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Packagefhir.r4.wales.psom
Resource TypeBundle
IdExample-DataStandardsWales-PSOM-Bundle-KNA-Postop-Response-NDR-3.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "Example-DataStandardsWales-PSOM-Bundle-KNA-Postop-Response-NDR-3",
  "identifier": {
    "system": "https://acme.com/fhir/Id/oracle-guid",
    "value": "2360c7de-17a4-4854-90d5-b7638fdd9579"
  },
  "type": "message",
  "timestamp": "2024-09-13T16:15:33+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:457e574c-f45f-4d93-99fe-eea8446e09b4",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "457e574c-f45f-4d93-99fe-eea8446e09b4",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-MessageHeader"
          ]
        },
        "eventCoding": {
          "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-MessageEvent",
          "code": "psom-response",
          "display": "PSOM response"
        },
        "source": {
          "name": "Example Health Board",
          "endpoint": "https://nhspsom.examplehealthboard.com"
        },
        "focus": [
          {
            "reference": "urn:uuid:bf9c6d51-c4b3-47dd-b531-6d93ddd1ee3c",
            "type": "CarePlan",
            "display": "Knee Arthroplasty"
          },
          {
            "reference": "urn:uuid:f0bc049a-dc87-472f-bdda-7dab82841373",
            "type": "Task",
            "display": "Task for OKS"
          },
          {
            "reference": "urn:uuid:36673059-6c03-4c52-9ec2-a766a6a6a914",
            "type": "Task",
            "display": "Task for EQ5D5L"
          },
          {
            "reference": "urn:uuid:a0c6ac01-e293-48a1-9b28-173a174102f8",
            "type": "Task",
            "display": "Task for Data Entry Questionnaire"
          },
          {
            "reference": "urn:uuid:17405440-1207-48bc-8a2c-c2349f40a082",
            "type": "Task",
            "display": "Task for Knee Arthroplasty Specific questions"
          },
          {
            "reference": "urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
            "type": "QuestionnaireResponse",
            "display": "QuestionnaireResponse for OKS"
          },
          {
            "reference": "urn:uuid:9aaf1fae-da66-4ed7-8a40-67bad91c3078",
            "type": "QuestionnaireResponse",
            "display": "QuestionnaireResponse for EQ5D5L"
          },
          {
            "reference": "urn:uuid:0415c8c3-9951-400f-917f-41c0fb6bdee4",
            "type": "QuestionnaireResponse",
            "display": "QuestionnaireResponse for Data Entry Questionnaire"
          },
          {
            "reference": "urn:uuid:8abb948d-f6ef-4012-b41c-ffa330a0c9a0",
            "type": "QuestionnaireResponse",
            "display": "QuestionnaireResponse for Knee Arthroplasty Specific questions"
          }
        ],
        "definition": "https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-PSOM-Response"
      }
    },
    {
      "fullUrl": "urn:uuid:bf9c6d51-c4b3-47dd-b531-6d93ddd1ee3c",
      "resource": {
        "resourceType": "CarePlan",
        "id": "bf9c6d51-c4b3-47dd-b531-6d93ddd1ee3c",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan"
          ]
        },
        "extension": [
          {
            "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-PathwayLaterality",
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayLaterality",
                  "code": "1",
                  "display": "Left"
                }
              ]
            }
          }
        ],
        "identifier": [
          {
            "system": "urn:oid:2.16.840.1.113883.2.1.8.1.5.140",
            "value": "12345678"
          }
        ],
        "status": "active",
        "intent": "order",
        "category": [
          {
            "coding": [
              {
                "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType",
                "code": "KNA",
                "display": "Knee pathway - arthroplasty"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "394801008",
                "display": "Surgery-Trauma and orthopedics"
              }
            ]
          }
        ],
        "subject": {
          "reference": "urn:uuid:38d8a3ec-b5b9-4e05-9195-92fe89534b81",
          "display": "Alice Jones"
        },
        "author": {
          "reference": "urn:uuid:7510342f-54df-449e-a237-c23fd5dfc398",
          "display": "Consultant"
        },
        "activity": [
          {
            "reference": {
              "reference": "urn:uuid:f0bc049a-dc87-472f-bdda-7dab82841373",
              "display": "Task for OKS"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:36673059-6c03-4c52-9ec2-a766a6a6a914",
              "display": "Task for EQ5D5L"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:a0c6ac01-e293-48a1-9b28-173a174102f8",
              "display": "Task for Data Entry Questionnaire"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:17405440-1207-48bc-8a2c-c2349f40a082",
              "display": "Task for Knee Arthroplasty Specific questions"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:f0bc049a-dc87-472f-bdda-7dab82841373",
      "resource": {
        "resourceType": "Task",
        "id": "f0bc049a-dc87-472f-bdda-7dab82841373",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
          ]
        },
        "status": "completed",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
              "code": "complete-questionnaire"
            }
          ]
        },
        "executionPeriod": {
          "start": "2024-09-10T11:15:33+00:00",
          "end": "2024-09-13T11:15:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:e5b749c6-ef59-416f-958e-5374c4b17bb5",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "15",
