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                <!--Outpatient Letter Composition-->
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                            <date value="2017-05-06T16:42:00+00:00"/>
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                            <author>
                                <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
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                            <title value="Community-based Dietetics Service Outpatient Letter"/>
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                                <title value="Allergies and adverse reactions"/>
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                                    <status value="generated"/>
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                                        <table width="100%">
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                                                <tr>
                                                    <th>Causative agent</th>
                                                    <td>No known allergy</td>
                                                </tr>
                                            </tbody>
                                        </table>
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                                </text>
                                <!--Reference to the allergy list-->
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                                    <reference value="urn:uuid:ecbeffa7-1adf-4301-a94f-1e297e4fed93"/>
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                                <title value="Attendance details"/>
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                                                    <td colspan="2" style="width:100%">Dear Dr. O'Reilly, <br/>I had the pleasure of meeting 
            Mr. Linacre at the Community Nutrition and Dietetics outpatient clinic on 1 May 2017, 
            referred by Sugra Bibi, Hospital dietician at St Crispin's Hospital, Donaldstown, DO5 7TP.</td>
                                                </tr>
                                                <tr>
                                                    <th>Date and time of contact</th>
                                                    <td>01 May 2017 12:00</td>
                                                </tr>
                                                <tr>
                                                    <th>Contact type</th>
                                                    <td>First attendance face to face</td>
                                                </tr>
                                                <tr>
                                                    <th>Consultation method</th>
                                                    <td>Face-to-face</td>
                                                </tr>
                                                <tr>
                                                    <th>Responsible healthcare professional</th>
                                                    <td>Dr. Gerald McManus (Consultant Neurologist)</td>
                                                </tr>
                                                <tr>
                                                    <th>Specialty</th>
                                                    <td>Neurology</td>
                                                </tr>
                                                <tr>
                                                    <th>Service</th>
                                                    <td>Community-based dietetics service</td>
                                                </tr>
                                                <tr>
                                                    <th>Seen by</th>
                                                    <td>
                                                        <p>Prefix: Mrs</p>
                                                        <p>Given Name: Susan</p>
                                                        <p>Family Name: Blight</p>
                                                        <p>Role: Community Dietitian</p>
                                                        <p>Tel: 01234 569870 (Work)</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Outcome of outpatient attendance</th>
                                                    <td>Appointment to be made at a later date</td>
                                                </tr>
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                                <title value="Clinical summary"/>
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                                                    <th>Clinical summary</th>
                                                </tr>
                                                <tr>
                                                    <td>The estimated nutritional requirements for Mr. Linacre are Energy 1500kcla/day, 
            Protein 80g/day, Fluid 2400mls/day.</td>
                                                </tr>
                                                <tr>
                                                    <td>Mr. Linacre is tolerating his feed and fluid flushes well as per his feeding regimen 
            and he reports being compliant with his medication.</td>
                                                </tr>
                                                <tr>
                                                    <td>Mr. Linacre's peg site has healed and was clean and dry and exposed on assessment.</td>
                                                </tr>
                                                <tr>
                                                    <td>Mr. Linacre's bowels are opening daily (with no bowel meds), 
            all pressure areas are intact and his weight is stable.</td>
                                                </tr>
                                            </tbody>
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                                </text>
                            </section>
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                                                    <th>Diagnosis name</th>
                                                    <td>Stroke</td>
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                                                    <th>Name</th>
                                                    <td>
                                                        <p>Prefix: Mr</p>
                                                        <p>Given Name: Doug</p>
                                                        <p>Family Name: Sway</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Role</th>
                                                    <td>Feeding Nurse</td>
                                                </tr>
                                                <tr>
                                                    <th>Organisation name</th>
                                                    <td>Company X</td>
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                                            </tbody>
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                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Name</th>
