sct" /><codevalue="22298006" /><displayvalue="Myocardial infarction" /><userSelectedvalue="true" /></coding></code><!-- **************Snippet end************** --><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-CodingSCT-Myocardial-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"coding": [{"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "37436014"}],"system": "http://snomed.info/sct","code": "22298006","display": "Myocardial infarction","userSelected": true}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
An example to illustrate the use of two extensions, one to represent a SNOMED CT concept with a specific Description ID, the other to represent the associated SNOMED CT Term (text description) — typically to preserve or specify which synonym or preferred term was originally used in a clinical system
Table View
Observation.id[0]
Extension-UKCore-CodingSCT-Potassium-Example
Observation.text[0].status[0]
additional
Observation.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the use of two extensions, one to represent a SNOMED CT concept with a specific Description ID, the other to represent the associated SNOMED CT Term (text description) — typically to preserve or specify which synonym or preferred term was originally used in a clinical system</div>
<Observationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-Potassium-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="final" /><!-- **************Snippet start************** --><code><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Serum potassium measurement" /></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="405941011" /></extension><systemvalue="http://snomed.info/sct" /><codevalue="1000651000000109" /><displayvalue="Serum potassium level" /><userSelectedvalue="true" /><!-- flags the coding originally actually selected by the user --></coding><textvalue="Serum Potassium" /><!-- what the user saw on screen, from a data entry template --></code><!-- **************Snippet end************** --><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Observation>
JSON View
{"resourceType": "Observation","id": "Extension-UKCore-CodingSCT-Potassium-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "final","code": {"coding": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Serum potassium measurement"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "405941011"}],"system": "http://snomed.info/sct","code": "1000651000000109","display": "Serum potassium level","userSelected": true}],"text": "Serum Potassium"},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
An example to illustrate the use of an extension to represent a SNOMED CT concept with a specific Description ID — typically to preserve or specify which synonym or preferred term was originally used in a clinical system
Table View
Observation.id[0]
Extension-UKCore-CodingSCT-Weight-Example
Observation.text[0].status[0]
additional
Observation.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the use of an extension to represent a SNOMED CT concept with a specific Description ID — typically to preserve or specify which synonym or preferred term was originally used in a clinical system</div>
<Observationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCT-Weight-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="final" /><!-- **************Snippet start************** --><code><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Ideal weight" /></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="787121000006116" /><!-- descriptionId from a GP system namespace --></extension><systemvalue="http://snomed.info/sct" /><codevalue="170804003" /><!-- conceptId from SNOMED International CORE --><displayvalue="Ideal body weight" /><userSelectedvalue="true" /></coding></code><!-- **************Snippet end************** --><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Observation>
JSON View
{"resourceType": "Observation","id": "Extension-UKCore-CodingSCT-Weight-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "final","code": {"coding": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Ideal weight"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "787121000006116"}],"system": "http://snomed.info/sct","code": "170804003","display": "Ideal body weight","userSelected": true}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CodingSCTDescId-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><code><coding><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay"><valueStringvalue="Bronchial asthma" /></extension><extensionurl="http://hl7.org/fhir/StructureDefinition/coding-sctdescid"><valueIdvalue="301480018" /></extension><systemvalue="http://snomed.info/sct" /><codevalue="195967001" /><displayvalue="Asthma" /><userSelectedvalue="true" /></coding></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-CodingSCTDescId-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"coding": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CodingSCTDescDisplay","valueString": "Bronchial asthma"},{"url": "http://hl7.org/fhir/StructureDefinition/coding-sctdescid","valueId": "301480018"}],"system": "http://snomed.info/sct","code": "195967001","display": "Asthma","userSelected": true}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-ConditionEpisode-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode"><valueCodevalue="new" /><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-ConditionEpisodicity" /><codevalue="new" /><displayvalue="New" /></coding></valueCodeableConcept></extension><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-ConditionEpisode-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ConditionEpisode","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-ConditionEpisodicity","code": "new","display": "New"}]}}],"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-ContactRank-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><contact><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank"><valuePositiveIntvalue="1" /></extension><!-- **************extension end************** --><name><usevalue="official" /><familyvalue="CARTER" /><givenvalue="Emily" /></name><telecom><systemvalue="phone" /><valuevalue="01131231288" /></telecom><gendervalue="female" /></contact></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-ContactRank-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"contact": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank","valuePositiveInt": 1}],"name": {"use": "official","family": "CARTER","given": ["Emily"]},"telecom": [{"system": "phone","value": "01131231288"}],"gender": "female"}]}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-CopyCorrespondenceIndicator-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><contact><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator"><valueBooleanvalue="true" /></extension><!