pgBadger :: PostgreSQL Log Analyzer

Global information

Generated on Sat Sep 14 00:00:28 2019
Log file: /var/log/postgresql/postgresql-11-main.log.1
Parsed 7,665,705 log entries in 26s
Log start from 2019-09-13 00:00:00 to 2019-09-13 23:59:59

Global Stats

1,874 Number of unique normalized queries
2,320,786 Number of queries
9m35s Total query duration
2019-09-13 00:00:00 First query
2019-09-13 23:59:58 Last query
11,003 queries/s at 2019-09-13 06:03:14 Query peak

2 Number of events
2 Number of unique normalized events
1 Max number of times the same event was reported
0 Number of cancellation

115 Total number of automatic vacuums
203 Total number of automatic analyzes

4 Number temporary file
10.35 MiB Max size of temporary file
7.13 MiB Average size of temporary file

3,583 Total number of sessions
2 sessions at 2019-09-13 06:29:01 Session peak
15d5h47m2s Total duration of sessions
6m7s Average duration of sessions
647 Average queries per session
160ms Average queries duration per session

3,583 Total number of connections
9 connections/s at 2019-09-13 00:30:38 Connection peak
2 Total number of databases

SQL Traffic

Key values

11,003 queries/s Query Peak
2019-09-13 06:03:14 Date

SELECT Traffic

Key values

1,552 queries/s Query Peak
2019-09-13 13:40:00 Date

INSERT/UPDATE/DELETE Traffic

Key values

10,750 queries/s Query Peak
2019-09-13 06:03:14 Date

Queries duration

Key values

9m35s Total query duration

Prepared queries ratio

Key values

2.41 Ratio of bind vs prepare
133.00 % Ratio between prepared and "usual" statements

General Activity

Day	Hour	Count	Min duration	Max duration	Avg duration	Latency Percentile(90)	Latency Percentile(95)	Latency Percentile(99)
Sep 13	00	55,942	0ms	78ms	0ms	90ms	225ms	1s232ms
	01	47,597	0ms	78ms	0ms	69ms	283ms	536ms
	02	46,540	0ms	80ms	0ms	72ms	216ms	562ms
	03	46,858	0ms	77ms	0ms	77ms	215ms	493ms
	04	46,509	0ms	102ms	0ms	80ms	185ms	609ms
	05	75,356	0ms	88ms	0ms	539ms	2s65ms	4s656ms
	06	242,948	0ms	40s597ms	0ms	2s737ms	4s349ms	49s465ms
	07	182,766	0ms	147ms	0ms	1s382ms	1s516ms	3s303ms
	08	269,707	0ms	221ms	0ms	1s602ms	2s64ms	3s390ms
	09	137,057	0ms	213ms	0ms	1s222ms	1s425ms	2s822ms
	10	73,952	0ms	224ms	0ms	791ms	1s180ms	3s336ms
	11	152,445	0ms	288ms	0ms	1s322ms	1s601ms	8s743ms
	12	144,761	0ms	217ms	0ms	1s733ms	2s770ms	5s25ms
	13	126,096	0ms	221ms	0ms	1s720ms	3s822ms	5s669ms
	14	89,509	0ms	204ms	0ms	1s339ms	1s519ms	2s99ms
	15	124,721	0ms	228ms	0ms	1s474ms	1s716ms	2s414ms
	16	113,539	0ms	565ms	0ms	2s210ms	4s215ms	5s65ms
	17	62,352	0ms	378ms	0ms	839ms	1s230ms	2s388ms
	18	45,268	0ms	79ms	0ms	73ms	102ms	536ms
	19	45,335	0ms	85ms	0ms	77ms	117ms	408ms
	20	49,331	0ms	70ms	0ms	78ms	191ms	901ms
	21	46,615	0ms	102ms	0ms	75ms	208ms	536ms
	22	47,901	0ms	70ms	0ms	77ms	348ms	454ms
	23	47,681	0ms	71ms	0ms	74ms	304ms	484ms

Day	Hour	SELECT	Average Duration	Latency Percentile(90)	Latency Percentile(95)	Latency Percentile(99)
Sep 13	00	21,284	0ms	51ms	62ms	924ms
	01	15,321	0ms	39ms	58ms	182ms
	02	15,145	0ms	48ms	63ms	191ms
	03	15,180	0ms	43ms	61ms	183ms
	04	15,104	0ms	46ms	59ms	195ms
	05	26,074	0ms	60ms	285ms	729ms
	06	93,280	0ms	945ms	1s800ms	2s621ms
	07	105,157	0ms	765ms	1s133ms	1s699ms
	08	160,692	0ms	990ms	1s222ms	1s762ms
	09	62,694	0ms	615ms	983ms	1s295ms
	10	28,300	0ms	216ms	703ms	1s88ms
	11	69,074	0ms	648ms	1s31ms	1s617ms
	12	67,069	0ms	1s198ms	1s437ms	3s60ms
	13	64,260	0ms	1s247ms	1s533ms	4s110ms
	14	42,538	0ms	901ms	1s277ms	1s711ms
	15	60,936	0ms	1s136ms	1s402ms	1s633ms
	16	53,501	0ms	797ms	2s91ms	4s186ms
	17	24,008	0ms	218ms	596ms	1s54ms
	18	14,848	0ms	44ms	57ms	165ms
	19	14,912	0ms	50ms	55ms	161ms
	20	18,002	0ms	50ms	58ms	206ms
	21	15,092	0ms	49ms	54ms	169ms
	22	15,505	0ms	49ms	55ms	203ms
	23	15,496	0ms	52ms	57ms	178ms

Day	Hour	INSERT	UPDATE	DELETE	Average Duration	Latency Percentile(90)	Latency Percentile(95)	Latency Percentile(99)
Sep 13	00	1,069	1,170	114	0ms	10ms	13ms	58ms
	01	1,808	508	114	0ms	1ms	8ms	83ms
	02	1,064	322	114	0ms	2ms	8ms	89ms
	03	1,332	389	116	0ms	2ms	8ms	80ms
	04	1,124	338	112	0ms	2ms	8ms	67ms
	05	7,792	7,132	140	0ms	8ms	70ms	1s252ms
	06	63,072	14,653	490	0ms	204ms	357ms	1s673ms
	07	15,365	5,355	429	0ms	104ms	132ms	209ms
	08	18,521	8,700	418	0ms	126ms	157ms	198ms
	09	13,069	5,023	350	0ms	92ms	119ms	163ms
	10	5,118	1,909	183	0ms	51ms	84ms	163ms
	11	15,544	6,479	389	0ms	106ms	135ms	207ms
	12	14,388	6,800	312	0ms	112ms	162ms	297ms
	13	8,505	3,486	267	0ms	74ms	107ms	203ms
	14	4,265	1,946	202	0ms	38ms	52ms	126ms
	15	7,914	3,538	313	0ms	59ms	83ms	137ms
	16	7,074	3,213	292	0ms	62ms	88ms	152ms
	17	1,551	1,090	153	1ms	20ms	44ms	265ms
	18	104	74	112	1ms	1ms	7ms	12ms
	19	116	81	111	1ms	1ms	6ms	9ms
	20	762	285	144	0ms	2ms	8ms	49ms
	21	904	282	114	0ms	1ms	8ms	68ms
	22	1,480	426	110	0ms	1ms	8ms	87ms
	23	1,624	463	112	0ms	1ms	8ms	87ms

Day	Hour	Prepare	Bind	Bind/Prepare	Percentage of prepare
Sep 13	00	33,528	55,880	1.67	91.44%
	01	30,364	47,537	1.57	104.97%
	02	30,472	46,480	1.53	109.45%
	03	30,479	46,798	1.54	108.13%
	04	30,386	46,449	1.53	109.11%
	05	34,206	75,296	2.20	62.48%
	06	58,975	242,886	4.12	28.15%
	07	53,868	182,706	3.39	35.10%
	08	71,204	269,647	3.79	31.35%
	09	51,760	136,789	2.64	48.69%
	10	36,944	73,892	2.00	71.68%
	11	57,277	152,385	2.66	47.94%
	12	52,692	144,701	2.75	45.82%
	13	44,809	126,036	2.81	45.27%
	14	39,825	89,449	2.25	60.20%
	15	49,282	124,661	2.53	51.47%
	16	46,781	113,479	2.43	54.43%
	17	34,725	62,292	1.79	84.39%
	18	28,654	45,206	1.58	108.32%
	19	28,533	45,275	1.59	107.61%
	20	29,054	49,271	1.70	95.16%
	21	28,710	46,555	1.62	103.48%
	22	28,996	47,841	1.65	100.19%
	23	29,717	47,621	1.60	102.66%

Day	Hour	Count	Average / Second
Sep 13	00	189	0.05/s
	01	179	0.05/s
	02	175	0.05/s
	03	178	0.05/s
	04	179	0.05/s
	05	178	0.05/s
	06	139	0.04/s
	07	159	0.04/s
	08	111	0.03/s
	09	132	0.04/s
	10	142	0.04/s
	11	137	0.04/s
	12	136	0.04/s
	13	128	0.04/s
	14	131	0.04/s
	15	137	0.04/s
	16	128	0.04/s
	17	148	0.04/s
	18	143	0.04/s
	19	142	0.04/s
	20	146	0.04/s
	21	143	0.04/s
	22	142	0.04/s
	23	161	0.04/s

Day	Hour	Count	Average Duration
Sep 13	00	189	5m9s
	01	179	5m6s
	02	175	5m5s
	03	178	5m3s
	04	179	5m2s
	05	172	5m5s
	06	145	6m37s
	07	159	5m34s
	08	111	7m59s
	09	132	6m51s
	10	142	6m24s
	11	137	6m29s
	12	136	6m27s
	13	128	7m53s
	14	131	6m54s
	15	137	6m49s
	16	125	6m43s
	17	151	7m4s
	18	143	6m13s
	19	142	6m19s
	20	146	6m14s
	21	143	6m14s
	22	142	6m13s
	23	161	5m47s

↑ Back to the top of the General Activity table

Established Connections

Key values

9 connections Connection Peak
2019-09-13 00:30:38 Date

Connections per database

Key values

pharmisight Main Database
3,583 connections Total

Chart
Table

Database	User	Count
pharmisight		3,001
	pharmisight	1,805
	symmetricds	908
	tony	288
postgres		582
	librenms	582

Connections per user

Key values

pharmisight Main User
3,583 connections Total

Chart
Table

User	Count
librenms	582
pharmisight	1,805
symmetricds	908
tony	288

Connections per host

Key values

10.10.10.1 Main host with 2713 connections
3,583 Total connections

Chart
Table

Host	Count
10.10.10.1	2,713
::1	288
[local]	582

Simultaneous sessions

Key values

2 sessions Session Peak
2019-09-13 06:29:01 Date

Histogram of session times

Key values

2,275 60000-600000ms duration

Chart
Table

Range	Count	Percentage
0ms-500ms	870	24.28%
500ms-1s	0	0.00%
1s-30s	1	0.03%
30s-1m	0	0.00%
1m-10m	2,275	63.49%
10m-30m	410	11.44%
30m-1h	27	0.75%
1h-8h	0	0.00%
> 8h	0	0.00%

Sessions per database

Key values

pharmisight Main Database
3,583 sessions Total

Chart
Table

Database	User	Count	Total Duration	Average Duration
pharmisight	3,001	15d5h46m49s	7m18s
postgres	582	12s829ms	22ms

Sessions per user

Key values

pharmisight Main User
3,583 sessions Total

Chart
Table

User	Count	Total Duration
librenms	582	12s829ms
pharmisight	1,805	10d4h59m39s
symmetricds	908	5d46m58s
tony	288	11s438ms

Sessions per host

Key values

10.10.10.1 Main Host
3,583 sessions Total

Chart
Table

Host	Count	Total Duration	Average Duration
10.10.10.1	2,713	15d5h46m37s	8m5s
::1	288	11s438ms	39ms
[local]	582	12s829ms	22ms

Sessions per application

Key values

PostgreSQL JDBC Driver Main Host
3,583 sessions Total

Chart
Table

Application	Count	Total Duration	Average Duration
PostgreSQL JDBC Driver	2,712	15d5h46m27s	8m5s
[unknown]	289	22s113ms	76ms
psql	582	12s829ms	22ms

Checkpoints Buffers

Key values

4,160 buffers Checkpoint Peak
2019-09-13 07:03:15 Date
149.856 seconds Highest write time
0.014 seconds Sync time

Checkpoints Wal files

Key values

5 files Wal files usage Peak
2019-09-13 06:03:15 Date

Checkpoints distance

Key values

144.65 Mo Distance Peak
2019-09-13 06:03:15 Date

Checkpoints Activity

Day	Hour	Written buffers	Write time	Sync time	Total time
Sep 13	00	1,537	154.222s	0.026s	154.308s
	01	974	97.562s	0.014s	97.626s
	02	712	71.449s	0.008s	71.526s
	03	765	76.675s	0.011s	76.737s
	04	737	73.944s	0.013s	74.008s
	05	1,575	191.596s	0.022s	191.674s
	06	13,237	1,152.591s	0.052s	1,152.717s
	07	13,559	892.422s	0.023s	892.511s
	08	8,349	818.033s	0.026s	818.133s
	09	6,166	619.7s	0.02s	619.79s
	10	5,710	452.726s	0.018s	452.808s
	11	7,998	799.855s	0.024s	799.942s
	12	10,344	1,008.786s	0.031s	1,008.904s
	13	7,124	574.285s	0.021s	574.388s
	14	3,300	330.592s	0.031s	330.699s
	15	4,812	482.038s	0.031s	482.133s
	16	4,832	484.411s	0.02s	484.503s
	17	4,711	417.032s	0.013s	417.108s
	18	421	42.247s	0.014s	42.31s
	19	366	36.725s	0.015s	36.79s
	20	714	71.666s	0.009s	71.738s
	21	934	93.536s	0.015s	93.599s
	22	870	87.299s	0.015s	87.364s
	23	925	92.816s	0.022s	92.885s

Day	Hour	Removed	Recycled	Synced files	Longest sync	Average sync
Sep 13	00	0	1	295	0.012s	0s
	01	0	0	247	0.002s	0s
	02	0	0	245	0.001s	0s
	03	0	0	245	0.002s	0s
	04	0	1	237	0.002s	0s
	05	0	0	356	0.001s	0s
	06	3	11	1,321	0.002s	0s
	07	0	5	1,156	0.001s	0s
	08	0	3	1,234	0.002s	0s
	09	0	3	1,128	0.002s	0s
	10	0	2	696	0.002s	0s
	11	0	3	1,332	0.002s	0s
	12	0	5	1,353	0.003s	0s
	13	0	3	1,080	0.003s	0s
	14	0	1	789	0.014s	0s
	15	0	2	1,210	0.013s	0s
	16	0	2	1,160	0.002s	0s
	17	0	2	744	0.002s	0s
	18	0	0	209	0.002s	0s
	19	0	0	210	0.003s	0s
	20	0	0	308	0.002s	0s
	21	0	0	271	0.003s	0s
	22	0	1	265	0.003s	0s
	23	0	0	264	0.008s	0s

Day	Hour	Avg time (sec)
Sep 13	00	0s
	01	0s
	02	0s
	03	0s
	04	0s
	05	0s
	06	0s
	07	0s
	08	0s
	09	0s
	10	0s
	11	0s
	12	0s
	13	0s
	14	0s
	15	0s
	16	0s
	17	0s
	18	0s
	19	0s
	20	0s
	21	0s
	22	0s
	23	0s

Day	Hour	Mean distance	Mean estimate
Sep 13	00	872.09 kB	1,264.00 kB
	01	646.33 kB	1,753.56 kB
	02	432.11 kB	1,357.22 kB
	03	474.56 kB	1,195.11 kB
	04	459.11 kB	1,531.11 kB
	05	1,179.30 kB	1,640.80 kB
	06	18,691.27 kB	50,606.27 kB
	07	7,087.42 kB	21,035.58 kB
	08	4,961.58 kB	10,601.67 kB
	09	3,546.82 kB	7,627.73 kB
	10	2,891.64 kB	8,073.45 kB
	11	4,647.50 kB	8,442.00 kB
	12	6,279.58 kB	10,903.50 kB
	13	4,135.09 kB	11,820.91 kB
	14	1,687.17 kB	4,833.42 kB
	15	2,513.67 kB	4,171.83 kB
	16	2,554.42 kB	3,880.67 kB
	17	2,994.45 kB	10,432.18 kB
	18	210.78 kB	4,748.33 kB
	19	154.89 kB	1,933.22 kB
	20	344.80 kB	920.90 kB
	21	541.89 kB	1,201.22 kB
	22	543.11 kB	1,472.22 kB
	23	590.11 kB	1,406.56 kB

↑ Back to the top of the Checkpoint Activity table

Size of temporary files

Key values

10.35 MiB Temp Files size Peak
2019-09-13 06:03:27 Date

Number of temporary files

Key values

2 per second Temp Files Peak
2019-09-13 06:05:15 Date

Temporary Files Activity

Temp Files

Day	Hour	Count	Total size	Average size
Sep 13	00	0	0	0
	01	0	0	0
	02	0	0	0
	03	0	0	0
	04	0	0	0
	05	0	0	0
	06	4	28.52 MiB	7.13 MiB
	07	0	0	0
	08	0	0	0
	09	0	0	0
	10	0	0	0
	11	0	0	0
	12	0	0	0
	13	0	0	0
	14	0	0	0
	15	0	0	0
	16	0	0	0
	17	0	0	0
	18	0	0	0
	19	0	0	0
	20	0	0	0
	21	0	0	0
	22	0	0	0
	23	0	0	0

↑ Back to the top of the Temporary Files Activity table

Queries generating the most temporary files (N)

Rank	Count	Total size	Min size	Max size	Avg size	Query
1	1	3.66 MiB	3.66 MiB	3.66 MiB	3.66 MiB	SELECT d.data_id, d.table_name, d.event_type, d.row_data AS row_data, d.pk_data AS pk_data, d.old_data AS old_data, d.create_time, d.trigger_hist_id, d.channel_id, d.transaction_id, d.source_node_id, d.external_data, d.node_list, e.router_id FROM sym_data d INNER JOIN sym_data_event e ON d.data_id = e.data_id INNER JOIN sym_outgoing_batch o ON o.batch_id = e.batch_id WHERE o.batch_id = ? AND o.node_id = ? ORDER BY d.data_id ASC; SELECT d.data_id, d.table_name, d.event_type, d.row_data AS row_data, d.pk_data AS pk_data, d.old_data AS old_data, d.create_time, d.trigger_hist_id, d.channel_id, d.transaction_id, d.source_node_id, d.external_data, d.node_list, e.router_id FROM sym_data d INNER JOIN sym_data_event e ON d.data_id = e.data_id INNER JOIN sym_outgoing_batch o ON o.batch_id = e.batch_id WHERE o.batch_id = $1 AND o.node_id = $2 ORDER BY d.data_id ASC; Date: 2019-09-13 06:05:15 Duration: 0ms

Queries generating the largest temporary files

Rank	Size	Query
1	3.66 MiB	SELECT d.data_id, d.table_name, d.event_type, d.row_data AS row_data, d.pk_data AS pk_data, d.old_data AS old_data, d.create_time, d.trigger_hist_id, d.channel_id, d.transaction_id, d.source_node_id, d.external_data, d.node_list, e.router_id FROM sym_data d INNER JOIN sym_data_event e ON d.data_id = e.data_id INNER JOIN sym_outgoing_batch o ON o.batch_id = e.batch_id WHERE o.batch_id = $1 AND o.node_id = $2 ORDER BY d.data_id ASC; [ Date: 2019-09-13 06:05:15 ]

Vacuums / Analyzes Distribution

Key values

0 sec Highest CPU-cost vacuum
Table
Database
Date
0 sec Highest CPU-cost analyze
Table
Database
Date

Analyzes per table

Key values

public.sym_data_gap (100) Main table analyzed (database pharmisight)
203 analyzes Total

Chart
Table

Table	Number of analyzes
pharmisight.public.sym_data_gap	100
pharmisight.public.sym_outgoing_batch	42
pharmisight.public.sym_incoming_batch	17
pharmisight.public.sym_data	12
pharmisight.public.sym_data_event	12
pharmisight.public.sym_sequence	11
pharmisight.public.sym_node_host	5
pharmisight.public.item_codes	3
pharmisight.public.flow_report_summary_delays	1
Total	203

Vacuums per table

Key values

public.sym_data_gap (53) Main table vacuumed on database pharmisight
115 vacuums Total

Chart
Table

Table	Number of vacuums	Index scans
pharmisight.public.sym_data_gap	53	53
pharmisight.public.sym_outgoing_batch	20	20
pharmisight.public.sym_sequence	11	0
pharmisight.public.sym_incoming_batch	7	7
pharmisight.public.sym_data	7	5
pharmisight.public.sym_node_host	6	0
pharmisight.pg_toast.pg_toast_2619	3	3
pharmisight.pg_catalog.pg_statistic	3	3
pharmisight.public.sym_data_event	3	3
pharmisight.public.item_codes	1	1
pharmisight.public.flow_report_summary_delays	1	1
Total	115	96

Tuples removed per table

Key values

public.sym_data (19958) Main table with removed tuples on database pharmisight
37198 tuples Total removed

Chart
Table

Table	Number of vacuums	Index scans	Tuples removed	Pages removed
pharmisight.public.sym_data	7	5	19958	1263
pharmisight.public.sym_data_event	3	3	8714	0
pharmisight.public.sym_data_gap	53	53	2763	0
pharmisight.public.sym_outgoing_batch	20	20	2415	0
pharmisight.public.sym_incoming_batch	7	7	1087	0
pharmisight.pg_catalog.pg_statistic	3	3	873	0
pharmisight.public.sym_sequence	11	0	561	0
pharmisight.public.sym_node_host	6	0	312	0
pharmisight.public.item_codes	1	1	266	0
pharmisight.pg_toast.pg_toast_2619	3	3	212	0
pharmisight.public.flow_report_summary_delays	1	1	37	0
Total	115	96	37,198	1,263

Pages removed per table

Key values

public.sym_data (1263) Main table with removed pages on database pharmisight
1263 pages Total removed

Chart
Table

Table	Number of vacuums	Index scans	Tuples removed	Pages removed
pharmisight.public.sym_data	7	5	19958	1263
pharmisight.public.sym_outgoing_batch	20	20	2415	0
pharmisight.public.sym_sequence	11	0	561	0
pharmisight.pg_toast.pg_toast_2619	3	3	212	0
pharmisight.public.sym_node_host	6	0	312	0
pharmisight.public.sym_incoming_batch	7	7	1087	0
pharmisight.public.sym_data_gap	53	53	2763	0
pharmisight.public.item_codes	1	1	266	0
pharmisight.pg_catalog.pg_statistic	3	3	873	0
pharmisight.public.flow_report_summary_delays	1	1	37	0
pharmisight.public.sym_data_event	3	3	8714	0
Total	115	96	37,198	1,263

Autovacuum Activity

Vacuums / Analyzes

Day	Hour	VACUUMs	ANALYZEs
Sep 13	00	2	4
	01	1	1
	02	1	1
	03	1	3
	04	0	0
	05	0	5
	06	18	22
	07	12	20
	08	9	20
	09	10	16
	10	6	8
	11	9	20
	12	10	20
	13	8	14
	14	4	7
	15	9	15
	16	6	12
	17	3	7
	18	0	0
	19	2	1
	20	1	3
	21	2	2
	22	0	1
	23	1	1

↑ Back to the top of the Autovacuum Activity table

Locks by types

Key values

AccessExclusiveLock Main Lock Type
2 locks Total

Chart
Table

Type	Object	Count	Total Duration	Average Duration (s)
AccessExclusiveLock		1	6s751ms	6s751ms
	tuple	1	6s751ms	6s751ms
ShareLock		1	40s596ms	40s596ms
	transaction	1	40s596ms	40s596ms
	Total	2	47s348ms	23s674ms

Most frequent waiting queries (N)

Rank	Count	Total time	Min time	Max time	Avg duration	Query
1	2	47s348ms	6s751ms	40s596ms	23s674ms	UPDATE order_rounds SET routenumber = ?, uploadedbyuserid = ?, uploadedbyusername = ?, updatedby = ?, updatedbyusername = ?, orderroundnote = ?, firstcheckout = ?, allordersscannedok = ?, status = ?, reopenedtimes = ?, lastreopenbyid = ?, lastdonecheckin = ?, lastdonebyid = ?, lastdonebyusername = ?, missinglabels = ?, rounddeliverydate = ?, trolley = ?, stack = ?, picktime = ?, uploadupdated = ?, patientalert = ?, mismatches = ?, rxstatus = ?, distributionpoint = ?, audited = ?, auditedby = ?, auditstatus = ?, uploadfinished = ?, lastrxcompleted = ?, lastrxcompletedby = ?, orderroundnotereadby = ?, routeorderlinesqty = ?, dlxpickedlinesqty = ?, flowreport = ?, created = ?, createdby = ?, updated = ?, note = ? WHERE order_round_id = ?; UPDATE ORDER_ROUNDS SET routeNumber = $1, uploadedByUserId = $2, uploadedByUserName = $3, updatedBy = $4, updatedByUserName = $5, orderRoundNote = $6, firstCheckOut = $7, allOrdersScannedOK = $8, status = $9, reopenedTimes = $10, lastReopenById = $11, lastDoneCheckIn = $12, lastDoneById = $13, lastDoneByUserName = $14, missingLabels = $15, roundDeliveryDate = $16, trolley = $17, stack = $18, picktime = $19, uploadUpdated = $20, patientAlert = $21, mismatches = $22, rxStatus = $23, distributionPoint = $24, audited = $25, auditedBy = $26, auditStatus = $27, uploadFinished = $28, lastRxCompleted = $29, lastRxCompletedBy = $30, orderRoundNoteReadBy = $31, routeOrderLinesQty = $32, dlxPickedLinesQty = $33, flowReport = $34, CREATED = $35, createdBy = $36, UPDATED = $37, note = $38 WHERE ORDER_ROUND_ID = $39; Date: 2019-09-13 06:05:43 Database: pharmisight User: pharmisight Remote: 10.10.10.1 Application: PostgreSQL JDBC Driver

Queries that waited the most

Rank	Wait time	Query
1	40s596ms	UPDATE ORDER_ROUNDS SET routeNumber = $1, uploadedByUserId = $2, uploadedByUserName = $3, updatedBy = $4, updatedByUserName = $5, orderRoundNote = $6, firstCheckOut = $7, allOrdersScannedOK = $8, status = $9, reopenedTimes = $10, lastReopenById = $11, lastDoneCheckIn = $12, lastDoneById = $13, lastDoneByUserName = $14, missingLabels = $15, roundDeliveryDate = $16, trolley = $17, stack = $18, picktime = $19, uploadUpdated = $20, patientAlert = $21, mismatches = $22, rxStatus = $23, distributionPoint = $24, audited = $25, auditedBy = $26, auditStatus = $27, uploadFinished = $28, lastRxCompleted = $29, lastRxCompletedBy = $30, orderRoundNoteReadBy = $31, routeOrderLinesQty = $32, dlxPickedLinesQty = $33, flowReport = $34, CREATED = $35, createdBy = $36, UPDATED = $37, note = $38 WHERE ORDER_ROUND_ID = $39; [ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver ]
2	6s751ms	UPDATE ORDER_ROUNDS SET routeNumber = $1, uploadedByUserId = $2, uploadedByUserName = $3, updatedBy = $4, updatedByUserName = $5, orderRoundNote = $6, firstCheckOut = $7, allOrdersScannedOK = $8, status = $9, reopenedTimes = $10, lastReopenById = $11, lastDoneCheckIn = $12, lastDoneById = $13, lastDoneByUserName = $14, missingLabels = $15, roundDeliveryDate = $16, trolley = $17, stack = $18, picktime = $19, uploadUpdated = $20, patientAlert = $21, mismatches = $22, rxStatus = $23, distributionPoint = $24, audited = $25, auditedBy = $26, auditStatus = $27, uploadFinished = $28, lastRxCompleted = $29, lastRxCompletedBy = $30, orderRoundNoteReadBy = $31, routeOrderLinesQty = $32, dlxPickedLinesQty = $33, flowReport = $34, CREATED = $35, createdBy = $36, UPDATED = $37, note = $38 WHERE ORDER_ROUND_ID = $39; [ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver ]

Queries by type

Key values

1,033,472 Total read queries
710,296 Total write queries

Chart
Table

Type	Count	Percentage
SELECT	1,033,472	44.53%
INSERT	193,565	8.34%
UPDATE	73,662	3.17%
DELETE	5,211	0.22%
COPY FROM	0	0.00%
COPY TO	0	0.00%
CTE	0	0.00%
DDL	0	0.00%
TCL	437,858	18.87%
OTHERS	577,018	24.86%

Queries by database

Key values

pharmisight Main database
2,320,204 Requests
9m25s (pharmisight)
Main time consuming database

Chart
Table

Database	Request type	Count	Duration
pharmisight	Total	2,320,204	9m25s
	DELETE	5,211	9s133ms
	INSERT	193,565	40s18ms
	OTHERS	577,018	9s471ms
	SELECT	1,032,890	6m7s
	TCL	437,858	30s212ms
	UPDATE	73,662	1m49s
postgres	Total	582	9s903ms
	SELECT	582	9s903ms

