Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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<div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_null"> </a><p class="res-header-id"><b>Generated Narrative: Composition </b></p><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://loinc.org 60591-5}, {http://snomed.info/sct 824321000000109}">Patient summary Document</span></p><p><b>category</b>: <span title="Codes:{http://snomed.info/sct 700232004}">general medical service (qualifier value)</span></p><p><b>date</b>: 2025-07-24 06:34:33+0100</p><p><b>author</b>: <a href="Bundle-a820f27e-b626-4b89-88b1-7e759d0b9eb1.html#urn-uuid-44b7ff18-5c26-414e-8f53-d8a9515ea243">Bundle: identifier = UUID:b5cef54c-e779-4c00-bbc2-ff8bdfaa8756; type = document; timestamp = 2025-07-24 05:34:33+0000</a></p><p><b>title</b>: GP Patient Summary</p><p><b>custodian</b>: <a href="Bundle-a820f27e-b626-4b89-88b1-7e759d0b9eb1.html#urn-uuid-83521388-6fd3-4e2f-bda6-6fb889190c61">Bundle: identifier = UUID:b5cef54c-e779-4c00-bbc2-ff8bdfaa8756; type = document; timestamp = 2025-07-24 05:34:33+0000</a></p></div>
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<date value="2025-07-24T06:34:33+01:00"/>
<author>
<reference value="urn:uuid:44b7ff18-5c26-414e-8f53-d8a9515ea243"/>
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<title value="GP Patient Summary"/>
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<reference value="urn:uuid:83521388-6fd3-4e2f-bda6-6fb889190c61"/>
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<section>
<title value="Problems"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="11450-4"/>
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<div xmlns="http://www.w3.org/1999/xhtml"><h1>Problems and Issues</h1><div><h2>Active Problems and Issues</h2><div class="date-banner"><p>Date filter not applied</p></div><table id="prb-tab-act"><thead><tr><th>Start Date</th><th>Entry</th><th>Significance</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">25-Apr-2018</td><td>Lower back pain</td><td>Minor</td><td/></tr><tr><td class="date-column">01-May-2015</td><td>Type II Diabetes mellitus</td><td>Major</td><td>Diabetes type II blood glucose management</td></tr></tbody></table></div><div><h2>Major Inactive Problems and Issues</h2><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><p>No 'Major Inactive Problems and Issues' data is recorded for this patient.</p></div><div><h2>Other Inactive Problems and Issues</h2><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><p>No 'Other Inactive Problems and Issues' data is recorded for this patient.</p></div></div>
</text>
</section>
<section>
<title value="Allergy"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Allergies and Adverse Reactions</h1><div><h2>Current Allergies and Adverse Reactions</h2><table id="all-tab-curr"><thead><tr><th>Start Date</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">15-Mar-2016</td><td>Allergy to Penicillin, Patient experienced rash, nausea and vomiting</td></tr></tbody></table></div><div><h2>Historical Allergies and Adverse Reactions</h2><table id="all-tab-hist"><thead><tr><th>Start Date</th><th>End Date</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">02-Jun-1963</td><td/><td>Hayfever, allergy to pollen</td></tr></tbody></table></div></div>
</text>
</section>
<section>
<title value="Medication"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10160-0"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Medications</h1><div><h2>Acute Medication (Last 12 Months)</h2><div class="date-banner"><p>Date filter not applied</p></div><table id="med-tab-acu-med"><thead><tr><th>Type</th><th>Start Date</th><th>Medication Item</th><th>Dosage Instruction</th><th>Quantity</th><th>Scheduled End Date</th><th>Days Duration</th><th>Additional Information</th></tr></thead><tbody><tr><td>NHS Medication</td><td class="date-column">25-Jan-2025</td><td>Tramadol 50mg capsules</td><td>one tablet every 4 to 6 hours</td><td>28 days</td><td/><td align="right">28</td><td>Take 1 or 2 tablets as directed up to 4 times per