-- **************extension end************** --><name><usevalue="official" /><familyvalue="CARTER" /><givenvalue="Emily" /></name><telecom><systemvalue="phone" /><valuevalue="01131231288" /></telecom><gendervalue="female" /></contact></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-CopyCorrespondenceIndicator-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"contact": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-CopyCorrespondenceIndicator","valueBoolean": true}],"name": {"use": "official","family": "CARTER","given": ["Emily"]},"telecom": [{"system": "phone","value": "01131231288"}],"gender": "female"}]}
<ServiceRequestxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-Coverage-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory" /><codevalue="private" /><displayvalue="Private" /></coding></valueCodeableConcept></extension><!-- **************extension end ****************** --><statusvalue="active" /><intentvalue="order" /><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></ServiceRequest>
JSON View
{"resourceType": "ServiceRequest","id": "Extension-UKCore-Coverage-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-Coverage","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-FundingCategory","code": "private","display": "Private"}]}}],"status": "active","intent": "order","subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-DeathNotificationStatus
code : U
display : Removed
extension
url : systemEffectiveDate
value : 2019-08-01T00:00:00.000Z
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-DeathNotificationStatus-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus"><extensionurl="deathNotificationStatus"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-DeathNotificationStatus" /><codevalue="U" /><displayvalue="Removed" /></coding></valueCodeableConcept></extension><extensionurl="systemEffectiveDate"><valueDateTimevalue="2019-08-01T00:00:00.000Z" /></extension></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-DeathNotificationStatus-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"extension": [{"url": "deathNotificationStatus","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DeathNotificationStatus","code": "U","display": "Removed"}]}},{"url": "systemEffectiveDate","valueDateTime": "08/01/2019 00:00:00"}],"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeathNotificationStatus"}]}
<DiagnosticReportxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-DeviceReference-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="final" /><code><coding><systemvalue="http://snomed.info/sct" /><codevalue="721981007" /><displayvalue="Diagnostic studies report" /></coding></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><performer><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference"><valueReference><referencevalue="Device/UKCore-Device-SoftwareAsAMedicalDevice-Example" /></valueReference></extension><displayvalue="Software as a medical device" /><!-- ***************extension end*************** --></performer><resultsInterpreter><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference"><valueReference><referencevalue="Device/UKCore-Device-SoftwareAsAMedicalDevice-Example" /></valueReference></extension><displayvalue="Software as a medical device" /><!-- ***************extension end*************** --></resultsInterpreter><specimen><referencevalue="Specimen/UKCore-Specimen-BloodSpecimen-Example" /></specimen><result><referencevalue="Observation/UKCore-Observation-WhiteCellCount-Example" /></result></DiagnosticReport>
JSON View
{"resourceType": "DiagnosticReport","id": "Extension-UKCore-DeviceReference-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "final","code": {"coding": [{"system": "http://snomed.info/sct","code": "721981007","display": "Diagnostic studies report"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"performer": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference","valueReference": {"reference": "Device/UKCore-Device-SoftwareAsAMedicalDevice-Example"}}],"display": "Software as a medical device"}],"resultsInterpreter": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DeviceReference","valueReference": {"reference": "Device/UKCore-Device-SoftwareAsAMedicalDevice-Example"}}],"display": "Software as a medical device"}],"specimen": [{"reference": "Specimen/UKCore-Specimen-BloodSpecimen-Example"}],"result": [{"reference": "Observation/UKCore-Observation-WhiteCellCount-Example"}]}
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the backport extension to allow referencing a DocumentReference instance within DiagnosticReport.media.link</div>
<DiagnosticReportxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-DiagnosticReportMediaLinkR5-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="preliminary" /><code><coding><systemvalue="http://snomed.info/sct" /><codevalue="1129261000000102" /><displayvalue="Cardiac electrophysiology report" /></coding></code><media><extensionurl="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link"><valueReference><referencevalue="DocumentReference/UKCore-DocumentReference-ECG-Example" /></valueReference></extension><link><extensionurl="http://hl7.org/fhir/StructureDefinition/data-absent-reason"><valueCodevalue="unsupported" /></extension><displayvalue="unsupported" /></link></media></DiagnosticReport>
JSON View
{"resourceType": "DiagnosticReport","id": "Extension-UKCore-DiagnosticReportMediaLinkR5-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "preliminary","code": {"coding": [{"system": "http://snomed.info/sct","code": "1129261000000102","display": "Cardiac electrophysiology report"}]},"media": [{"extension": [{"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.media.link","valueReference": {"reference": "DocumentReference/UKCore-DocumentReference-ECG-Example"}}],"link": {"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/data-absent-reason","valueCode": "unsupported"}],"display": "unsupported"}}]}
An example to illustrate the extension for an encounter to support the method of discharge from a hospital
Table View
Encounter.id[0]
Extension-UKCore-DischargeMethod-Example
Encounter.text[0].status[0]