Queries by user

Key values

symmetricds Main user
1,603,723 Requests

Queries Chart
Table

User	Request type	Count	Duration
librenms	Total	606	10s351ms
	SELECT	606	10s351ms
pharmisight	Total	762,857	7m36s
	DELETE	51	1s234ms
	INSERT	30,911	23s272ms
	OTHERS	5,666	265ms
	SELECT	621,517	5m25s
	TCL	63,228	8s314ms
	UPDATE	41,484	1m38s
symmetricds	Total	1,603,723	1m51s
	DELETE	5,231	7s906ms
	INSERT	164,127	16s995ms
	OTHERS	590,224	9s523ms
	SELECT	425,501	43s362ms
	TCL	386,006	22s148ms
	UPDATE	32,634	11s206ms
tony	Total	900	269ms
	SELECT	900	269ms

Duration by user

Key values

7m36s (pharmisight) Main time consuming user

Duration Chart
Table

User	Request type	Count	Duration
librenms	Total	606	10s351ms
	SELECT	606	10s351ms
pharmisight	Total	762,857	7m36s
	DELETE	51	1s234ms
	INSERT	30,911	23s272ms
	OTHERS	5,666	265ms
	SELECT	621,517	5m25s
	TCL	63,228	8s314ms
	UPDATE	41,484	1m38s
symmetricds	Total	1,603,723	1m51s
	DELETE	5,231	7s906ms
	INSERT	164,127	16s995ms
	OTHERS	590,224	9s523ms
	SELECT	425,501	43s362ms
	TCL	386,006	22s148ms
	UPDATE	32,634	11s206ms
tony	Total	900	269ms
	SELECT	900	269ms

Queries by host

Key values

10.10.10.1 Main host
2,366,580 Requests
9m27s (10.10.10.1)
Main time consuming host

Chart
Table

Host	Request type	Count	Duration
10.10.10.1	Total	2,366,580	9m27s
	DELETE	5,282	9s140ms
	INSERT	195,038	40s267ms
	OTHERS	595,890	9s789ms
	SELECT	1,047,018	6m8s
	TCL	449,234	30s463ms
	UPDATE	74,118	1m49s
::1	Total	900	269ms
	SELECT	900	269ms
[local]	Total	606	10s351ms
	SELECT	606	10s351ms

Queries by application

Key values

PostgreSQL JDBC Driver Main application
2,316,420 Requests
9m25s (PostgreSQL JDBC Driver)
Main time consuming application

Chart
Table

Application	Request type	Count	Duration
PostgreSQL JDBC Driver	Total	2,316,420	9m25s
	DELETE	5,211	9s133ms
	INSERT	193,553	40s2ms
	OTHERS	574,304	9s333ms
	SELECT	1,031,862	6m7s
	TCL	437,828	30s205ms
	UPDATE	73,662	1m49s
[unknown]	Total	3,784	474ms
	INSERT	12	15ms
	OTHERS	2,714	138ms
	SELECT	1,028	313ms
	TCL	30	6ms
psql	Total	582	9s903ms
	SELECT	582	9s903ms

Number of cancelled queries

Key values

0 per second Cancelled query Peak
2019-09-13 13:23:00 Date

Number of cancelled queries (5 minutes period)

NO DATASET

Top Queries

Histogram of query times

Key values

2,263,200 0-1ms duration

Chart
Table

Range	Count	Percentage
0-1ms	2,263,200	97.52%
1-5ms	47,659	2.05%
5-10ms	3,067	0.13%
10-25ms	3,554	0.15%
25-50ms	2,684	0.12%
50-100ms	267	0.01%
100-500ms	347	0.01%
500-1000ms	5	0.00%
1000-10000ms	2	0.00%
> 10000ms	1	0.00%

Slowest individual queries


[ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:14:23 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:47:20 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:38:35 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:02:34 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 16:26:36 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:05:15 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:03:27 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 17:07:40 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:03:39 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:03:19 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:03:36 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 11:55:28 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 11:55:28 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 16:49:12 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 16:21:07 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 06:14:33 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 15:48:52 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
[ Date: 2019-09-13 10:51:51 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]