                                                    <td>
                                                        <p>Prefix: Dr</p>
                                                        <p>Given Name: C</p>
                                                        <p>Family Name: O'Reilly</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Role</th>
                                                    <td>General Medical Practitioner</td>
                                                </tr>
                                                <tr>
                                                    <th>Organisation name</th>
                                                    <td>Canvas Health Centre</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Name</th>
                                                    <td>
                                                        <p>Prefix: Ms</p>
                                                        <p>Given Name: Sugra</p>
                                                        <p>Family Name: Bibi</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Role</th>
                                                    <td>Hospital-based dietitian</td>
                                                </tr>
                                                <tr>
                                                    <th>Organisation name</th>
                                                    <td>St. Crispin's Hospital</td>
                                                </tr>
                                            </tbody>
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                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Name</th>
                                                    <td>
                                                        <p>Prefix: Dr</p>
                                                        <p>Given Name: Gerald</p>
                                                        <p>Family Name: McManus</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Role</th>
                                                    <td>Consultant Neurologist</td>
                                                </tr>
                                                <tr>
                                                    <th>Organisation name</th>
                                                    <td>St. Crispin's Hospital</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Name</th>
                                                    <td>
                                                        <p>Prefix: Mr</p>
                                                        <p>Given Name: Thomas</p>
                                                        <p>Family Name: Linacre</p>
                                                    </td>
                                                </tr>
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                                    <reference value="urn:uuid:5e414a77-d394-4248-a631-00e45ddb64a0"/>
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                                    <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
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                                <title value="Examination finding"/>
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                                                    <th>Examination findings</th>
                                                    <td>Weight 80kg, Height 175cm, BMI 26kg/m2</td>
                                                </tr>
                                            </tbody>
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                                </text>
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                                                    <th>GP name</th>
                                                    <td>
                                                        <p>Prefix: Dr</p>
                                                        <p>Given Name: C</p>
                                                        <p>Family Name: O'Reilly</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>GP practice details</th>
                                                    <td>
                                                        <p>Name: Canvas Health Centre</p>
                                                        <p>Address:</p>
                                                        <p>Address Line: 27, Acacia Road</p>
                                                        <p>Post Code: BM9 6PM</p>
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                                <title value="History"/>
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                                    <status value="additional"/>
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                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Presenting complaints or issue</th>
                                                    <td>Dysphagia</td>
                                                </tr>
                                                <tr>
                                                    <th>History of each presenting complaint or issue</th>
                                                    <td>Mr. Linacre attended the community nutrition and dietetics outpatient clinic 
            for review of feeding. During a recent admission to hospital Mr. Linacre was 
            established on PEG tube feeding. The feeding tube insitu is a 15French PEG tube placed 05/04/17.</td>
                                                </tr>
                                                <tr>
                                                    <th>History since last contact</th>
                                                    <td>Mr. Linacre's feeding regimen being: 1000mls Fresubin Energy Fibre liquid unflavoured at 100mls/hours 
            for 10 hours (9am-7pm) with 1400mls water given as divided flushes (e.g. 10x140mls) 
            throughout the day e.g. before and after feed and with medications. His weight is stable. 
            Mr. Linacre has tolerated the regimen well.</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                                <!--Reference to the condition list where information for this section can be found-->
                                <entry>
                                    <reference value="urn:uuid:3a49e555-9ab6-40c2-aa2d-4aca09a2bc00"/>
                                </entry>
                            </section>
                            <!--Individual requirements-->
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                                <title value="Individual requirements"/>
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                                                    <th>Individual requirements</th>
                                                    <td>Patient requires a backpack as he did not like feeding during the night 
            when he was in hospital and he feels restricted staying at home at present.</td>
                                                </tr>
                                            </tbody>
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                                </text>
                            </section>
                            <section>
                                <title value="Information and advice given"/>