              "display": "Intervention"
            }
          ]
        },
        "input": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MPRPX013X",
                  "display": "PROMs Trigger Event Date"
                }
              ]
            },
            "valueDateTime": "2024-03-21T13:15:33+00:00"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MDEPX004X",
                  "display": "PROMs Laterality"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PROMsLaterality",
                  "code": "1",
                  "display": "Left"
                }
              ]
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire"
                }
              ]
            },
            "valueCanonical": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-OKS|2023004"
          }
        ],
        "output": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire-response"
                }
              ]
            },
            "valueReference": {
              "reference": "urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
              "display": "OKS answers and score post-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:36673059-6c03-4c52-9ec2-a766a6a6a914",
      "resource": {
        "resourceType": "Task",
        "id": "36673059-6c03-4c52-9ec2-a766a6a6a914",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
          ]
        },
        "status": "completed",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
              "code": "complete-questionnaire"
            }
          ]
        },
        "executionPeriod": {
          "start": "2024-09-10T11:15:33+00:00",
          "end": "2024-09-11T12:16:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:e5b749c6-ef59-416f-958e-5374c4b17bb5",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "15",
              "display": "Intervention"
            }
          ]
        },
        "input": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MPRPX013X",
                  "display": "PROMs Trigger Event Date"
                }
              ]
            },
            "valueDateTime": "2024-03-21T13:15:33+00:00"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MDEPX004X",
                  "display": "PROMs Laterality"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PROMsLaterality",
                  "code": "1",
                  "display": "Left"
                }
              ]
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire"
                }
              ]
            },
            "valueCanonical": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|2022014"
          }
        ],
        "output": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire-response"
                }
              ]
            },
            "valueReference": {
              "reference": "urn:uuid:9aaf1fae-da66-4ed7-8a40-67bad91c3078",
              "display": "EQ5D5L answers and score post-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a0c6ac01-e293-48a1-9b28-173a174102f8",
      "resource": {
        "resourceType": "Task",
        "id": "a0c6ac01-e293-48a1-9b28-173a174102f8",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
          ]
        },
        "status": "completed",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
              "code": "complete-questionnaire"
            }
          ]
        },
        "executionPeriod": {
          "start": "2024-09-10T11:15:33+00:00",
          "end": "2024-09-11T12:15:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:e5b749c6-ef59-416f-958e-5374c4b17bb5",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "15",
              "display": "Intervention"
            }
          ]
        },
        "input": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MPRPX013X",
                  "display": "PROMs Trigger Event Date"
                }
              ]
            },
            "valueDateTime": "2024-03-21T13:15:33+00:00"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MDEPX004X",
                  "display": "PROMs Laterality"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PROMsLaterality",
                  "code": "1",
                  "display": "Left"
                }
              ]
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire"
                }
              ]
            },
            "valueCanonical": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-DataEntry|2022049"
          }
        ],
        "output": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire-response"
                }
              ]
            },
            "valueReference": {
              "reference": "urn:uuid:0415c8c3-9951-400f-917f-41c0fb6bdee4",
              "display": "Data Entry Questionnaire answers post-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:17405440-1207-48bc-8a2c-c2349f40a082",
      "resource": {
        "resourceType": "Task",
        "id": "17405440-1207-48bc-8a2c-c2349f40a082",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
          ]
        },
        "status": "completed",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
              "code": "complete-questionnaire"
            }
          ]
        },
        "executionPeriod": {
          "start": "2024-09-10T11:15:33+00:00",
          "end": "2024-09-13T11:20:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:e5b749c6-ef59-416f-958e-5374c4b17bb5",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "15",
              "display": "Intervention"
            }
          ]
        },
        "input": [
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MPRPX013X",