additional
Encounter.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension for an encounter to support the method of discharge from a hospital</div>
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethodEngland
code : 1
display : Patient discharged on clinical advice or with clinical consent
status : finished
class
system : http://terminology.hl7.org/CodeSystem/v3-ActCode
code : IMP
display : inpatient encounter
XML View
<Encounterxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-DischargeMethod-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethodEngland" /><codevalue="1" /><displayvalue="Patient discharged on clinical advice or with clinical consent" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><statusvalue="finished" /><class><systemvalue="http://terminology.hl7.org/CodeSystem/v3-ActCode" /><codevalue="IMP" /><displayvalue="inpatient encounter" /></class></Encounter>
JSON View
{"resourceType": "Encounter","id": "Extension-UKCore-DischargeMethod-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethodEngland","code": "1","display": "Patient discharged on clinical advice or with clinical consent"}]}}],"status": "finished","class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode","code": "IMP","display": "inpatient encounter"}}
<RelatedPersonxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-EffectivePeriod-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EffectivePeriod"><valuePeriod><startvalue="2007-03-04T00:00:00.000Z" /></valuePeriod></extension><!-- **************extension end************** --><patient><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></patient></RelatedPerson>
JSON View
{"resourceType": "RelatedPerson","id": "Extension-UKCore-EffectivePeriod-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EffectivePeriod","valuePeriod": {"start": "03/04/2007 00:00:00"}}],"patient": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension which is used to indicate the status of an individual on discharge from an Emergency Care Department</div>
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland
code : A
display : White - British
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-EthnicCategory-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland" /><codevalue="A" /><displayvalue="White - British" /></coding></valueCodeableConcept></extension><!-- *************extension end ***************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-EthnicCategory-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland","code": "A","display": "White - British"}]}}]}
An example to illustrate a reference to results of investigations that confirmed the certainty of the diagnosis for an allergy or intolerance
Table View
AllergyIntolerance.id[0]
Extension-UKCore-Evidence-Example
AllergyIntolerance.text[0].status[0]
additional
AllergyIntolerance.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate a reference to results of investigations that confirmed the certainty of the diagnosis for an allergy or intolerance</div>
An example to illustrate the core-defined extension which is used to indicate that a person requires an interpreter
Table View
Patient.id[0]
Extension-UKCore-InterpreterRequired-Example
Patient.text[0].status[0]
additional
Patient.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the core-defined extension which is used to indicate that a person requires an interpreter</div>
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-InterpreterRequired-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired"><valueBooleanvalue="true" /></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-InterpreterRequired-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/patient-interpreterRequired","valueBoolean": true}]}
An example to illustrate the extension which is used to indicate a patient's legal status on admission or discharge
Table View
Encounter.id[0]
Extension-UKCore-LegalStatus-Example
Encounter.text[0].status[0]
additional
Encounter.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension which is used to indicate a patient's legal status on admission or discharge</div>
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext
code : admission
display : Admission
extension
url : legalStatusClassification
value
coding
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales
code : 02
display : Formally detained under Mental Health Act Section 2 (Admission for assessment)
status : finished
class
system : http://terminology.hl7.org/CodeSystem/v3-ActCode
code : IMP
display : inpatient encounter
XML View
<Encounterxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-LegalStatus-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus"><extensionurl="legalStatusContext"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext" /><codevalue="admission" /><displayvalue="Admission" /></coding></valueCodeableConcept></extension><extensionurl="legalStatusClassification"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales" /><codevalue="02" /><displayvalue="Formally detained under Mental Health Act Section 2 (Admission for assessment)" /></coding></valueCodeableConcept></extension></extension><!-- **************extension end************** --><statusvalue="finished" /><class><systemvalue="http://terminology.hl7.org/CodeSystem/v3-ActCode" /><codevalue="IMP" /><displayvalue="inpatient encounter" /></class></Encounter>
JSON View
{"resourceType": "Encounter","id": "Extension-UKCore-LegalStatus-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"extension": [{"url": "legalStatusContext","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusContext","code": "admission","display": "Admission"}]}},{"url": "legalStatusClassification","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-LegalStatusClassificationWales","code": "02","display": "Formally detained under Mental Health Act Section 2 (Admission for assessment)"}]}}],"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-LegalStatus"}],"status": "finished","class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode","code": "IMP","display": "inpatient encounter"}}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-MedicalApplianceSupplier-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicalApplianceSupplier"><valueReference><referencevalue="Organization/UKCore-Organization-WhiteRoseMedicalSupply-Example" /></valueReference></extension><!-- **************extension end**************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-MedicalApplianceSupplier-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicalApplianceSupplier","valueReference": {"reference": "Organization/UKCore-Organization-WhiteRoseMedicalSupply-Example"}}]}
<MedicationStatementxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-MedicationChangeSummary-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary"><extensionurl="status"><valueCoding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus" /><codevalue="amended" /><displayvalue="Amended" /></valueCoding></extension><extensionurl="indicationForChange"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="275929009" /><displayvalue="Tablets too large to swallow" /></coding></valueCodeableConcept></extension><extensionurl="dateChanged"><valueDateTimevalue="2020-07-21" /></extension><extensionurl="detailsOfAmendment"><valueStringvalue="Changed from tablet form to solution as tablet were being crushed before taking" /></extension></extension><!-- ***************extension end*************** --><statusvalue="active" /><medicationReference><referencevalue="urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b" /></medicationReference><subject><referencevalue="urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0" /></subject></MedicationStatement>
JSON View
{"resourceType": "MedicationStatement","id": "Extension-UKCore-MedicationChangeSummary-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"extension": [{"url": "status","valueCoding": {"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationChangeStatus","code": "amended","display": "Amended"}},{"url": "indicationForChange","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "275929009","display": "Tablets too large to swallow"}]}},{"url": "dateChanged","valueDateTime": "2020-07-21"},{"url": "detailsOfAmendment","valueString": "Changed from tablet form to solution as tablet were being crushed before taking"}],"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationChangeSummary"}],"status": "active","medicationReference": {"reference": "urn:uuid:811a38a0-5612-47f5-8d5b-5a0287e8e72b"},"subject": {"reference": "urn:uuid:9a3f9f21-1275-49d2-ad14-39f21e6e9ac0"}}
An example to illustrate the type of organisation or setting responsible for authorising and issuing a medication, but not the organisation or setting delivering the patient care
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the type of organisation or setting responsible for authorising and issuing a medication, but not the organisation or setting delivering the patient care</div>
<MedicationStatementxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-MedicationPrescribingOrganizationType-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganizationType"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationPrescribingOrganizationType" /><codevalue="prescribed-at-gp-practice" /><displayvalue="Prescribed at GP practice" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><statusvalue="active" /><medicationCodeableConcept><coding><systemvalue="https://dmd.nhs.uk" /><codevalue="39732311000001104" /><displayvalue="Amoxicillin 250mg capsules" /></coding></medicationCodeableConcept><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></MedicationStatement>
JSON View
{"resourceType": "MedicationStatement","id": "Extension-UKCore-MedicationPrescribingOrganizationType-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationPrescribingOrganizationType","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-MedicationPrescribingOrganizationType","code": "prescribed-at-gp-practice","display": "Prescribed at GP practice"}]}}],"status": "active","medicationCodeableConcept": {"coding": [{"system": "https://dmd.nhs.uk","code": "39732311000001104","display": "Amoxicillin 250mg capsules"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
display : Panadol Extra Advance 500mg/65mg tablets (Haleon UK Trading Ltd)
XML View
<Medicationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-MedicationTradeFamily-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="9298001000001101" /><displayvalue="Panadol Extra" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><code><coding><systemvalue="https://dmd.nhs.uk" /><codevalue="18677911000001109" /><displayvalue="Panadol Extra Advance 500mg/65mg tablets (Haleon UK Trading Ltd)" /></coding></code></Medication>
JSON View
{"resourceType": "Medication","id": "Extension-UKCore-MedicationTradeFamily-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationTradeFamily","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "9298001000001101","display": "Panadol Extra"}]}}],"code": {"coding": [{"system": "https://dmd.nhs.uk","code": "18677911000001109","display": "Panadol Extra Advance 500mg/65mg tablets (Haleon UK Trading Ltd)"}]}}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberUnavailableReason
code : overseas-patient
display : Overseas patient
name
use : official
family : BAPTISTE
given : Jean
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-NHSNumberUnavailableReason-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberUnavailableReason"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberUnavailableReason" /><codevalue="overseas-patient" /><displayvalue="Overseas patient" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><name><usevalue="official" /><familyvalue="BAPTISTE" /><givenvalue="Jean" /></name></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-NHSNumberUnavailableReason-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberUnavailableReason","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberUnavailableReason","code": "overseas-patient","display": "Overseas patient"}]}}],"name": [{"use": "official","family": "BAPTISTE","given": ["Jean"]}]}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland
code : 01
display : Number present and verified
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-NHSNumberVerificationStatus-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><identifier><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland" /><codevalue="01" /><displayvalue="Number present and verified" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --></identifier></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-NHSNumberVerificationStatus-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"identifier": [{"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland","code": "01","display": "Number present and verified"}]}}]}]}
conclusion : Inconclusive finding of staphylococcus, no evidence of bacteremia.