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                                            <tbody>
                                                <tr>
                                                    <th>Information and advice given</th>
                                                    <td>Mr. Linacre was given the clinic contact details and a copy of his feeding regime with Trust guidance.</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                            </section>
                            <section>
                                <title value="Medications and medical devices"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="933361000000108"/>
                                        <display value="Medications and medical devices"/>
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                                    <status value="additional"/>
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                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <td style="width:100%">(only changes to medications and medical devices 
            as a result of the outpatient encounter are included)</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Medication name</th>
                                                    <td>Fresubin Energy Fibre liquid unflavoured (Fresenius Kabi Ltd)</td>
                                                </tr>
                                                <tr>
                                                    <th>Form</th>
                                                    <td>Gastroenteral liquid</td>
                                                </tr>
                                                <tr>
                                                    <th>Route</th>
                                                    <td>Gastroenteral</td>
                                                </tr>
                                                <tr>
                                                    <th>Site</th>
                                                    <td>PEG</td>
                                                </tr>
                                                <tr>
                                                    <th>Method</th>
                                                    <td>Pump</td>
                                                </tr>
                                                <tr>
                                                    <th>Dose amount description</th>
                                                    <td>100mls</td>
                                                </tr>
                                                <tr>
                                                    <th>Dose timing description</th>
                                                    <td>Per hour for 10 hours daily, 9am-7pm</td>
                                                </tr>
                                                <tr>
                                                    <th>Additional instruction</th>
                                                    <td>1400mls water given as divided flushes (e.g. 10x140mls) throughout the day 
            e.g. before and after feed and with medications.</td>
                                                </tr>
                                                <tr>
                                                    <th>Indication</th>
                                                    <td>Medication to be ongoing and prescribed by GP.</td>
                                                </tr>
                                                <tr>
                                                    <th>Comment/recommendation</th>
                                                    <td>Mr. Linacre has been supplied with a feeding pump. Prescription to be sent 
            directly to the feed company who will deliver direct to patient.</td>
                                                </tr>
                                                <tr>
                                                    <th>Status</th>
                                                    <td>Amended</td>
                                                </tr>
                                                <tr>
                                                    <th>Date of latest change</th>
                                                    <td>01/05/2017</td>
                                                </tr>
                                                <tr>
                                                    <th>Medication change</th>
                                                    <td>GP to prescribe 28 x 1000ml bags per month, ongoing.</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                                <!--Reference to medication list-->
                                <entry>
                                    <reference value="urn:uuid:cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
                                </entry>
                            </section>
                            <!-- Patient demographics-->
                            <section>
                                <title value="Patient demographics"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="886731000000109"/>
                                        <display value="Patient demographics"/>
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated"/>
                                    <div xmlns="http://www.w3.org/1999/xhtml">
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Patient name</th>
                                                    <td>Official name <p>Prefix: Mr</p>
                                                        <p>Given Name: Thomas</p>
                                                        <p>Family Name: Linacre</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Patient preferred name</th>
                                                    <td>
                                                        <p>Prefix: Mr</p>
                                                        <p>Given Name: Tom</p>
                                                        <p>Family Name: Linacre</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Date of birth</th>
                                                    <td>1 January 1960</td>
                                                </tr>
                                                <tr>
                                                    <th>Gender</th>
                                                    <td>Male</td>
                                                </tr>
                                                <tr>
                                                    <th>NHS number</th>
                                                    <td>1234567891</td>
                                                </tr>
                                                <tr>
                                                    <th>Other identifier</th>
                                                    <td>TL98765</td>
                                                </tr>
                                                <tr>
                                                    <th>Patient address</th>
                                                    <td>
                                                        <p>Address Line: 29, Acacia Road</p>
                                                        <p>Post Code: BM9 6PL</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Patient email address</th>