Rank	Duration	Query
1	40s597ms	UPDATE ORDER_ROUNDS SET routeNumber = '9574464', uploadedByUserId = '4061', uploadedByUserName = 'Beverley Mitchell', updatedBy = NULL, updatedByUserName = NULL, orderRoundNote = NULL, firstCheckOut = NULL, allOrdersScannedOK = NULL, status = 'Open', reopenedTimes = '0', lastReopenById = NULL, lastDoneCheckIn = NULL, lastDoneById = NULL, lastDoneByUserName = NULL, missingLabels = NULL, roundDeliveryDate = '2019-09-16', trolley = NULL, stack = NULL, picktime = NULL, uploadUpdated = NULL, patientAlert = NULL, mismatches = NULL, rxStatus = NULL, distributionPoint = 'B UK Mail', audited = NULL, auditedBy = NULL, auditStatus = NULL, uploadFinished = NULL, lastRxCompleted = NULL, lastRxCompletedBy = NULL, orderRoundNoteReadBy = NULL, routeOrderLinesQty = '7449', dlxPickedLinesQty = '7449', flowReport = '200580412', CREATED = '2019-09-13 05:56:43.892', createdBy = NULL, UPDATED = NULL, note = NULL WHERE ORDER_ROUND_ID = '200619902'; [ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
2	6s800ms	UPDATE ORDER_ROUNDS SET routeNumber = '9574464', uploadedByUserId = '4061', uploadedByUserName = 'Beverley Mitchell', updatedBy = NULL, updatedByUserName = NULL, orderRoundNote = NULL, firstCheckOut = NULL, allOrdersScannedOK = NULL, status = 'Open', reopenedTimes = '0', lastReopenById = NULL, lastDoneCheckIn = NULL, lastDoneById = NULL, lastDoneByUserName = NULL, missingLabels = NULL, roundDeliveryDate = '2019-09-16', trolley = NULL, stack = NULL, picktime = NULL, uploadUpdated = NULL, patientAlert = NULL, mismatches = NULL, rxStatus = NULL, distributionPoint = 'B UK Mail', audited = NULL, auditedBy = NULL, auditStatus = NULL, uploadFinished = NULL, lastRxCompleted = NULL, lastRxCompletedBy = NULL, orderRoundNoteReadBy = NULL, routeOrderLinesQty = '7449', dlxPickedLinesQty = '7449', flowReport = '200580432', CREATED = '2019-09-13 05:56:43.892', createdBy = NULL, UPDATED = NULL, note = NULL WHERE ORDER_ROUND_ID = '200619902'; [ Date: 2019-09-13 06:05:43 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
3	1s358ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.hasHomewardReply AS hasHome72_24_0_, this_.CREATED AS CREATED73_24_0_, this_.UPDATED AS UPDATED74_24_0_, this_.rxCheckBy AS rxCheck75_24_0_, this_.note AS note76_24_0_, this_.item AS item77_24_0_, this_.alertConfirmation AS alertCo78_24_0_, this_.homewardAction AS homewar79_24_0_ FROM ORDER_LINES this_ WHERE this_.deliveryDate BETWEEN '2019-09-02' AND '2019-09-13'; [ Date: 2019-09-13 06:14:23 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
4	898ms	SELECT _lines.routeNumber, _lines.deliveryDate, _lines.orderNumber, _lines.patientName, _lines.partDescription, _lines.orderQty, _lines.order_line_id, _checks.created AS check_created, _checks.newRxCheck AS check_checked, _checkers.firstName AS checker_firstName, _checkers.lastName AS checker_lastName, _audits.created AS audit_created, _audits.newRxCheck AS audit_checked, _auditors.firstName AS auditor_firstName, _auditors.lastName AS auditor_lastName, _audits.rx_line_activity_id, _checks.auditedbyrxlineactivity, _checks.auditedaserror FROM rx_line_activities AS _audits INNER JOIN rx_line_activities AS _checks ON (_audits.rx_line_activity_id = _checks.auditedbyrxlineactivity) LEFT OUTER JOIN order_lines AS _lines ON (_audits.order_line_id = _lines.order_line_id) LEFT OUTER JOIN users AS _auditors ON (_audits.newrxcheckby = _auditors.user_id) LEFT OUTER JOIN users AS _checkers ON (_checks.newrxcheckby = _checkers.user_id) WHERE _checks.newRxCheckBy = '4060' AND _checks.auditedaserror IS TRUE ORDER BY _checks.created DESC; [ Date: 2019-09-13 06:47:20 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
5	673ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.hasHomewardReply AS hasHome72_24_0_, this_.CREATED AS CREATED73_24_0_, this_.UPDATED AS UPDATED74_24_0_, this_.rxCheckBy AS rxCheck75_24_0_, this_.note AS note76_24_0_, this_.item AS item77_24_0_, this_.alertConfirmation AS alertCo78_24_0_, this_.homewardAction AS homewar79_24_0_ FROM ORDER_LINES this_ WHERE this_.patientId = '229621' AND this_.partCode IN ('41020', '65805', '79784') AND this_.deliveryDate > '2019-02-11'; [ Date: 2019-09-13 06:38:35 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
6	631ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.CREATED AS CREATED72_24_0_, this_.UPDATED AS UPDATED73_24_0_, this_.rxCheckBy AS rxCheck74_24_0_, this_.note AS note75_24_0_, this_.item AS item76_24_0_, this_.alertConfirmation AS alertCo77_24_0_, this_.homewardAction AS homewar78_24_0_ FROM ORDER_LINES this_ WHERE this_.deliveryDate BETWEEN '2019-09-01' AND '2019-09-30'; [ Date: 2019-09-13 06:02:34 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
7	565ms	DELETE FROM RX_LINE_ACTIVITIES WHERE RX_LINE_ACTIVITY_ID = '215757182'; [ Date: 2019-09-13 16:26:36 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
8	526ms	SELECT d.data_id, d.table_name, d.event_type, d.row_data AS row_data, d.pk_data AS pk_data, d.old_data AS old_data, d.create_time, d.trigger_hist_id, d.channel_id, d.transaction_id, d.source_node_id, d.external_data, d.node_list, e.router_id FROM sym_data d INNER JOIN sym_data_event e ON d.data_id = e.data_id INNER JOIN sym_outgoing_batch o ON o.batch_id = e.batch_id WHERE o.batch_id = '9361118' AND o.node_id = '2' ORDER BY d.data_id ASC; [ Date: 2019-09-13 06:05:15 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
9	493ms	SELECT d.data_id, d.table_name, d.event_type, d.row_data AS row_data, d.pk_data AS pk_data, d.old_data AS old_data, d.create_time, d.trigger_hist_id, d.channel_id, d.transaction_id, d.source_node_id, d.external_data, d.node_list, e.router_id FROM sym_data d INNER JOIN sym_data_event e ON d.data_id = e.data_id INNER JOIN sym_outgoing_batch o ON o.batch_id = e.batch_id WHERE o.batch_id = '9361119' AND o.node_id = '0' ORDER BY d.data_id ASC; [ Date: 2019-09-13 06:03:27 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
10	378ms	insert into "public"."eps"("uuid", "xml", "attempts", "result", "received", "create_date", "update_date", "document_id", "type", "parse_date", "parse_status", "claim_date", "claim_status", "short_id", "proscript_id", "alt_id") (select cast('56eb4980-d632-11e9-b0be-39119dc95ab5' as uuid),' Last authorised repeat</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions type="Observation" classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>10mls twice daily via PEG</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="F46D38E3-D3C5-48C7-8AF8-02F91488E4BD"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SubstanceAdministration"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="Participation" typeCode="PRD" contextControlCode="OP"><manufacturedProduct type="RoleHeir" classCode="MANU"><manufacturedRequestedMaterial type="ManufacturedMaterial" classCode="MMAT" determinerCode="KIND"><code code="9553511000001101" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Senna 7.5mg/5ml oral solution sugar free"/></manufacturedRequestedMaterial></manufacturedProduct></product><component xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="COMP"><seperatableInd value="false"/><lineItemQuantity type="Supply" classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="150" unit="1"><translation code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml" value="150"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation2 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions type="Observation" classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>2.5ml To Be Taken Daily via gastrostomy</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20650322"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory type="ActHeir" classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component type="ActRelationship" typeCode="COMP"><actRef type="Act" classCode="SBADM" moodCode="RQO"><id root="F8CCC639-AC34-4A16-9B01-8E6B4AABA2B5"/></actRef></component><component type="ActRelationship" typeCode="COMP"><actRef type="Act" classCode="SBADM" moodCode="RQO"><id root="71CBAEFF-B63E-47E8-933A-60EB41662C95"/></actRef></component><component type="ActRelationship" typeCode="COMP"><actRef type="Act" classCode="SBADM" moodCode="RQO"><id root="F46D38E3-D3C5-48C7-8AF8-02F91488E4BD"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="290F1370-D637-11E9-90EF-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913160001"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7140252440"/><addr use="H"><streetAddressLine/><streetAddressLine>6 Deanhead Grove</streetAddressLine><streetAddressLine/><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO30 4UH</postalCode><useablePeriod><low value="20170404"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Fianna</given><given>Penelope</given><family>Selley</family></name><administrativeGenderCode code="2"/><birthTime value="20151016"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B82083"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="B63DB960-D635-11E9-9489-398A6F9453B4"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="AD70E8-B82083-1B13EN"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913160014"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>L6JD6Y9KUOgg7RyE0RgMqMyRBu8=</DigestValue></Reference></SignedInfo><SignatureValue>ZUHfz88QECPx/+c0yVt8gVATjIfT0Q/dOplCR9isdnU6TtuEA4eVFUvOhfsn48XmgqdjQA7lH0nlcQCfMAUjEWcwonmLyhonIv9eG5933y8BfDk486lHzjxNXoGK7G3f0bTTwN7UGH/XjpvCRmTzlX+rLpDLHTqBb259s185wmk=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558708456109"/><code code="S8000:G8000:R8001" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01904439100"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="90Y1074E"/><name use="L"><prefix>Sister</prefix><given>Julie</given><family>Wilson</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B82083"/><code code="001"/><name>York Medical Group</name><telecom use="WP" value="tel:01904439100"/><addr use="WP"><streetAddressLine>199 Acomb Road</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO24 4HD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03Q"/><code code="005"/><name>NHS Vale Of York CCG</name><addr use="WP"><streetAddressLine>Unit</streetAddressLine><streetAddressLine>5 Kettlestring Lane</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO30 4GQ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558708456109"/><code code="S8000:G8000:R8001" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01904439100"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="90Y1074E"/><name use="L"><prefix>Sister</prefix><given>Julie</given><family>Wilson</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B82083"/><code code="001"/><name>York Medical Group</name><telecom use="WP" value="tel:01904439100"/><addr use="WP"><streetAddressLine>199 Acomb Road</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO24 4HD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03Q"/><code code="005"/><name>NHS Vale Of York CCG</name><addr use="WP"><streetAddressLine>Unit</streetAddressLine><streetAddressLine>5 Kettlestring Lane</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO30 4GQ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20311015"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="B63DB961-D635-11E9-9489-398A6F9453B4"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="913911000001100" displayName="Nutrini Energy liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="28000" unit="1"><translation value="28000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Sodium feredetate (iron 27.5mg/5ml) oral solution sugar free, 500 ml, 2.5ml three times daily (rv if still needed aug/sept 17), Last Issued: Never, , Review Due On: Tue 26 Sep 2017</medication><medication>Kendall Foam dressing 5cm x 5cm square (H & R Healthcare Ltd), 25 dressing, use as directed, Last Issued: Tuesday 05 Mar 2019, Next Issue Due: Tue 02 Apr 2019, Review Due On: Fri 16 Nov 2018</medication><medication>Nutrini Energy liquid (Nutricia Ltd), 28000 ml, two daily, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Mon 30 Sep 2019</medication><medication>Fortini Multi Fibre liquid (Flavour Not Specified), 5600 ml, take ASD strawberry, unflavoured, chocolate, banana, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sun 13 Oct 2019, Review Due On: Sun 22 Sep 2019</medication><medication>Hydrocortisone 1% cream, 15 gram, apply Every Day or To be taken Twice Daily to stoma, Last Issued: Tuesday 13 Aug 2019, Next Issue Due: Tue 10 Sep 2019, Issues Remaining: 0</medication><medication>Maxitrol eye ointment (Novartis Pharmaceuticals UK Ltd), 3.5 gram, apply 3 times/day to gastrosotmy site, Last Issued: Tuesday 13 Aug 2019, Next Issue Due: Tue 10 Sep 2019, Issues Remaining: 0</medication><patientInfo>To ensure you see the right clinician at the right time for your condition we are making some changes to our appointment system and our phone system. We believe our patients generally know how quickly they need to be seen. From mid-September, our PCCs will ask you how quickly you feel you need to be seen along with some questions about your condition. The appointment choices will be: Same Day Care, Care within 2-5 days (Soon), Care after 5 days (Routine) The information you give, along with our Care Navigation Framework will help our PCCs direct you to the most appropriate care. For Same Day Care Appointments please ring between 8:45-10:15 for morning bookings or 14:00-15:00 for afternoon bookings For Routine Appointments please phone between 8:00-8:45, 10:15-14:00,15:00-18:00 For Queries, all non-appointment related queries please ring between: 9:00-11:00 and 13:00-17:30</patientInfo>Last authorised repeat</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>two daily</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="B6BEAF01-3BFF-11E9-94D1-8FE96BF72AE0"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20751016"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="B6BEAF00-3BFF-11E9-94D1-8FE96BF72AE0"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="B63DB960-D635-11E9-9489-398A6F9453B4"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="B63DB961-D635-11E9-9489-398A6F9453B4"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="DBFD9910-D63D-11E9-90F4-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913164758"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4346775306"/><addr use="H"><streetAddressLine>Heeley Bank Nursing Home</streetAddressLine><streetAddressLine>Heeley Bank Road</streetAddressLine><streetAddressLine/><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine/><postalCode>S2 3GL</postalCode><useablePeriod><low value="20170626"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Rhoda</given><family>Chamberlain</family></name><administrativeGenderCode code="2"/><birthTime value="19321229"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="C88038"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="ECC2B0E0-D62F-11E9-8E27-4F3A28242622"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="571694-C88038-8E7802"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913164842"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>wvd1ZHoF2AMfNRc52KR531SBGl0=</DigestValue></Reference></SignedInfo><SignatureValue>mhIYfQUgqmHwL3NrRqjTLFpjXib+KL52khAnK1wZ/bby3t2FEfWaBg4Gmf7AEwno7jKNo8C34k081zmxnmZT19VS5aExT/ttJk8YnKgT/00h7Y3nAA+T4Lmc6Ab3okAf+SPalqdCJOr6u6+5kHbMIjJTz5V+MoIRkO7yevbK1so=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="556023168104"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01142554498"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="3524398"/><name use="L"><prefix>Dr</prefix><given>Gonapragasan</given><given>S</given><family>Chetty</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="C88038"/><code code="001"/><name>The Mathews Practice Belgrave</name><telecom use="WP" value="tel:01142554498"/><addr use="WP"><streetAddressLine>The Mathews Practice Belgrave</streetAddressLine><streetAddressLine>22 Asline Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S2 4UJ</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03N"/><code code="005"/><name>NHS Sheffield CCG</name><addr use="WP"><streetAddressLine>722 Prince Of Wales Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S9 4EU</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="556023168104"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01142554498"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="884390"/><name use="L"><prefix>Dr</prefix><given>Gonapragasan</given><given>S</given><family>Chetty</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="C88038"/><code code="001"/><name>The Mathews Practice Belgrave</name><telecom use="WP" value="tel:01142554498"/><addr use="WP"><streetAddressLine>The Mathews Practice Belgrave</streetAddressLine><streetAddressLine>22 Asline Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S2 4UJ</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03N"/><code code="005"/><name>NHS Sheffield CCG</name><addr use="WP"><streetAddressLine>722 Prince Of Wales Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S9 4EU</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19481228"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="ECC2B0E1-D62F-11E9-8E27-4F3A28242622"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="9747711000001102" displayName="Nutrison 1000 Complete Multi Fibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="30" unit="1"><translation value="30" code="258770004" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="litre"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Amlodipine 10mg tablets, 28 tablet, take one daily, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Apixaban 5mg tablets, 56 tablet, take one twice daily, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Atorvastatin 40mg tablets, 28 tablet, take one daily, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Bisoprolol 2.5mg tablets, 56 tablet, bd, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Hydromol ointment (Alliance Pharmaceuticals Ltd), 500 gram, aply tds, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Lansoprazole 30mg orodispersible tablets, 28 tablet, take one in the evening, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Liothyronine 20microgram tablets, 56 tablet, bd, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Paracetamol 500mg soluble tablets, 100 tablet, take 4 times/day as directed when required, Last Issued: Thursday 09 Aug 2018, Next Issue Due: Thu 06 Sep 2018, Review Due On: Fri 09 Aug 2019</medication><medication>Sodium chloride 0.9% irrigation solution 20ml Clinipod unit dose (Mayors Healthcare Ltd), 25 unit dose, Use as directed, Last Issued: Never, , Review Due On: Fri 09 Aug 2019</medication><medication>Thick & Easy Clear thickening powder [FRESENIUS], 378 gram, use as directed, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Titanium ointment, 30 gram, apply as needed, Last Issued: Friday 10 May 2019, Next Issue Due: Mon 20 May 2019, Review Due On: Fri 09 Aug 2019</medication><medication>Sudocrem antiseptic healing cream (Teva UK Ltd), 250 gram, use as directed, Last Issued: Friday 05 Jul 2019, Next Issue Due: Fri 02 Aug 2019, Review Due On: Fri 30 Aug 2019</medication><medication>Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (H & R Healthcare Ltd), 28 dressing, use as directed by dietician, Last Issued: Friday 05 Jul 2019, Next Issue Due: Fri 02 Aug 2019, Review Due On: Thu 14 Nov 2019</medication><medication>Nutrison 1000 Complete Multi Fibre liquid (Nutricia Ltd), 30 litre, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Thu 14 Nov 2019</medication><medication>Loratadine 10mg tablets, 28 tablet, Take one daily, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Thu 27 Feb 2020</medication><medication>Salivix spray (Galen Ltd), 50 ml, use as directed, Last Issued: Friday 07 Jun 2019, Next Issue Due: Mon 17 Jun 2019, Review Due On: Sat 16 May 2020</medication><medication>Hydrocortisone 1% / Miconazole 2% ointment, 30 gram, apply twice daily when required, Last Issued: Friday 30 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Review Due On: Sun 30 Aug 2020</medication><patientInfo>You will need to book a medication review before you reorder your medication</patientInfo><patientInfo>Please circle below for your collection preference (for post, please provide a pre-paid SAE) Chemist ________ Delivery ________ Collect ________ Post When ordering prescriptions, please allow two working days before collection. *We do not process repeat items on the same day of request</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="A88F93C2-E7EC-11E8-B9B9-135041EFA03D"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="19921229"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="A88F93C0-E7EC-11E8-B9B9-135041EFA03D"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="ECC2B0E0-D62F-11E9-8E27-4F3A28242622"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="ECC2B0E1-D62F-11E9-8E27-4F3A28242622"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="32990391-D62A-11E9-90E5-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913142713"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4485230678"/><addr use="H"><streetAddressLine/><streetAddressLine>57 Monkseaton Terrace</streetAddressLine><streetAddressLine/><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0UB</postalCode></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>John</given><family>Simpson</family></name><administrativeGenderCode code="1"/><birthTime value="19481105"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="C47504F0-D628-11E9-8A9D-B948C4E956DE"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="C65BC0-A84028-929933"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913142923"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>0e4JYGQqL6BrlVM0KRYtKqcJ4r4=</DigestValue></Reference></SignedInfo><SignatureValue>nUbEAQMraDlwDU35J+iLDw2+mopNl9wrEyCGdkjv48DC2DxcgnIgxwvwhImBhx4H8S+4u/Zv3v/9vVQO+3+BXLGpiC5/ReMRiYrf4uzgYG3g32qdCuDahPpUnXimPYNkkpp522JPFXYg4P+Q+dLCMHw1Z0svGrmtZU+WcuyKKvI=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6027219"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="893138"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19641104"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="C47504F1-D628-11E9-8A9D-B948C4E956DE"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="21389711000001108" displayName="Calogen Extra Shots emulsion neutral (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="4560" unit="1"><translation value="4560" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Calogen Extra Shots emulsion neutral (Nutricia Ltd), 4560 ml, use as directed, Additional Script Notes: Nutricia Homeward deliver., Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 6, Review Due On: Fri 01 May 2020</medication><medication>Fortisip Compact liquid (Flavour Not Specified), 11500 ml, Drink 125 mls as directed by the Dietitian., Additional Script Notes: Nutricia Homeward deliver. Please supply assorted flavours as per your request letter., Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 8, Review Due On: Fri 01 May 2020</medication><medication>Laxido Orange oral powder sachets sugar free (Galen Ltd), 60 sachet, Dissolve Contents Of One Sachet In Half A Glass (125mL) Of Water And Take Twice A Day. Take One & a half doses in 24 hours., Orange, Last Issued: Monday 02 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Issues Remaining: 11, Review Due On: Fri 01 May 2020</medication><medication>Morphine sulfate 10mg/5ml oral solution, 300 ml, Up to 5ml maximum 2 hourly for severe breakthrough pain, Last Issued: Never, , Issues Remaining: 12, Review Due On: Fri 01 May 2020</medication><medication>water for injections injection, 1 pack of 20 X 5ml ampoule(s), use as directed, Last Issued: Never, , Review Due On: Thu 28 May 2020</medication><medication>Zomorph 10mg modified-release capsules (Ethypharm UK Ltd), 120 capsule, 2 To be taken Twice Daily, Last Issued: Monday 02 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Issues Remaining: 9, Review Due On: Fri 01 May 2020</medication><patientInfo>order number:S11638587</patientInfo><patientInfo>Order your prescription by registering for online access, which is quick, easy and safe. Please ask a receptionist. Alternatively, requests can be made in person 08:30am and 4:30pm week days or by ringing 842000 between 9:30am and 12:30pm. Nominate a local pharmacy for us to send your request electronically. This saves time queuing at the surgery. ALLOW 2 FULL WORKING DAYS BEFORE COLLECTION If you have been to hospital recently, your medications may have been changed by a hospital doctor. Please make sure that your medications are what you expect. If not, please contact your GP Practice. In line with NHS prescribing guidelines we will be moving to a 28 day prescribing interval for most medicines.</patientInfo>Nutricia Homeward deliver.</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="13858F81-8906-11E9-ACCF-53A2FEE9A5EA"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="C47504F2-D628-11E9-8A9D-B948C4E956DE"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20996811000001105" displayName="Fortisip Compact liquid (Flavour Not Specified)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="11500" unit="1"><translation value="11500" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>Nutricia Homeward deliver. Please supply assorted flavours as per your request letter.</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="AF" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>Drink 125 mls as directed by the Dietitian.</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="774DD621-9438-11E9-87ED-B1D8D624984F"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20081105"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="13858F80-8906-11E9-ACCF-53A2FEE9A5EA"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="C47504F0-D628-11E9-8A9D-B948C4E956DE"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="C47504F1-D628-11E9-8A9D-B948C4E956DE"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="C47504F2-D628-11E9-8A9D-B948C4E956DE"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="EC0C29C0-D63D-11E9-83FD-0F50FDC42440"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913164824"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4846441709"/><addr use="H"><streetAddressLine>Flat 8</streetAddressLine><streetAddressLine>64 Belmore Lane</streetAddressLine><streetAddressLine/><streetAddressLine>Lymington</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO41 3NE</postalCode><useablePeriod><low value="20180514"/></useablePeriod></addr><telecom use="MC" value="tel:07733344499"><useablePeriod><low value="20170623"/></useablePeriod></telecom><telecom use="MC" value="tel:07733344499"><useablePeriod><low value="20180118"/></useablePeriod></telecom><telecom use="MC" value="tel:07733344499"><useablePeriod><low value="20180130"/></useablePeriod></telecom><telecom use="MC" value="tel:07733344499"><useablePeriod><low value="20180412"/></useablePeriod></telecom><telecom use="MC" value="tel:07733344499"><useablePeriod><low value="20180426"/></useablePeriod></telecom><telecom use="H" value="tel:01590381727"><useablePeriod><low value="20180710"/></useablePeriod></telecom><telecom use="H" value="tel:01590381727"><useablePeriod><low value="20180711"/></useablePeriod></telecom><telecom use="H" value="tel:01590381727"><useablePeriod><low value="20180807"/></useablePeriod></telecom><telecom use="WP" value="tel:01275462944"><useablePeriod><low value="20181121"/></useablePeriod></telecom><telecom use="WP" value="tel:01275462944"><useablePeriod><low value="20181214"/></useablePeriod></telecom><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>David</given><given>Vladimir</given><family>Maric</family></name><administrativeGenderCode code="1"/><birthTime value="19640623"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="J82075"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="EB0FA150-D63D-11E9-83FD-0F50FDC42440"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="C81317-J82075-1F79DQ"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913164829"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>yZ+FsoPIhPgE1PMSjXudIjyCNNM=</DigestValue></Reference></SignedInfo><SignatureValue>RynrhmQPckVbXD3MUaNc63yeF5txj31WF2M69LRBy4sGudBTKaaGipMVoh5eo1Pb3xmW7RD32QRvRojMV8/Uf8BhpSmbfojJfhihW3I5Y1Z5mZhI4fsEoFS565Il+rmwJkzCYX2yDgU6jT08/SwoEWElPtQSvH0jHbuN+WJQIqo=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="810709720561"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01590672953"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="3556810"/><name use="L"><prefix>Dr</prefix><given>Edward</given><given>Rj</given><family>Reeves</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82075"/><code code="001"/><name>Chawton House Surgery</name><telecom use="WP" value="tel:01590672953"/><addr use="WP"><streetAddressLine>43-45 St. Thomas Street</streetAddressLine><streetAddressLine>Lymington</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO41 9ND</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="11A"/><code code="005"/><name>NHS West Hampshire CCG</name><addr use="WP"><streetAddressLine>Omega House</streetAddressLine><streetAddressLine>112 Southampton Road</streetAddressLine><streetAddressLine>Eastleigh</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO50 5PB</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="810709720561"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01590672953"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="990289"/><name use="L"><prefix>Dr</prefix><given>Edward</given><given>Rj</given><family>Reeves</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82075"/><code code="001"/><name>Chawton House Surgery</name><telecom use="WP" value="tel:01590672953"/><addr use="WP"><streetAddressLine>43-45 St. Thomas Street</streetAddressLine><streetAddressLine>Lymington</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO41 9ND</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="11A"/><code code="005"/><name>NHS West Hampshire CCG</name><addr use="WP"><streetAddressLine>Omega House</streetAddressLine><streetAddressLine>112 Southampton Road</streetAddressLine><streetAddressLine>Eastleigh</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO50 5PB</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19800622"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="EB0FA151-D63D-11E9-83FD-0F50FDC42440"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="15565611000001102" displayName="Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (H & R Healthcare Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="10" unit="1"><translation value="10" code="3320111000001103" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="dressing"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Amitriptyline 10mg tablets, 28 tablet, Take one at night to help reduce secretions. Can be crushed finely and admistered in water via the enteral tube., Last Issued: Wednesday 28 Aug 2019, Next Issue Due: Wed 25 Sep 2019, Issues Remaining: 2</medication><medication>Fortisip Compact liquid (Flavour Not Specified), 7000 ml, Two daily, Last Issued: Wednesday 04 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Issues Remaining: 2</medication><medication>Hyoscine 1mg/72hours transdermal patches, 20 patch, apply one patch to skin behind ear and change every 72 hours (to reduce saliva production), Last Issued: Thursday 25 Jul 2019, Next Issue Due: Thu 22 Aug 2019, Issues Remaining: 0</medication><medication>Laxido Orange oral powder sachets sugar free (Galen Ltd), 60 sachet, 1-3 sachets daily as required for constipation. make each sachet up with 125ml of water. Can be administered via the enteral tube, Last Issued: Wednesday 28 Aug 2019, Next Issue Due: Fri 27 Sep 2019, Issues Remaining: 5</medication><medication>Nutrison Energy Multi Fibre liquid (Nutricia Ltd), 28000 ml, Two daily, Additional Script Notes: Please provide in 500ml packs, Last Issued: Wednesday 04 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Issues Remaining: 1</medication><medication>Riluzole 50mg tablets, 112 tablet, One To Be Taken Twice A day. Can be finely crushed and administered in water via the enteral tube, Last Issued: Monday 12 Aug 2019, Next Issue Due: Mon 07 Oct 2019, Issues Remaining: 1</medication><medication>Hypromellose 0.3% eye drops, 10 ml, one drop as needed, Last Issued: Never, , Issues Remaining: 12</medication><medication>LBF Sterile No Sting barrier film foam 1ml applicator 3824 (CliniMed Ltd), 30 device, use as directed for care of ear, Last Issued: Tuesday 09 Jul 2019, Next Issue Due: Thu 08 Aug 2019, Issues Remaining: 11</medication><medication>Kendall AMD Antimicrobial foam dressing 5cm x 5cm square (H & R Healthcare Ltd), 10 dressing, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Mon 23 Sep 2019, Issues Remaining: 11</medication><patientInfo>Please tick the items you require. Please allow 3 working days notice for repeat prescriptions. You can register to order repeat prescriptions via our website at www.chawtonhousesurgery.co.uk We are holding our main flu clinics on Saturday 12th October and Saturday 9th November. Please ring or pop in to the Surgery to book an appointment. </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="EB0FA151-D63D-11E9-83FD-0F50FDC42440"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20240623"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="EB0FA150-D63D-11E9-83FD-0F50FDC42440"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="EB0FA150-D63D-11E9-83FD-0F50FDC42440"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="EB0FA151-D63D-11E9-83FD-0F50FDC42440"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="A3BC9EE0-D631-11E9-90EA-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913152030"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4045233040"/><addr use="H"><streetAddressLine/><streetAddressLine>25 Kings Road</streetAddressLine><streetAddressLine/><streetAddressLine>Cambridge</streetAddressLine><streetAddressLine/><postalCode>CB3 9DY</postalCode></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Gillian</given><given>Frances</given><family>Murray</family></name><administrativeGenderCode code="2"/><birthTime value="19410714"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="D81005"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="4B3143B0-D623-11E9-A7DE-E73FA7B3E4BC"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="91FE95-D81005-17D70O"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913152100"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>0182sh+t8c7mADx6Y5b5ZxBjpRc=</DigestValue></Reference></SignedInfo><SignatureValue>J1FI/YW538HaC9/kVcEzBdOLjVn+TqW3vfy3/ntA4qptXN6J5drIbHs+3SCG0a0YlIh/S1aJ5D90ixk3uKoi7/VbO8pIFp2oI7u4hUSBiU/Ko2zCmoWGUrT0PwM8bEBJZ3i8pugq2eHGDOwCb/HOgUDa4fnNAE/Uy63jfV3TZ7I=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="360232852564"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01223366811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="3437319"/><name use="L"><prefix>Dr</prefix><given>Sally</given><given>A</given><family>Barnard</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="D81005"/><code code="001"/><name>Newnham Walk Surgery</name><telecom use="WP" value="tel:01223366811"/><addr use="WP"><streetAddressLine>Doctors Surgery</streetAddressLine><streetAddressLine>Newnham Walk Surgery</streetAddressLine><streetAddressLine>Wordsworth Grove</streetAddressLine><streetAddressLine>Cambridge</streetAddressLine><streetAddressLine/><postalCode>CB3 9HS</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06H"/><code code="005"/><name>NHS Cambridgeshire and Peterborough CCG</name><addr use="WP"><streetAddressLine>Lockton House</streetAddressLine><streetAddressLine>Clarendon Road</streetAddressLine><streetAddressLine>Cambridge</streetAddressLine><streetAddressLine/><postalCode>CB2 8FH</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="360232852564"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01223366811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="931217"/><name use="L"><prefix>Dr</prefix><given>Sally</given><given>A</given><family>Barnard</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="D81005"/><code code="001"/><name>Newnham Walk Surgery</name><telecom use="WP" value="tel:01223366811"/><addr use="WP"><streetAddressLine>Doctors Surgery</streetAddressLine><streetAddressLine>Newnham Walk Surgery</streetAddressLine><streetAddressLine>Wordsworth Grove</streetAddressLine><streetAddressLine>Cambridge</streetAddressLine><streetAddressLine/><postalCode>CB3 9HS</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06H"/><code code="005"/><name>NHS Cambridgeshire and Peterborough CCG</name><addr use="WP"><streetAddressLine>Lockton House</streetAddressLine><streetAddressLine>Clarendon Road</streetAddressLine><streetAddressLine>Cambridge</streetAddressLine><streetAddressLine/><postalCode>CB2 8FH</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19570713"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="4B3143B1-D623-11E9-A7DE-E73FA7B3E4BC"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="442611000001109" displayName="Nutrison liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="6500" unit="1"><translation value="6500" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Careline sterile leg bag with lever tap 46-05-SVC 500ml bag, short tube (Unomedical Ltd), 10 device, Use as directed (Recommended use: 1 box of 10 every 2 months), Last Issued: Tuesday 14 May 2019, Next Issue Due: Tue 09 Jul 2019, Issues Remaining: -7, Review Due On: Sat 01 Feb 2020</medication><medication>Ugo fix catheter strap short 3002 45cm (Optimum Medical Solutions Ltd), 5 device, use as directed, Last Issued: Monday 09 Jul 2018, Next Issue Due: Sat 14 Jul 2018, Review Due On: Sat 01 Feb 2020</medication><medication>Forceval Soluble tablets (Alliance Pharmaceuticals Ltd), 60 tablet, take one daily, Last Issued: Tuesday 13 Aug 2019, Next Issue Due: Sat 12 Oct 2019, Review Due On: Sat 01 Feb 2020</medication><medication>ProSource TF liquid 45ml sachets (Nutrinovo Ltd), 40 sachet, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sun 13 Oct 2019, Review Due On: Sat 01 Feb 2020</medication><medication>Nutrison liquid (Nutricia Ltd), 6500 ml, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sat 14 Sep 2019, Review Due On: Sat 01 Feb 2020</medication><medication>Assura Inspire colostomy bag with filter, maxi 12170 Starter hole 20mm-75mm Opaque (Coloplast Ltd), 90 device, use as directed, Last Issued: Wednesday 29 May 2019, Next Issue Due: Tue 27 Aug 2019, Review Due On: Sat 01 Feb 2020</medication><medication>Epimax cream (Dermato Logical Ltd), 500 gram, use as directed, Last Issued: Friday 12 Jul 2019, Next Issue Due: Sat 13 Jul 2019, Review Due On: Sat 01 Feb 2020</medication><medication>Flexicare F4L drainable night drainage bag 00-1201 2litre (Flexicare Medical Ltd), 10 device, ASD, Last Issued: Tuesday 14 May 2019, Next Issue Due: Tue 11 Jun 2019, Issues Remaining: 11, Review Due On: Sat 01 Feb 2020</medication><medication>Oxybutynin 5mg modified-release tablets, 60 tablet, take one daily, Last Issued: Monday 08 Jul 2019, Next Issue Due: Fri 06 Sep 2019, Review Due On: Sat 01 Feb 2020</medication><patientInfo>You will need to book a medication review before you reorder your medication</patientInfo><patientInfo> The NHS Electronic prescription service is now available. Your Prescriptions can be sent to the pharmacy of your choice electronically without the need for a paper prescription. Please speak to your pharmacy to set this service up. please note some medications are unable to be sent electronically. Please allow 2 full working days if submitted before 13:00 for prescriptions to be processed and remember to take weekends and bank holidays into consideration.Have you registered at the practice to enable you to book online appointements and ordering your prescription online?