XML View
<DiagnosticReportxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-Note-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note"><valueAnnotation><authorReference><referencevalue="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" /></authorReference><timevalue="2023-05-10T10:39:12+00:00" /><textvalue="Page Dr Watson on receipt of results." /></valueAnnotation></extension><!-- ***************extension end*************** --><identifier><systemvalue="https://tools.ietf.org/html/rfc4122" /><valuevalue="957d702f-7e9e-43c2-b783-978f2c164b3c" /></identifier><statusvalue="final" /><code><coding><systemvalue="http://snomed.info/sct" /><codevalue="104177005" /><displayvalue="Blood culture for bacteria, including anaerobic screen" /></coding></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><performer><referencevalue="Organization/UKCore-Organization-LeedsTeachingHospital-Example" /><displayvalue="LEEDS TEACHING HOSPITALS NHS TRUST" /></performer><conclusionvalue="Inconclusive finding of staphylococcus, no evidence of bacteremia." /></DiagnosticReport>
JSON View
{"resourceType": "DiagnosticReport","id": "Extension-UKCore-Note-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DiagnosticReport.note","valueAnnotation": {"authorReference": {"reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"},"time": "05/10/2023 10:39:12","text": "Page Dr Watson on receipt of results."}}],"identifier": [{"system": "https://tools.ietf.org/html/rfc4122","value": "957d702f-7e9e-43c2-b783-978f2c164b3c"}],"status": "final","code": {"coding": [{"system": "http://snomed.info/sct","code": "104177005","display": "Blood culture for bacteria, including anaerobic screen"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"performer": [{"reference": "Organization/UKCore-Organization-LeedsTeachingHospital-Example","display": "LEEDS TEACHING HOSPITALS NHS TRUST"}],"conclusion": "Inconclusive finding of staphylococcus, no evidence of bacteremia."}
system : https://fhir.nhs.uk/Id/ods-organization-code
value : RR8
name : LEEDS TEACHING HOSPITALS NHS TRUST
XML View
<Organizationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-Period-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/organization-period"><valuePeriod><startvalue="2017-01-01T00:00:00.000Z" /></valuePeriod></extension><!-- *************extension end ***************** --><identifier><usevalue="official" /><systemvalue="https://fhir.nhs.uk/Id/ods-organization-code" /><valuevalue="RR8" /></identifier><namevalue="LEEDS TEACHING HOSPITALS NHS TRUST" /></Organization>
JSON View
{"resourceType": "Organization","id": "Extension-UKCore-Period-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/organization-period","valuePeriod": {"start": "01/01/2017 00:00:00"}}],"identifier": [{"use": "official","system": "https://fhir.nhs.uk/Id/ods-organization-code","value": "RR8"}],"name": "LEEDS TEACHING HOSPITALS NHS TRUST"}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-OtherContactSystem
code : textphone
display : Minicom (Textphone)
value : +4413513341777
use : home
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-OtherContactSystem-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><telecom><systemvalue="other"><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-OtherContactSystem" /><codevalue="textphone" /><displayvalue="Minicom (Textphone)" /></coding></valueCodeableConcept></extension><!-- *************extension end ***************** --></system><valuevalue="+4413513341777" /><usevalue="home" /></telecom></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-OtherContactSystem-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"telecom": [{"system": "other","_system": {"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OtherContactSystem","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-OtherContactSystem","code": "textphone","display": "Minicom (Textphone)"}]}}]},"value": "+4413513341777","use": "home"}]}
An example to illustrate the extension which is used to indicate the outcome of an outpatient attendance
Table View
Encounter.id[0]
Extension-UKCore-OutcomeOfAttendance-Example
Encounter.text[0].status[0]
additional
Encounter.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension which is used to indicate the outcome of an outpatient attendance</div>
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-OutcomeOfAttendanceEngland
code : 1
display : Discharged from consultant's care (last attendance)
status : finished
class
system : http://terminology.hl7.org/CodeSystem/v3-ActCode
code : IMP
display : inpatient encounter
XML View
<Encounterxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-OutcomeOfAttendance-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-OutcomeOfAttendanceEngland" /><codevalue="1" /><displayvalue="Discharged from consultant's care (last attendance)" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><statusvalue="finished" /><class><systemvalue="http://terminology.hl7.org/CodeSystem/v3-ActCode" /><codevalue="IMP" /><displayvalue="inpatient encounter" /></class></Encounter>
JSON View
{"resourceType": "Encounter","id": "Extension-UKCore-OutcomeOfAttendance-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OutcomeOfAttendance","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-OutcomeOfAttendanceEngland","code": "1","display": "Discharged from consultant's care (last attendance)"}]}}],"status": "finished","class": {"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode","code": "IMP","display": "inpatient encounter"}}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-OverseasVisitorChargingCategory
code : D
display : Chargeable European Economic Area patient