                                                    <td>thomas@linacre.net</td>
                                                </tr>
                                                <tr>
                                                    <th>Patient telephone number</th>
                                                    <td>Mobile: 077 7777 777</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                                <!--reference to further information carried in the patient resource-->
                                <entry>
                                    <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                                </entry>
                            </section>
                            <section>
                                <title value="Person completing record"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="887231000000104"/>
                                        <display value="Person completing record"/>
                                    </coding>
                                </code>
                                <text>
                                    <status value="additional"/>
                                    <div xmlns="http://www.w3.org/1999/xhtml">
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Name</th>
                                                    <td>Susan Blight</td>
                                                </tr>
                                                <tr>
                                                    <th>Role</th>
                                                    <td>Community Dietitian</td>
                                                </tr>
                                                <tr>
                                                    <th>Specialty</th>
                                                    <td>Dietetics and nutrition</td>
                                                </tr>
                                                <tr>
                                                    <th>Professional identifier</th>
                                                    <td>HCPC: DT03001</td>
                                                </tr>
                                                <tr>
                                                    <th>Date and time completed</th>
                                                    <td>06 May 2017 16:42</td>
                                                </tr>
                                                <tr>
                                                    <th>Contact details</th>
                                                    <td>Tel: 01234 569870 (Work)</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                                <!--reference to practitioner entry-->
                                <entry>
                                    <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                                </entry>
                            </section>
                            <section>
                                <title value="Plan and requested actions"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="887201000000105"/>
                                        <display value="Plan and requested actions"/>
                                    </coding>
                                </code>
                                <text>
                                    <status value="additional"/>
                                    <div xmlns="http://www.w3.org/1999/xhtml">
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Actions for healthcare professionals</th>
                                                    <td>A backpack has been ordered (05/05/17) so that Mr. Linacre can feed when he 
            goes out during the day as he did not like feeding during the night when he was in 
            hospital and feels restricted to stay at home at the moment.<br/>
                                                        <p>Person Responsible: Susan Blight - Community Dietitian, 
            Adobe Health Centre Community Dietetics Department.</p>
                                                        <p>Action status: Completed</p>
                                                        <br/>
             
             Follow-up via telephone within 1 month.<br/>
                                                        <p>Person Responsible: Susan Blight - Community Dietitian, Adobe Health Centre Community Dietetics Department.</p>
                                                        <p>Action status: Requested</p>
                                                        <br/>
             
             Please prescribe 28 x 100ml bags per month. Prescription to be sent directly to 
             the feed company who will deliver direct to patient. <br/>
                                                        <p>Person Responsible: Dr. C. O'Reilly - GP, Canvas Health Centre. </p>
                                                        <p>Action status: Requested</p>
                                                        <br/>
             
             Feeding Company Nurse has been requested (05/05/17) to train Mr. Linacre on use of pump. <br/>
                                                        <p>Person Responsible: Doug Sway - Feeding nurse, Company X.</p>
                                                        <p> Action status: Requested</p>
                                                    </td>
                                                </tr>
                                                <tr>
                                                    <th>Actions for patient or their carer</th>
                                                    <td>Mr. Linacre has been asked to continue on feeding regime.</td>
                                                </tr>
                                                <tr>
                                                    <th>Agreed with patient or legitimate patient representative</th>
                                                    <td>Mr. Linacre has agreed to continue on the recommended regime.</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                            </section>
                            <section>
                                <title value="Problems and issues"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="887151000000100"/>
                                        <display value="Problems and issues"/>
                                    </coding>
                                </code>
                                <text>
                                    <status value="additional"/>
                                    <div xmlns="http://www.w3.org/1999/xhtml">
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Problems and issue</th>
                                                    <td>Acquired swallowing difficulties</td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                            </section>
                            <section>
                                <title value="Referrer details"/>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="1052891000000108"/>
                                        <display value="Referrer details"/>
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated"/>
                                    <div xmlns="http://www.w3.org/1999/xhtml">