</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="5351B6D1-2F64-11E9-94FD-493A4AD151C2"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="4B3143B2-D623-11E9-A7DE-E73FA7B3E4BC"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="24399011000001100" displayName="ProSource TF liquid 45ml sachets (Nutrinovo Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="40" unit="1"><translation value="40" code="733013000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="sachet"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="3D3B0651-34EE-11E9-BEFC-0935E8FEA6FD"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20010714"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="5351B6D0-2F64-11E9-94FD-493A4AD151C2"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4B3143B0-D623-11E9-A7DE-E73FA7B3E4BC"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4B3143B1-D623-11E9-A7DE-E73FA7B3E4BC"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4B3143B2-D623-11E9-A7DE-E73FA7B3E4BC"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="9E8C7FE0-D626-11E9-832B-775EB08431AB"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913140140"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7021528892"/><addr use="H"><streetAddressLine/><streetAddressLine>91 Belmont Road</streetAddressLine><streetAddressLine>Kirkby-in-Ashfield</streetAddressLine><streetAddressLine>Nottingham</streetAddressLine><streetAddressLine>Nottinghamshire</streetAddressLine><postalCode>NG17 9DY</postalCode><useablePeriod><low value="20140314"/></useablePeriod></addr><telecom use="MC" value="tel:07968033521"><useablePeriod><low value="20101222"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20101222"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20110331"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20110505"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20110506"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20110725"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20110804"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20111003"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20111104"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20120703"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20130719"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20150513"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20160810"/></useablePeriod></telecom><telecom use="H" value="tel:01623364265"><useablePeriod><low value="20160819"/></useablePeriod></telecom><telecom use="H" value="tel:01623364265"><useablePeriod><low value="20160906"/></useablePeriod></telecom><telecom use="H" value="tel:01623364265"><useablePeriod><low value="20160919"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20161101"/></useablePeriod></telecom><telecom use="MC" value="tel:07816595017"><useablePeriod><low value="20190111"/></useablePeriod></telecom><telecom use="H" value="tel:01623364265"><useablePeriod><low value="20190613"/></useablePeriod></telecom><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Jacob</given><given>Christopher</given><family>Brentnall</family></name><administrativeGenderCode code="1"/><birthTime value="20061130"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="Y05690"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="9C76BF40-D626-11E9-832B-775EB08431AB"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="486820-Y05690-89988A"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913140145"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>M9CKbKM/HgxdHkH92hNtdYCk8yg=</DigestValue></Reference></SignedInfo><SignatureValue>zcLRYEVi3j7z6Et3QcEQ9P3KFCVZS8C/raDtwRwRLzpFxJx6e8pdE+SNJDruIZrxEfjo4e6M0JjTEvFVhUMqLi0wkUlgy+MwP2Gk5fLdoQPENx2W/n1mGZcvwgftoD2GFcwQIYAVrjsMgbTPxfBNowcvC3F7htxk92XU6jt0Xsc=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="560931807109"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01623434600"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6098586"/><name use="L"><prefix>Dr</prefix><given>Ahad</given><family>Miah</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="Y05690"/><code code="001"/><name>Kirkby Community Primary Care Centre</name><telecom use="WP" value="tel:01623434600"/><addr use="WP"><streetAddressLine>Ashfield Health Village</streetAddressLine><streetAddressLine>Portland Street</streetAddressLine><streetAddressLine>Kirkby-in-Ashfield</streetAddressLine><streetAddressLine>Nottingham</streetAddressLine><streetAddressLine>Nottinghamshire</streetAddressLine><postalCode>NG17 7AE</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="04E"/><code code="005"/><name>NHS Mansfield and Ashfield CCG</name><addr use="WP"><streetAddressLine>Hawthorn House, Ransom Wood B Park</streetAddressLine><streetAddressLine>Southwell Road West</streetAddressLine><streetAddressLine>Rainworth</streetAddressLine><streetAddressLine>Mansfield</streetAddressLine><streetAddressLine>Nottinghamshire</streetAddressLine><postalCode>NG21 0HJ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="560931807109"/><code code="S0080:G0450:R5105" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01623434600"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="677274"/><name use="L"><prefix>Dr</prefix><given>Gavin</given><family>Lunn</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="Y05690"/><code code="001"/><name>Kirkby Community Primary Care Centre</name><telecom use="WP" value="tel:01623434600"/><addr use="WP"><streetAddressLine>Ashfield Health Village</streetAddressLine><streetAddressLine>Portland Street</streetAddressLine><streetAddressLine>Kirkby-in-Ashfield</streetAddressLine><streetAddressLine>Nottingham</streetAddressLine><streetAddressLine>Nottinghamshire</streetAddressLine><postalCode>NG17 7AE</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="04E"/><code code="005"/><name>NHS Mansfield and Ashfield CCG</name><addr use="WP"><streetAddressLine>Hawthorn House, Ransom Wood B Park</streetAddressLine><streetAddressLine>Southwell Road West</streetAddressLine><streetAddressLine>Rainworth</streetAddressLine><streetAddressLine>Mansfield</streetAddressLine><streetAddressLine>Nottinghamshire</streetAddressLine><postalCode>NG21 0HJ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20221129"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="9C76BF41-D626-11E9-832B-775EB08431AB"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="35516411000001108" displayName="Nutilis Clear powder 1.25g sachets (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="100" unit="1"><translation value="100" code="733013000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="sachet"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Orabase paste (ConvaTec Ltd), 30 gram, use as directed, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Wed 28 Aug 2019, Issues Remaining: 5, Review Due On: Tue 12 Nov 2019, Issue Intervals: 175, 386, 87, 320, 315</medication><medication>Vaseline Pure Petroleum jelly (Unilever UK Home & Personal Care), 50 ml, apply as needed, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Thu 15 Aug 2019, Issues Remaining: 5, Review Due On: Tue 12 Nov 2019, Issue Intervals: 386, 87, 320, 273, 42</medication><medication>Nutilis Fruit Dessert Level 4 apple (Nutricia Ltd), 1800 gram, use as directed, Additional Script Notes: per month: 6X 150 gr pots, Last Issued: Monday 24 Jun 2019, Next Issue Due: Mon 22 Jul 2019, Review Due On: Tue 12 Nov 2019, Issue Intervals: 42, 127, 77, 22, 26</medication><medication>Fortini Creamy Fruit Multi Fibre (Flavour Not Specified), 400 gram, use as directed, berry fruit and summer fruit,, Additional Script Notes: please label separately, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Tue 12 Nov 2019, Issue Intervals: 37, 0, 16, 4, 24</medication><medication>Maxitrol eye ointment (Novartis Pharmaceuticals UK Ltd), 3.5 gram, Apply to the affected area EIGHT TIMES DAILY for 7 days <off label- for overgranulation of gastrostomy site>, Last Issued: Monday 09 Jul 2018, Next Issue Due: Sat 22 Sep 2018, Review Due On: Tue 12 Nov 2019, Issue Intervals: 57, 61, 175, 146</medication><medication>Levomepromazine 25mg tablets, 56 tablet, Take 5ml (12.5mg) MORNING and 6ml (15mg) NIGHT via PEG (after crushing ONE tablet and mixing with 10ml water) as directed by the hospital Night dose can be increased to 18.75mg (7.5ml) up to a maximum of 25mg (10ml) if needed, Last Issued: Monday 15 Jul 2019, Next Issue Due: Mon 12 Aug 2019, Review Due On: Tue 12 Nov 2019, Issue Intervals: 29, 63, 67, 85, 96</medication><medication>Cetirizine 1mg/ml oral solution sugar free, 300 ml, Take ONE 5ml spoonful (5ml) TWICE DAILY, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Wed 11 Sep 2019, Review Due On: Tue 12 Nov 2019, Issue Intervals: 27, 23, 25, 21, 30</medication><medication>Sudocrem antiseptic healing cream (Teva UK Ltd), 400 gram, Use as directed (at HOME), Additional Script Notes: please ensure the label is on the container and supply a MAR sheet, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Sun 08 Sep 2019, Issues Remaining: 7, Review Due On: Tue 12 Nov 2019, Issue Intervals: 157, 29, 277, 64</medication><medication>Sudocrem antiseptic healing cream (Teva UK Ltd), 250 gram, Use as directed (Summer Club), Additional Script Notes: please ensure the label is on the container and supply a MAR sheet, Last Issued: Monday 15 Jul 2019, Next Issue Due: Fri 09 Aug 2019, Issues Remaining: 5, Review Due On: Tue 12 Nov 2019, Issue Intervals: 81, 134, 65, 47, 13</medication><medication>Forticreme Complete dessert (Flavour Not Specified), 2000 gram, to be used as directed by dietician, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Tue 12 Nov 2019, Issue Intervals: 37, 0, 16, 4, 24</medication><medication>Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules, 240 unit dose, 5mls to be given up to 4 times daily for thick secretions pre physiotherapy, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019, Issues Remaining: 5, Review Due On: Tue 12 Nov 2019, Issue Intervals: 55, 49, 85, 75, 71</medication><medication>Nutilis Fruit Dessert Level 4 strawberry (Nutricia Ltd), 300 gram, use as directed, Last Issued: Tuesday 07 May 2019, Next Issue Due: Tue 04 Jun 2019, Review Due On: Wed 20 Nov 2019, Issue Intervals: 14, 97, 78, 113, 55</medication><medication>Ibuprofen 100mg/5ml oral suspension sugar free, 2000 ml, take 25mls 3 times daily as required., Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Wed 11 Sep 2019, Issues Remaining: 2, Review Due On: Wed 27 Nov 2019, Issue Intervals: 29, 27, 48, 21, 30</medication><medication>Losec MUPS 20mg gastro-resistant tablets (AstraZeneca UK Ltd), 28 tablet, take one daily, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019, Review Due On: Sun 08 Mar 2020, Issue Intervals: 42, 25, 21, 30, 20</medication><medication>Azithromycin 200mg/5ml oral suspension, 150 ml, 500mg (12.5mls) Monday, Wednesday and Friday, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019, Review Due On: Wed 11 Mar 2020, Issue Intervals: 26, 21, 13, 30, 20</medication><medication>Octenisan Antimicrobial wash (Schulke & Mayr UK Ltd), 150 ml, Add to bath water TWICE WEEKLY as directed, Last Issued: Monday 15 Jul 2019, Next Issue Due: Mon 12 Aug 2019, Review Due On: Fri 13 Mar 2020, Issue Intervals: 103, 21</medication><medication>Metanium Nappy Rash ointment (Thornton & Ross Ltd), 30 gram, apply as needed, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Wed 11 Sep 2019, Issues Remaining: 9, Review Due On: Thu 11 Jun 2020, Issue Intervals: 28, 28, 91, 34, 30</medication><medication>Nutilis Fruit Dessert Level 4 (Flavour Not Specified), 1800 gram, use as directed by dietician, Additional Script Notes: order no S11561101 del 8.8.19, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 0, Review Due On: Thu 06 Aug 2020, Issue Intervals: 21, 6, 10, 4, 24</medication><medication>Forceval Soluble tablets (Alliance Pharmaceuticals Ltd), 30 tablet, use as directed by dietician (one daily), Additional Script Notes: Must be reviewed after 3 months to see if still required, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Thu 03 Oct 2019, Issues Remaining: 1, Review Due On: Fri 14 Aug 2020, Issue Intervals: 42, 33, 13, 30, 20</medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 500 ml, 15 mls When Required up to every 6 hours, Last Issued: Wednesday 14 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 11, Review Due On: Fri 14 Aug 2020, Issue Intervals: 136, 29, 63, 18, 260</medication><medication>Fluticasone furoate 27.5micrograms/dose nasal spray, 120 dose, One or two sprays to be used in each nostril ONCE a day, Additional Script Notes: avamys: clinic letter dated 7 april 2019, Last Issued: Never, , Review Due On: Tue 12 Nov 2019</medication><medication>Levetiracetam 100mg/ml oral solution sugar free, 672 ml, 1200mg (12ml) To be taken Twice Daily, Last Issued: Wednesday 04 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Issues Remaining: 2, Issue Intervals: 42, 25, 21, 30, 21</medication><medication>Hyoscine 1mg/72hours transdermal patches, 20 patch, apply 1 patch to the chosen site every 48/72 hours as directed by the hospital, Additional Script Notes: as directed by hospital, Last Issued: Wednesday 14 Aug 2019, Issue from previous template, Reauthorised, Next Issue Due: Wed 11 Sep 2019, Issues Remaining: 12, Issue Intervals: 31, 39, 35, 34, 30</medication><medication>Nutilis Clear powder 1.25g sachets (Nutricia Ltd), 100 sachet, use as directed by dietician, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 2, Issue Intervals: 26, 37, 16, 4, 24</medication><medication>Nutilis Clear thickening powder [NUTRICIA], 525 grams, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 2, Issue Intervals: 37, 0, 16, 4, 24</medication><patientInfo>Do you look after someone or does someone look after you? Please let your surgery know so they can support you better.</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed by dietician</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="9C76BF41-D626-11E9-832B-775EB08431AB"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20661130"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="9C76BF40-D626-11E9-832B-775EB08431AB"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="9C76BF40-D626-11E9-832B-775EB08431AB"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="9C76BF41-D626-11E9-832B-775EB08431AB"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="C01A2BC0-D627-11E9-90E0-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913140942"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7191437820"/><addr use="TMP"><streetAddressLine/><streetAddressLine>111 Earlswood Park</streetAddressLine><streetAddressLine/><streetAddressLine>New Milton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>BH25 5WY</postalCode><useablePeriod><low value="20190813"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Isabelle</given><given>Dolsie Jem</given><family>Revill</family></name><administrativeGenderCode code="2"/><birthTime value="20180511"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="J81056"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="120FE9B0-D619-11E9-AAA1-13DCD31F203B"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="F006A9-J82007-84DA7Q"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913141018"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>ghY4hd1cmkH5tW38pPeiGRv5ghc=</DigestValue></Reference></SignedInfo><SignatureValue>V0tvmbTE54NECb3p0wlC1m7Ah1FQfFRuZ1h19fQVf7i1tNrDAK8WyQy8c9dPs4G3+iKqvocyK66FLxLEqgCDXqm1YvuzPlFXbfnpRui2Q/iavUct/49CbUBffYFnSnGnqOuI03znpdkZ+2UA6rvnveDT0PRsbywxdpNE3aPvzu0=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="443242503565"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01425620393"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="7021142"/><name use="L"><prefix>Dr</prefix><given>Jonathan</given><family>Bamford</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82007"/><code code="001"/><name>The Arnewood Practice</name><telecom use="WP" value="tel:01425620393"/><addr use="WP"><streetAddressLine>Milton Medical Centre</streetAddressLine><streetAddressLine>Avenue Road</streetAddressLine><streetAddressLine>New Milton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>BH25 5JP</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="11A"/><code code="005"/><name>NHS West Hampshire CCG</name><addr use="WP"><streetAddressLine>Omega House</streetAddressLine><streetAddressLine>112 Southampton Road</streetAddressLine><streetAddressLine>Eastleigh</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO50 5PB</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="443242503565"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01425620393"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="945205"/><name use="L"><prefix>Dr</prefix><given>Jonathan</given><family>Bamford</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82007"/><code code="001"/><name>The Arnewood Practice</name><telecom use="WP" value="tel:01425620393"/><addr use="WP"><streetAddressLine>Milton Medical Centre</streetAddressLine><streetAddressLine>Avenue Road</streetAddressLine><streetAddressLine>New Milton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>BH25 5JP</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="11A"/><code code="005"/><name>NHS West Hampshire CCG</name><addr use="WP"><streetAddressLine>Omega House</streetAddressLine><streetAddressLine>112 Southampton Road</streetAddressLine><streetAddressLine>Eastleigh</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO50 5PB</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20340510"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="120FE9B1-D619-11E9-AAA1-13DCD31F203B"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20279711000001102" displayName="Infatrini Peptisorb liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="29200" unit="1"><translation value="29200" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Heparin sodium 50units/5ml patency solution ampoules, 10 ampoule, use as directed, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 11</medication><medication>sodium chloride injection 0.9%, 1 pack of 10 X 10ml ampoule(s), use as directed, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 11</medication><medication>Grip-Lok catheter securement device medium 3300M (Blue Box Medical Ltd), 10 device, use as directed, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 11</medication><medication>IV3000 dressing 10cm x 12cm (Smith & Nephew Healthcare Ltd), 10 dressing, use as directed, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 11</medication><medication>Infatrini Peptisorb liquid (Nutricia Ltd), 29200 ml, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 1</medication><patientInfo>Do you need information in a different format? Do you need communication support? If so, please tell a member of the practice staff. Telephone us on 01425 620393 or email whccg.arnewoodpractice@nhs.net </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="F233EE81-D00E-11E9-B9CB-F1B9218800C5"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20780511"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="FA677FB0-D0AC-11E9-A9E2-99A48A759D5A"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="120FE9B0-D619-11E9-AAA1-13DCD31F203B"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="120FE9B1-D619-11E9-AAA1-13DCD31F203B"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="75B15470-D634-11E9-BCF6-E32C0AD34816"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913154040"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4646614340"/><addr use="H"><streetAddressLine>Balmoral Care Home</streetAddressLine><streetAddressLine>6 Beighton Road</streetAddressLine><streetAddressLine>Woodhouse</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S13 7PR</postalCode><useablePeriod><low value="20171215"/></useablePeriod></addr><telecom use="H" value="tel:01142540635"><useablePeriod><low value="20190423"/></useablePeriod></telecom><telecom use="H" value="tel:01142540635"><useablePeriod><low value="20190514"/></useablePeriod></telecom><telecom use="H" value="tel:01142540635"><useablePeriod><low value="20190704"/></useablePeriod></telecom><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Barbara</given><family>Ventour</family></name><administrativeGenderCode code="2"/><birthTime value="19271108"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="C88072"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="719A1E80-D634-11E9-BCF6-E32C0AD34816"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="3B5E18-C88072-0914BA"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913154047"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>8s6/qYKdUN7esDOVhnbYht2HqLE=</DigestValue></Reference></SignedInfo><SignatureValue>jF4g0vq+OUT53g9tR7IE1CiUkGWwZQGseIPq65kvnfOhC7874ol7wse/9ZoZtLb6uTF9wU3xCJ4M4YTaJDzPnAcBMEwc4M4dPAaKJllF8WE5oYW+uRqtr+ybkTKzU6DzUYJ15GLq67449kHOPqTSWj27WHTGj51PXLkmpMf/TFw=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="567495567100"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01142293090"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="7605100"/><name use="L"><prefix>Dr</prefix><given>Elizabeth</given><family>Payne-Johnson</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="C88072"/><code code="001"/><name>Woodhouse Health Centre</name><telecom use="WP" value="tel:01142293090"/><addr use="WP"><streetAddressLine>5-7 Skelton Lane</streetAddressLine><streetAddressLine>Woodhouse</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S13 7LY</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03N"/><code code="005"/><name>NHS Sheffield CCG</name><addr use="WP"><streetAddressLine>722 Prince Of Wales Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S9 4EU</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="567495567100"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01142293090"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="804221"/><name use="L"><prefix>Dr</prefix><given>Nicholas</given><family>Smith</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="C88072"/><code code="001"/><name>Woodhouse Health Centre</name><telecom use="WP" value="tel:01142293090"/><addr use="WP"><streetAddressLine>5-7 Skelton Lane</streetAddressLine><streetAddressLine>Woodhouse</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S13 7LY</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03N"/><code code="005"/><name>NHS Sheffield CCG</name><addr use="WP"><streetAddressLine>722 Prince Of Wales Road</streetAddressLine><streetAddressLine>Sheffield</streetAddressLine><streetAddressLine>South Yorkshire</streetAddressLine><postalCode>S9 4EU</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19431107"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="719A1E81-D634-11E9-BCF6-E32C0AD34816"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="915911000001104" displayName="BioXtra Dry Mouth oral gel (R.I.S. Products Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="40" unit="1"><translation value="40" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Baclofen 5mg/5ml oral solution sugar free, 300 ml, Take 2.5ml three times each day, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 11, 8, 15, 32, 29</medication><medication>Bisoprolol 2.5mg tablets, 28 tablet, Take one daily. Crush and disperse in water and give via PEG, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 11, 8, 15, 32, 29</medication><medication>CliniFix catheter tube holder 40-410 140mm x 40mm (CliniMed Ltd), 10 device, use as directed, Last Issued: Friday 07 Jun 2019, Next Issue Due: Fri 05 Jul 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 387, 41</medication><medication>Furosemide 40mg/5ml oral solution sugar free, 300 ml, Take 5ml at 8am and 2pm, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 11, 8, 15, 32, 29</medication><medication>Lamotrigine 50mg tablets, 56 tablet, Take ONE tablet TWICE each day. Crush and disperse in water and give via PEG, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 11, 8, 15, 32, 29</medication><medication>Conotrane cream (LEO Pharma), 500 gram, Apply as needed, Last Issued: Monday 12 Aug 2019, Next Issue Due: Mon 09 Sep 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 24, 50, 11, 8, 47</medication><medication>Nutrison 1000 Complete Multi Fibre liquid (Nutricia Ltd), 28 litre, Take 1000ml daily as directed by the dietician, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 9, 17, 28, 29, 33</medication><medication>Spironolactone 25mg tablets, 14 tablet, Take HALF a tablet (12.5mg) each morning. Crush and disperse in water and give via PEG, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Review Due On: Wed 27 Nov 2019, Issue Intervals: 32, 29</medication><medication>ProSource TF liquid 45ml sachets (Nutrinovo Ltd), 990 sachet, use as directed, Last Issued: Friday 26 Jul 2019, Next Issue Due: Fri 23 Aug 2019, Review Due On: Wed 27 Nov 2019</medication><medication>Ranitidine 75mg/5ml oral solution sugar free, 600 ml, 2x5ml spoon twice daily, Last Issued: Friday 16 Aug 2019, Next Issue Due: Fri 13 Sep 2019, Review Due On: Wed 27 Nov 2019</medication><patientInfo>Please tick the items you require and allow 2 working days for collection. Items not on repeat may take a little longer. We are unable to take telephone requests. Pre-booked appointments are still available. There are also some early morning, late evening. ********************************************************************************* Please inform the receptionist if you need help with mobility when attending the surgery. ******************************************************************************* Which pharmacy would you like your prescription to be sent to? ******************************************************************************** We have made more appointments available to be booked online. Please see reception (above check-in screens) or our website (www.woodhousehealthcentre.co.uk) for more details ******************************************************************************** FLU Clinics are now available to book into, please ask at reception if you are unsure if you are eligible to receive one.</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>Use as directed, use small amount of gel on gums and mouth to reduce dryness and assist mouthcare</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="19871108"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="719A1E80-D634-11E9-BCF6-E32C0AD34816"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="719A1E81-D634-11E9-BCF6-E32C0AD34816"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="70C82980-D629-11E9-AF96-7B287EF71334"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913142147"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6245336651"/><addr use="H"><streetAddressLine/><streetAddressLine>36 Honeysuckle Road</streetAddressLine><streetAddressLine/><streetAddressLine>Southampton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO16 3HQ</postalCode><useablePeriod><low value="20190128"/></useablePeriod></addr><telecom use="H" value="tel:02380677084"><useablePeriod><low value="20190129"/></useablePeriod></telecom><telecom use="H" value="tel:02380677084"><useablePeriod><low value="20190225"/></useablePeriod></telecom><telecom use="MC" value="tel:07714463891"><useablePeriod><low value="20190225"/></useablePeriod></telecom><telecom use="MC" value="tel:07714463891"><useablePeriod><low value="20190307"/></useablePeriod></telecom><telecom use="WP" value="tel:02380706050"><useablePeriod><low value="20190510"/></useablePeriod></telecom><telecom use="MC" value="tel:07714463891"><useablePeriod><low value="20190516"/></useablePeriod></telecom><telecom use="H" value="tel:02380677084"><useablePeriod><low value="20190516"/></useablePeriod></telecom><telecom use="WP" value="tel:02380706050"><useablePeriod><low value="20190703"/></useablePeriod></telecom><telecom use="MC" value="tel:07714463891"><useablePeriod><low value="20190911"/></useablePeriod></telecom><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Joanne</given><given>Lesley</given><family>Isaacs</family></name><administrativeGenderCode code="2"/><birthTime value="19620405"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="J82001"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="6FE802B0-D629-11E9-AF96-7B287EF71334"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="55E0CB-J82001-F7707Q"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913142151"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>/bI0dNbihpEce2tVglnON4pBE54=</DigestValue></Reference></SignedInfo><SignatureValue>M9ctPgU/3sbmUM0WxBDdsBXk6tVem5nlsBXc2UOr0TmC0supmDubGXf9IgcYfv/rtP9xIuKATBjQ5KCPMh468kydUifNE4KTK3eFBcMQGMFj8wYY/JSN+KERHmE4jhtCNcw6SxGlJkwNyXbXGvFzv8DWrMOq3ElXZF5y3MHffJs=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="345406618560"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:02380676233"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6053148"/><name use="L"><prefix>Dr</prefix><given>Gabriella</given><given>Ji</given><family>Day</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82001"/><code code="001"/><name>Burgess Road Surgery</name><telecom use="WP" value="tel:02380676233"/><addr use="WP"><streetAddressLine>357a Burgess Road</streetAddressLine><streetAddressLine>Southampton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO16 3BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="10X"/><code code="005"/><name>NHS Southampton CCG</name><addr use="WP"><streetAddressLine>Oakley Road</streetAddressLine><streetAddressLine>Southampton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO16 4GX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="345406618560"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:02380676233"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="874645"/><name use="L"><prefix>Dr</prefix><given>Gabriella</given><given>Ji</given><family>Day</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="J82001"/><code code="001"/><name>Burgess Road Surgery</name><telecom use="WP" value="tel:02380676233"/><addr use="WP"><streetAddressLine>357a Burgess Road</streetAddressLine><streetAddressLine>Southampton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO16 3BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="10X"/><code code="005"/><name>NHS Southampton CCG</name><addr use="WP"><streetAddressLine>Oakley Road</streetAddressLine><streetAddressLine>Southampton</streetAddressLine><streetAddressLine>Hampshire</streetAddressLine><postalCode>SO16 4GX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19780404"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="6FE802B1-D629-11E9-AF96-7B287EF71334"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="13699411000001100" displayName="Medihoney barrier cream (Derma Sciences Europe, Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="50" unit="1"><translation value="50" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Amitriptyline 50mg/5ml oral solution sugar free, 28 ml, 1ml at night via peg, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Cavilon Durable barrier cream (3M Health Care Ltd), 92 gram, use as directed, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Clopidogrel 75mg/5ml oral solution, 150 ml, 5ml once a day, Additional Script Notes: Special order - CAN REQUEST EARLY IF NEEDED, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Domperidone 1mg/ml oral suspension sugar free, 840 ml, 10ml three times a day, Last Issued: Friday 24 May 2019, Next Issue Due: Fri 21 Jun 2019</medication><medication>Epimax cream (Dermato Logical Ltd), 500 gram, use as directed, Last Issued: Friday 02 Aug 2019, Next Issue Due: Fri 30 Aug 2019</medication><medication>GlucoRx Nexus testing strips (GlucoRx Ltd), 50 strip, use as directed, Last Issued: Tuesday 12 Feb 2019, Next Issue Due: Tue 12 Mar 2019</medication><medication>Hyoscine 1mg/72hours transdermal patches, 10 patch, apply one every 72 hours, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Sodium chloride 0.9% irrigation solution 20ml Salipod unit dose (Sai-Meds Ltd), 25 unit dose, use as directed, Last Issued: Never, </medication><medication>Sodium valproate 200mg/5ml oral solution, 600 ml, two 5ml spoonfuls twice a day via PEG, Additional Script Notes: Special order - CAN REQUEST EARLY IF NEEDED, Last Issued: Friday 02 Aug 2019, Next Issue Due: Fri 30 Aug 2019</medication><medication>Thiamine 100mg/5ml oral suspension, 140 ml, 5ml once a day, Additional Script Notes: Special order - CAN REQUEST EARLY IF NEEDED, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Vitamin B compound tablets, 28 tablet, take one daily, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Simvastatin 40mg/5ml oral suspension sugar free, 150 ml, 5ml once a day, Last Issued: Friday 12 Jul 2019, Next Issue Due: Fri 09 Aug 2019</medication><medication>Nutrison 1000 Complete Multi Fibre liquid (Nutricia Ltd), 28 litre, as directed, Additional Script Notes: GO TO NUTRICIA HOMEWARD Order number........, Last Issued: Monday 09 Sep 2019, Next Issue Due: Mon 07 Oct 2019</medication><medication>Nutrison liquid (Nutricia Ltd), 10500 ml, use as directed, Additional Script Notes: TO GO TO NUTRICIA, Last Issued: Tuesday 28 May 2019, Next Issue Due: Tue 25 Jun 2019</medication><medication>kliniderm Foam Silicone dressing 5cm x 5cm (H & R Healthcare Ltd), 56 dressing, use as directed, Last Issued: Tuesday 30 Jul 2019, Next Issue Due: Tue 27 Aug 2019</medication><medication>Magnesium hydroxide 8% oral suspension, 1000 ml, 10ml To be taken Three Times Daily via PEG, Last Issued: Never, </medication><medication>Nutrison Multi Fibre liquid (Nutricia Ltd), 10500 ml, use as directed, Additional Script Notes: TO GO TO NUTRICIA - This replaces script dated 17.6.19 (Nutrison ENERGY multi fibre, Last Issued: Monday 08 Jul 2019, Next Issue Due: Mon 05 Aug 2019</medication><medication>Laxido Orange oral powder sachets sugar free (Galen Ltd), 60 sachet, use As directed, Last Issued: Friday 02 Aug 2019, Next Issue Due: Tue 01 Oct 2019</medication><medication>Prucalopride 2mg tablets, 28 tablet, 1 To be taken each morning, Additional Script Notes: review in september 2019-should have been reviewed in clinic by then, Last Issued: Friday 02 Aug 2019, Next Issue Due: Fri 30 Aug 2019</medication><patientInfo>Please allow 48 HOURS for a prescription to be ready. You can ORDER PRESCRIPTIONS ONLINE via our website - please see Reception for details. REMEMBER - please only order what you need . ##### If there is an item listed on your repeats that you do not take anymore, just let reception know ##### </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20220405"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="true"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="6FE802B0-D629-11E9-AF96-7B287EF71334"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="6FE802B1-D629-11E9-AF96-7B287EF71334"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><pertinentInformation typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentBatchInfo moodCode="EVN" classCode="OBS"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.17.14" code="1"/><value value="25"/></pertinentBatchInfo></pertinentInformation><pertinentInformation typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentBatchInfo moodCode="EVN" classCode="OBS"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.17.14" code="2"/><value value="25"/></pertinentBatchInfo></pertinentInformation><inFulfillmentOf type="ActRelationship" typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><priorDownloadRequestRef type="ControlAct" classCode="INFO" moodCode="RQO"><id root="0455F84B-1F05-4534-9D8D-20C4C0593649"/></priorDownloadRequestRef></inFulfillmentOf></PrescriptionReleaseResponse></hl7:subject></hl7:ControlActEvent></hl7:PORX_IN070101UK31>','0','0','f',cast('2019-09-13 17:06:31.183254 +01:00' as timestamp with time zone),cast('2019-09-13 17:06:31.183254 +01:00' as timestamp with time zone),NULL,'2',cast(NULL as timestamp with time zone),'0',cast(NULL as timestamp with time zone),'0','8C6655-B84009-7F699M','239499',NULL where (select distinct 1 from "public"."eps" where "uuid" = cast('56eb4980-d632-11e9-b0be-39119dc95ab5' as uuid)) is null) <hl7:PORX_IN070101UK31 xmlns:hl7="urn:hl7-org:v3"><hl7:id root="2B3FD91B-A642-42A6-993F-C452CBB1CBA5"/><hl7:creationTime value="20190913160326"/><hl7:versionCode code="V3NPfIT4.2.00"/><hl7:interactionId root="2.16.840.1.113883.2.1.3.2.4.12" extension="PORX_IN070101UK31"/><hl7:processingCode code="P"/><hl7:processingModeCode code="T"/><hl7:acceptAckCode code="NE"/><hl7:acknowledgement typeCode="AA"><hl7:messageRef><hl7:id root="DA3A6BAF-06D2-4C10-85B0-02CF69186716"/></hl7:messageRef></hl7:acknowledgement><hl7:communicationFunctionRcv typeCode="RCV"><hl7:device classCode="DEV" determinerCode="INSTANCE"><hl7:id root="1.2.826.0.1285.0.2.0.107" extension="099982784045"/></hl7:device></hl7:communicationFunctionRcv><hl7:communicationFunctionSnd typeCode="SND"><hl7:device classCode="DEV" determinerCode="INSTANCE"><hl7:id root="1.2.826.0.1285.0.2.0.107" extension="338068513039"/></hl7:device></hl7:communicationFunctionSnd><hl7:ControlActEvent classCode="CACT" moodCode="EVN"><hl7:author1 typeCode="AUT"><hl7:AgentSystemSDS classCode="AGNT"><hl7:agentSystemSDS classCode="DEV" determinerCode="INSTANCE"><hl7:id root="1.2.826.0.1285.0.2.0.107" extension="338068513039"/></hl7:agentSystemSDS></hl7:AgentSystemSDS></hl7:author1><hl7:subject typeCode="SUBJ" contextConductionInd="false"><PrescriptionReleaseResponse xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ppdbatch="http://spine.nhs.uk/spine-service-ppd" xmlns:fn="http://www.w3.org/2005/02/xpath-functions" xmlns:eb="http://www.oasis-open.org/committees/ebxml-msg/schema/msg-header-2_0.xsd" xmlns:soapcsf="http://www.w3.org/2001/12/soap-envelope" xmlns="urn:hl7-org:v3" xmlns:nasp="http://spine.nhs.uk/spine-servicev1.0" xmlns:soap="http://www.w3.org/2001/12/soap-envelope" classCode="INFO" moodCode="EVN" type="ControlAct"><id root="2B3FD91B-A642-42A6-993F-C452CBB1CBA5"/><effectiveTime value="20190913160326"/><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="04E04198-EF9C-4B01-8BE9-5B95329B796A"/><code code="163501000000109" displayName="Prescription" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150446"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7174371221"/><addr><streetAddressLine/><streetAddressLine>17 Hillingdon Avenue</streetAddressLine><streetAddressLine/><streetAddressLine>Sevenoaks</streetAddressLine><streetAddressLine>Kent</streetAddressLine><postalCode>TN13 3RB</postalCode></addr><telecom value="tel:07909523525" use="MC"/><telecom value="tel:01732450953" use="H"/><telecom value="mailto:HILARY_BENNETT@HOTMAIL.COM" use=""/><patientPerson classCode="PSN" determinerCode="INSTANCE"><name><family>Uffindell-Phillips</family><given>Rupert</given><given>Nate</given><prefix>Mr</prefix></name><administrativeGenderCode code="1"/><birthTime value="20170622"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="G82205"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId extension="CSAB_RM-NPfITUK10.pertinentInformation" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="3CF3C411-B203-4F22-A774-DD06F4B80055"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="2E07B7-G82205-EEF86U"/><code code="16076005" displayName="prescription" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913150446"/><signatureText><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"> <SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>4+tdFhsxQRJxHacNjneTcKmdm7s=</DigestValue></Reference></SignedInfo> <SignatureValue>PmotIV2KtJfYr64++pnaDTQtfrGnybYaBjRa6OhoDV2hW7I3o9aMOtoF4ixiVAwuIj7DHADP /nfrxmi6UUjmFsU+OQ3SvZdXTxWJcacpMmaCR+205qa1HOtXzL3NuCStoz+JdkEgiYLzRi/Z dHuoizBaBwPBE8Z6dp7zW0znE4A=</SignatureValue> <KeyInfo> <X509Data> <X509Certificate>MIID9jCCAt6gAwIBAgIEWrSEsDANBgkqhkiG9w0BAQUFADAyMQwwCgYDVQQKEwNuaHMxCzAJ BgNVBAsTAkNBMRUwEwYDVQQDEwxOSFMgTGV2ZWwgMUIwHhcNMTgwNDE4MDcwNDE3WhcNMjAw NDE4MDczNDE3WjBDMQwwCgYDVQQKEwNuaHMxDzANBgNVBAsTBlBlb3BsZTEiMCAGA1UEAxQZ ODk5OTcxNzg3MDM2X0dib2xhaGFuX09rZTCBnzANBgkqhkiG9w0BAQEFAAOBjQAwgYkCgYEA nCMLGTATP/xV5+A+p7CVKfEByYrU3W5RT19ZGR2MwY1bb7v1TK4QJpbckOFLRBQ4SpoKPznp RvPvJCLW28MMI+6zugWb6fBVN/2VlK99WPL5p7XPfDjkH5bjSqIoeX+1BM1hCDEU4TldtMDL CJ0ePH0QPBh1Jrw6CxhW3hJxs00CAwEAAaOCAYUwggGBMA4GA1UdDwEB/wQEAwIGQDCBgQYD VR0gAQH/BHcwdTBzBgsqhjoAiXtmAAMCADBkMGIGCCsGAQUFBwIBFlZodHRwOi8vbnd3Lm5w Zml0Lm5ocy51ay9pbmZvcm1hdGlvbl9nb3Zlcm5hbmNlL2NlcnRpZmljYXRlX3BvbGljaWVz L2NvbnRlbnRfY29tbWl0bWVudDBYBgNVHR8EUTBPME2gS6BJpEcwRTEMMAoGA1UEChMDbmhz MQswCQYDVQQLEwJDQTEVMBMGA1UEAxMMTkhTIExldmVsIDFCMREwDwYDVQQDEwhDUkwxMjM0 NjArBgNVHRAEJDAigA8yMDE4MDQxODA3MDQxN1qBDzIwMjAwNDE4MDczNDE3WjAfBgNVHSME GDAWgBRpnBMQXLcrOPDPjF/HHOUYtXPGuTAdBgNVHQ4EFgQUHav9Gx/uPjpjjDoTIjFTVbWl G50wCQYDVR0TBAIwADAZBgkqhkiG9n0HQQAEDDAKGwRWOC4yAwIEsDANBgkqhkiG9w0BAQUF AAOCAQEAMuVsVzFrgk3qN9j8EGnOMOb+JqfcMWJjNQ42HxhyW8wuly4Lbv0u0sJ23kDHyrv7 Xhk+e+hPmLytDybinZ0cNrJSngfdZ7GOHyCB6bZZFApBt4XFM631LQmK8pym0da6NeS2wHi1 zs5WQzNDdxnzRSVoev/1EALDZTKWFFX63FC6qzxRFb3vetF/A5jtPE2q+/IUsDJw7SpWfowa yMy0GGhOU3e8Hl8edGFdKiGHMCsQf+LAowdMWT9LVvCExjGDPT6Nifwt+gWuRsfhv7r2RADB +h8tZlGbrOt+R87v1n/DSsW0o/J/ySNC8kcvYIQj6RQkU9kUPcg5VAN0bdW3IA==</X509Certificate> </X509Data> </KeyInfo> </Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="567481875103"/><code code="R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01732747203" use="WP"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6036644"/><name><prefix>Dr</prefix><given>Gbolohan Ariyike</given><family>Oke</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="G82205"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>St Johns Hill Surgery</name><telecom value="tel:01732747203" use="WP"/><addr><streetAddressLine/><streetAddressLine>39 St Johns Hill</streetAddressLine><streetAddressLine/><streetAddressLine>Sevenoaks</streetAddressLine><streetAddressLine>Kent</streetAddressLine><postalCode>TN13 3NT</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99J"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94" code="005"/><name>NHS West Kent CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="555196882104"/><code code="R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01732747203" use="WP"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="854512"/><name><prefix>Dr</prefix><given>Emma</given><family>Dale</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="G82205"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>St Johns Hill Surgery</name><telecom value="tel:01732747203" use="WP"/><addr><streetAddressLine/><streetAddressLine>39 St Johns Hill</streetAddressLine><streetAddressLine/><streetAddressLine>Sevenoaks</streetAddressLine><streetAddressLine>Kent</streetAddressLine><postalCode>TN13 3NT</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99J"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94" code="005"/><name>NHS West Kent CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36" code="0002"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20330621"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21" code="P1"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="2FC7ED9A-13AB-4E75-BAFF-2D53AB836A95"/><code code="18629005" displayName="administration of medicine" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150446"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code code="33520211000001108" displayName="Mevalia low protein fruit bar (Dr Schar UK Ltd)" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="246205007" displayName="quantity" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="500" unit="1"><translation value="500" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>1. PKU Anamix Junior powder 36g sachets neutral (Nutricia Ltd). (120) sachet. AS DIRECTED BY DIETICIAN Last ordered on 02/09/2019. Please see GP to order more.</medication><medication>2. Taranis low protein chocolate chip cookies (Lactalis Nutrition Sante). (135) gram. AS DIRECTED BY DIECTICIAN Last ordered on 17/05/2019. You may order 5 more.</medication><medication>3. Mevalia low protein pan rustico (Dr Schar UK Ltd). (400) gram. AS DIRECTED BY DIECTICIAN Last ordered on 13/09/2019. You may order 4 more.</medication><medication>4. Mevalia low protein fusilli (Dr Schar UK Ltd). (500) gram. AS DIRECTED BY DIECTICIAN Last ordered on 13/09/2019. You may order 4 more.</medication><medication>5. Promin low protein dessert 36.5g sachets custard (Firstplay Dietary Foods Ltd). (6) sachet. ASD Last ordered on 17/05/2019. You may order 5 more.</medication><medication>6. Loprofin SNO-PRO drink (Nutricia Ltd). (10800) ml. AS DIRECTED BY DIETICIAN Last ordered on 13/05/2019. Please see GP to order more.</medication><medication>7. Loprofin low protein mix (Nutricia Ltd). (1000) gram. AS DIRECTED BY DIETICIAN Last ordered on 13/05/2019. Please see GP to order more.</medication><medication>8. Promin low protein dessert 36.5g sachets chocolate & banana (Firstplay Dietary Foods Ltd). (730) sachet. AS DIRECTED BY DIECTICIAN Last ordered on 13/05/2019. You may order 1 more.