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"><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>
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<section>
<title value="Problems"/>
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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>
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<section>
<title value="Allergy"/>
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<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>
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<section>
<title value="Medication"/>
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<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>
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<section>
<title value="Immunisations"/>
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<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>
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<section>
<title value="Referral"/>
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<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>
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<section>
<title value="History - Encounters"/>
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<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>
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<section>
<title value="Observation"/>
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<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>
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