| Level/ Type | 
                                             Code | 
                                             Display Name | 
                                             Code System | 
                                             Description | 
                                          
                                       
                                       
                                          | 0-L | 
                                          1 | 
                                          Active Ingredient | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          10 | 
                                          Clinical Manifestation | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          107 | 
                                          I confirm that the patient –data subject has consented to the following statement:
                                             ‘I agree that my Patient Summary may be transferred to a registered Health Professional
                                             in [COUNTRY B] for the purposes of providing me with medical care and/or medication’
                                           | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          11 | 
                                          Closed/Inactive Problem | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          12 | 
                                          Contact Information | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          13 | 
                                          Country | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          14 | 
                                          Country A Medicinal Product Code | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          15 | 
                                          Creation Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          16 | 
                                          Custodian | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          17 | 
                                          Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          18 | 
                                          Date To | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          19 | 
                                          Date of Birth | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          2 | 
                                          Active Problem | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          20 | 
                                          Date of Prescription | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          21 | 
                                          Device/Implant | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          22 | 
                                          Dispense | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          23 | 
                                          Dispensed Package Size | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          24 | 
                                          Dispensed Product | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          25 | 
                                          Dose Form | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          26 | 
                                          End Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          27 | 
                                          Every | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          28 | 
                                          Facility ID | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          29 | 
                                          Facility Name | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          3 | 
                                          Address | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          30 | 
                                          Family Name | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          31 | 
                                          for | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          32 | 
                                          Frequency of Intakes | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          33 | 
                                          Gender | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          34 | 
                                          Given Name | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          35 | 
                                          Guardian | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          36 | 
                                          Implant Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          37 | 
                                          Instructions to patient | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          38 | 
                                          Is substitution of brand name allowed? | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          39 | 
                                          Last Update | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          4 | 
                                          Advise to the dispenser | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          40 | 
                                          Legal Authenticator | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          41 | 
                                          National Insurance Number | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          42 | 
                                          No | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          43 | 
                                          Number of packages | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          44 | 
                                          Observation Type | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          45 | 
                                          Onset Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          46 | 
                                          Organisation Identifier | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          47 | 
                                          Organisation Name | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          48 | 
                                          Other Active Ingredients | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          49 | 
                                          Other Contacts | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          5 | 
                                          Agent | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          50 | 
                                          Package Size | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          51 | 
                                          Patient | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          52 | 
                                          Patient IDs | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          53 | 
                                          per unit | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          54 | 
                                          Preferred HP/Legal organization to contact | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          55 | 
                                          Prefix | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          56 | 
                                          Prescriber | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          57 | 
                                          Prescriber details | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          58 | 
                                          Prescription ID | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          59 | 
                                          Prescription Item Details | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          6 | 
                                          at | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          60 | 
                                          Prescription Item ID | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          61 | 
                                          Prescription Items List | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          62 | 
                                          Procedure | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          63 | 
                                          Procedure Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          64 | 
                                          Profession | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          65 | 
                                          Reaction Type | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          66 | 
                                          Regional/National Health ID | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          67 | 
                                          Route of Administration | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          68 | 
                                          See details | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          69 | 
                                          Specialty | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          7 | 
                                          Author (HP) | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          70 | 
                                          Strength | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          71 | 
                                          Substitute | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          72 | 
                                          The Active Problem section is missing ! | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          73 | 
                                          The Allergies, adverse reactions, alerts section is missing ! | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          74 | 
                                          The Medical Devices and implants section is missing ! | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          75 | 
                                          The Medication Summary section is missing ! | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          76 | 
                                          The History of Procedures section is missing ! | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          77 | 
                                          unit(s) | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          78 | 
                                          Units per intake | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          79 | 
                                          Vaccination | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          8 | 
                                          Authoring Device | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          80 | 
                                          Vaccination Date | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          81 | 
                                          Yes | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          82 | 
                                          I have identified the patient-data subject | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          83 | 
                                          I confirm that the patient –data subject has consented to the following statement:
                                             ‘I agree that my ePrescription may be transferred to a registered Health Professional
                                             in [COUNTRY B] for the purposes of providing me with medical care and/or medication’
                                           | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          84 | 
                                          Observation Value | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          85 | 
                                          Date From | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          9 | 
                                          Brand Name | 
                                          epSOSDisplayLabel | 
                                           | 
                                       
                                       
                                          | 0-L | 
                                          99 | 
                                          Physical Findings | 
                                          epSOSDisplayLabel | 
                                           |