</medication><medication>9. Loprofin low protein crackers (Nutricia Ltd). (450) gram. ASD Last ordered on 13/05/2019. You may order 4 more.</medication><medication>10. Fate low protein chocolate cake mix (Fate Special Foods). (500) gram. ASD Last ordered on 13/05/2019. You may order 4 more.</medication><medication>11. Loprofin low protein cake mix chocolate (Nutricia Ltd). (500) gram. AS DIRECTED BY DIECTICIAN Last ordered on 08/07/2019. You may order 2 more.</medication><medication>12. Loprofin SNO-PRO drink (Nutricia Ltd). (5400) ml. AS DIRECTED BY DIETICIAN Last ordered on 09/09/2019. You may order 1 more.</medication><medication>13. PKU Anamix Junior powder 36g sachets neutral (Nutricia Ltd). (90) sachet. AS DIRECTED BY DIETICIAN Last ordered on 17/05/2019. Please see GP to order more.</medication><medication>14. Loprofin low protein rice (Nutricia Ltd). (500) gram. AS DIRECTED BY DIETICIAN Last ordered on 15/02/2019. You may order 3 more.</medication><medication>15. Loprofin low protein mix (Nutricia Ltd). (500) gram. AS DIRECTED BY DIETICIAN Last ordered on 08/07/2019. You may order 3 more.</medication><medication>16. Promin low protein Snax (Firstplay Dietary Foods Ltd). (12) sachet. AS DIRECTED BY DIETICIAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>17. Mevalia low protein magdalenas (Dr Schar UK Ltd). (200) gram. AS DIRECTED BY DIETICIAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>18. Taranis low protein shortbread biscuits (Lactalis Nutrition Sante). (120) gram. AS FIRECTED BY DIETICIAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>19. Promin low protein pasta shells (Firstplay Dietary Foods Ltd). (500) gram. AS DIRECTED BY DIETICIAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>20. Mevalia low protein pan rustico (Dr Schar UK Ltd). (800) gram. AS DIRECTED BY DIETICAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>21. Loprofin low protein breakfast cereal flakes strawberry (Nutricia Ltd). (375) gram. AS DIRECTED BY DIETICIAN Last ordered on 02/08/2018. You may order 11 more.</medication><medication>22. PKU Anamix Junior powder neutral (Nutricia Ltd). (3240) gram. AS DIRECTED BY DIETICIAN Last ordered on 02/10/2018. You may order 3 more.</medication><medication>23. Loprofin low protein pasta animal shapes (Nutricia Ltd). (500) gram. ASD BY DIETICIAN Last ordered on 31/12/2018. You may order 4 more.</medication><medication>24. Mevalia low protein pane casereccio (Dr Schar UK Ltd). (220) gram. ASD BY DIETICIAN Last ordered on 01/05/2018. You may order 5 more.</medication><medication>25. PK Foods Aminex low protein rusks (Gluten Free Foods Ltd). (200) gram. ASD BY DIETICIAN Last ordered on 09/05/2018. You may order 3 more.</medication><patientInfo>PLEASE TICK THE ITEMS YOU REQUIRE.</patientInfo><patientInfo>PLEASE ALLOW 5 WORKING DAYS FOR YOUR REPEAT PRESCRIPTION TO BE PROCESSED AND REACH THE CHEMIST.</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32" displayName="Advisory Committee Recommended"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>ASD</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="37AB2077-5C59-48E6-897E-6F690C7234C2"/><code code="18629005" displayName="administration of medicine" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150446"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code code="23364411000001109" displayName="Mevalia low protein penne (Dr Schar UK Ltd)" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="246205007" displayName="quantity" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="500" unit="1"><translation value="500" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32" displayName="Advisory Committee Recommended"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>ASD</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="EDD8647F-96B2-40E9-B402-4B029FE51F32"/><code code="18629005" displayName="administration of medicine" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150446"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code code="23387111000001106" displayName="Mevalia low protein pan rustico (Dr Schar UK Ltd)" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="246205007" displayName="quantity" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="400" unit="1"><translation value="400" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32" displayName="Advisory Committee Recommended"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>AS DIRECTED BY DIECTICIAN</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="E85C3814-0E6A-4B11-B75A-7A5A2DE3770D"/><code code="18629005" displayName="administration of medicine" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150446"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code code="23386511000001104" displayName="Mevalia low protein fusilli (Dr Schar UK Ltd)" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="246205007" displayName="quantity" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="500" unit="1"><translation value="500" code="258682000" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="gram"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32" displayName="Advisory Committee Recommended"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>AS DIRECTED BY DIECTICIAN</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20770622"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25" code="0110"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId extension="CSAB_RM-NPfITUK10.pertinentInformation1" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="163111000000100" displayName="''Medication Record''" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="SBADM" moodCode="RQO"><id root="3CF3C411-B203-4F22-A774-DD06F4B80055"/></actRef></component><component typeCode="COMP"><actRef classCode="SBADM" moodCode="RQO"><id root="2FC7ED9A-13AB-4E75-BAFF-2D53AB836A95"/></actRef></component><component typeCode="COMP"><actRef classCode="SBADM" moodCode="RQO"><id root="37AB2077-5C59-48E6-897E-6F690C7234C2"/></actRef></component><component typeCode="COMP"><actRef classCode="SBADM" moodCode="RQO"><id root="EDD8647F-96B2-40E9-B402-4B029FE51F32"/></actRef></component><component typeCode="COMP"><actRef classCode="SBADM" moodCode="RQO"><id root="E85C3814-0E6A-4B11-B75A-7A5A2DE3770D"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="346BB800-D63B-11E9-90F3-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913162858"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4260697897"/><addr use="H"><streetAddressLine>Houghton''s</streetAddressLine><streetAddressLine>4 Sandy Road</streetAddressLine><streetAddressLine/><streetAddressLine>Bedford</streetAddressLine><streetAddressLine/><postalCode>MK41 9TH</postalCode><useablePeriod><low value="20160623"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Paul</given><given>Michael</given><family>Ogaza</family></name><administrativeGenderCode code="1"/><birthTime value="19770621"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="E81047"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="DAE4A570-D631-11E9-B28A-0DED6DB7AB61"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="E2BAFD-E81047-35AB29"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913162915"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>5Xa/LIbO8kX+h3B8GgkRBNnkBhA=</DigestValue></Reference></SignedInfo><SignatureValue>OCghs4iAy7o4uboQYDQWqHuzY0v+jJ+TfiBPmYtcxmhVkMf4WcKMjJg+tGjPgQGM8KegU/O6DLRRDx0C5nbpU9rUpOks46cjg663yJ3YAszFD78zMiKK6Y9YUhm2pJPxScamAHo7W/0FJGaOYEbi+xGDeBsKVtAt81Qm+UPHVyY=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="563219077109"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01234349531"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="7016112"/><name use="L"><prefix>Dr</prefix><given>Rebecca</given><given>E</given><family>Brady</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="E81047"/><code code="001"/><name>Goldington Avenue Surgery</name><telecom use="WP" value="tel:01234349531"/><addr use="WP"><streetAddressLine>85 Goldington Avenue</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK40 3DB</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06F"/><code code="005"/><name>NHS Bedfordshire CCG</name><addr use="WP"><streetAddressLine>Capability House</streetAddressLine><streetAddressLine>Wrest Park</streetAddressLine><streetAddressLine>Silsoe</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK45 4HR</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="563219077109"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01234349531"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="973159"/><name use="L"><prefix>Dr</prefix><given>Rebecca</given><given>E</given><family>Brady</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="E81047"/><code code="001"/><name>Goldington Avenue Surgery</name><telecom use="WP" value="tel:01234349531"/><addr use="WP"><streetAddressLine>85 Goldington Avenue</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK40 3DB</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06F"/><code code="005"/><name>NHS Bedfordshire CCG</name><addr use="WP"><streetAddressLine>Capability House</streetAddressLine><streetAddressLine>Wrest Park</streetAddressLine><streetAddressLine>Silsoe</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK45 4HR</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19930620"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="DAE4A571-D631-11E9-B28A-0DED6DB7AB61"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="16439411000001100" displayName="Fortisip Compact liquid vanilla (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="5500" unit="1"><translation value="5500" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>CliniMed non-woven fabric swab 4ply non-sterile 10cm x 10cm 3900 (CliniMed Ltd), 200 swab, use as directed, Last Issued: Never, , Issues Remaining: 6</medication><medication>E45 cream (Forum Health Products Ltd), 500 gram, apply to affected areas twice daily, Last Issued: Friday 09 Aug 2019, Next Issue Due: Sun 08 Sep 2019, Issues Remaining: 3</medication><medication>Gaviscon Advance oral suspension peppermint (Reckitt Benckiser Healthcare (UK) Ltd), 1000 ml, 15ml twice daily when required, Last Issued: Monday 15 Apr 2019, Next Issue Due: Fri 10 May 2019, Issues Remaining: 3</medication><medication>K-Y Jelly sterile (Thornton & Ross Ltd), 82 gram, use as directed, Last Issued: Tuesday 22 Jan 2019, Next Issue Due: Tue 19 Feb 2019, Issues Remaining: 3</medication><medication>Orahesive powder S106 (ConvaTec Ltd), 25 gram, use as directed, Last Issued: Never, , Issues Remaining: 6</medication><medication>Paracetamol 500mg soluble tablets, 200 tablet, take 2 tablets 4 times/day, Additional Script Notes: this is instead of the tablets if needed maximum 8 paracetamol per day in total, Last Issued: Never, , Issues Remaining: 6</medication><medication>Paracetamol 500mg tablets, 224 tablet, Take 2 Tabs 4x Daily as directed, Last Issued: Never, , Issues Remaining: 6</medication><medication>Atropine 1% eye drops, 10 ml, one drop once daily to right eye at 8pm, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Buprenorphine 10micrograms/hour transdermal patches, 4 patch, apply one weekly remove old patch before applying, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Issues Remaining: 5</medication><medication>Cavilon Durable barrier cream (3M Health Care Ltd), 92 gram, use as directed, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 20 Sep 2019, Issues Remaining: 2</medication><medication>Cavilon No Sting barrier film pump spray 3346P (3M Health Care Ltd), 28 ml, use as directed, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Issues Remaining: 2</medication><medication>Chlorhexidine 1% dental gel sugar free, 50 gram, use twice daily at 9am and 8pm, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Clinitas Carbomer 0.2% eye gel (Altacor Ltd), 20 gram, one drop to right eye four times daily, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Dexamethasone 0.1% eye drops, 5 ml, one drop to RIGHT EYE three times a day, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Dioralyte oral powder sachets blackcurrant (Sanofi), 140 sachet, five daily, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Issues Remaining: 2</medication><medication>Epilim 100mg crushable tablets (Sanofi), 336 tablet, Four to be taken three times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Lansoprazole 30mg orodispersible tablets, 28 tablet, take one once daily via PEG, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Issues Remaining: 5</medication><medication>Metoclopramide 10mg tablets, 90 tablet, take one 3 times/day, Last Issued: Never, , Issues Remaining: 6</medication><medication>Solifenacin 5mg tablets, 30 tablet, take one daily, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Sudocrem antiseptic healing cream (Teva UK Ltd), 400 gram, use as directed, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 13 Sep 2019, Issues Remaining: 2</medication><medication>Trospium chloride 20mg tablets, 60 tablet, take one twice daily, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 5</medication><medication>Trimethoprim 50mg/5ml oral suspension sugar free, 300 ml, 10ml at night, Last Issued: Friday 06 Sep 2019, Next Issue Due: Sun 06 Oct 2019, Issues Remaining: 0</medication><medication>Fortisip Compact liquid vanilla (Nutricia Ltd), 5500 ml, as advised by dietics, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 5</medication><medication>water for injections injection, 1 pack of 20 X 10ml ampoule(s), as required, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sat 14 Sep 2019, Issues Remaining: 0</medication><patientInfo>PRACTICE INFORMATION We require 2 working days for requests to be processed. Please don't wait until you've run out of medication to place an order, please plan ahead. We do not accept prescription requests over the phone. Please post, hand deliver, fax 01234267455 or email to "goldingtonavdrs@nhs.net" or via our website, www.goldingtonavenuesurgery.co.uk Following new NHS guidelines, we no longer prescribes medicines that can be bought over the counter at a pharmacy or supermarket. Please pick up a leaflet or visit our website for further information of the items no longer available. </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>as advised by dietics</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="DAE4A571-D631-11E9-B28A-0DED6DB7AB61"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20370621"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="DAE4A570-D631-11E9-B28A-0DED6DB7AB61"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="DAE4A570-D631-11E9-B28A-0DED6DB7AB61"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="DAE4A571-D631-11E9-B28A-0DED6DB7AB61"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="F0B145A1-D62E-11E9-90EA-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913150110"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4602088236"/><addr use="H"><streetAddressLine>Rossmoyne</streetAddressLine><streetAddressLine>2 Summer Lane</streetAddressLine><streetAddressLine>Nyetimber</streetAddressLine><streetAddressLine>Bognor Regis</streetAddressLine><streetAddressLine>W Sussex</streetAddressLine><postalCode>PO21 4NG</postalCode><useablePeriod><low value="20100513"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Kevin</given><given>Jeffrey</given><family>Waldren</family></name><administrativeGenderCode code="1"/><birthTime value="19830422"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="H82058"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="ABE8D6F0-D628-11E9-BC33-37CE762F02F7"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="E6B754-H82058-168B1T"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913150132"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>Tq2BsDrBpvAegVKZ2hP4YJhE1Vg=</DigestValue></Reference></SignedInfo><SignatureValue>fg4YjnJ/F0fvFRXSvVvMIzK6LHVw3QaaZEzSzUNRePJFeTm6+qUt3s6Do07K7JkxB1p9jP/3CVyYdCzfCgFkfW4dFukddcpJ8UreqdviPxy4+UvPHF50udZXL0LL+9USevtcSODPhl263/foLgg7BIqg6HDol21pBt3oMx5XFRg=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="556290304104"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01243829141"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="9546132"/><name use="L"><prefix>Dr</prefix><given>Nicholas W</given><family>Sheppard</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H82058"/><code code="001"/><name>Maywood Healthcare Centre</name><telecom use="WP" value="tel:01243829141"/><addr use="WP"><streetAddressLine>225 Hawthorn Road</streetAddressLine><streetAddressLine>Bognor Regis</streetAddressLine><streetAddressLine>West Sussex</streetAddressLine><postalCode>PO21 2UW</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="09G"/><code code="005"/><name>NHS Coastal West Sussex CCG</name><addr use="WP"><streetAddressLine>1 The Causeway</streetAddressLine><streetAddressLine>Goring-by-Sea</streetAddressLine><streetAddressLine>Worthing</streetAddressLine><streetAddressLine>W Sussex</streetAddressLine><postalCode>BN12 6BT</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="556290304104"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01243829141"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="954613"/><name use="L"><prefix>Dr</prefix><given>Nicholas W</given><family>Sheppard</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H82058"/><code code="001"/><name>Maywood Healthcare Centre</name><telecom use="WP" value="tel:01243829141"/><addr use="WP"><streetAddressLine>225 Hawthorn Road</streetAddressLine><streetAddressLine>Bognor Regis</streetAddressLine><streetAddressLine>West Sussex</streetAddressLine><postalCode>PO21 2UW</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="09G"/><code code="005"/><name>NHS Coastal West Sussex CCG</name><addr use="WP"><streetAddressLine>1 The Causeway</streetAddressLine><streetAddressLine>Goring-by-Sea</streetAddressLine><streetAddressLine>Worthing</streetAddressLine><streetAddressLine>W Sussex</streetAddressLine><postalCode>BN12 6BT</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19990421"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="ABE8D6F1-D628-11E9-BC33-37CE762F02F7"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="4226611000001101" displayName="Nutrison Protein Plus liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="28" unit="1"><translation value="28" code="258770004" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="litre"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>E45 cream (Forum Health Products Ltd), 500 gram, AS DIRECTED, Last Issued: Friday 26 Jul 2019, Next Issue Due: Fri 23 Aug 2019, Issues Remaining: -15, Review Due On: Wed 17 Jun 2020, Issue Intervals: 84, 140, 64, 118, 81</medication><medication>Budesonide 64micrograms/dose nasal spray, 120 dose, 2 sprays each nostril daily, Last Issued: Sunday 07 Jul 2019, Next Issue Due: Sun 04 Aug 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 21, 29, 21, 69, 244</medication><medication>Bisoprolol 3.75mg tablets, 28 tablet, Take one daily, Additional Script Notes: crush finely and mix with water, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 119, 49, 23, 25, 26</medication><medication>Symbicort 200micrograms/dose / 6micrograms/dose pressurised inhaler (AstraZeneca UK Ltd), 120 dose, 2 puffs bd, Additional Script Notes: mdi inhaler *****, Last Issued: Thursday 12 Sep 2019, Next Issue Due: Sat 12 Oct 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 21, 178, 22, 22, 23</medication><medication>Paracetamol 500mg soluble tablets, 112 tablet, One tablet dissolved in water and administered via PEG four times per day, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 20, 27, 19, 19, 19</medication><medication>Gabapentin 100mg capsules, 168 capsule, Take two capsules three times a day, Last Issued: Thursday 12 Sep 2019, Next Issue Due: Thu 10 Oct 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 21, 27, 19, 19, 29</medication><medication>Mirtazapine 30mg orodispersible tablets, 28 tablet, One at night dissolved in water and given through RIG, Last Issued: Tuesday 20 Aug 2019, Next Issue Due: Tue 17 Sep 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 19, 21, 27, 22, 22</medication><medication>Matrifen 12micrograms/hour transdermal patches (Teva UK Ltd), 10 patch, apply one every 72 hours, Last Issued: Thursday 12 Sep 2019, Next Issue Due: Sat 12 Oct 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 8, 21, 23, 25, 36</medication><medication>AproDerm barrier cream (Fontus Health Ltd), 100 gram, use as directed, Last Issued: Never, , Review Due On: Wed 17 Jun 2020</medication><medication>Lansoprazole 30mg orodispersible tablets, 28 tablet, take one once daily, Last Issued: Thursday 12 Sep 2019, Next Issue Due: Thu 10 Oct 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 19, 19, 19, 29</medication><medication>Morphine sulfate 10mg/5ml oral solution, 300 ml, Take 2.5ml to 5ml every four hours if needed for pain (take 30 mins before dressing change), Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Wed 17 Jun 2020, Issue Intervals: 19, 19, 19, 19</medication><medication>Carbocisteine 250mg/5ml oral solution, 630 ml, Seven and a half millilitres via RIG three times per day, Last Issued: Thursday 12 Sep 2019, Next Issue Due: Thu 10 Oct 2019, Review Due On: Thu 09 Jul 2020, Issue Intervals: 20, 22, 23</medication><medication>Nutrison Energy liquid (Nutricia Ltd), 14000 ml, use as directed, Last Issued: Thursday 05 Sep 2019, Next Issue Due: Thu 03 Oct 2019, Review Due On: Sat 05 Sep 2020</medication><medication>Nutrison Multi Fibre liquid (Nutricia Ltd), 18000 ml, 500ml daily, Last Issued: Wednesday 11 Sep 2019, Next Issue Due: Wed 09 Oct 2019, Review Due On: Sat 05 Sep 2020</medication><medication>Nutrison Protein Plus liquid (Nutricia Ltd), 28 litre, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Fri 11 Sep 2020, Issue Intervals: 2</medication></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="2BA0C982-D484-11E9-A882-6BDC2D99DF2B"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20430422"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="2BA0C980-D484-11E9-A882-6BDC2D99DF2B"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="ABE8D6F0-D628-11E9-BC33-37CE762F02F7"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="ABE8D6F1-D628-11E9-BC33-37CE762F02F7"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="F0A7B572-D63E-11E9-90F4-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913165542"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4387709669"/><addr use="H"><streetAddressLine/><streetAddressLine>24 Allen Close</streetAddressLine><streetAddressLine/><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO10 3TS</postalCode><useablePeriod><low value="20151026"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Michael</given><given>J</given><family>Fitzpatrick</family></name><administrativeGenderCode code="1"/><birthTime value="19450325"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B82005"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="88A695E0-D62A-11E9-A5D3-31E3D3A9F33E"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="A18DB5-B82005-9B217E"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913165640"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>RW59/CeIqdQMuso/dcow4TDgpps=</DigestValue></Reference></SignedInfo><SignatureValue>QKQukGF8F8AxYwty2I/rNQfnsS0XKSXDYmm/x8ZJNRRZgX7xIgY2OJkXIWd3JteaG/P0nL9K1QHGB7a2qOT5s4AzmDXJ9LQaeRBMt19xGYo3a6bLBgPjb6+HDa5V0U06qQEj5EDak0ZlpY66RpOUIr2cQugc6Sn0wMkAFPbsk2Y=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="497176124566"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01904781423"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="4611196"/><name use="L"><prefix>Dr</prefix><given>Emma</given><family>Broughton</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B82005"/><code code="001"/><name>Priory Medical Group</name><telecom use="WP" value="tel:01904781423"/><addr use="WP"><streetAddressLine>Priory Medical Centre</streetAddressLine><streetAddressLine>Cornlands Road</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO24 3WX</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03Q"/><code code="005"/><name>NHS Vale Of York CCG</name><addr use="WP"><streetAddressLine>Unit</streetAddressLine><streetAddressLine>5 Kettlestring Lane</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO30 4GQ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="497176124566"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01904781423"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="914379"/><name use="L"><prefix>Dr</prefix><given>Emma</given><family>Broughton</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B82005"/><code code="001"/><name>Priory Medical Group</name><telecom use="WP" value="tel:01904781423"/><addr use="WP"><streetAddressLine>Priory Medical Centre</streetAddressLine><streetAddressLine>Cornlands Road</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO24 3WX</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="03Q"/><code code="005"/><name>NHS Vale Of York CCG</name><addr use="WP"><streetAddressLine>Unit</streetAddressLine><streetAddressLine>5 Kettlestring Lane</streetAddressLine><streetAddressLine>York</streetAddressLine><streetAddressLine>North Yorkshire</streetAddressLine><postalCode>YO30 4GQ</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19610324"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="88A695E1-D62A-11E9-A5D3-31E3D3A9F33E"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20996011000001104" displayName="Fortisip Compact Fibre liquid (Flavour Not Specified)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="7000" unit="1"><translation value="7000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Co-codamol 30mg/500mg tablets, 100 tablet, TWO TO BE TAKEN FOUR TIMES DAILY, Last Issued: Thursday 21 Mar 2019, Next Issue Due: Tue 02 Apr 2019, Review Due On: Mon 08 Jul 2019</medication><medication>Resource ThickenUp Clear powder (Nestle Health Science), 508 gram, 1 scoop in 100mls liquid, Last Issued: Thursday 15 Aug 2019, Next Issue Due: Thu 12 Sep 2019, Review Due On: Mon 08 Jul 2019</medication><medication>Mirtazapine 15mg orodispersible tablets, 30 tablet, Take one at night via Peg, Last Issued: Thursday 15 Aug 2019, Next Issue Due: Thu 12 Sep 2019, Review Due On: Mon 08 Jul 2019</medication><medication>NACSYS 600mg effervescent tablets (Atlantic Pharma Ltd), 30 tablet, take one daily via Peg, Last Issued: Wednesday 03 Jul 2019, Next Issue Due: Fri 02 Aug 2019, Review Due On: Mon 08 Jul 2019</medication><medication>Vital 1.5kcal liquid (Flavour Not Specified), 39200 ml, 200mls Seven times daily via PEG, Last Issued: Thursday 22 Aug 2019, Next Issue Due: Thu 19 Sep 2019, Review Due On: Sun 22 Sep 2019</medication><medication>Ranitidine 300mg effervescent tablets, 30 tablet, take one at night via Peg, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Sat 28 Sep 2019, Review Due On: Fri 08 Nov 2019</medication><medication>Calcichew Forte chewable tablets (Takeda UK Ltd), 112 tablet, take 2 twice a day, Last Issued: Tuesday 13 Aug 2019, Next Issue Due: Tue 10 Sep 2019, Review Due On: Sun 10 Nov 2019</medication><medication>Salbutamol 100micrograms/dose breath actuated inhaler CFC free, 400 dose, 2 puffs as required for shortness of breath and wheeze, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: -1</medication><medication>Alfuzosin 2.5mg tablets, 60 tablet, take 1 twice a day crushed and disolved via NG tube, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Sat 28 Sep 2019, Issues Remaining: 0</medication><medication>Carbocisteine 250mg/5ml oral solution, 900 ml, take 15mls twice a day via Peg, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Sat 28 Sep 2019, Issues Remaining: 0</medication><medication>Chlorhexidine gluconate 0.2% mouthwash, 300 ml, AS DIRECTED, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 0</medication><medication>Ferrous fumarate 140mg/5ml oral solution, 200 ml, 5mls daily, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 0</medication><medication>Finasteride 5mg tablets, 28 tablet, take one daily crushed via Peg, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 0</medication><medication>Morphine sulfate 10mg/5ml oral solution, 300 ml, take 2.5ml before houshold activities to ease breathlessness. Maximum one dose every 3 hours, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Sat 28 Sep 2019, Issues Remaining: 0</medication><medication>Trelegy Ellipta 92micrograms/dose / 55micrograms/dose / 22micrograms/dose dry powder inhaler (GlaxoSmithKline UK Ltd), 30 dose, inhale 1 dose daily, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Sat 28 Sep 2019, Issues Remaining: 0</medication></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="AF" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>Five bottles daily</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="88A695E2-D62A-11E9-A5D3-31E3D3A9F33E"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="208011000001107" displayName="Nutrison Peptisorb liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="25000" unit="1"><translation value="25000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20050325"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="88A695E0-D62A-11E9-A5D3-31E3D3A9F33E"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="88A695E1-D62A-11E9-A5D3-31E3D3A9F33E"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="88A695E2-D62A-11E9-A5D3-31E3D3A9F33E"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="E680BFD0-D63C-11E9-90F4-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913164106"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4124990170"/><addr use="H"><streetAddressLine/><streetAddressLine>5 Whitegate</streetAddressLine><streetAddressLine/><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 9AE</postalCode><useablePeriod><low value="20180518"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Kylie</given><given>Marie</given><family>Dunn</family></name><administrativeGenderCode code="2"/><birthTime value="19830909"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B84005"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="BF641D02-D639-11E9-AC75-C3452A8646D1"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="1B2CAD-B84005-470BA8"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913164141"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>dXYQzfEBBiqJPGFSOZl4d09+6BQ=</DigestValue></Reference></SignedInfo><SignatureValue>Owb59Ygss5HJ1rePPrda2/AfU6hPnUFQAPmkMUxhGH0aRwEdIhZc7APPmktcxidvbJGRI5T5MMPRqiHx5CzAwlo/76wNwmzovO9TcMkUrHq47oKKtMa6K7vJ145hH1rJVO8dKrF3eJ/oxGevGyZcL71r5jiCkNkBcrNoASIpAHw=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="565773011106"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422353450"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2078488"/><name use="L"><prefix>Mr</prefix><given>Adnan</given><family>Bashir</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84005"/><code code="001"/><name>Rosegarth Surgery</name><telecom use="WP" value="tel:01422353450"/><addr use="WP"><streetAddressLine>Rosegarth Surgery</streetAddressLine><streetAddressLine>Rothwell Mount</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX1 2HB</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="565773011106"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422353450"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2078488"/><name use="L"><prefix>Mr</prefix><given>Adnan</given><family>Bashir</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84005"/><code code="001"/><name>Rosegarth Surgery</name><telecom use="WP" value="tel:01422353450"/><addr use="WP"><streetAddressLine>Rosegarth Surgery</streetAddressLine><streetAddressLine>Rothwell Mount</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX1 2HB</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19990908"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="BF641D03-D639-11E9-AC75-C3452A8646D1"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20996411000001108" displayName="Fortisip Compact Protein liquid (Flavour Not Specified)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="2000" unit="1"><translation value="2000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Amitriptyline 50mg/5ml oral solution sugar free, 300 ml, 5ml ON, Last Issued: Never, </medication><medication>Buccastem M 3mg tablets (Alliance Pharmaceuticals Ltd), 112 tablet, 1 twice daily if needed, Last Issued: Never, </medication><medication>Calci-D 1000mg/1,000unit chewable tablets (Consilient Health Ltd), 56 tablet, 1 daily, Last Issued: Never, </medication><medication>Cetirizine 10mg tablets, 56 tablet, take one daily, Last Issued: Never, </medication><medication>Codeine 30mg tablets, 100 tablet, Take 1 or 2 tablets four times a day when required, Last Issued: Never, </medication><medication>Easyhaler Salbutamol sulfate 100micrograms/dose dry powder inhaler (Orion Pharma (UK) Ltd), 400 dose, Inhale TWO puffs when required., Last Issued: Never, </medication><medication>Fostair NEXThaler 100micrograms/dose / 6micrograms/dose dry powder inhaler (Chiesi Ltd), 240 dose, One to two puffs twice daily plus extra for SMART use across the day, Last Issued: Monday 09 Sep 2019, Next Issue Due: Fri 08 Nov 2019</medication><medication>Lansoprazole 30mg orodispersible tablets (Teva UK Ltd), 56 tablet, take one once daily, Last Issued: Never, </medication><medication>Laxido Orange oral powder sachets sugar free (Galen Ltd), 30 sachet, Take ONE sachet TWICE daily. prn, Last Issued: Never, </medication><medication>Non-woven fabric swab 4ply sterile 7.5cm x 7.5cm, 200 swab, use as directed, Last Issued: Never, </medication><medication>Nutrison Peptisorb liquid (Nutricia Ltd), 28000 ml, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sun 13 Oct 2019</medication><medication>Ondansetron 4mg tablets, 30 tablet, take one twice daily prn, Last Issued: Never, </medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 2000 ml, 20ml qds prn, Last Issued: Never, </medication><medication>Peppermint oil 0.2ml gastro-resistant capsules, 84 capsule, take one 3 times/day, Last Issued: Never, </medication><medication>Pregabalin 225mg capsules, 112 capsule, 1 bd, Last Issued: Never, </medication><patientInfo>FROM THE 1st FEBRUARY - pharmacies and 3rd party contractors will not be able to order your medication. You must order your prescriptions by coming into surgery, by post or online unless we have advised differently. INTERESTED IN ONLINE ORDERING - Bring Photo ID to reception, we will then issue you with your user name and password today. Please tick box for the medicine(s) you require. Please allow two full working days for the safe preparation of your prescription, provided your request reaches us before 4pm. We regret we do not accept prescription requests over the telephone. Tel (01422) 353450 If you fall into the criteria where a pharmacist can order your medication. Please tick here & sign & date the form. </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="AF" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="BF641D04-D639-11E9-AC75-C3452A8646D1"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="35386211000001108" displayName="Fortisip Compact Protein liquid neutral (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="300" unit="1"><translation value="300" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20430909"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0108" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="BF641D02-D639-11E9-AC75-C3452A8646D1"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="BF641D03-D639-11E9-AC75-C3452A8646D1"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="BF641D04-D639-11E9-AC75-C3452A8646D1"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="44375F30-D62E-11E9-90EA-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913145621"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6481785936"/><addr use="H"><streetAddressLine/><streetAddressLine>138 Ravenstone Drive</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine/><postalCode>HX4 8DY</postalCode><useablePeriod><low value="20180525"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Hollie</given><given>Louise</given><family>Shaw</family></name><administrativeGenderCode code="2"/><birthTime value="20040312"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="4E5642B0-D629-11E9-B0BE-39119DC95AB5"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="C4BCE4-B84009-7F640Q"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913145724"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>+DIHLv13sM2VNpmcJK6atScz8JQ=</DigestValue></Reference></SignedInfo><SignatureValue>uXBsYuid/sYEOnLRP97cDU/cnBhljAamdlBnS3Vv7sJtts0PAjQ/lfByjbnsJkH0+Qo9lGr16lDXQ147QVaQWbOCsniLmiDd5GcLJnRYgZrA8gFUZntEE+A1fp0C49Zhkf9ZTdx0S6JVyCXsdsxyJ3yuTr4ZHSsrBE/Lx1s2NoE=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20200311"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="4E5642B1-D629-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20990411000001106" displayName="Ensure TwoCal liquid (Flavour Not Specified)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="6000" unit="1"><translation value="6000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Acti-Wrap (cohesive/latex free) bandage 8cm x 4m (L&R Medical UK Ltd), 30 bandage, AS REQUIRED, Last Issued: Monday 05 Aug 2019, Next Issue Due: Thu 15 Aug 2019, Issues Remaining: 6</medication><medication>Amitriptyline 10mg/5ml oral solution sugar free, 300 ml, 10mls at night, Last Issued: Monday 05 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 6</medication><medication>Cetirizine 1mg/ml oral solution sugar free, 200 ml, 10mls during morning only, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Mon 16 Sep 2019, Issues Remaining: 5</medication><medication>Chlorphenamine 2mg/5ml oral solution, 300 ml, 10ml at night (repeated 4-6 hours later if needed), Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Tue 24 Sep 2019, Issues Remaining: 5</medication><medication>CliniMed non-woven fabric swab 4ply non-sterile 10cm x 10cm 3900 (CliniMed Ltd), 200 swab, AS DIRECTED, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 6</medication><medication>Clonidine 50micrograms/5ml oral solution, 100 ml, 4.5ml 1 hr prior to bed, Additional Script Notes: as per hospital, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Fri 20 Sep 2019, Issues Remaining: 6</medication><medication>ConvaTec Niltac Sting Free medical adhesive remover aerosol TR101 (ConvaTec Ltd), 1500 ml, use as directed, Last Issued: Tuesday 27 Aug 2019, , Issues Remaining: 6</medication><medication>Crystacide 1% cream (Reig Jofre UK Ltd), 800 gram, AS DIR, Last Issued: Never, , Issues Remaining: 8</medication><medication>Dermol 600 bath emollient (Dermal Laboratories Ltd), 1200 ml, use as directed, Last Issued: Never, , Issues Remaining: 8</medication><medication>Dermol cream (Dermal Laboratories Ltd), 500 gram, Apply as directed. Not for routine use, short term only for infected eczema only, Last Issued: Never, , Issues Remaining: 8</medication><medication>Dulcolax Pico 5mg/5ml liquid (Sanofi), 600 ml, 20ml daily mdu, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 6, Review Due On: Thu 09 Jul 2020</medication><medication>Emollin aerosol spray (C D Medical Ltd), 150 ml, use as directed, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Tue 24 Sep 2019, Issues Remaining: 6</medication><medication>Ensure TwoCal liquid (Flavour Not Specified), 6000 ml, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 5</medication><medication>Ferrous fumarate 140mg/5ml oral solution sugar free, 300 ml, Take 5ml twice daily, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Issues Remaining: 6</medication><medication>Flaminal Hydro gel dressing (Flen Health UK Ltd), 45 gram, use as directed, Last Issued: Thursday 01 Aug 2019, Next Issue Due: Fri 02 Aug 2019, Issues Remaining: 6</medication><medication>Mepilex Border Lite dressing 10cm x 10.5cm (Molnlycke Health Care Ltd), 160 dressing, use as directed, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Tue 24 Sep 2019, Issues Remaining: 6</medication><medication>Mepilex Border Lite dressing 4cm x 5cm (Molnlycke Health Care Ltd), 75 dressing, use as directed, Last Issued: Tuesday 27 Aug 2019, , Issues Remaining: 4</medication><medication>Mepilex Border Lite dressing 7.5cm x 7.5cm (Molnlycke Health Care Ltd), 25 dressing, use as directed, Last Issued: Monday 05 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 6</medication><medication>Mepilex Transfer dressing 15cm x 20cm (Molnlycke Health Care Ltd), 100 dressing, use as directed, Last Issued: Never, , Issues Remaining: 8</medication><medication>Mepilex XT dressing 15cm x 16cm (Molnlycke Health Care Ltd), 25 dressing, use As directed, Additional Script Notes: This is mepilex XT, Last Issued: Tuesday 27 Aug 2019, , Issues Remaining: 6</medication><medication>Mepitac tape 2cm (Molnlycke Health Care Ltd), 45 m, use as directed, Last Issued: Monday 09 Sep 2019, Next Issue Due: Mon 07 Oct 2019, Issues Remaining: 5</medication><medication>Mepitac tape 4cm (Molnlycke Health Care Ltd), 30 m, use as directed, Last Issued: Tuesday 27 Aug 2019, , Issues Remaining: 4</medication><medication>Microlance hypodermic needle sterile single use 0.5mm/25gauge 25mm (Becton, Dickinson UK Ltd), 100 needle, use as directed, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Wed 28 Aug 2019, Issues Remaining: 5</medication><medication>Movicol Plain oral powder 13.7g sachets (Forum Health Products Ltd), 90 sachet, Take ONE to THREE sachets daily, Last Issued: Monday 05 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 7</medication><medication>MST Continus suspension 20mg granules sachets (Napp Pharmaceuticals Ltd), 180 sachet, take 3 every 12 hrs, Last Issued: Monday 09 Sep 2019, Next Issue Due: Wed 09 Oct 2019, Issues Remaining: 5</medication><medication>Oxycodone 5mg/5ml oral solution sugar free, 1000 ml, 13mg (13ml) as break through for pain When Required max 4 hourly, Last Issued: Monday 09 Sep 2019, Next Issue Due: Mon 07 Oct 2019, Issues Remaining: 4</medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 500 ml, Take 15ml every four to six hours when required. Maximum of 4 doses in 24 hours., Last Issued: Monday 09 Sep 2019, Next Issue Due: Mon 07 Oct 2019, Issues Remaining: 5</medication><medication>PolyMem dressing (non-adhesive) 10cm x 61cm rectangular (Aspen