                                        <table width="100%">
                                            <tbody>
                                                <tr>
                                                    <th>Referrer details</th>
                                                    <td>
                                                        <p>Name: </p>
                                                        <p>Prefix: Ms</p>
                                                        <p>Given name: Sugra</p>
                                                        <p>Family name: Bibi</p>
                                                        <p>Role: Hospital-based dietitian</p>
                                                        <p>Tel: 01234 777870</p>
                                                        <p>Organisation name: St. Crispin's Hospital</p>
                                                        <p>City: Donaldstown</p>
                                                        <p>Postcode: DO5 7TP</p>
                                                    </td>
                                                </tr>
                                            </tbody>
                                        </table>
                                    </div>
                                </text>
                                <!--Reference to the practitioner resource-->
                                <entry>
                                    <reference value="urn:uuid:246a8b1a-24af-4690-b894-effe41c5638b"/>
                                </entry>
                                <!--Reference to the organisation resource-->
                                <entry>
                                    <reference value="urn:uuid:12bba528-a08a-448b-946b-7e8008044025"/>
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <!--Encounter Example 1-->
                <entry>
                    <fullUrl value="urn:uuid:bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                    <resource>
                        <Encounter>
                            <id value="bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"/>
                            </meta>
                            <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1">
                                <valueCodeableConcept>
                                    <coding>
                                        <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1"/>
                                        <code value="3"/>
                                        <display value="Appointment to be made at a later date"/>
                                    </coding>
                                </valueCodeableConcept>
                            </extension>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="13c73015-d8fa-4844-8d68-4f856883eca8"/>
                            </identifier>
                            <status value="finished"/>
                            <class>
                                <system value="http://hl7.org/fhir/v3/ActCode"/>
                                <code value="AMB"/>
                                <display value="ambulatory"/>
                            </class>
                            <!--Specific type of encounter-->
                            <type>
                                <coding>
                                    <system value="https://www.datadictionary.nhs.uk"/>
                                    <code value="1"/>
                                    <display value="First attendance face to face"/>
                                </coding>
                            </type>
                            <!--Reference to the patient as the subject of the Encounter-->
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                            <!--Reference to the participant(s) present during the encounter-->
                            <participant>
                                <type>
                                    <coding>
                                        <system value="http://hl7.org/fhir/v3/ParticipationType"/>
                                        <code value="ATND"/>
                                        <display value="attender"/>
                                    </coding>
                                </type>
                                <individual>
                                    <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                                </individual>
                            </participant>
                            <participant>
                                <type>
                                    <coding>
                                        <system value="http://hl7.org/fhir/v3/ParticipationType"/>
                                        <code value="CON"/>
                                        <display value="consultant"/>
                                    </coding>
                                </type>
                                <individual>
                                    <reference value="urn:uuid:d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
                                </individual>
                            </participant>
                            <period>
                                <start value="2017-05-01T12:00:00+00:00"/>
                                <end value="2017-05-01T13:00:00+00:00"/>
                            </period>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:ecbeffa7-1adf-4301-a94f-1e297e4fed93"/>
                    <resource>
                        <List>
                            <id value="ecbeffa7-1adf-4301-a94f-1e297e4fed93"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="bbde54bb-adfb-452e-a829-c50a42709080"/>
                            </identifier>
                            <status value="current"/>
                            <mode value="snapshot"/>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="886921000000105"/>
                                    <display value="Allergies and adverse reactions"/>
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                            </encounter>
                            <source>
                                <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                            </source>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:6f8f2868-231d-4066-928c-3f7e0a116112"/>
                                </item>
                            </entry>
                        </List>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:6f8f2868-231d-4066-928c-3f7e0a116112"/>
                    <resource>
                        <AllergyIntolerance>
                            <id value="6f8f2868-231d-4066-928c-3f7e0a116112"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="432351ad-3ecf-4444-a718-99e86e365d2d"/>
                            </identifier>
                            <clinicalStatus value="active"/>
                            <verificationStatus value="confirmed"/>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="716186003"/>
                                    <display value="No known allergy"/>
                                </coding>
                            </code>
                            <patient>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </patient>
                            <assertedDate value="2015-02-12"/>
                        </AllergyIntolerance>
                    </resource>
