Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build United Kingdom flag

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

: Composition GP Connect Access Record html Patient Summary - TTL Representation

Raw ttl | Download


@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "96a8dc4f-b86d-4461-ae56-c2db38de61ad"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "https://fhir.virtually.healthcare/StructureDefinition/PatientSummary"^^xsd:anyURI ;
fhir:link <https://fhir.virtually.healthcare/StructureDefinition/PatientSummary>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Composition 96a8dc4f-b86d-4461-ae56-c2db38de61ad</b></p><a name=\"96a8dc4f-b86d-4461-ae56-c2db38de61ad\"> </a><a name=\"hc96a8dc4f-b86d-4461-ae56-c2db38de61ad\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PatientSummary.html\">PatientSummary</a></p></div><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>"^^rdf:XMLLiteral
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:60591-5 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "60591-5" ]     ] [
a sct:824321000000109 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "824321000000109" ]     ] )
  ] ; # 
  fhir:category ( [
    ( fhir:coding [
a sct:700232004 ;
fhir:system [ fhir:v "http://snomed.info/sct"^^xsd:anyURI ] ;
fhir:code [ fhir:v "700232004" ] ;
fhir:display [ fhir:v "general medical service (qualifier value)" ]     ] ) ;
fhir:text [ fhir:v "general medical service (qualifier value)" ]
  ] ) ; # 
  fhir:subject [
fhir:reference [ fhir:v "urn:uuid:2da4ef7b-c18e-4d95-b91e-2406317d4477" ]
  ] ; # 
  fhir:date [ fhir:v "2025-07-24T06:34:33+01:00"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "urn:uuid:44b7ff18-5c26-414e-8f53-d8a9515ea243" ]
  ] ) ; # 
  fhir:title [ fhir:v "GP Patient Summary"] ; # 
  fhir:custodian [
fhir:reference [ fhir:v "urn:uuid:83521388-6fd3-4e2f-bda6-6fb889190c61" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Problems" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11450-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11450-4" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Allergy" ] ;
fhir:code [
      ( fhir:coding [
a loinc:48765-2 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "48765-2" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Medication" ] ;
fhir:code [
      ( fhir:coding [
a loinc:10160-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "10160-0" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Immunisations" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11369-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11369-6" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Referral" ] ;
fhir:code [
      ( fhir:coding [
a loinc:47519-4 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "47519-4" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "History - Encounters" ] ;
fhir:code [
      ( fhir:coding [
a loinc:11329-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "11329-0" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] [
fhir:title [ fhir:v "Observation" ] ;
fhir:code [
      ( fhir:coding [
a loinc:61149-1 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "61149-1" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<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>"^^rdf:XMLLiteral     ]
  ] ) . #