Medical Europe Ltd), 180 dressing, use as directed, Last Issued: Tuesday 27 Aug 2019, , Issues Remaining: 5</medication><medication>Pro D3 2,000units/ml liquid (Synergy Biologics Ltd), 100 ml, 3ml once daily, Last Issued: Never, , Issues Remaining: 8</medication><medication>Tubifast 2-way stretch stockinette 5cm (Molnlycke Health Care Ltd), 60 m, use as directed, Last Issued: Monday 05 Aug 2019, , Issues Remaining: 7</medication><medication>Tubifast 2-way stretch stockinette 7.5cm (Molnlycke Health Care Ltd), 60 m, use as directed, Last Issued: Monday 05 Aug 2019, , Issues Remaining: 7</medication><medication>VitA-POS eye ointment preservative free (Scope Ophthalmics Ltd), 5 gram, Apply at night., Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Tue 24 Sep 2019, Issues Remaining: 5</medication><medication>Lactulose 3.1-3.7g/5ml oral solution, 500 ml, 10ml To be taken Twice Daily or as directed, Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Thu 12 Sep 2019, Issues Remaining: 1</medication><medication>Sodium picosulfate 5mg/5ml oral solution sugar free, 300 ml, 10ml prior to and after iron infusions, Last Issued: Wednesday 28 Aug 2019, Next Issue Due: Thu 12 Sep 2019, Issues Remaining: 4</medication><medication>TwoCal liquid (Abbott Laboratories Ltd), 32000 litre, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Issues Remaining: 2</medication><patientInfo> Please tick the box for the medicines you require. Please allow 48 hours before collection Alternatively you can order on line via our web-site. www.stainlandroadmedicalcentre.co.uk </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="5E648A21-ADF9-11E9-AD40-8FEA4A58F6DB"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="4E5642B2-D629-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="19376411000001105" displayName="TwoCal liquid (Abbott Laboratories Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="32000" unit="1"><translation value="32000" code="258770004" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="litre"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="4E5642B2-D629-11E9-B0BE-39119DC95AB5"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20640312"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0108" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="5E648A20-ADF9-11E9-AD40-8FEA4A58F6DB"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4E5642B0-D629-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4E5642B1-D629-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="4E5642B2-D629-11E9-B0BE-39119DC95AB5"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="B73DE3F1-D638-11E9-90F1-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913161109"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4520410037"/><addr use="H"><streetAddressLine>White Gables</streetAddressLine><streetAddressLine/><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>W Yorkshire</streetAddressLine><postalCode>HX4 8AN</postalCode><useablePeriod><low value="20140704"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Michael</given><given>Richard</given><family>Ingham</family></name><administrativeGenderCode code="1"/><birthTime value="19500215"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="56EB4980-D632-11E9-B0BE-39119DC95AB5"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="8C6655-B84009-7F699M"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913161207"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>+5DCBBaqRh8v8WkgMUe39ygxWoQ=</DigestValue></Reference></SignedInfo><SignatureValue>ocFgK1AqEeQ+nnkzMvIZsJsJ0T+LbeLJclSfq7pN8kA01rTBX8bbtY5P2qH9NSjUefhEPDa/QTvuinYmtU93L2C1eiUM0bbymu2XDnWd8IRRCy0VLucuwQtEtAYQ6sE9l9DpiXH/PzRsCeSFh1qmXqkfdtmfih2eFA9ZvZY2pzs=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19660214"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="56EB4981-D632-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="20994811000001103" displayName="Fortisip Bottle (Flavour Not Specified)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="16800" unit="1"><translation value="16800" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Benzydamine 0.15% mouthwash sugar free, 600 ml, 10ml as a mouthwash four times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Carbocisteine 250mg/5ml oral solution, 1200 ml, 15ml tds, Last Issued: Wednesday 07 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 5</medication><medication>Fresubin Energy Fibre liquid (Flavour Not Specified), 5600 ml, 200ml daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Fresubin Energy liquid (Flavour Not Specified), 16800 ml, 200ml three times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Gelclair concentrated oral gel 15ml sachets (Alliance Pharmaceuticals Ltd), 21 sachet, use ONE sachet as directed three times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Lansoprazole 30mg orodispersible tablets, 56 tablet, take one twice daily, Last Issued: Friday 23 Aug 2019, Next Issue Due: Fri 20 Sep 2019, Issues Remaining: 5</medication><medication>Laxido Orange oral powder sachets sugar free (Galen Ltd), 60 sachet, Take ONE sachet TWICE daily., Last Issued: Never, , Issues Remaining: 6</medication><medication>Metoclopramide 5mg/5ml oral solution sugar free, 900 ml, 10ml three times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Morphine sulfate 10mg/5ml oral solution, 100 ml, 1.25ml (2.5mg) 2 hourly when required for pain (max. 30mg /24 hours), Last Issued: Never, , Issues Remaining: 6</medication><medication>MST Continus suspension 20mg granules sachets (Napp Pharmaceuticals Ltd), 30 sachet, take HALF a sachet (10mg) every 12 hrs, Last Issued: Never, , Issues Remaining: 6</medication><medication>Nutrison Energy Multi Fibre liquid (Nutricia Ltd), 28000 ml, use as directed, Last Issued: Never, , Issues Remaining: 6</medication><medication>Paracetamol 500mg effervescent tablets, 100 tablet, take 1 or 2 4 times/day, Last Issued: Friday 23 Aug 2019, Next Issue Due: Wed 04 Sep 2019, Issues Remaining: 5</medication><medication>Salbutamol 2.5mg/2.5ml nebuliser liquid unit dose vials, 100 unit dose, Inhale 1 dose 3-4 times/day when required, Last Issued: Tuesday 10 Sep 2019, Next Issue Due: Tue 08 Oct 2019, Issues Remaining: 5</medication><medication>Sodium chloride 0.9% irrigation solution 20ml Sterowash unit dose (Steroplast Healthcare Ltd), 100 unit dose, Use 10ml as a mouthwash four times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>Sodium chloride 0.9% nebuliser liquid 2.5ml unit dose ampoules, 240 unit dose, Use 5ml four times daily, Last Issued: Never, , Issues Remaining: 6</medication><medication>BioXtra Dry Mouth oral gel (R.I.S. Products Ltd), 40 ml, use as directed, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 10 Sep 2019, Issues Remaining: 2</medication><patientInfo> Please tick the box for the medicines you require. Please allow 48 hours before collection Alternatively you can order on line via our web-site. www.stainlandroadmedicalcentre.co.uk </patientInfo>send scripts to nutricia</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="AF" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed - 3 per day</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="56EB4982-D632-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="782011000001100" displayName="Nutrison Energy Multi Fibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="28000" unit="1"><translation value="28000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20100215"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0108" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="56EB4980-D632-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="56EB4981-D632-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="56EB4982-D632-11E9-B0BE-39119DC95AB5"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="B83F56C0-D62A-11E9-90E6-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913143057"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4489455429"/><addr use="H"><streetAddressLine>Westvale House Care Home</streetAddressLine><streetAddressLine>Old Hall Road</streetAddressLine><streetAddressLine>Old Hall</streetAddressLine><streetAddressLine>Warrington</streetAddressLine><streetAddressLine>Cheshire</streetAddressLine><postalCode>WA5 9PA</postalCode><useablePeriod><low value="20190515"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Glenys</given><family>Robinson</family></name><administrativeGenderCode code="2"/><birthTime value="19550621"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="N81122"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="7CB90CF0-D56B-11E9-8DB9-C984F52A6D83"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="35CB8C-N81122-F43FEZ"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913143133"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>Y6qxX3WOSS7I2jsHZy+TvLtyUuQ=</DigestValue></Reference></SignedInfo><SignatureValue>GpK2P4rrS364Dq/BLqUg2+sGr94YjnEeaVd5fjVw6+qwKh3Apai1kg1zfzdQNX02/R8P4jj9ODRIdc3iMTN0iI/Kn08qKoKZJZPIUwFGrfb6He/dF+689PXdmePRPL78IQjceAoEk06E8AHnCvuIuwS7Q4+qq3WtY01+XEONnKk=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="010307721562"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01925654152"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6140551"/><name use="L"><prefix>Dr</prefix><given>Mark</given><family>Dale</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="N81122"/><code code="001"/><name>Westbrook Medical Centre</name><telecom use="WP" value="tel:01925654152"/><addr use="WP"><streetAddressLine>301-302 Westbrook Centre</streetAddressLine><streetAddressLine>Westbrook</streetAddressLine><streetAddressLine>Warrington</streetAddressLine><streetAddressLine>Cheshire</streetAddressLine><postalCode>WA5 8UF</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02E"/><code code="005"/><name>NHS Warrington CCG</name><addr use="WP"><streetAddressLine>110 Birchwood Boulevard</streetAddressLine><streetAddressLine>Birchwood</streetAddressLine><streetAddressLine>Warrington</streetAddressLine><streetAddressLine>Cheshire</streetAddressLine><postalCode>WA3 7QH</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="010307721562"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01925654152"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="913837"/><name use="L"><prefix>Dr</prefix><given>Mark</given><family>Dale</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="N81122"/><code code="001"/><name>Westbrook Medical Centre</name><telecom use="WP" value="tel:01925654152"/><addr use="WP"><streetAddressLine>301-302 Westbrook Centre</streetAddressLine><streetAddressLine>Westbrook</streetAddressLine><streetAddressLine>Warrington</streetAddressLine><streetAddressLine>Cheshire</streetAddressLine><postalCode>WA5 8UF</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02E"/><code code="005"/><name>NHS Warrington CCG</name><addr use="WP"><streetAddressLine>110 Birchwood Boulevard</streetAddressLine><streetAddressLine>Birchwood</streetAddressLine><streetAddressLine>Warrington</streetAddressLine><streetAddressLine>Cheshire</streetAddressLine><postalCode>WA3 7QH</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19710620"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="7CB90CF1-D56B-11E9-8DB9-C984F52A6D83"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="10913811000001101" displayName="Nutrison Concentrated liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="28000" unit="1"><translation value="28000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Baclofen 5mg/5ml oral solution sugar free, 2520 ml, 30ml To be taken Three Times Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Butec 20micrograms/hour transdermal patches (Qdem Pharmaceuticals Ltd), 4 patch, Apply 1 patch Once Weekly (Wednesday), Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Carbamazepine 100mg/5ml oral suspension sugar free, 280 ml, 5ml To be taken Twice Daily via PEG, Additional Script Notes: Can be increase to 15ml twice daily if needed, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Levetiracetam 100mg/ml oral solution sugar free, 600 ml, 10ml To be taken Twice Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Omeprazole 20mg dispersible gastro-resistant tablets, 28 tablet, 1 To be taken Once Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 2240 ml, 20ml To be taken Four Times Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Senna 7.5mg/5ml oral solution sugar free, 280 ml, 10ml To be taken Each Night via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 16 May 2020</medication><medication>Ondansetron 4mg/5ml oral solution sugar free, 420 ml, 5ml To be taken Three Times Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Sat 13 Jun 2020</medication><medication>Docusate 50mg/5ml oral solution sugar free, 1120 ml, 20ml To be taken Twice Daily via PEG, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Thu 16 Jul 2020</medication><medication>Peppermint oil 0.2ml gastro-resistant modified-release capsules, 84 capsule, 1 To be taken Three Times Daily, Additional Script Notes: dissolve contents of capsule in water and administer via PEG, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Tue 01 Oct 2019, Review Due On: Thu 03 Sep 2020</medication><patientInfo>PLEASE DO NOT PHONE FOR PRESCRIPTIONS - unless you are elderly or housebound. Use this slip to re-order. Allow 2 full working days for processing. Please note that your request will NOT be ready for collection until AFTER 4.30pm, on the day it is due. Please ignore the "review reminder" date on your order slip. We will inform you if you are required to attend.</patientInfo>Delivery Date:22 August 2019</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20150621"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="7CB90CF0-D56B-11E9-8DB9-C984F52A6D83"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="7CB90CF1-D56B-11E9-8DB9-C984F52A6D83"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="F9D25A70-D624-11E9-90DD-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913134950"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6483613725"/><addr use="H"><streetAddressLine/><streetAddressLine>9 Addingtons Road</streetAddressLine><streetAddressLine>Great Barford</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine/><postalCode>MK44 3HR</postalCode><useablePeriod><low value="20100104"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Master</prefix><given>Charlie</given><given>Joseph</given><family>Roper</family></name><administrativeGenderCode code="1"/><birthTime value="20091109"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="E81031"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="1E0D0542-D623-11E9-AC0D-752E99FE6B70"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="3FBEED-E81031-24EF0K"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913134958"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>H4G4XMhpG7QEBwIsl6xgRA9GMec=</DigestValue></Reference></SignedInfo><SignatureValue>MRWQJ1TB9zu6zF0cPR6m0BZ+rli2VAsTBEW7k8FKP5hJvK/uz2cmiDVqcCOI+i3J7WvFn0h1fPC2Vdn8c7UvbBzng32UjJuJs4Kh0rPEVfijjOhnEWxalyVZUoTfXOqdKq+cV03HMoELN16aOlJuIryy3I9uC9a+m3wgZKVlV+U=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="583973709012"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01234870325"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6062084"/><name use="L"><prefix>Dr</prefix><given>Anoop</given><given>K</given><family>Agrawal</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="E81031"/><code code="001"/><name>Great Barford Surgery</name><telecom use="WP" value="tel:01234870325"/><addr use="WP"><streetAddressLine>26 Silver Street</streetAddressLine><streetAddressLine>Great Barford</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK44 3HX</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06F"/><code code="005"/><name>NHS Bedfordshire CCG</name><addr use="WP"><streetAddressLine>Capability House</streetAddressLine><streetAddressLine>Wrest Park</streetAddressLine><streetAddressLine>Silsoe</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK45 4HR</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="583973709012"/><code code="S0010:G0020:R0260" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01234870325"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="883964"/><name use="L"><prefix>Dr</prefix><given>Anoop</given><given>K</given><family>Agrawal</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="E81031"/><code code="001"/><name>Great Barford Surgery</name><telecom use="WP" value="tel:01234870325"/><addr use="WP"><streetAddressLine>26 Silver Street</streetAddressLine><streetAddressLine>Great Barford</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK44 3HX</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="06F"/><code code="005"/><name>NHS Bedfordshire CCG</name><addr use="WP"><streetAddressLine>Capability House</streetAddressLine><streetAddressLine>Wrest Park</streetAddressLine><streetAddressLine>Silsoe</streetAddressLine><streetAddressLine>Bedford</streetAddressLine><streetAddressLine>Bedfordshire</streetAddressLine><postalCode>MK45 4HR</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20251108"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="1E0D0543-D623-11E9-AC0D-752E99FE6B70"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="4068411000001104" displayName="Tentrini Energy Multifibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="14000" unit="1"><translation value="14000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Keppra 100mg/ml oral solution (UCB Pharma Ltd), 600 ml, 2.5 ml twice daily or as per specialist advice, Last Issued: Thursday 15 Aug 2019, Next Issue Due: Mon 14 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 78, 71, 244, 147, 106</medication><medication>Movicol Paediatric Plain oral powder 6.9g sachets (Norgine Pharmaceuticals Ltd), 30 sachet, 1 sachet As advised, Last Issued: Wednesday 04 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 115, 44, 40, 42, 23</medication><medication>Nutilis Clear thickening powder [NUTRICIA], 700 gram, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sun 13 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 31, 7, 18, 27, 29</medication><medication>Salbutamol 100micrograms/dose inhaler CFC free, 400 dose, inhale 2 doses as needed, Last Issued: Wednesday 28 Feb 2018, Next Issue Due: Fri 30 Mar 2018, Review Due On: Wed 29 Jan 2020, Issue Intervals: 316</medication><medication>Fortini Multi Fibre liquid chocolate (Nutricia Ltd), 28000 ml, use as directed, Last Issued: Thursday 08 Nov 2018, Next Issue Due: Thu 06 Dec 2018, Review Due On: Wed 29 Jan 2020, Issue Intervals: 114, 5, 18, 27, 280</medication><medication>Fortini Multi Fibre liquid unflavoured (Nutricia Ltd), 5600 ml, use as directed, Last Issued: Thursday 03 Oct 2019, Next Issue Due: Thu 31 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 3, 27, 28, 1, 20</medication><medication>Fortini Compact Multi Fibre liquid strawberry (Nutricia Ltd), 2800 ml, use as directed, Last Issued: Monday 12 Feb 2018, Next Issue Due: Mon 12 Mar 2018, Review Due On: Wed 29 Jan 2020, Issue Intervals: 16, 5, 18, 27, 11</medication><medication>Maxijul super soluble powder [NUTRICIA], 400 gram, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 31, 7, 18, 27, 29</medication><medication>Tegaderm Foam dressing (adhesive) 10cm x 11cm oval (3M Health Care Ltd), 10 dressing, use as directed, Last Issued: Tuesday 05 Feb 2019, Next Issue Due: Wed 06 Feb 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 112, 270</medication><medication>Sodium valproate 200mg/5ml oral solution sugar free, 600 ml, 10 ml twice daily or AS per the hosp advsie, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Thu 03 Oct 2019, Review Due On: Wed 29 Jan 2020, Issue Intervals: 21, 26, 30, 12, 36</medication><patientInfo> ******************************************************************** Security CCTV cameras monitor all entrance points to the surgery. ORDER ONE WEEK IN ADVANCE - MIN 3 WEEKDAYS EXC BANK HOLIDAY Prescriptions/medications can be collected Mon-Fri 8.30-1pm & 2- 6.00pm ORDER ON LINE - ASK RECEPTION FOR USER NAME AND PASSWORD ******************************************************************* Please keep your contact details updated - its really hard to keep you informed if we do not have these - Thank you. Mobile Telephone Number_________________________________ Telephone Number ______________________________________ Email Address__________________________________________ I give permission for Great Barford Surgery Team to make contact or leave a message for me if I am unavailable. Signed: _______________________ Date ______________________ </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20691109"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="1E0D0542-D623-11E9-AC0D-752E99FE6B70"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="1E0D0543-D623-11E9-AC0D-752E99FE6B70"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="B7023A80-D638-11E9-90F1-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913161108"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6140080797"/><addr use="H"><streetAddressLine/><streetAddressLine>80 Hoults Lane</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>W Yorkshire</streetAddressLine><postalCode>HX4 8HN</postalCode></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mr</prefix><given>Carl</given><given>Ian</given><family>Haydock</family></name><administrativeGenderCode code="1"/><birthTime value="19700706"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="7E319BC0-D632-11E9-B0BE-39119DC95AB5"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="22A320-B84009-7F69AL"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913161207"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>d5hE5vilGqeRwMiTKkOotY8jPnw=</DigestValue></Reference></SignedInfo><SignatureValue>TVRYIbvkvQRXqPS92QtcDFU8WSXpY/01sft9y/mIS+rzr4fbs0BWbXAY7EAhyhp3DQ1TmD2ZagyA4BLagm6AAvyOGgu65fgpZzZ2pmT19gjGHebispQuN/lp7nFz3/kd3vB0XxLhEw54VG7EEARg799U/qV9G1GqvrGfLCxbUEw=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="558180702105"/><code code="S0050:G0200:R1290" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01422374109"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="2071979"/><name use="L"><given>Sahra</given><family>Arshad</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B84009"/><code code="001"/><name>Stainland Road Medical Centre</name><telecom use="WP" value="tel:01422374109"/><addr use="WP"><streetAddressLine>Stainland Rd Medical Ctr</streetAddressLine><streetAddressLine>70 Stainland Road</streetAddressLine><streetAddressLine>Greetland</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX4 8BD</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02T"/><code code="005"/><name>NHS Calderdale CCG</name><addr use="WP"><streetAddressLine>F Mill</streetAddressLine><streetAddressLine>Dean Clough Mills</streetAddressLine><streetAddressLine>Halifax</streetAddressLine><streetAddressLine>West Yorkshire</streetAddressLine><postalCode>HX3 5AX</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19860705"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="7E319BC1-D632-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="10913811000001101" displayName="Nutrison Concentrated liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="21000" unit="1"><translation value="21000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Artificial saliva spray, 50 ml, use as directed, Last Issued: Monday 12 Aug 2019, Next Issue Due: Mon 09 Sep 2019, Issues Remaining: 2</medication><medication>Omeprazole 20mg dispersible gastro-resistant tablets, 28 tablet, take one daily (dissolve and administer via peg), Last Issued: Tuesday 27 Aug 2019, Next Issue Due: Tue 24 Sep 2019, Issues Remaining: 11</medication><patientInfo> Please tick the box for the medicines you require. Please allow 48 hours before collection Alternatively you can order on line via our web-site. www.stainlandroadmedicalcentre.co.uk </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="7E319BC2-D632-11E9-B0BE-39119DC95AB5"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="782011000001100" displayName="Nutrison Energy Multi Fibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="14000" unit="1"><translation value="14000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20300706"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0108" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="7E319BC0-D632-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="7E319BC1-D632-11E9-B0BE-39119DC95AB5"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="7E319BC2-D632-11E9-B0BE-39119DC95AB5"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="4C604BD1-D639-11E9-90F3-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913161519"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6269769175"/><addr use="H"><streetAddressLine/><streetAddressLine>4 Meadow View</streetAddressLine><streetAddressLine/><streetAddressLine>Bridlington</streetAddressLine><streetAddressLine>North Humberside</streetAddressLine><postalCode>YO16 6FQ</postalCode><useablePeriod><low value="20140324"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Kerry</given><given>Louise</given><family>Tyson</family></name><administrativeGenderCode code="2"/><birthTime value="19740222"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="B81014"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="3235EA10-D62C-11E9-8882-E7B87FB71337"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="55AD20-B81014-48EDAG"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913161613"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>Sll8NcgUXIUvhmPzflSR0u7I60s=</DigestValue></Reference></SignedInfo><SignatureValue>ITvUNSFbST5IFdb4d5PH8wz5ijVaAh5BeWiqzAgrjpjWF8nxBnJDWE6FvCDkHcGfmD6SBdfUU0QoX3+xinaHfVVrScUxQTFYUuX5j4l2SpcHkAeNaCumXU0tuHUTuwRY8uNHQCRmNMsJkxxihlsF1gqUIXjZzTZNmCSitK5qZmY=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="764491922564"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01262670690"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="3460083"/><name use="L"><prefix>Dr</prefix><given>Michael</given><family>Hardman</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B81014"/><code code="001"/><name>Drs Hardman, Cooling & Brown</name><telecom use="WP" value="tel:01262670690"/><addr use="WP"><streetAddressLine>The Medical Centre</streetAddressLine><streetAddressLine>Station Avenue</streetAddressLine><streetAddressLine>Bridlington</streetAddressLine><streetAddressLine>East Riding of Yorkshire</streetAddressLine><postalCode>YO16 4LZ</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02Y"/><code code="005"/><name>NHS East Riding Of Yorkshire CCG</name><addr use="WP"><streetAddressLine>Health House</streetAddressLine><streetAddressLine>Grange Park Lane</streetAddressLine><streetAddressLine>Willerby</streetAddressLine><streetAddressLine>Hull</streetAddressLine><streetAddressLine>East Riding of Yorkshire</streetAddressLine><postalCode>HU10 6DT</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="764491922564"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01262670690"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="950833"/><name use="L"><prefix>Dr</prefix><given>Michael</given><family>Hardman</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="B81014"/><code code="001"/><name>Drs Hardman, Cooling & Brown</name><telecom use="WP" value="tel:01262670690"/><addr use="WP"><streetAddressLine>The Medical Centre</streetAddressLine><streetAddressLine>Station Avenue</streetAddressLine><streetAddressLine>Bridlington</streetAddressLine><streetAddressLine>East Riding of Yorkshire</streetAddressLine><postalCode>YO16 4LZ</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="02Y"/><code code="005"/><name>NHS East Riding Of Yorkshire CCG</name><addr use="WP"><streetAddressLine>Health House</streetAddressLine><streetAddressLine>Grange Park Lane</streetAddressLine><streetAddressLine>Willerby</streetAddressLine><streetAddressLine>Hull</streetAddressLine><streetAddressLine>East Riding of Yorkshire</streetAddressLine><postalCode>HU10 6DT</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19900221"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="3235EA11-D62C-11E9-8882-E7B87FB71337"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="319611000001104" displayName="Nutrison Energy liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="14000" unit="1"><translation value="14000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Clonazepam 500micrograms/5ml oral solution sugar free, 150 ml, 3ml (300mcg) as a single dose if more than 2 episodes of vacant seizures in 12 hours, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 25, 181, 15, 56, 55</medication><medication>Epilim 200mg/5ml liquid (Sanofi), 840 ml, 600mg twice a day (15ml) 8am and 10pm, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 23, 34, 27, 29, 55</medication><medication>Lacosamide 10mg/ml oral solution sugar free, 420 ml, 10 mls (100mgs) in the morning ; AND 5 ML(50MGS) AT NIGHT via PEG, Additional Script Notes: VIA PEG, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 34, 27, 29, 27, 28</medication><medication>Oxcarbazepine 60mg/ml oral suspension sugar free, 400 ml, 3.5mL (210mg) in the morning and at lunch and 7mls (420mg) in the evening, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 34, 27, 29, 27, 28</medication><medication>Midazolam 7.5mg/1.5ml oromucosal solution pre-filled oral syringes sugar free, 4 unit dose, one dose for tonic clonic seizures lasting more than 5 minutes or if has 2 or more tonic clonic seizures in 12 hours, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 57, 27, 29, 27, 28</medication><medication>Metoclopramide 5mg/5ml oral solution sugar free, 900 ml, 10Mmgs three times daily via PEG, Additional Script Notes: VIA PEG, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 23, 34, 27, 29, 55</medication><medication>Ranitidine 75mg/5ml oral solution sugar free, 600 ml, 2x5ml spoon twice daily, Last Issued: Monday 02 Sep 2019, Next Issue Due: Tue 17 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 23, 34, 27, 29, 55</medication><medication>Nutrison Energy liquid (Nutricia Ltd), 14000 ml, as directed by dietician, Additional Script Notes: dispense as 500mL packs pls, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 28, 29, 27, 28, 29</medication><medication>Nutrison Energy Multi Fibre liquid (Nutricia Ltd), 14000 ml, use as directed, Additional Script Notes: as 500mL packs pls, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 28, 29, 27, 28, 29</medication><medication>Proshield Plus skin protective 8213 0300 04 (Smith & Nephew Healthcare Ltd), 230 gram, use as directed, Last Issued: Monday 02 Sep 2019, Next Issue Due: Mon 30 Sep 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 23, 34, 27, 56, 28</medication><medication>Sodium picosulfate 5mg/5ml oral solution sugar free, 600 ml, 5-10ml once or twice daily, Last Issued: Monday 02 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 23, 61, 29, 27, 28</medication><medication>Cleen Ready-to-use 133ml enema (Casen Recordati S.L.), 10 enema, administer as directed twice weekly, Last Issued: Monday 02 Sep 2019, Next Issue Due: Wed 02 Oct 2019, Review Due On: Sat 05 Oct 2019, Issue Intervals: 114, 34, 27, 29, 55</medication><patientInfo>BOOK NOW - FLU JAB - For Patients 65 years of age, children 2 to 4yrs or if you are in an at risk category or a carer. The Practice HAS purchased a flu vaccine for you this year as we always do. Please help support the Practice and ensure that you book your appointment with us this year. Clinics are available to book NOW ********************************************************************************** NEW - General Data Protection Regulations 2018 (GDPR) -If you are collecting a script on behalf of someone else we need their written consent. Ask reception for a form. ********************************************************************************** Use the new NHS App - www.nhs.uk/nhsapp</patientInfo>dispense as 500mL packs plsLast authorised repeat</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>as directed by dietician</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="267BF511-5167-11E9-8C61-5FC32023E354"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="3235EA12-D62C-11E9-8882-E7B87FB71337"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="782011000001100" displayName="Nutrison Energy Multi Fibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="14000" unit="1"><translation value="14000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>as 500mL packs plsLast authorised repeat</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="267BF512-5167-11E9-8C61-5FC32023E354"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20340222"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="3235EA10-D62C-11E9-8882-E7B87FB71337"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="3235EA11-D62C-11E9-8882-E7B87FB71337"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="3235EA12-D62C-11E9-8882-E7B87FB71337"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="6BF99A60-D63D-11E9-90F4-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913164450"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6526695647"/><addr use="H"><streetAddressLine/><streetAddressLine>44 Ash Crescent</streetAddressLine><streetAddressLine/><streetAddressLine>Seaham</streetAddressLine><streetAddressLine>Co Durham</streetAddressLine><postalCode>SR7 7UG</postalCode><useablePeriod><low value="20140826"/></useablePeriod></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><given>Chanel</given><family>Murrish</family></name><administrativeGenderCode code="2"/><birthTime value="20140224"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="A83051"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="445634D0-D60D-11E9-90A3-055510110A99"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="C088C7-A83051-1C0CFC"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913164520"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>zR6R4jZABOF4G07C8ApP2oitGl4=</DigestValue></Reference></SignedInfo><SignatureValue>GPpW+E+yrpOTAwTZgh5Q6ERGDHlWciL0j7B8lYaIRwkTEfCAf/aEbnehErvLU6Jgdu1mWmTWXeI4kg8UBybLW/V4FPyeRLcOfj+lss/9nFbgRuUDT96P7wtqPOb819QgHdsPfFTYNfh+9W1wwRt2ELj/Aeoljic8zF1G77kD+GU=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="977514702561"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01915812866"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="5172989"/><name use="L"><prefix>Dr</prefix><given>Shireen</given><given>B N</given><family>Ahmed</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A83051"/><code code="001"/><name>Marlborough Surgery</name><telecom use="WP" value="tel:01915812866"/><addr use="WP"><streetAddressLine>Marlborough Surgery</streetAddressLine><streetAddressLine>St. Johns Square</streetAddressLine><streetAddressLine>Seaham</streetAddressLine><streetAddressLine>Co Durham</streetAddressLine><postalCode>SR7 7JE</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00D"/><code code="005"/><name>NHS Durham Dales, Easington and Sedgefield CCG</name><addr use="WP"><streetAddressLine>Sedgefield Community Hospital</streetAddressLine><streetAddressLine>Salters Lane</streetAddressLine><streetAddressLine>Sedgefield</streetAddressLine><streetAddressLine>Stockton-on-Tees</streetAddressLine><streetAddressLine>Co Durham</streetAddressLine><postalCode>TS21 3EE</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="977514702561"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01915812866"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="894697"/><name use="L"><prefix>Dr</prefix><given>Shireen</given><given>B N</given><family>Ahmed</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A83051"/><code code="001"/><name>Marlborough Surgery</name><telecom use="WP" value="tel:01915812866"/><addr use="WP"><streetAddressLine>Marlborough Surgery</streetAddressLine><streetAddressLine>St. Johns Square</streetAddressLine><streetAddressLine>Seaham</streetAddressLine><streetAddressLine>Co Durham</streetAddressLine><postalCode>SR7 7JE</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00D"/><code code="005"/><name>NHS Durham Dales, Easington and Sedgefield CCG</name><addr use="WP"><streetAddressLine>Sedgefield Community Hospital</streetAddressLine><streetAddressLine>Salters Lane</streetAddressLine><streetAddressLine>Sedgefield</streetAddressLine><streetAddressLine>Stockton-on-Tees</streetAddressLine><streetAddressLine>Co Durham</streetAddressLine><postalCode>TS21 3EE</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20300223"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="445634D1-D60D-11E9-90A3-055510110A99"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="18149711000001104" displayName="Fortini Smoothie Multi Fibre liquid berry fruit (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="1600" unit="1"><translation value="1600" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Aspirin 75mg dispersible tablets, 60 tablet, 75mgs daily as directed by specialist, Last Issued: Friday 21 Jun 2019, Next Issue Due: Tue 20 Aug 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Infatrini Peptisorb liquid (Nutricia Ltd), 6000 ml, 3 daytime boluses at 60mls (50ml/hr over 10 hours), Last Issued: Wednesday 10 May 2017, Next Issue Due: Wed 07 Jun 2017, Review Due On: Thu 18 Jun 2020</medication><medication>Movicol Paediatric Plain oral powder 6.9g sachets (Norgine Pharmaceuticals Ltd), 60 sachet, AS DIRECTED BY HOSPITAL (TWO A DAY), Last Issued: Friday 19 Jul 2019, , Review Due On: Thu 18 Jun 2020</medication><medication>Nutrini Peptisorb liquid (Nutricia Ltd), 30000 ml, use as directed, Additional Script Notes: this px is only to go to nutricia not the pharmacy!, Last Issued: Thursday 29 Aug 2019, Next Issue Due: Thu 26 Sep 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Duocal Super Soluble powder (Nutricia Ltd), 800 gram, use as directed, Last Issued: Thursday 09 May 2019, Next Issue Due: Thu 06 Jun 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Fortini Creamy Fruit Multi Fibre berry fruit (Nutricia Ltd), 4800 gram, use as directed, Last Issued: Friday 06 Sep 2019, Next Issue Due: Fri 04 Oct 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Monogen powder (Nutricia Ltd), 6400 gram, use as directed, Last Issued: Wednesday 06 Sep 2017, Next Issue Due: Wed 04 Oct 2017, Review Due On: Thu 18 Jun 2020</medication><medication>Furosemide 50mg/5ml oral solution sugar free, 150 ml, 1ml (10mgs) a day, Last Issued: Never, , Review Due On: Thu 18 Jun 2020</medication><medication>Salbutamol 100micrograms/dose inhaler CFC free, 600 dose, inhale 2 doses as needed, Last Issued: Wednesday 21 Aug 2019, Next Issue Due: Wed 18 Sep 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Spironolactone 15mg/5ml oral suspension, 300 ml, 15MGS (5MLS) once A DAY, Last Issued: Never, , Review Due On: Thu 18 Jun 2020</medication><medication>Flucloxacillin 250mg/5ml oral solution sugar free, 100 ml, 1x5ml spoon 4 times/day, until further notice by Freeman Hospital, Last Issued: Tuesday 31 Oct 2017, Next Issue Due: Sun 05 Nov 2017, Review Due On: Thu 18 Jun 2020</medication><medication>Levetiracetam 100mg/ml oral solution sugar free, 300 ml, 2mls (200mgs) twice a day, Additional Script Notes: 150mls wasnt lasting 1month chnaged to x2 150mls, Last Issued: Friday 16 Aug 2019, Next Issue Due: Fri 13 Sep 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Sildenafil 20mg tablets, 90 tablet, dissolve 1 tablet in 2mls of water and give 1.5mls as directed by hospital, Last Issued: Friday 19 Jul 2019, Next Issue Due: Sun 18 Aug 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Fortini Multi Fibre liquid (Flavour Not Specified), 3000 ml, use as directed, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Thu 03 Oct 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Fortini Smoothie Multi Fibre liquid summer fruit (Nutricia Ltd), 800 ml, use as directed, Last Issued: Friday 09 Aug 2019, Next Issue Due: Fri 06 Sep 2019, Review Due On: Thu 18 Jun 2020</medication><medication>Enalapril 5mg/5ml oral solution, 150 ml, 2.0 ml (2.0 mg) To be taken Twice Daily, Last Issued: Tuesday 03 Sep 2019, Next Issue Due: Thu 10 Oct 2019, Review Due On: Thu 03 Sep 2020</medication><medication>Fortini Smoothie Multi Fibre liquid berry fruit (Nutricia Ltd), 1600 ml, use as directed, Last Issued: Friday 13 Sep 2019, Next Issue Due: Sat 05 Oct 2019, Review Due On: Sun 13 Sep 2020</medication><patientInfo>View our website for helpful health and care information www.marlboroughsurgery.co.uk Please make sure we have your current mobile and home telephone numbers. ALLOW 48 HOURS FOR YOUR REPEAT PRESCRIPTION FROM THE SURGERY - this does NOT include the additional time required if you have asked a Pharmacy to order and deliver. Thank you. </patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>use as directed</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="445634D1-D60D-11E9-90A3-055510110A99"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20740224"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="445634D0-D60D-11E9-90A3-055510110A99"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="445634D0-D60D-11E9-90A3-055510110A99"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="445634D1-D60D-11E9-90A3-055510110A99"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="32990390-D62A-11E9-90E5-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913142713"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="4840835012"/><addr use="H"><streetAddressLine/><streetAddressLine>230 Ariel Street</streetAddressLine><streetAddressLine/><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 9NF</postalCode></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mrs</prefix><given>Jane</given><family>Paisley</family></name><administrativeGenderCode code="2"/><birthTime value="19631207"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="310364E0-D629-11E9-8A9D-B948C4E956DE"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="91D974-A84028-92996H"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913142923"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>zkY06hmIbjtJvNNbNcZU0i19YlI=</DigestValue></Reference></SignedInfo><SignatureValue>XQr3Qf0Ggblp+wKgML1ZrmpuWhxO1c2WO7jUWNwZVqqnRNkMFEm/aqU/AU2ax0V+LDPgeCeewdDspzEC8YRuaIGIjGvBvZB1iIXI0esRD4SW+rJhr9prFyeGPlbMCtd73PKkDkkwOMrKVvoEdD1h1MDi7gjNqCslEvaTvGpIpTc=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6027219"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="893138"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="19791206"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="310364E1-D629-11E9-8A9D-B948C4E956DE"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="10913811000001101" displayName="Nutrison Concentrated liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="28000" unit="1"><translation value="28000" code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Nutrison Concentrated liquid (Nutricia Ltd), 28000 ml, take as directed by dietitian, Additional Script Notes: post to nutricia homeward Note advised pre and post water flushes 1400mls fluids/day as per PEG/dietitian advice, Last Issued: Friday 13 Sep 2019, Next Issue Due: Fri 11 Oct 2019, Review Due On: Sun 05 Apr 2020</medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 1500 ml, Give 10mls four times daily as required, Last Issued: Wednesday 28 Aug 2019, Next Issue Due: Sat 05 Oct 2019, Review Due On: Sun 05 Apr 2020</medication><medication>Senna 7.5mg/5ml oral solution sugar free, 150 ml, pleae adjust dosage, 7.5mg to 15mg every other day days, Last Issued: Wednesday 28 Aug 2019, Next Issue Due: Sun 27 Oct 2019, Review Due On: Sun 05 Apr 2020</medication><medication>Solifenacin 10mg/5ml oral solution, 140 ml, Give 5ml Daily, As Directed, Last Issued: Never, , Review Due On: Sun 05 Apr 2020</medication><patientInfo>order number:S11610759</patientInfo><patientInfo>Order your prescription by registering for online access, which is quick, easy and safe. Please ask a receptionist. Alternatively, requests can be made in person 08:30am and 4:30pm week days or by ringing 842000 between 9:30am and 12:30pm. Nominate a local pharmacy for us to send your request electronically. This saves time queuing at the surgery. ALLOW 2 FULL WORKING DAYS BEFORE COLLECTION If you have been to hospital recently, your medications may have been changed by a hospital doctor. Please make sure that your medications are what you expect. If not, please contact your GP Practice. In line with NHS prescribing guidelines we will be moving to a 28 day prescribing interval for most medicines.