                </entry>
                <!--Medication List - active medications - Example 1-->
                <entry>
                    <fullUrl value="urn:uuid:cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
                    <resource>
                        <List>
                            <id value="cef7f8d5-78e3-4866-89f1-62470d6fd636"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-List-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="c28e33b7-dd29-4c9d-957c-ab4a834e5e77"/>
                            </identifier>
                            <status value="current"/>
                            <mode value="snapshot"/>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="1102411000000102"/>
                                    <display value="Active medications"/>
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                            </encounter>
                            <source>
                                <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                            </source>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:9ab72b73-c3e2-434a-a7df-234134215a7e"/>
                                </item>
                            </entry>
                        </List>
                    </resource>
                </entry>
                <!--Medication statement Example 1 - for the feed after the Outpatient appointment-->
                <entry>
                    <fullUrl value="urn:uuid:9ab72b73-c3e2-434a-a7df-234134215a7e"/>
                    <resource>
                        <MedicationStatement>
                            <id value="9ab72b73-c3e2-434a-a7df-234134215a7e"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationStatement-1"/>
                            </meta>
                            <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationChangeSummary-1">
                                <extension url="status">
                                    <valueCode value="Amended"/>
                                </extension>
                                <extension url="dateChanged">
                                    <valueDateTime value="2017-05-01"/>
                                </extension>
                                <extension url="detailsOfAmendment">
                                    <valueString value="GP to prescribe 28 x 1000ml bags per month, ongoing."/>
                                </extension>
                            </extension>
                            <context>
                                <reference value="urn:uuid:bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                            </context>
                            <status value="active"/>
                            <medicationReference>
                                <reference value="urn:uuid:46c1a1b6-c2a5-44bc-a0df-80db5d4fb423"/>
                            </medicationReference>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                            <taken value="unk"/>
                            <dosage>
                                <text value="100mls per hour for 10 hours daily, 9am-7pm"/>
                                <patientInstruction value="1400mls water given as divided flushes (e.g. 10x140mls) throughout the day 
            e.g. before and after feed and with medications."/>
                                <route>
                                    <coding>
                                        <system value="http://snomed.info/sct"/>
                                        <code value="372454008"/>
                                        <display value="Gastroenteral"/>
                                    </coding>
                                </route>
                            </dosage>
                        </MedicationStatement>
                    </resource>
                </entry>
                <!--Medication Example 1-->
                <entry>
                    <fullUrl value="urn:uuid:46c1a1b6-c2a5-44bc-a0df-80db5d4fb423"/>
                    <resource>
                        <Medication>
                            <id value="46c1a1b6-c2a5-44bc-a0df-80db5d4fb423"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1"/>
                            </meta>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="117111000001108"/>
                                    <display value="Fresubin Energy Fibre liquid unflavoured (Fresenius Kabi Ltd)"/>
                                </coding>
                            </code>
                            <form>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="35367711000001100"/>
                                    <display value="Gastroenteral liquid"/>
                                </coding>
                            </form>
                        </Medication>
                    </resource>
                </entry>
                <!--Condition list-->
                <entry>
                    <fullUrl value="urn:uuid:3a49e555-9ab6-40c2-aa2d-4aca09a2bc00"/>
                    <resource>
                        <List>
                            <id value="3a49e555-9ab6-40c2-aa2d-4aca09a2bc00"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-List-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="3f26dd55-5a1e-45b2-ad39-7352698ea9c4"/>
                            </identifier>
                            <status value="current"/>
                            <mode value="snapshot"/>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="887161000000102"/>
                                    <display value="Diagnoses"/>
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:bd25f74e-2be5-4728-ac16-4771e2998cd2"/>
                            </encounter>
                            <source>
                                <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                            </source>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:abbf4c46-f97b-4b04-9248-4f99a21e1879"/>
                                </item>
                            </entry>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:4ee4465e-ed0d-4a62-b110-6fcfce3156e9"/>
                                </item>
                            </entry>
                        </List>
                    </resource>
                </entry>
                <!--Condition example 1-->
                <entry>
                    <fullUrl value="urn:uuid:abbf4c46-f97b-4b04-9248-4f99a21e1879"/>
                    <resource>
                        <Condition>
                            <id value="abbf4c46-f97b-4b04-9248-4f99a21e1879"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="c4b2d64e-23f3-4055-8299-141aacf9c16c"/>
                            </identifier>
                            <clinicalStatus value="active"/>
                            <category>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
                                    <code value="encounter-diagnosis"/>
                                    <display value="Encounter Diagnosis"/>
                                </coding>
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="230690007"/>
                                    <display value="Stroke"/>
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                        </Condition>
                    </resource>
                </entry>
                <!--Condition example 2-->
                <entry>
                    <fullUrl value="urn:uuid:4ee4465e-ed0d-4a62-b110-6fcfce3156e9"/>