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-OverseasVisitorChargingCategory-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OverseasVisitorChargingCategory"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-OverseasVisitorChargingCategory" /><codevalue="D" /><displayvalue="Chargeable European Economic Area patient" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-OverseasVisitorChargingCategory-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-OverseasVisitorChargingCategory","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-OverseasVisitorChargingCategory","code": "D","display": "Chargeable European Economic Area patient"}]}}]}
An example to illustrate the extension for a vaccination procedure where the parent of the patient is present
Table View
Immunization.id[0]
Extension-UKCore-ParentPresent-Example
Immunization.text[0].status[0]
additional
Immunization.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the extension for a vaccination procedure where the parent of the patient is present</div>
An example to illustrate sending the participant involved in recording the activities relating to this family member history
Table View
FamilyMemberHistory.id[0]
Extension-UKCore-Participant-Example
FamilyMemberHistory.text[0].status[0]
additional
FamilyMemberHistory.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate sending the participant involved in recording the activities relating to this family member history</div>
system : https://fhir.nhs.uk/Id/ods-organization-code
value : RR8
name : LEEDS TEACHING HOSPITALS NHS TRUST
XML View
<Organizationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-Period-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/organization-period"><valuePeriod><startvalue="2017-01-01T00:00:00.000Z" /></valuePeriod></extension><!-- *************extension end ***************** --><identifier><usevalue="official" /><systemvalue="https://fhir.nhs.uk/Id/ods-organization-code" /><valuevalue="RR8" /></identifier><namevalue="LEEDS TEACHING HOSPITALS NHS TRUST" /></Organization>
JSON View
{"resourceType": "Organization","id": "Extension-UKCore-Period-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/organization-period","valuePeriod": {"start": "01/01/2017 00:00:00"}}],"identifier": [{"use": "official","system": "https://fhir.nhs.uk/Id/ods-organization-code","value": "RR8"}],"name": "LEEDS TEACHING HOSPITALS NHS TRUST"}
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-PreferredDispenserOrganization-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PreferredDispenserOrganization"><valueReference><referencevalue="Organization/UKCore-Organization-WhiteRoseMedicalCentre-Example" /></valueReference></extension><!-- ***************extension end*************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-PreferredDispenserOrganization-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PreferredDispenserOrganization","valueReference": {"reference": "Organization/UKCore-Organization-WhiteRoseMedicalCentre-Example"}}]}
An example to illustrate sending a priority reason for an urgent ServiceRequest, using a SNOMED CT concept
Table View
ServiceRequest.id[0]
Extension-UKCore-PriorityReason-Example
ServiceRequest.text[0].status[0]
additional
ServiceRequest.text[0].div[0]
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate sending a priority reason for an urgent ServiceRequest, using a SNOMED CT concept</div>
<ServiceRequestxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-PriorityReason-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="active" /><intentvalue="order" /><priorityvalue="urgent"><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="1321851000000109" /><displayvalue="Provision of advice, assessment or treatment delayed due to COVID-19 pandemic" /></coding></valueCodeableConcept></extension><!-- **************extension end ****************** --></priority><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><requester><referencevalue="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" /></requester></ServiceRequest>
JSON View
{"resourceType": "ServiceRequest","id": "Extension-UKCore-PriorityReason-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "active","intent": "order","priority": "urgent","_priority": {"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "1321851000000109","display": "Provision of advice, assessment or treatment delayed due to COVID-19 pandemic"}]}}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"requester": {"reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"}}
<ServiceRequestxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-PriorityReason-SendingAsText-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="active" /><intentvalue="order" /><priorityvalue="urgent"><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason"><valueCodeableConcept><textvalue="Original assessment was delayed due to COVID-19 pandemic" /></valueCodeableConcept></extension><!-- **************extension end ****************** --></priority><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><requester><referencevalue="Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example" /></requester></ServiceRequest>
JSON View
{"resourceType": "ServiceRequest","id": "Extension-UKCore-PriorityReason-SendingAsText-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "active","intent": "order","priority": "urgent","_priority": {"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-PriorityReason","valueCodeableConcept": {"text": "Original assessment was delayed due to COVID-19 pandemic"}}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"requester": {"reference": "Practitioner/UKCore-Practitioner-DoctorPaulRastall-Example"}}
system : https://fhir.hl7.org.uk/CodeSystem/UKCore-ResidentialStatus
code : H
display : UK Resident
XML View
<Patientxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-ResidentialStatus-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus"><valueCodeableConcept><coding><systemvalue="https://fhir.hl7.org.uk/CodeSystem/UKCore-ResidentialStatus" /><codevalue="H" /><displayvalue="UK Resident" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --></Patient>