</patientInfo>post to nutricia homeward Note advised pre and post water flushes 1400mls fluids/day as per PEG/dietitian advice</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>take as directed by dietitian</value></pertinentDosageInstructions></pertinentInformation2><inFulfillmentOf2 typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalItemRef classCode="SBADM" moodCode="RQO"><id root="979E44B1-6813-11E9-BF27-C52461EDE8D0"/></priorOriginalItemRef></inFulfillmentOf2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20231207"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4><inFulfillmentOf typeCode="FLFS" inversionInd="false" negationInd="false"><seperatableInd value="true"/><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.sourceOf1"/><priorOriginalPrescriptionRef classCode="SBADM" moodCode="RQO"><id root="979E44B0-6813-11E9-BF27-C52461EDE8D0"/></priorOriginalPrescriptionRef></inFulfillmentOf></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="310364E0-D629-11E9-8A9D-B948C4E956DE"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="310364E1-D629-11E9-8A9D-B948C4E956DE"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="F7935DF8-8908-42BC-A4E1-581E6F4D7818"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Prescription"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" value="20190913164900"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="Participation" typeCode="RCT"><Patient type="Patient" classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7021954255"/><addr><streetAddressLine>30 Upland Way</streetAddressLine><streetAddressLine>Epsom</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT18 5ST</postalCode></addr><telecom value="tel:01737350731" use="HP"/><patientPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mst</prefix><family>Glover</family><given>Jake</given><validTime><low value="20190913"/></validTime></name><administrativeGenderCode code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/><birthTime value="20050322"/><playedProviderPatient type="Patient" classCode="PAT"><subjectOf type="Participation" typeCode="SBJ"><patientCareProvision type="ActHeir" classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty type="Participation" typeCode="RESP"><healthCareProvider type="LicensedEntity" classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="F7935DF8-8908-42BC-A4E1-581E6F4D7818"/><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="E42117-H81081-443788"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SubstanceAdministration"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="AUT" contextControlCode="OP"><time value="20190913164900"/><signatureText><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>xPQgRe4FpFczuZWRJs5eZ2JN27M=</DigestValue></Reference></SignedInfo><SignatureValue>AOwGvuU3cprCKmU8emGji2ThaGHQeZzRNbufGA3SF6nUmZAtQCsNvaG9ijXh3dOdLY9l+GPBnkn+6BNR01QrDX2ViUegW+cLSkr+7Fjhw+xW1HZssJnnNf3JbVsvkq7NPZ+ya9xkSykW/NlqRU/Y7ECYgH0hNKiAi8i5QpnFKiY=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="563455713109"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01737303217" use="WP"/><agentPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="4781301"/><name><prefix>Dr</prefix><family>Negrin-Brito</family><given>Emilia</given></name><administrativeGenderCode code="2" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/></agentPerson><representedOrganization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>TADWORTH MEDICAL CENTRE</name><telecom value="tel:01737303217" use="WP"/><addr><streetAddressLine>Tadworth Medical Centre</streetAddressLine><streetAddressLine>1 Troy Close</streetAddressLine><streetAddressLine>Tadworth</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT20 5JE</postalCode></addr><healthCareProviderLicense type="LicensedEntity" classCode="PROV"><Organization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99H"/><code code="005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>NHS Surrey Downs CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="191334956569"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01737303217" use="WP"/><agentPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="813918"/><name><prefix>Dr</prefix><family>Shabrokh</family><given>Pedram</given></name><administrativeGenderCode code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/></agentPerson><representedOrganization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>TADWORTH MEDICAL CENTRE</name><telecom value="tel:01737303217" use="WP"/><addr><streetAddressLine>Tadworth Medical Centre</streetAddressLine><streetAddressLine>1 Troy Close</streetAddressLine><streetAddressLine>Tadworth</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT20 5JE</postalCode></addr><healthCareProviderLicense type="LicensedEntity" classCode="PROV"><Organization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99H"/><code code="005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>NHS Surrey Downs CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation7 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentReviewDate classCode="OBS" moodCode="EVN"><code code="RD" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="20180826"/></pertinentReviewDate></pertinentInformation7><pertinentInformation5 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20210321"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="5809CE48-DAC4-4474-B518-3C9B84F071F8"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SubstanceAdministration"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="Participation" typeCode="PRD" contextControlCode="OP"><manufacturedProduct type="RoleHeir" classCode="MANU"><manufacturedRequestedMaterial type="ManufacturedMaterial" classCode="MMAT" determinerCode="KIND"><code code="20556411000001107" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Pregabalin 20mg/ml oral solution sugar free"/></manufacturedRequestedMaterial></manufacturedProduct></product><component xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="COMP"><seperatableInd value="false"/><lineItemQuantity type="Supply" classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="500" unit="1"><translation code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml" value="500"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions type="Observation" classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value> <medication>Instant Carobel powder (Cow & Gate Ltd) - As Directed ACBS, 12 x 135 gram (6/12)</medication> <medication>Azithromycin 200mg/5ml oral suspension - 7.5 MLS DAILY FOR THREE DAYS as per treatment plan via PEG, 60 ml (2/3)</medication> <medication>Baclofen 5mg/5ml oral solution sugar free - 10mls tds, via gastrstomy PEG, 1200 ml (1/3)</medication> <medication>Omeprazole 10mg/5ml oral suspension - 10mls twice daily via PEG, 900 ml (6/6)</medication> <medication>Ensure TwoCal liquid (Flavour Not Specified) - one daily or asd, 120 x 200 ml (3/6)</medication> <medication>Dioralyte oral powder sachets blackcurrant (Sanofi) - Dissolve One Sachet in 200ml Of Water And Take As Often As Directed, 20 sachet (4/6)</medication> <medication>Fentanyl 12micrograms/hour transdermal patches - Apply One Patch and one quarter Every 72 Hours As Directed. Remove Old Patch Before Applying New Patch, 10 patch (1/3)</medication> <medication>Pregabalin 20mg/ml oral solution sugar free - 2.5 ml bd and increase as per consultant instructions, 500 ml (3/3)</medication> <medication>Glandosane synthetic saliva spray lemon (Fresenius Kabi Ltd) - To Be Used When Required, 50 ml (1/6)</medication> <medication>Ondansetron 4mg/5ml oral solution sugar free - 3mg tds prn, 50 ml (4/4)</medication> <medication>Senna 7.5mg/5ml oral solution sugar free - 2.5ml To Be Taken Daily via gastrostomy, 150 ml (5/4)</medication> <medication>Buccolam 2.5mg/0.5ml oromucosal solution pre-filled oral syringes (Shire Pharmaceuticals Ltd) - 2.5 mg for agitation (can be repeated after 15 minutes if necessary), 4 unit dose (1/1)</medication> <patientInfo>TADWORTH MEDICAL CENTRE 1 Troy Close Tadworth Surrey KT20 5JE * If you are travelling abroad and require vaccinations, please visit our website www.tadworthmedicalcentre.co.uk and complete our Travel Questionnaire. * Tel 01737 303 217 SHABROKH, Pedram (Dr) If requesting something which is not on your repeat list please write the reason for request and be aware this may not be issued without speaking to a GP first FLU SEASON - please remember to book your appointment if you are 65 or over or you are eligible due to chronic disease Please allow 48 hours before collection.</patientInfo> <patientInfo>Your medication review is due, please book a routine appointment. </patientInfo> <patientInfo>Next review date: 26-Aug-2018</patientInfo> CD: Five hundred Last authorised repeat</value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation2 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions type="Observation" classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>2.5 ml bd and increase as per consultant instructions</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20650322"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory type="ActHeir" classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component type="ActRelationship" typeCode="COMP"><actRef type="Act" classCode="SBADM" moodCode="RQO"><id root="F7935DF8-8908-42BC-A4E1-581E6F4D7818"/></actRef></component><component type="ActRelationship" typeCode="COMP"><actRef type="Act" classCode="SBADM" moodCode="RQO"><id root="5809CE48-DAC4-4474-B518-3C9B84F071F8"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id root="328F8DB0-D62A-11E9-90E5-21C85CCD4133"/><code code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime value="20190913142713"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget typeCode="RCT"><Patient classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="6065965855"/><addr use="H"><streetAddressLine/><streetAddressLine>17 Cleveland Avenue</streetAddressLine><streetAddressLine/><streetAddressLine>Newbiggin-by-the-Sea</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE64 6RQ</postalCode></addr><patientPerson classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Miss</prefix><given>Natalie</given><given>L</given><family>Pass</family></name><administrativeGenderCode code="2"/><birthTime value="19920606"/><playedProviderPatient classCode="PAT"><subjectOf typeCode="SBJ"><patientCareProvision classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty typeCode="RESP"><healthCareProvider classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id root="8FFD6340-D626-11E9-8A9D-B948C4E956DE"/><id root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="8BC0C7-A84028-92990N"/><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="225426007"/><effectiveTime nullFlavor="NA"/><performer typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author typeCode="AUT" contextControlCode="OP"><time value="20190913142923"/><signatureText mediaType="application/xml"><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>YYBuThTBaMx03Xay6j4RBSls6ZE=</DigestValue></Reference></SignedInfo><SignatureValue>QfWuCjLl0nN4I5wAY92/jvoTUb1ibb+MTk6seWbxVQUt/+bPzMKiJbesMzbaF2mWjaBNH4fAtZMcXXvNmiJWkGuXK6R30fz4NTr5HMPOVy6r98QAdN6vcdCU8PfUzGpH8IVqnaIMI6eYfaC+t4IzGpDI37iV+pFjBApgxO9JSgk=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="6027219"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="510607175567"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom use="WP" value="tel:01670811811"/><agentPerson classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="893138"/><name use="L"><prefix>Dr</prefix><given>Catherine</given><family>Dixon</family></name></agentPerson><representedOrganization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="A84028"/><code code="001"/><name>Seaton Park Medical Group</name><telecom use="WP" value="tel:01670811811"/><addr use="WP"><streetAddressLine>Seaton Park Medical Group</streetAddressLine><streetAddressLine>Norham Road</streetAddressLine><streetAddressLine>Ashington</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE63 0NG</postalCode></addr><healthCareProviderLicense classCode="PROV"><Organization classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="00L"/><code code="005"/><name>NHS Northumberland CCG</name><addr use="WP"><streetAddressLine>County Hall</streetAddressLine><streetAddressLine>Morpeth</streetAddressLine><streetAddressLine>Northumberland</streetAddressLine><postalCode>NE61 2EF</postalCode></addr></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation5 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20080605"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P2" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id root="8FFD6341-D626-11E9-8A9D-B948C4E956DE"/><code code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><effectiveTime nullFlavor="NA"/><product typeCode="PRD" contextControlCode="OP"><manufacturedProduct classCode="MANU"><manufacturedRequestedMaterial classCode="MMAT" determinerCode="KIND"><code codeSystem="2.16.840.1.113883.2.1.3.2.4.15" code="9747711000001102" displayName="Nutrison 1000 Complete Multi Fibre liquid (Nutricia Ltd)"/></manufacturedRequestedMaterial></manufacturedProduct></product><component typeCode="COMP"><seperatableInd value="true"/><lineItemQuantity classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><quantity value="8" unit="1"><translation value="8" code="258770004" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="litre"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value><medication>Baclofen 10mg tablets, 252 tablet, 3 To be taken Three Times Daily, Last Issued: Wednesday 11 Sep 2019, Next Issue Due: Wed 09 Oct 2019, Issues Remaining: 6, Review Due On: Sat 01 Feb 2020</medication><medication>Buccolam 10mg/2ml oromucosal solution pre-filled oral syringes (Shire Pharmaceuticals Ltd), 4 unit dose, Administer in the event of a prolonged seizure, Only When Required, Last Issued: Never, , Issues Remaining: 8, Review Due On: Sat 01 Feb 2020</medication><medication>Hyoscine 1mg/72hours transdermal patches, 10 patch, 1 NEW PATCH EVERY 72 HOURS (3 DAYS), Last Issued: Wednesday 11 Sep 2019, Next Issue Due: Wed 09 Oct 2019, Issues Remaining: 6, Review Due On: Sat 01 Feb 2020</medication><medication>Lamotrigine 100mg dispersible tablets sugar free, 56 tablet, 1 To be taken Twice Daily, Last Issued: Wednesday 11 Sep 2019, Next Issue Due: Wed 09 Oct 2019, Issues Remaining: 5, Review Due On: Sat 01 Feb 2020</medication><medication>Paracetamol 250mg/5ml oral suspension sugar free, 400 ml, 10 -20 MLS FOUR TIMES A DAY MAX 80 MLS FOR 24 HOURS TEMP!, Last Issued: Wednesday 11 Sep 2019, , Issues Remaining: 3, Review Due On: Sat 01 Feb 2020</medication><medication>Codeine 25mg/5ml oral solution, 500 ml, 4 ML UP TO FOUR TIMES A DAY AS DIRECTED BY SPECIALIST, Last Issued: Thursday 08 Aug 2019, Next Issue Due: Sat 07 Sep 2019, Issues Remaining: 5, Review Due On: Sat 01 Feb 2020</medication><patientInfo>Order your prescription by registering for online access, which is quick, easy and safe. Please ask a receptionist. Alternatively, requests can be made in person 08:30am and 4:30pm week days or by ringing 842000 between 9:30am and 12:30pm. Nominate a local pharmacy for us to send your request electronically. This saves time queuing at the surgery. ALLOW 2 FULL WORKING DAYS BEFORE COLLECTION If you have been to hospital recently, your medications may have been changed by a hospital doctor. Please make sure that your medications are what you expect. If not, please contact your GP Practice. In line with NHS prescribing guidelines we will be moving to a 28 day prescribing interval for most medicines.</patientInfo></value></pertinentAdditionalInstructions></pertinentInformation1><pertinentInformation3 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriberEndorsement classCode="OBS" moodCode="EVN"><code code="PE" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="ACBS" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.32"/></pertinentPrescriberEndorsement></pertinentInformation3><pertinentInformation2 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentDosageInstructions classCode="OBS" moodCode="EVN"><code code="DI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value>As Directed (250ml Boluses 3 Times Daily)</value></pertinentDosageInstructions></pertinentInformation2></pertinentLineItem></pertinentInformation2><pertinentInformation11 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentHighPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0004" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is 60 years of age or over"/><value value="20520606"/></pertinentHighPermanentExemptionInfo></pertinentInformation11><pertinentInformation8 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentTokenIssued classCode="OBS" moodCode="EVN"><code code="TI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="false"/></pertinentTokenIssued></pertinentInformation8><pertinentInformation4 typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentPrescriptionType classCode="OBS" moodCode="EVN"><code code="PT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0101" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.25"/></pertinentPrescriptionType></pertinentInformation4></pertinentPrescription></pertinentInformation1><pertinentInformation2 typeCode="PERT"><templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/><pertinentCareRecordElementCategory classCode="CATEGORY" moodCode="EVN"><code code="185361000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="8FFD6340-D626-11E9-8A9D-B948C4E956DE"/></actRef></component><component typeCode="COMP"><actRef classCode="ACT" moodCode="RQO"><id root="8FFD6341-D626-11E9-8A9D-B948C4E956DE"/></actRef></component></pertinentCareRecordElementCategory></pertinentInformation2></ParentPrescription></component><component type="ActRelationship" typeCode="COMP" contextConductionInd="false"><seperatableInd value="false"/><templateId extension="PORX_MT122003UK32" root="2.16.840.1.113883.2.1.3.2.4.17.120"/><ParentPrescription classCode="INFO" moodCode="EVN"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="F8CCC639-AC34-4A16-9B01-8E6B4AABA2B5"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="163501000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Prescription"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" value="20190913164900"/><typeId root="2.16.840.1.113883.2.1.3.2.4.18.7" extension="PORX_MT122003UK32"/><recordTarget xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="Participation" typeCode="RCT"><Patient type="Patient" classCode="PAT"><id root="2.16.840.1.113883.2.1.4.1" extension="7021954255"/><addr><streetAddressLine>30 Upland Way</streetAddressLine><streetAddressLine>Epsom</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT18 5ST</postalCode></addr><telecom value="tel:01737350731" use="HP"/><patientPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><name use="L"><prefix>Mst</prefix><family>Glover</family><given>Jake</given><validTime><low value="20190913"/></validTime></name><administrativeGenderCode code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/><birthTime value="20050322"/><playedProviderPatient type="Patient" classCode="PAT"><subjectOf type="Participation" typeCode="SBJ"><patientCareProvision type="ActHeir" classCode="PCPR" moodCode="EVN"><code code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.37"/><responsibleParty type="Participation" typeCode="RESP"><healthCareProvider type="LicensedEntity" classCode="PROV"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/></healthCareProvider></responsibleParty></patientCareProvision></subjectOf></playedProviderPatient></patientPerson></Patient></recordTarget><pertinentInformation1 typeCode="PERT" contextConductionInd="true"><templateId xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation"/><pertinentPrescription classCode="SBADM" moodCode="RQO"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="F8CCC639-AC34-4A16-9B01-8E6B4AABA2B5"/><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="2.16.840.1.113883.2.1.3.2.4.18.8" extension="A9E88F-H81081-44377F"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SubstanceAdministration"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><performer xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PRF" contextControlCode="OP"><AgentOrgSDS classCode="AGNT"><agentOrganizationSDS classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="FL377"/></agentOrganizationSDS></AgentOrgSDS></performer><author xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="AUT" contextControlCode="OP"><time value="20190913164900"/><signatureText><Signature xmlns="http://www.w3.org/2000/09/xmldsig#"><SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/><SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/><Reference><Transforms><Transform Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/></Transforms><DigestMethod Algorithm="http://www.w3.org/2000/09/xmldsig#sha1"/><DigestValue>XNA8Vk+oV71jMAuKgLB+2iz6J5o=</DigestValue></Reference></SignedInfo><SignatureValue>oUGkOK1Xox4r1okNhKwTx4coScnXW8R1+QjXcgWK8gVi+GqtpGLM1vd41hqpKuiqZvOzPCdZmGKBgX1NsCwbtpYosykfAahy+rfJwuO9YwybCVOX/QlHZi1CDuXfQH3xjF0bU7uxTs1H1HiMdHMGZdwi4ceNE73l2ZIB7jpXT9A=</SignatureValue><KeyInfo><X509Data><X509Certificate>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</X509Certificate></X509Data></KeyInfo></Signature></signatureText><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="563455713109"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01737303217" use="WP"/><agentPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="4781301"/><name><prefix>Dr</prefix><family>Negrin-Brito</family><given>Emilia</given></name><administrativeGenderCode code="2" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/></agentPerson><representedOrganization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>TADWORTH MEDICAL CENTRE</name><telecom value="tel:01737303217" use="WP"/><addr><streetAddressLine>Tadworth Medical Centre</streetAddressLine><streetAddressLine>1 Troy Close</streetAddressLine><streetAddressLine>Tadworth</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT20 5JE</postalCode></addr><healthCareProviderLicense type="LicensedEntity" classCode="PROV"><Organization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99H"/><code code="005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>NHS Surrey Downs CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></author><responsibleParty xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="RESP" contextControlCode="OP"><AgentPerson classCode="AGNT"><id root="1.2.826.0.1285.0.2.0.67" extension="191334956569"/><code code="S8000:G8000:R8000" codeSystem="1.2.826.0.1285.0.2.1.104"/><telecom value="tel:01737303217" use="WP"/><agentPerson type="Person" classCode="PSN" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.2.1.54" extension="813918"/><name><prefix>Dr</prefix><family>Shabrokh</family><given>Pedram</given></name><administrativeGenderCode code="1" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.25"/></agentPerson><representedOrganization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="H81081"/><code code="001" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>TADWORTH MEDICAL CENTRE</name><telecom value="tel:01737303217" use="WP"/><addr><streetAddressLine>Tadworth Medical Centre</streetAddressLine><streetAddressLine>1 Troy Close</streetAddressLine><streetAddressLine>Tadworth</streetAddressLine><streetAddressLine>Surrey</streetAddressLine><postalCode>KT20 5JE</postalCode></addr><healthCareProviderLicense type="LicensedEntity" classCode="PROV"><Organization type="Organization" classCode="ORG" determinerCode="INSTANCE"><id root="1.2.826.0.1285.0.1.10" extension="99H"/><code code="005" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.94"/><name>NHS Surrey Downs CCG</name></Organization></healthCareProviderLicense></representedOrganization></AgentPerson></responsibleParty><pertinentInformation7 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentReviewDate classCode="OBS" moodCode="EVN"><code code="RD" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value value="20180826"/></pertinentReviewDate></pertinentInformation7><pertinentInformation5 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentPrescriptionTreatmentType classCode="OBS" moodCode="EVN"><code code="PTT" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.36"/></pertinentPrescriptionTreatmentType></pertinentInformation5><pertinentInformation10 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd updateMode="added" value="false"/><pertinentPrescriptionStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="PS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0001" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.35" displayName="To Be Dispensed"/></pertinentPrescriptionStatus></pertinentInformation10><pertinentInformation9 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentLowPermanentExemptionInfo classCode="OBS" moodCode="EVN"><code code="0002" codeSystem="2.16.840.1.113883.2.1.3.2.4.16.33" displayName="is under 16 years of age"/><value value="20210321"/></pertinentLowPermanentExemptionInfo></pertinentInformation9><pertinentInformation1 xmlns:xsd="http://www.w3.org/2001/XMLSchema" typeCode="PERT" contextConductionInd="true"><seperatableInd value="true"/><pertinentDispensingSitePreference classCode="OBS" moodCode="EVN"><code code="DSP" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="P1" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.21"/></pertinentDispensingSitePreference></pertinentInformation1><pertinentInformation2 contextConductionInd="true" inversionInd="false" negationInd="false" typeCode="PERT"><seperatableInd value="true"/><templateId extension="CSAB_RM-NPfITUK10.sourceOf2" root="2.16.840.1.113883.2.1.3.2.4.18.2"/><pertinentLineItem classCode="SBADM" moodCode="RQO"><id xmlns:xsd="http://www.w3.org/2001/XMLSchema" root="71CBAEFF-B63E-47E8-933A-60EB41662C95"/><code xmlns:xsd="http://www.w3.org/2001/XMLSchema" code="225426007" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SubstanceAdministration"/><effectiveTime xmlns:xsd="http://www.w3.org/2001/XMLSchema" nullFlavor="NA"/><repeatNumber><low value="1"/><high value="1"/></repeatNumber><product xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="Participation" typeCode="PRD" contextControlCode="OP"><manufacturedProduct type="RoleHeir" classCode="MANU"><manufacturedRequestedMaterial type="ManufacturedMaterial" classCode="MMAT" determinerCode="KIND"><code code="8670511000001102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Omeprazole 10mg/5ml oral suspension"/></manufacturedRequestedMaterial></manufacturedProduct></product><component xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="COMP"><seperatableInd value="false"/><lineItemQuantity type="Supply" classCode="SPLY" moodCode="RQO"><code code="373784005" codeSystem="2.16.840.1.113883.2.1.3.2.4.15"/><quantity value="900" unit="1"><translation code="258773002" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="ml" value="900"/></quantity></lineItemQuantity></component><pertinentInformation4 type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentItemStatus type="Observation" classCode="OBS" moodCode="EVN"><code code="IS" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value code="0007" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.23" displayName="To Be Dispensed"/></pertinentItemStatus></pertinentInformation4><pertinentInformation1 xmlns:xsd="http://www.w3.org/2001/XMLSchema" type="ActRelationship" typeCode="PERT" contextConductionInd="true"><seperatableInd value="false"/><pertinentAdditionalInstructions type="Observation" classCode="OBS" moodCode="EVN"><code code="AI" codeSystem="2.16.840.1.113883.2.1.3.2.4.17.30"/><value> <medication>Instant Carobel powder (Cow & Gate Ltd) - As Directed ACBS, 12 x 135 gram (6/12)</medication> <medication>Azithromycin 200mg/5ml oral suspension - 7.5 MLS DAILY FOR THREE DAYS as per treatment plan via PEG, 60 ml (2/3)</medication> <medication>Baclofen 5mg/5ml oral solution sugar free - 10mls tds, via gastrstomy PEG, 1200 ml (1/3)</medication> <medication>Omeprazole 10mg/5ml oral suspension - 10mls twice daily via PEG, 900 ml (6/6)</medication> <medication>Ensure TwoCal liquid (Flavour Not Specified) - one daily or asd, 120 x 200 ml (3/6)</medication> <medication>Dioralyte oral powder sachets blackcurrant (Sanofi) - Dissolve One Sachet in 200ml Of Water And Take As Often As Directed, 20 sachet (4/6)</medication> <medication>Fentanyl 12micrograms/hour transdermal patches - Apply One Patch and one quarter Every 72 Hours As Directed. Remove Old Patch Before Applying New Patch, 10 patch (1/3)</medication> <medication>Pregabalin 20mg/ml oral solution sugar free - 2.5 ml bd and increase as per consultant instructions, 500 ml (3/3)</medication> <medication>Glandosane synthetic saliva spray lemon (Fresenius Kabi Ltd) - To Be Used When Required, 50 ml (1/6)</medication> <medication>Ondansetron 4mg/5ml oral solution sugar free - 3mg tds prn, 50 ml (4/4)</medication> <medication>Senna 7.5mg/5ml oral solution sugar free - 2.5ml To Be Taken Daily via gastrostomy, 150 ml (5/4)</medication> <medication>Buccolam 2.5mg/0.5ml oromucosal solution pre-filled oral syringes (Shire Pharmaceuticals Ltd) - 2.5 mg for agitation (can be repeated after 15 minutes if necessary), 4 unit dose (1/1)</medication> <patientInfo>TADWORTH MEDICAL CENTRE 1 Troy Close Tadworth Surrey KT20 5JE * If you are travelling abroad and require vaccinations, please visit our website www.tadworthmedicalcentre.co.uk and complete our Travel Questionnaire. * Tel 01737 303 217 SHABROKH, Pedram (Dr) If requesting something which is not on your repeat list please write the reason for request and be aware this may not be issued without speaking to a GP first FLU SEASON - please remember to book your appointment if you are 65 or over or you are eligible due to chronic disease Please allow 48 hours before collection.</patientInfo> <patientInfo>Your medication review is due, please book a routine appointment. </patientInfo> <patientInfo>Next review date: 26-Aug-2018</patientInfo> [ Date: 2019-09-13 17:07:40 - Database: pharmisight - User: symmetricds - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query:** yes ]
11	346ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.CREATED AS CREATED72_24_0_, this_.UPDATED AS UPDATED73_24_0_, this_.rxCheckBy AS rxCheck74_24_0_, this_.note AS note75_24_0_, this_.item AS item76_24_0_, this_.alertConfirmation AS alertCo77_24_0_, this_.homewardAction AS homewar78_24_0_ FROM ORDER_LINES this_ WHERE this_.deliveryDate BETWEEN '2019-09-08' AND '2019-09-13'; [ Date: 2019-09-13 06:03:39 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
12	345ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.CREATED AS CREATED72_24_0_, this_.UPDATED AS UPDATED73_24_0_, this_.rxCheckBy AS rxCheck74_24_0_, this_.note AS note75_24_0_, this_.item AS item76_24_0_, this_.alertConfirmation AS alertCo77_24_0_, this_.homewardAction AS homewar78_24_0_ FROM ORDER_LINES this_ WHERE this_.deliveryDate BETWEEN '2019-09-04' AND '2019-09-09'; [ Date: 2019-09-13 06:03:19 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
13	321ms	UPDATE ORDERS SET PATIENT_ID = NULL WHERE PATIENT_ID = '200577462'; [ Date: 2019-09-13 06:03:36 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
14	288ms	DELETE FROM RX_LINE_ACTIVITIES WHERE RX_LINE_ACTIVITY_ID = '215750952'; [ Date: 2019-09-13 11:55:28 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
15	282ms	DELETE FROM RX_LINE_ACTIVITIES WHERE RX_LINE_ACTIVITY_ID = '215756512'; [ Date: 2019-09-13 11:55:28 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
16	254ms	SELECT this_.ORDER_LINE_ID AS ORDER_LI1_24_0_, this_.routeNumber AS routeNum2_24_0_, this_.sapOrderNumber AS sapOrder3_24_0_, this_.orderNumber AS orderNum4_24_0_, this_.answerOrderNumber AS answerOr5_24_0_, this_.partCode AS partCode6_24_0_, this_.partDescription AS partDesc7_24_0_, this_.patientName AS patientN8_24_0_, this_.firstName AS firstNam9_24_0_, this_.middleName AS middleN10_24_0_, this_.lastName AS lastNam11_24_0_, this_.patientDateOfBirth AS patient12_24_0_, this_.patientPostcode AS patient13_24_0_, this_.patientPostcodePrefix AS patient14_24_0_, this_.orderQty AS orderQt15_24_0_, this_.allocQty AS allocQt16_24_0_, this_.shipQty AS shipQty17_24_0_, this_.adjustedQty AS adjuste18_24_0_, this_.scannedQty AS scanned19_24_0_, this_.assignedQty AS assigne20_24_0_, this_.checkedQty AS checked21_24_0_, this_.backOrderQty AS backOrd22_24_0_, this_.cancelQty AS cancelQ23_24_0_, this_.reducedQty AS reduced24_24_0_, this_.status AS status25_24_0_, this_.reason AS reason26_24_0_, this_.deliveryDate AS deliver27_24_0_, this_.customer AS custome28_24_0_, this_.sapCustomerId AS sapCust29_24_0_, this_.billToType AS billToT30_24_0_, this_.barcodeDate AS barcode31_24_0_, this_.barcodeBatch AS barcode32_24_0_, this_.patientId AS patient33_24_0_, this_.isAdded AS isAdded34_24_0_, this_.isNotWithinAge AS isNotWi35_24_0_, this_.isUnderAge AS isUnder36_24_0_, this_.ageCheck AS ageChec37_24_0_, this_.expired AS expired38_24_0_, this_.paperwork AS paperwo39_24_0_, this_.isPaperworkProblem AS isPaper40_24_0_, this_.paperworkResolution AS paperwo41_24_0_, this_.pickerId AS pickerI42_24_0_, this_.specialCare AS special43_24_0_, this_.paperworkEnquiryStarted AS paperwo44_24_0_, this_.paperworkEnquiryFinished AS paperwo45_24_0_, this_.paperworkEnquiryResponse AS paperwo46_24_0_, this_.isNewProduct AS isNewPr47_24_0_, this_.extraProcedure AS extraPr48_24_0_, this_.overAverageQtyMax AS overAve49_24_0_, this_.overAverageQtyResolution AS overAve50_24_0_, this_.createUser AS createU51_24_0_, this_.patientAlert AS patient52_24_0_, this_.itemAlert AS itemAle53_24_0_, this_.checkerId AS checker54_24_0_, this_.reductionSummary AS reducti55_24_0_, this_.isMetabolic AS isMetab56_24_0_, this_.rxStatus AS rxStatu57_24_0_, this_.lastRegUpdateUserType AS lastReg58_24_0_, this_.lastRegUpdateUserName AS lastReg59_24_0_, this_.lastRegUpdateDate AS lastReg60_24_0_, this_.sapPlannedShipDate AS sapPlan61_24_0_, this_.sapPlannedDeliveryDate AS sapPlan62_24_0_, this_.requestedSAPQuantity AS request63_24_0_, this_.orderQuantity AS orderQu64_24_0_, this_.regLineCreatedUserType AS regLine65_24_0_, this_.regLineCreatedUserName AS regLine66_24_0_, this_.regLineCreatedDate AS regLine67_24_0_, this_.audited AS audited68_24_0_, this_.isMetabolicPatient AS isMetab69_24_0_, this_.addedCase AS addedCa70_24_0_, this_.orderType AS orderTy71_24_0_, this_.CREATED AS CREATED72_24_0_, this_.UPDATED AS UPDATED73_24_0_, this_.rxCheckBy AS rxCheck74_24_0_, this_.note AS note75_24_0_, this_.item AS item76_24_0_, this_.alertConfirmation AS alertCo77_24_0_, this_.homewardAction AS homewar78_24_0_ FROM ORDER_LINES this_ WHERE this_.patientId = '118353980' AND this_.partCode = '132187' AND this_.deliveryDate > '2019-02-11'; [ Date: 2019-09-13 16:49:12 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
17	244ms	SELECT _lines.routeNumber, _lines.deliveryDate, _lines.orderNumber, _lines.patientName, _lines.partDescription, _lines.orderQty, _lines.order_line_id, _checks.created AS check_created, _checks.newRxCheck AS check_checked, _checkers.firstName AS checker_firstName, _checkers.lastName AS checker_lastName, _audits.created AS audit_created, _audits.newRxCheck AS audit_checked, _auditors.firstName AS auditor_firstName, _auditors.lastName AS auditor_lastName, _audits.rx_line_activity_id, _checks.auditedbyrxlineactivity, _checks.auditedaserror FROM rx_line_activities AS _audits INNER JOIN rx_line_activities AS _checks ON (_audits.rx_line_activity_id = _checks.auditedbyrxlineactivity) LEFT OUTER JOIN order_lines AS _lines ON (_audits.order_line_id = _lines.order_line_id) LEFT OUTER JOIN users AS _auditors ON (_audits.newrxcheckby = _auditors.user_id) LEFT OUTER JOIN users AS _checkers ON (_checks.newrxcheckby = _checkers.user_id) WHERE (_checks.created BETWEEN '2019-09-06 00:00:00' AND '2019-09-06 23:00:00') AND _checks.auditedaserror IS TRUE ORDER BY _checks.created DESC; [ Date: 2019-09-13 16:21:07 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
18	241ms	SELECT _lines.routeNumber, _lines.deliveryDate, _lines.orderNumber, _lines.patientName, _lines.partDescription, _lines.orderQty, _lines.order_line_id, _checks.created AS check_created, _checks.newRxCheck AS check_checked, _checkers.firstName AS checker_firstName, _checkers.lastName AS checker_lastName, _audits.created AS audit_created, _audits.newRxCheck AS audit_checked, _auditors.firstName AS auditor_firstName, _auditors.lastName AS auditor_lastName, _audits.rx_line_activity_id, _checks.auditedbyrxlineactivity, _checks.auditedaserror FROM rx_line_activities AS _audits INNER JOIN rx_line_activities AS _checks ON (_audits.rx_line_activity_id = _checks.auditedbyrxlineactivity) LEFT OUTER JOIN order_lines AS _lines ON (_audits.order_line_id = _lines.order_line_id) LEFT OUTER JOIN users AS _auditors ON (_audits.newrxcheckby = _auditors.user_id) LEFT OUTER JOIN users AS _checkers ON (_checks.newrxcheckby = _checkers.user_id) WHERE _checks.newRxCheckBy = '4061' AND _checks.auditedaserror IS TRUE AND _lines.deliveryDate BETWEEN '2019-09-02' AND '2019-09-13' ORDER BY _checks.created DESC; [ Date: 2019-09-13 06:14:33 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
19	228ms	SELECT this_.ORDER_ROUND_ID AS ORDER_RO1_28_0_, this_.routeNumber AS routeNum2_28_0_, this_.uploadedByUserId AS uploaded3_28_0_, this_.uploadedByUserName AS uploaded4_28_0_, this_.updatedBy AS updatedB5_28_0_, this_.updatedByUserName AS updatedB6_28_0_, this_.orderRoundNote AS orderRou7_28_0_, this_.firstCheckOut AS firstChe8_28_0_, this_.allOrdersScannedOK AS allOrder9_28_0_, this_.status AS status10_28_0_, this_.reopenedTimes AS reopene11_28_0_, this_.lastReopenById AS lastReo12_28_0_, this_.lastDoneCheckIn AS lastDon13_28_0_, this_.lastDoneById AS lastDon14_28_0_, this_.lastDoneByUserName AS lastDon15_28_0_, this_.missingLabels AS missing16_28_0_, this_.roundDeliveryDate AS roundDe17_28_0_, this_.trolley AS trolley18_28_0_, this_.stack AS stack19_28_0_, this_.picktime AS picktim20_28_0_, this_.uploadUpdated AS uploadU21_28_0_, this_.patientAlert AS patient22_28_0_, this_.mismatches AS mismatc23_28_0_, this_.rxStatus AS rxStatu24_28_0_, this_.distributionPoint AS distrib25_28_0_, this_.audited AS audited26_28_0_, this_.auditedBy AS audited27_28_0_, this_.auditStatus AS auditSt28_28_0_, this_.uploadFinished AS uploadF29_28_0_, this_.lastRxCompleted AS lastRxC30_28_0_, this_.lastRxCompletedBy AS lastRxC31_28_0_, this_.orderRoundNoteReadBy AS orderRo32_28_0_, this_.routeOrderLinesQty AS routeOr33_28_0_, this_.dlxPickedLinesQty AS dlxPick34_28_0_, this_.flowReport AS flowRep35_28_0_, this_.CREATED AS CREATED36_28_0_, this_.createdBy AS created37_28_0_, this_.UPDATED AS UPDATED38_28_0_, this_.note AS note39_28_0_ FROM ORDER_ROUNDS this_ WHERE this_.routeNumber ILIKE '9574482%' ORDER BY this_.routeNumber ASC; [ Date: 2019-09-13 15:48:52 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]
20	224ms	SELECT _lines.routeNumber, _lines.deliveryDate, _lines.orderNumber, _lines.patientName, _lines.partDescription, _lines.orderQty, _lines.order_line_id, _checks.created AS check_created, _checks.newRxCheck AS check_checked, _checkers.firstName AS checker_firstName, _checkers.lastName AS checker_lastName, _audits.created AS audit_created, _audits.newRxCheck AS audit_checked, _auditors.firstName AS auditor_firstName, _auditors.lastName AS auditor_lastName, _audits.rx_line_activity_id, _checks.auditedbyrxlineactivity, _checks.auditedaserror FROM rx_line_activities AS _audits INNER JOIN rx_line_activities AS _checks ON (_audits.rx_line_activity_id = _checks.auditedbyrxlineactivity) LEFT OUTER JOIN order_lines AS _lines ON (_audits.order_line_id = _lines.order_line_id) LEFT OUTER JOIN users AS _auditors ON (_audits.newrxcheckby = _auditors.user_id) LEFT OUTER JOIN users AS _checkers ON (_checks.newrxcheckby = _checkers.user_id) WHERE (_checks.created BETWEEN '2019-09-16 00:00:00' AND '2019-09-16 23:00:00') AND _checks.auditedaserror IS TRUE ORDER BY _checks.created DESC; [ Date: 2019-09-13 10:51:51 - Database: pharmisight - User: pharmisight - Remote: 10.10.10.1 - Application: PostgreSQL JDBC Driver - Bind query: yes ]