                    <resource>
                        <Condition>
                            <id value="4ee4465e-ed0d-4a62-b110-6fcfce3156e9"/>
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Condition-1"/>
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122"/>
                                <value value="dc1e1c67-c503-4802-8db2-e9d3d5912807"/>
                            </identifier>
                            <clinicalStatus value="active"/>
                            <category>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
                                    <code value="presenting-complaint"/>
                                    <display value="Presenting Complaint"/>
                                </coding>
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="40739000"/>
                                    <display value="Dysphagia"/>
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                            </subject>
                        </Condition>
                    </resource>
                </entry>
                <!--Patient-Example-1-->
                <entry>
                    <fullUrl value="urn:uuid:31686b67-9f20-4644-9a54-193d2f91de57"/>
                    <resource>
                        <Patient>
                            <id value="31686b67-9f20-4644-9a54-193d2f91de57"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
                            </meta>
                            <identifier>
                                <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
                                    <valueCodeableConcept>
                                        <coding>
                                            <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
                                            <code value="01"/>
                                            <display value="Number present and verified"/>
                                        </coding>
                                    </valueCodeableConcept>
                                </extension>
                                <system value="https://fhir.nhs.uk/Id/nhs-number"/>
                                <value value="1234567891"/>
                            </identifier>
                            <name>
                                <use value="official"/>
                                <family value="LINACRE"/>
                                <given value="Tom"/>
                                <prefix value="Mr"/>
                            </name>
                            <gender value="male"/>
                            <birthDate value="1960-01-01"/>
                            <address>
                                <line value="29"/>
                                <line value="Acacia Road"/>
                                <postalCode value="BM9 6PL"/>
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <!--Practitioner-Example-1-->
                <entry>
                    <fullUrl value="urn:uuid:5e414a77-d394-4248-a631-00e45ddb64a0"/>
                    <resource>
                        <Practitioner>
                            <id value="5e414a77-d394-4248-a631-00e45ddb64a0"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/local-practitioner-identifier"/>
                                <value value="8122472"/>
                            </identifier>
                            <name>
                                <family value="O'Reilly"/>
                                <given value="C"/>
                                <prefix value="Dr"/>
                            </name>
                        </Practitioner>
                    </resource>
                </entry>
                <!--Practitioner-Example-2-->
                <entry>
                    <fullUrl value="urn:uuid:d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
                    <resource>
                        <Practitioner>
                            <id value="d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
                                <value value="1122472"/>
                            </identifier>
                            <name>
                                <family value="McManus"/>
                                <given value="Gerald"/>
                                <prefix value="Dr"/>
                            </name>
                        </Practitioner>
                    </resource>
                </entry>
                <!--Practitioner-Example-3-->
                <entry>
                    <fullUrl value="urn:uuid:5ca24866-f34e-43d5-9d4a-c661beb9b5ae"/>
                    <resource>
                        <Practitioner>
                            <id value="5ca24866-f34e-43d5-9d4a-c661beb9b5ae"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/local-practitioner-identifier"/>
                                <value value="5122472"/>
                            </identifier>
                            <name>
                                <family value="Sway"/>
                                <given value="Doug"/>
                                <prefix value="Mr"/>
                            </name>
                        </Practitioner>
                    </resource>
                </entry>
                <!--Practitioner-Example-4-->
                <entry>
                    <fullUrl value="urn:uuid:246a8b1a-24af-4690-b894-effe41c5638b"/>
                    <resource>
                        <Practitioner>
                            <id value="246a8b1a-24af-4690-b894-effe41c5638b"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/sds-user-id"/>
                                <value value="033345750510"/>
                            </identifier>
                            <name>
                                <family value="Bibi"/>
                                <given value="Sugra"/>
                                <prefix value="Ms"/>
                            </name>
                            <telecom>
                                <system value="phone"/>
                                <value value="01234 777870"/>
                                <use value="work"/>
                            </telecom>
                        </Practitioner>
                    </resource>
                </entry>
                <!--Practitioner-Example-5-->
                <entry>
                    <fullUrl value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                    <resource>
                        <Practitioner>
                            <id value="2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.hl7.org.uk/Id/hcpc-number"/>
                                <value value="DT03001"/>
                            </identifier>
                            <name>
                                <family value="Blight"/>
                                <given value="Susan"/>
                                <prefix value="Mrs"/>
                            </name>
                            <telecom>
                                <system value="phone"/>
                                <value value="01234 569870"/>
                                <use value="work"/>
                            </telecom>
                        </Practitioner>
                    </resource>
                </entry>
                <!--Practitioner roles-->
                <entry>
                    <fullUrl value="urn:uuid:2b103117-a783-4a66-a0de-f308cd6b63cf"/>
                    <resource>