                  "display": "PROMs Trigger Event Date"
                }
              ]
            },
            "valueDateTime": "2024-03-21T13:15:33+00:00"
          },
          {
            "type": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TaskInputType",
                  "code": "MDEPX004X",
                  "display": "PROMs Laterality"
                }
              ]
            },
            "valueCodeableConcept": {
              "coding": [
                {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PROMsLaterality",
                  "code": "1",
                  "display": "Left"
                }
              ]
            }
          },
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire"
                }
              ]
            },
            "valueCanonical": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-KneeArthSp|2023005"
          }
        ],
        "output": [
          {
            "type": {
              "coding": [
                {
                  "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                  "code": "questionnaire-response"
                }
              ]
            },
            "valueReference": {
              "reference": "urn:uuid:8abb948d-f6ef-4012-b41c-ffa330a0c9a0",
              "display": "Knee Arthroplasty-Specific Questions answers and score post-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:38d8a3ec-b5b9-4e05-9195-92fe89534b81",
      "resource": {
        "resourceType": "Patient",
        "id": "38d8a3ec-b5b9-4e05-9195-92fe89534b81",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient"
          ]
        },
        "identifier": [
          {
            "extension": [
              {
                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                "valueCodeableConcept": {
                  "coding": [
                    {
                      "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusWales",
                      "code": "nn",
                      "display": "Number present and traced using Welsh NHS AR"
                    }
                  ]
                }
              }
            ],
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9912003444"
          },
          {
            "system": "https://fhir.cavuhb.nhs.wales/Id/pas-identifier",
            "value": "A000003"
          }
        ],
        "name": [
          {
            "use": "official",
            "family": "Jones",
            "given": [
              "Alice"
            ]
          }
        ],
        "gender": "female",
        "birthDate": "1980-09-13",
        "address": [
          {
            "postalCode": "CF62 9AZ"
          }
        ],
        "communication": [
          {
            "language": {
              "coding": [
                {
                  "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage",
                  "code": "cy",
                  "display": "Welsh"
                }
              ]
            },
            "preferred": true
          },
          {
            "language": {
              "coding": [
                {
                  "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage",
                  "code": "en",
                  "display": "English"
                }
              ]
            },
            "preferred": false
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse"
          ]
        },
        "language": "en",
        "identifier": {
          "system": "https://acme.com/fhir/identifier/NPROMS-QuestionnaireId",
          "value": "828da5f2-b779-11ed-afa1-0242ac120002",
          "assigner": {
            "reference": "urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515",
            "display": "NPROMS"
          }
        },
        "questionnaire": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-OKS|2023004",
        "status": "completed",
        "subject": {
          "reference": "urn:uuid:38d8a3ec-b5b9-4e05-9195-92fe89534b81",
          "display": "Alice Jones"
        },
        "authored": "2024-09-13T11:15:33+00:00",
        "item": [
          {
            "linkId": "OKSPX001X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-SideaffectedCS",
                  "code": "1",
                  "display": "Left"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX002X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-UsualpainCS",
                  "code": "2",
                  "display": "Mild"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX003X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-WashingCS",
                  "code": "2",
                  "display": "Moderate trouble"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX004X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-TransportCS",
                  "code": "3",
                  "display": "Very little trouble"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX005X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-WalkingCS",
                  "code": "3",
                  "display": "16-30 minutes"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX006X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-StandingCS",
                  "code": "3",
                  "display": "Slightly painful"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX007X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-LimpingCS",
                  "code": "3",
                  "display": "Sometimes or just at first"
                }
              }
            ]
          },
          {
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}