day</td></tr></tbody></table></div><div><h2>Current Repeat Medication</h2><div class="date-banner"><p>Date filter not applied</p></div><table id="med-tab-curr-rep"><thead><tr><th>Type</th><th>Start Date</th><th>Medication Item</th><th>Dosage Instruction</th><th>Quantity</th><th>Last Issued Date</th><th>Number of Prescriptions Issued</th><th>Max Issues</th><th>Review Date</th><th>Additional Information</th></tr></thead><tbody><tr><td>Repeat</td><td class="date-column">01-Feb-2022</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times daily</td><td>28 days</td><td class="date-column">28-Dec-2024</td><td align="right">3</td><td align="right">6</td><td class="date-column">15-Jul-2025</td><td>Take one tablet three times daily</td></tr><tr><td>Repeat</td><td class="date-column">01-Dec-2012</td><td>Lercanidipine 20mg tablets</td><td>one tablet daily</td><td>28 days</td><td class="date-column">20-Dec-2024</td><td align="right">3</td><td align="right">6</td><td class="date-column">15-Jul-2025</td><td>Take one tablet daily</td></tr></tbody></table></div><div><h2>Discontinued Repeat Medication</h2><div class="content-banner"><p>All repeat medication ended by a clinician action</p></div><div class="date-banner"><p>Date filter not applied</p></div><table id="med-tab-dis-rep"><thead><tr><th>Type</th><th>Last Issued Date</th><th>Medication Item</th><th>Dosage Instruction</th><th>Quantity</th><th>Discontinued Date</th><th>Discontinuation Reason</th><th>Additional Information</th></tr></thead><tbody><tr><td>Repeat</td><td class="date-column">01-Feb-2012</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times per day</td><td>28 days</td><td class="date-column">01-Feb-2012</td><td>60 tablet pack discontinued</td><td>Take with food and water</td></tr></tbody></table></div><div><h2>All Medication</h2><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><table id="med-tab-all-sum"><thead><tr><th>Type</th><th>Start Date</th><th>Medication Item</th><th>Dosage Instruction</th><th>Quantity</th><th>Last Issued Date</th><th>Number of Prescriptions Issued</th><th>Discontinuation Details</th><th>Additional Information</th></tr></thead><tbody><tr><td colspan="9" class="med-item-column"><b>Lercanidipine 20mg tablets</b></td></tr><tr><td>Repeat</td><td class="date-column">01-Dec-2012</td><td>Lercanidipine 20mg tablets</td><td>one tablet daily</td><td>28 days</td><td class="date-column">01-Dec-2012</td><td align="right">1</td><td/><td>Take one tablet daily</td></tr><tr><td colspan="9" class="med-item-column"><b>Metformin 500mg tablets</b></td></tr><tr><td>Repeat</td><td class="date-column">01-Feb-2022</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times daily</td><td>28 days</td><td class="date-column">01-Feb-2022</td><td align="right">1</td><td/><td>Take one tablet three times daily</td></tr><tr><td>Repeat</td><td class="date-column">01-Feb-2012</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times per day</td><td>28 days</td><td class="date-column">01-Feb-2012</td><td align="right">1</td><td>DISCONTINUED:<br/>01-Feb-2012<br/>60 tablet pack discontinued</td><td>Take with food and water</td></tr><tr><td colspan="9" class="med-item-column"><b>Tramadol 50mg capsules</b></td></tr><tr><td>NHS Medication</td><td class="date-column">25-Jan-2025</td><td>Tramadol 50mg capsules</td><td>one tablet every 4 to 6 hours</td><td>28 days</td><td class="date-column">25-Jan-2025</td><td align="right">1</td><td/><td>Take 1 or 2 tablets as directed up to 4 times per day</td></tr></tbody></table></div><div><h2>All Medication Issues</h2><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><table id="med-tab-all-iss"><thead><tr><th>Type</th><th>Issue Date</th><th>Medication Item</th><th>Dosage Instruction</th><th>Quantity</th><th>Days Duration</th><th>Additional Information</th></tr></thead><tbody><tr><td colspan="7" class="med-item-column"><b>Lercanidipine 20mg tablets</b></td></tr><tr><td>Repeat</td><td class="date-column">01-Dec-2012</td><td>Lercanidipine 20mg tablets</td><td>one tablet daily</td><td>28 days</td><td/><td>Take one tablet daily</td></tr><tr><td