JSON View
{"resourceType": "Patient","id": "Extension-UKCore-ResidentialStatus-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ResidentialStatus","valueCodeableConcept": {"coding": [{"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-ResidentialStatus","code": "H","display": "UK Resident"}]}}]}
<MessageHeaderxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-ResponseRequest-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/messageheader-response-request"><valueCodevalue="always" /></extension><!-- **************extension end************** --><eventCoding><systemvalue="http://snomed.info/sct" /><codevalue="306689006" /><displayvalue="Discharge to home" /></eventCoding><destination><endpointvalue="urn:nhs:addressing:asid:477121007825" /><receiver><identifier><systemvalue="https://fhir.nhs.uk/Id/ods-organization-code" /><valuevalue="RY6" /></identifier><displayvalue="LEEDS COMMUNITY HEALTHCARE NHS TRUST" /></receiver></destination><sender><referencevalue="https://directory.spineservices.nhs.uk/Organization/X26" /></sender><source><endpointvalue="NOROT003" /></source><focus><referencevalue="Encounter/UKCore-Encounter-InpatientEncounter-Example" /></focus></MessageHeader>
JSON View
{"resourceType": "MessageHeader","id": "Extension-UKCore-ResponseRequest-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/messageheader-response-request","valueCode": "always"}],"eventCoding": {"system": "http://snomed.info/sct","code": "306689006","display": "Discharge to home"},"destination": [{"endpoint": "urn:nhs:addressing:asid:477121007825","receiver": {"identifier": {"system": "https://fhir.nhs.uk/Id/ods-organization-code","value": "RY6"},"display": "LEEDS COMMUNITY HEALTHCARE NHS TRUST"}}],"sender": {"reference": "https://directory.spineservices.nhs.uk/Organization/X26"},"source": {"endpoint": "NOROT003"},"focus": [{"reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"}]}
<ServiceRequestxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-SourceOfServiceRequest-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- ***************extension start*************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="108161000000109" /><displayvalue="Referred by general practitioner" /></coding></valueCodeableConcept></extension><!-- **************extension end ****************** --><statusvalue="active" /><intentvalue="order" /><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></ServiceRequest>
JSON View
{"resourceType": "ServiceRequest","id": "Extension-UKCore-SourceOfServiceRequest-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-SourceOfServiceRequest","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "108161000000109","display": "Referred by general practitioner"}]}}],"status": "active","intent": "order","subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
<Specimenxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-SpecialHandling-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="available" /><type><coding><systemvalue="http://snomed.info/sct" /><codevalue="431234000" /><displayvalue="Specimen from fetus obtained by biopsy" /></coding></type><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><receivedTimevalue="2023-04-23T17:02:00Z" /><collection><!-- ***************extension start*************** --><extensionurl="http://hl7.org/fhir/StructureDefinition/specimen-specialHandling"><valueCodeableConcept><textvalue="Mother was infected with suspected viral haemorrhagic fever." /></valueCodeableConcept></extension><!-- **************extension end ****************** --><collector><referencevalue="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" /></collector><collectedDateTimevalue="2023-04-23T17:02:00Z" /><method><coding><systemvalue="http://snomed.info/sct" /><codevalue="129314006" /><displayvalue="Biopsy - action" /></coding></method></collection></Specimen>
JSON View
{"resourceType": "Specimen","id": "Extension-UKCore-SpecialHandling-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "available","type": {"coding": [{"system": "http://snomed.info/sct","code": "431234000","display": "Specimen from fetus obtained by biopsy"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"receivedTime": "04/23/2023 17:02:00","collection": {"extension": [{"url": "http://hl7.org/fhir/StructureDefinition/specimen-specialHandling","valueCodeableConcept": {"text": "Mother was infected with suspected viral haemorrhagic fever."}}],"collector": {"reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"},"collectedDateTime": "04/23/2023 17:02:00","method": {"coding": [{"system": "http://snomed.info/sct","code": "129314006","display": "Biopsy - action"}]}}}
An example to illustrate the pre-adopted R5 element via an extension, which is used to reference a Patient or RelatedPerson within Specimen.collection.collector
<div xmlns="http://www.w3.org/1999/xhtml">An example to illustrate the pre-adopted R5 element via an extension, which is used to reference a Patient or RelatedPerson within Specimen.collection.collector</div>
<Specimenxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-SpecimenCollectionCollector-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><statusvalue="available" /><type><coding><systemvalue="http://snomed.info/sct" /><codevalue="78014005" /><displayvalue="Urine" /></coding></type><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject><receivedTimevalue="2022-11-25T11:10:00Z" /><collection><!-- ***************extension start*************** --><extensionurl="http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector"><valueReference><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></valueReference></extension><!-- **************extension end ****************** --><collectedDateTimevalue="2022-11-25T16:00:00Z" /></collection></Specimen>
JSON View