                        <PractitionerRole>
                            <id value="2b103117-a783-4a66-a0de-f308cd6b63cf"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:5e414a77-d394-4248-a631-00e45ddb64a0"/>
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:f9f24f89-646b-4a19-a6b1-cabfa3b612e1"/>
                            </organization>
                            <code>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
                                    <code value="R0260"/>
                                    <display value="General Medical Practitioner"/>
                                </coding>
                            </code>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:2e9585bc-4a09-4a06-8862-5a8cb6198fa7"/>
                    <resource>
                        <PractitionerRole>
                            <id value="2e9585bc-4a09-4a06-8862-5a8cb6198fa7"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:d25fd1c6-2658-4db7-9af0-86c5f95e8ec9"/>
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:12bba528-a08a-448b-946b-7e8008044025"/>
                            </organization>
                            <code>
                                <coding>
                                    <system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
                                    <code value="R0050"/>
                                    <display value="Consultant"/>
                                </coding>
                            </code>
                            <specialty>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="394591006"/>
                                    <display value="Neurology"/>
                                </coding>
                            </specialty>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:2bba2b2b-2b55-43ef-9b27-7ccf374cbaed"/>
                    <resource>
                        <PractitionerRole>
                            <id value="2bba2b2b-2b55-43ef-9b27-7ccf374cbaed"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:5ca24866-f34e-43d5-9d4a-c661beb9b5ae"/>
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:b945154b-114f-4da3-98fb-7f6978083e9b"/>
                            </organization>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:ea8932d8-e341-46e3-849f-0fa24f48b5fc"/>
                    <resource>
                        <PractitionerRole>
                            <id value="ea8932d8-e341-46e3-849f-0fa24f48b5fc"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:246a8b1a-24af-4690-b894-effe41c5638b"/>
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:12bba528-a08a-448b-946b-7e8008044025"/>
                            </organization>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="309399009"/>
                                    <display value="Hospital-based dietitian"/>
                                </coding>
                            </code>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:b9ea89f3-10d1-404d-810e-f8623ee11406"/>
                    <resource>
                        <PractitionerRole>
                            <id value="b9ea89f3-10d1-404d-810e-f8623ee11406"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:2c064afa-dbd6-44b8-86e6-a3e7fbdbcb48"/>
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:f93186cd-b628-47e6-b97f-102ae75e6845"/>
                            </organization>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="60008001"/>
                                    <display value="Community dietitian"/>
                                </coding>
                            </code>
                            <specialty>
                                <coding>
                                    <system value="http://snomed.info/sct"/>
                                    <code value="722164000"/>
                                    <display value="Dietetics and nutrition"/>
                                </coding>
                            </specialty>
                        </PractitionerRole>
                    </resource>
                </entry>
                <!--Organization-Example-1-->
                <entry>
                    <fullUrl value="urn:uuid:f9f24f89-646b-4a19-a6b1-cabfa3b612e1"/>
                    <resource>
                        <Organization>
                            <id value="f9f24f89-646b-4a19-a6b1-cabfa3b612e1"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                                <value value="A111111"/>
                            </identifier>
                            <name value="Canvas Health Centre"/>
                            <address>
                                <line value="27 Acacia Road"/>
                                <postalCode value="BM9 6PM "/>
                            </address>
                        </Organization>
                    </resource>
                </entry>
                <!--Organization-Example-2-->
                <entry>
                    <fullUrl value="urn:uuid:12bba528-a08a-448b-946b-7e8008044025"/>
                    <resource>
                        <Organization>
                            <id value="12bba528-a08a-448b-946b-7e8008044025"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
                                <value value="RX0000"/>
                            </identifier>
                            <name value="St Crispin's Hospital"/>
                            <address>
                                <city value="Donaldstown"/>
                                <postalCode value="DO5 7TP"/>
                            </address>
                        </Organization>
                    </resource>
                </entry>
                <!--Organization-Example-3-->
                <entry>
                    <fullUrl value="urn:uuid:b945154b-114f-4da3-98fb-7f6978083e9b"/>
                    <resource>
                        <Organization>
                            <id value="b945154b-114f-4da3-98fb-7f6978083e9b"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
                            </meta>
                            <name value="Company X"/>
                        </Organization>
                    </resource>
                </entry>
                <!--Organization-Example-4-->
                <entry>
                    <fullUrl value="urn:uuid:f93186cd-b628-47e6-b97f-102ae75e6845"/>
                    <resource>
                        <Organization>
                            <id value="f93186cd-b628-47e6-b97f-102ae75e6845"/>
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
                            </meta>
                            <name value="Community Nutrition and Dietetics Department"/>
                            <telecom>
                                <system value="phone"/>
                                <value value="01234 567890"/>
                                <use value="work"/>
                            </telecom>
                            <telecom>
                                <system value="email"/>
                                <value value="cndd@adobehc.nhs.uk"/>
                            </telecom>
                            <address>
                                <line value="Adobe Health Centre"/>
                                <city value="Donaldstown"/>
                                <postalCode value="DO1 4XP"/>
                            </address>
                        </Organization>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>