colspan="7" class="med-item-column"><b>Metformin 500mg tablets</b></td></tr><tr><td>Repeat</td><td class="date-column">01-Feb-2022</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times daily</td><td>28 days</td><td/><td>Take one tablet three times daily</td></tr><tr><td>Repeat</td><td class="date-column">01-Feb-2012</td><td>Metformin 500mg tablets</td><td>one tablet 2 to 3 times per day</td><td>28 days</td><td align="right">4</td><td>Take with food and water</td></tr><tr><td colspan="7" class="med-item-column"><b>Tramadol 50mg capsules</b></td></tr><tr><td>NHS Medication</td><td class="date-column">25-Jan-2025</td><td>Tramadol 50mg capsules</td><td>one tablet every 4 to 6 hours</td><td>28 days</td><td align="right">28</td><td>Take 1 or 2 tablets as directed up to 4 times per day</td></tr></tbody></table></div></div>
</text>
</section>
<section>
<title value="Immunisations"/>
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<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
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<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Immunisations</h1><table id="imm-tab"><thead><tr><th>Date</th><th>Vaccination</th><th>Part</th><th>Contents</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">30-Aug-2015</td><td>Pneumovax II</td><td align="right">1</td><td>Pneumoccocal</td><td/></tr><tr><td class="date-column">18-Jan-2013</td><td>Influenza vaccine</td><td align="right">1</td><td>Influenza</td><td/></tr><tr><td class="date-column">04-Oct-2010</td><td>Influenza vaccine</td><td align="right">1</td><td>Influenza</td><td/></tr></tbody></table></div>
</text>
</section>
<section>
<title value="Referral"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="47519-4"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Referrals</h1><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><table id="ref-tab"><thead><tr><th>Date</th><th>From</th><th>To</th><th>Priority</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">02-Jul-2016</td><td>Dr Johnson and Partners</td><td>Community Diabetic Clinic</td><td>Routine</td><td>Needs further support with dietary needs</td></tr></tbody></table></div>
</text>
</section>
<section>
<title value="History - Encounters"/>
<code>
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<system value="http://loinc.org"/>
<code value="11329-0"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Encounters</h1><div class="date-banner"><p>All relevant items</p></div><table id="enc-tab"><thead><tr><th>Date</th><th>Title</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">01-Feb-2018</td><td>Care navigation</td><td>Reception signposting regarding exercise classes</td></tr></tbody></table></div>
</text>
</section>
<section>
<title value="Observation"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="61149-1"/>
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<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><h1>Clinical Items</h1><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><p>No 'Clinical Items' data is recorded for this patient.</p><h1>Observations</h1><div class="date-banner"><p>For the period '24-Jul-2015' to '24-Jul-2025'</p></div><table id="obs-tab"><thead><tr><th>Date</th><th>Entry</th><th>Value</th><th>Range</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">07-May-2017</td><td>Foot Risk Classification</td><td>Left diabetic foot at low risk</td><td>Low to High Risk</td><td>Annual review</td></tr><tr><td class="date-column">07-May-2017</td><td>Foot Risk Classification</td><td>Right diabetic foot at low risk</td><td>Low to High Risk</td><td>Annual review</td></tr></tbody></table><h1>Administrative Items</h1><div class="date-banner"><p>All relevant items</p></div><table id="adm-tab"><thead><tr><th>Date</th><th>Entry</th><th>Details</th></tr></thead><tbody><tr><td class="date-column">02-May-2015</td><td>Appointment Letter</td><td>Community diabetes clinic</td></tr></tbody></table></div>
</text>
</section>
</Composition>
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<entry>