{"resourceType": "Specimen","id": "Extension-UKCore-SpecimenCollectionCollector-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"status": "available","type": {"coding": [{"system": "http://snomed.info/sct","code": "78014005","display": "Urine"}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"receivedTime": "11/25/2022 11:10:00","collection": {"extension": [{"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Specimen.collection.collector","valueReference": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}],"collectedDateTime": "11/25/2022 16:00:00"}}
<Subscriptionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-SubscriptionParameters-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><extensionurl="http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.content"><valueCodevalue="id-only" /></extension><extensionurl="http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.parameter"><extensionurl="name"><valueStringvalue="Authorization" /></extension><extensionurl="value"><valueStringvalue="Bearer secret-token-abc-123" /></extension></extension><statusvalue="active" /><endvalue="2025-03-13T13:17:18Z" /><reasonvalue="Subscription for a Change of GP event for patient" /><criteriavalue="Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|8449303649&generalPractitioner=https://fhir.hl7.org.uk/Id/gmp-number|G9999999" /><channel><typevalue="rest-hook" /><endpointvalue="https://app.nhs.uk/change-of-gp-handler" /><payloadvalue="application/fhir+json" /></channel></Subscription>
JSON View
{"resourceType": "Subscription","id": "Extension-UKCore-SubscriptionParameters-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.content","valueCode": "id-only"},{"extension": [{"url": "name","valueString": "Authorization"},{"url": "value","valueString": "Bearer secret-token-abc-123"}],"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Subscription.parameter"}],"status": "active","end": "03/13/2025 13:17:18","reason": "Subscription for a Change of GP event for patient","criteria": "Patient?identifier=https://fhir.nhs.uk/Id/nhs-number|8449303649&generalPractitioner=https://fhir.hl7.org.uk/Id/gmp-number|G9999999","channel": {"type": "rest-hook","endpoint": "https://app.nhs.uk/change-of-gp-handler","payload": "application/fhir+json"}}
<Conditionxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-Translation-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><code><coding><systemvalue="http://snomed.info/sct" /><codevalue="22298006" /><displayvalue="Myocardial infarction"><extensionurl="http://hl7.org/fhir/StructureDefinition/translation"><extensionurl="lang"><valueCodevalue="fr" /></extension><extensionurl="content"><valueStringvalue="Infarctus du myocarde" /></extension></extension></display></coding></code><subject><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></subject></Condition>
JSON View
{"resourceType": "Condition","id": "Extension-UKCore-Translation-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"code": {"coding": [{"system": "http://snomed.info/sct","code": "22298006","display": "Myocardial infarction","_display": {"extension": [{"extension": [{"url": "lang","valueCode": "fr"},{"url": "content","valueString": "Infarctus du myocarde"}],"url": "http://hl7.org/fhir/StructureDefinition/translation"}]}}]},"subject": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"}}
Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)
Immunization.status[0]
completed
Immunization.vaccineCode[0].coding[0].system[0]
https://dmd.nhs.uk
Immunization.vaccineCode[0].coding[0].code[0]
39116211000001106
Immunization.vaccineCode[0].coding[0].display[0]
Generic COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials
Immunization.patient[0].reference[0]
Patient/UKCore-Patient-RichardSmith-Example
Immunization.occurrence[0]
2021-07-20
Tree View
Immunization
id : Extension-UKCore-VaccinationProcedure-COVID-Example
display : Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)
status : completed
vaccineCode
coding
system : https://dmd.nhs.uk
code : 39116211000001106
display : Generic COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials
<Immunizationxmlns="http://hl7.org/fhir"><idvalue="Extension-UKCore-VaccinationProcedure-COVID-Example" /><text><statusvalue="additional" />
--- We have skipped the narrative for better readability of the resource ---
</text><!-- **************extension start************** --><extensionurl="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure"><valueCodeableConcept><coding><systemvalue="http://snomed.info/sct" /><codevalue="1324681000000101" /><displayvalue="Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)" /></coding></valueCodeableConcept></extension><!-- **************extension end************** --><statusvalue="completed" /><vaccineCode><coding><systemvalue="https://dmd.nhs.uk" /><codevalue="39116211000001106" /><displayvalue="Generic COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials" /></coding></vaccineCode><patient><referencevalue="Patient/UKCore-Patient-RichardSmith-Example" /></patient><occurrenceDateTimevalue="2021-07-20" /></Immunization>
JSON View
{"resourceType": "Immunization","id": "Extension-UKCore-VaccinationProcedure-COVID-Example","text": {"status": "additional",
--- We have skipped the narrative for better readability of the resource ---
},"extension": [{"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure","valueCodeableConcept": {"coding": [{"system": "http://snomed.info/sct","code": "1324681000000101","display": "Administration of first dose of severe acute respiratory syndrome coronavirus 2 vaccine (procedure)"}]}}],"status": "completed","vaccineCode": {"coding": [{"system": "https://dmd.nhs.uk","code": "39116211000001106","display": "Generic COVID-19 Vaccine Vaxzevria (ChAdOx1 S [recombinant]) not less than 2.5x100,000,000 infectious units/0.5ml dose suspension for injection multidose vials"}]},"patient": {"reference": "Patient/UKCore-Patient-RichardSmith-Example"},"occurrenceDateTime": "2021-07-20"}