Time consuming queries


[ User: pharmisight - Total duration: 52s613ms - Times executed: 1425 ]
[ User: pharmisight - Total duration: 47s502ms - Times executed: 23 ]
[ User: pharmisight - Total duration: 31s303ms - Times executed: 172 ]
[ User: symmetricds - Total duration: 20s698ms - Times executed: 187324 ]
[ User: pharmisight - Total duration: 20s849ms - Times executed: 1425 ]
[ User: pharmisight - Total duration: 20s61ms - Times executed: 5696 ]
[ User: pharmisight - Total duration: 18s172ms - Times executed: 662 ]
[ User: pharmisight - Total duration: 13s941ms - Times executed: 3046 ]
[ User: pharmisight - Total duration: 13s171ms - Times executed: 134180 ]
[ User: pharmisight - Total duration: 12s684ms - Times executed: 14615 ]
[ User: pharmisight - Total duration: 10s698ms - Times executed: 138 ]
[ User: pharmisight - Total duration: 10s366ms - Times executed: 14564 ]
[ User: symmetricds - Total duration: 9s832ms - Times executed: 17169 ]
[ User: librenms - Total duration: 9s710ms - Times executed: 291 ]
[ User: pharmisight - Total duration: 9s187ms - Times executed: 25099 ]
[ User: symmetricds - Total duration: 8s588ms - Times executed: 531535 ]
[ User: symmetricds - Total duration: 8s129ms - Times executed: 144881 ]
[ User: pharmisight - Total duration: 6s508ms - Times executed: 128404 ]
[ User: pharmisight - Total duration: 6s432ms - Times executed: 1995 ]
[ User: pharmisight - Total duration: 6s350ms - Times executed: 4064 ]

Most frequent queries (N)


[ User: symmetricds - Total duration: 8s588ms - Times executed: 531535 ]
[ User: symmetricds - Total duration: 1s205ms - Times executed: 187324 ]
[ User: symmetricds - Total duration: 20s698ms - Times executed: 187324 ]
[ User: symmetricds - Total duration: 2s507ms - Times executed: 218299 ]
[ User: symmetricds - Total duration: 8s129ms - Times executed: 144881 ]
[ User: pharmisight - Total duration: 13s171ms - Times executed: 134180 ]
[ User: pharmisight - Total duration: 6s508ms - Times executed: 128404 ]
[ User: pharmisight - Total duration: 2s29ms - Times executed: 32286 ]
[ User: symmetricds - Total duration: 1s351ms - Times executed: 26451 ]
[ User: pharmisight - Total duration: 1s456ms - Times executed: 26230 ]
[ User: pharmisight - Total duration: 9s187ms - Times executed: 25099 ]
[ User: pharmisight - Total duration: 647ms - Times executed: 24575 ]
[ User: symmetricds - Total duration: 1s196ms - Times executed: 22231 ]
[ User: symmetricds - Total duration: 296ms - Times executed: 19127 ]
[ User: symmetricds - Total duration: 252ms - Times executed: 19126 ]
[ User: pharmisight - Total duration: 865ms - Times executed: 18342 ]
[ User: pharmisight - Total duration: 1s192ms - Times executed: 18287 ]
[ User: pharmisight - Total duration: 939ms - Times executed: 18113 ]
[ User: symmetricds - Total duration: 515ms - Times executed: 17266 ]
[ User: symmetricds - Total duration: 9s832ms - Times executed: 17169 ]

Normalized slowest queries (N)


[ User: pharmisight - Total duration: 47s502ms - Times executed: 23 ]
[ User: pharmisight - Total duration: 31s303ms - Times executed: 172 ]
[ User: pharmisight - Total duration: 10s698ms - Times executed: 138 ]
[ User: pharmisight - Total duration: 52s613ms - Times executed: 1425 ]
[ User: librenms - Total duration: 9s710ms - Times executed: 291 ]
[ User: pharmisight - Total duration: 18s172ms - Times executed: 662 ]
[ User: pharmisight - Total duration: 20s849ms - Times executed: 1425 ]
[ User: pharmisight - Total duration: 13s941ms - Times executed: 3046 ]
[ User: pharmisight - Total duration: 20s61ms - Times executed: 5696 ]
[ User: pharmisight - Total duration: 6s432ms - Times executed: 1995 ]
[ User: pharmisight - Total duration: 6s350ms - Times executed: 4064 ]
[ User: pharmisight - Total duration: 12s684ms - Times executed: 14615 ]
[ User: pharmisight - Total duration: 10s366ms - Times executed: 14564 ]
[ User: symmetricds - Total duration: 9s832ms - Times executed: 17169 ]
[ User: pharmisight - Total duration: 9s187ms - Times executed: 25099 ]
[ User: symmetricds - Total duration: 20s698ms - Times executed: 187324 ]
[ User: pharmisight - Total duration: 13s171ms - Times executed: 134180 ]
[ User: pharmisight - Total duration: 1s192ms - Times executed: 18287 ]
[ User: pharmisight - Total duration: 2s29ms - Times executed: 32286 ]
[ User: symmetricds - Total duration: 8s129ms - Times executed: 144881 ]

Log levels

Key values

7,581,203 Log entries

Chart
Table

Type	Count	Percentage
CONTEXT	2	0.00%
DETAIL	1,969,416	25.98%
ERROR	2	0.00%
LOG	5,611,778	74.02%
STATEMENT	5	0.00%

Events distribution

Key values

0 PANIC entries
0 FATAL entries
2 ERROR entries
0 WARNING entries

Most Frequent Errors/Events

Key values

1 Max number of times the same event was reported
2 Total events found

Rank

Times reported

Error

1

Details

LOG: process ... still waiting for AccessExclusiveLock on tuple (...) of relation ... of database ... after ... ms

Times Reported Most Frequent Error / Event #1

Day	Hour	Count
Sep 13	07	1

ERROR: process 19869 still waiting for AccessExclusiveLock on tuple (3320,246) of relation 142660 of database 16401 after 1000.140 ms

2

1

Details

LOG: process ... still waiting for ShareLock on transaction ... after ... ms

Times Reported Most Frequent Error / Event #2

Day	Hour	Count
Sep 13	07	1

ERROR: process 19514 still waiting for ShareLock on transaction 67071073 after 1000.139 ms

Global information

Overview

Global Stats

SQL Traffic

Key values

SELECT Traffic

Key values

INSERT/UPDATE/DELETE Traffic

Key values

Queries duration

Key values

Prepared queries ratio

Key values

General Activity

Connections

Established Connections

Key values

Connections per database

Key values

Connections per user

Key values

Connections per host

Key values

Sessions

Simultaneous sessions

Key values

Histogram of session times

Key values

Sessions per database

Key values

Sessions per user

Key values

Sessions per host

Key values

Sessions per application

Key values

Checkpoints / Restartpoints

Checkpoints Buffers

Key values

Checkpoints Wal files

Key values

Checkpoints distance

Key values

Checkpoints Activity

Temporary Files

Size of temporary files

Key values

Number of temporary files

Key values

Temporary Files Activity

Queries generating the most temporary files (N)

Queries generating the largest temporary files

Vacuums

Vacuums / Analyzes Distribution

Key values

Analyzes per table

Key values

Vacuums per table

Key values

Tuples removed per table

Key values

Pages removed per table

Key values

Autovacuum Activity

Locks

Locks by types

Key values

Most frequent waiting queries (N)

Queries that waited the most

Queries

Queries by type

Key values

Queries by database

Key values

Queries by user

Key values

Duration by user

Key values

Queries by host

Key values