<fullUrl value="urn:uuid:44b7ff18-5c26-414e-8f53-d8a9515ea243"/>
<resource>
<Practitioner>
<id value="1"/>
<meta>
<versionId value="1469444400000"/>
<lastUpdated value="2016-07-25T12:00:00.000+01:00"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Practitioner_1"> </a><p class="res-header-id"><b>Generated Narrative: Practitioner 1</b></p><a name="1"> </a><a name="hc1"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1469444400000; Last updated: 2016-07-25 12:00:00+0100</p></div><p><b>identifier</b>: <code>http://fhir.nhs.net/Id/sds-user-id</code>/G13579135, <code>http://fhir.nhs.net/Id/sds-role-profile-id</code>/PT1234</p><p><b>name</b>: Nichole Gilbert </p><p><b>gender</b>: Female</p><p><b>communication</b>: <span title="Codes:{http://fhir.nhs.net/ValueSet/human-language-1 en}">English</span></p></div>
</text>
<identifier>
<system value="http://fhir.nhs.net/Id/sds-user-id"/>
<value value="G13579135"/>
</identifier>
<identifier>
<system value="http://fhir.nhs.net/Id/sds-role-profile-id"/>
<value value="PT1234"/>
</identifier>
<name>
<use value="usual"/>
<family value="Gilbert"/>
<given value="Nichole"/>
<prefix value="Miss"/>
</name>
<gender value="female"/>
<communication>
<coding>
<system value="http://fhir.nhs.net/ValueSet/human-language-1"/>
<code value="en"/>
<display value="English"/>
</coding>
</communication>
</Practitioner>
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</entry>
<entry>
<fullUrl value="urn:uuid:83521388-6fd3-4e2f-bda6-6fb889190c61"/>
<resource>
<Organization>
<id value="8"/>
<meta>
<versionId value="1548849600000"/>
<lastUpdated value="2019-01-30T12:00:00.000+00:00"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Organization_8"> </a><p class="res-header-id"><b>Generated Narrative: Organization 8</b></p><a name="8"> </a><a name="hc8"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1548849600000; Last updated: 2019-01-30 12:00:00+0000</p></div><p><b>identifier</b>: <code>http://fhir.nhs.net/Id/ods-organization-code</code>/A20047</p><p><b>name</b>: Dr Legg's Surgery</p><p><b>telecom</b>: ph: 12345678(Work)</p><p><b>address</b>: NHS NPFIT Test Data Manager Princes Exchange Leeds LS1 4HY (work)</p></div>
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<identifier>
<system value="http://fhir.nhs.net/Id/ods-organization-code"/>
<value value="A20047"/>
</identifier>
<name value="Dr Legg's Surgery"/>
<telecom>
<system value="phone"/>
<value value="12345678"/>
<use value="work"/>
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<address>
<use value="work"/>
<line value="NHS NPFIT"/>
<line value="Test Data Manager"/>
<line value="Princes Exchange"/>
<city value="Leeds"/>
<postalCode value="LS1 4HY"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2da4ef7b-c18e-4d95-b91e-2406317d4477"/>
<resource>
<Patient>
<id value="2"/>
<meta>
<versionId value="1521806400000"/>
<lastUpdated value="2018-03-23T12:00:00.000+00:00"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_2"> </a><p class="res-header-id"><b>Generated Narrative: Patient 2</b></p><a name="2"> </a><a name="hc2"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">version: 1521806400000; Last updated: 2018-03-23 12:00:00+0000</p></div><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Mike MEAKIN Male, DoB: 1927-06-19 ( https://fhir.nhs.uk/Id/nhs-number#9658218873)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Ways to contact the Patient">Contact Detail</td><td colspan="3"><ul><li>ph: 01454587554(Home)</li><li>1 KNIGHTS COURT, DN16 3PL(home)</li></ul></td></tr></table></div>
</text>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9658218873"/>
</identifier>
<name>
<use value="usual"/>
<text value="Mike MEAKIN"/>
<family value="MEAKIN"/>
<given value="Mike"/>
<prefix value="MR"/>
</name>
<telecom>
<system value="phone"/>
<value value="01454587554"/>
<use value="home"/>
</telecom>
<gender value="male"/>
<birthDate value="1927-06-19"/>
<address>
<use value="home"/>
<type value="physical"/>
<text value="1 KNIGHTS COURT, DN16 3PL"/>
</address>
</Patient>
</resource>
</entry>
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