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Packagefhir.r4.wales.psom
Resource TypeBundle
IdExample-DataStandardsWales-PSOM-Bundle-KNA-Preop-Response-NDR-1.json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "Example-DataStandardsWales-PSOM-Bundle-KNA-Preop-Response-NDR-1",
  "identifier": {
    "system": "https://acme.com/fhir/Id/oracle-guid",
    "value": "824d3a59-058f-4c43-9c0d-829015203cde"
  },
  "type": "message",
  "timestamp": "2024-03-11T11:15:33+00:00",
  "entry": [
    {
      "fullUrl": "urn:uuid:1296648d-7259-4548-89c1-6ef78c9ad4ef",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "1296648d-7259-4548-89c1-6ef78c9ad4ef",
        "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:98740b4f-7c33-4e67-ab33-ff75aebe7c45",
            "type": "CarePlan",
            "display": "Knee Arthroplasty"
          },
          {
            "reference": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
            "type": "Task",
            "display": "Task for OKS"
          },
          {
            "reference": "urn:uuid:d9607846-fa1b-47b6-9286-7116e953dec2",
            "type": "Task",
            "display": "Task for EQ5D5L"
          },
          {
            "reference": "urn:uuid:7c5fcaec-c361-4286-8e1e-8183879b768f",
            "type": "Task",
            "display": "Task for Data Entry Questionnaire"
          },
          {
            "reference": "urn:uuid:502dce29-2474-4071-925f-c383f0488dce",
            "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:4aec01a4-d19d-423d-99cd-ada5a290e0dc",
            "type": "QuestionnaireResponse",
            "display": "QuestionnaireResponse for EQ5D5L"
          }
        ],
        "definition": "https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-PSOM-Response"
      }
    },
    {
      "fullUrl": "urn:uuid:98740b4f-7c33-4e67-ab33-ff75aebe7c45",
      "resource": {
        "resourceType": "CarePlan",
        "id": "98740b4f-7c33-4e67-ab33-ff75aebe7c45",
        "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",
            "assigner": {
              "reference": "urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e",
              "display": "Cardiff and Vale University Health Board"
            }
          }
        ],
        "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:3f0b7b1d-afa5-4a38-9be5-9e3c08939155",
          "display": "Alice Jones"
        },
        "author": {
          "reference": "urn:uuid:7510342f-54df-449e-a237-c23fd5dfc398",
          "display": "Consultant"
        },
        "activity": [
          {
            "reference": {
              "reference": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
              "display": "Task for OKS"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:d9607846-fa1b-47b6-9286-7116e953dec2",
              "display": "Task for EQ5D5L"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:7c5fcaec-c361-4286-8e1e-8183879b768f",
              "display": "Task for Data Entry Questionnaire"
            }
          },
          {
            "reference": {
              "reference": "urn:uuid:502dce29-2474-4071-925f-c383f0488dce",
              "display": "Task for Knee Arthroplasty Specific questions"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
      "resource": {
        "resourceType": "Task",
        "id": "ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
        "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": "2024-03-10T11:15:33+00:00",
          "end": "2024-03-10T13:23:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:25d582bd-b003-422c-b54a-fc7a95f9a514",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "14",
              "display": "Pre-op assessment"
            }
          ]
        },
        "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 pre-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:d9607846-fa1b-47b6-9286-7116e953dec2",
      "resource": {
        "resourceType": "Task",
        "id": "d9607846-fa1b-47b6-9286-7116e953dec2",
        "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": "2024-03-10T11:15:33+00:00",
          "end": "2024-03-10T13:15:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:25d582bd-b003-422c-b54a-fc7a95f9a514",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "14",
              "display": "Pre-op assessment"
            }
          ]
        },
        "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:4aec01a4-d19d-423d-99cd-ada5a290e0dc",
              "display": "EQ5D5L answers and score pre-op"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:7c5fcaec-c361-4286-8e1e-8183879b768f",
      "resource": {
        "resourceType": "Task",
        "id": "7c5fcaec-c361-4286-8e1e-8183879b768f",
        "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": "2024-03-10T11:15:33+00:00",
          "end": "2024-03-10T13:20:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:25d582bd-b003-422c-b54a-fc7a95f9a514",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "14",
              "display": "Pre-op assessment"
            }
          ]
        },
        "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:8abb948d-f6ef-4012-b41c-ffa330a0c9a0",
              "display": "Data Entry Questionnaire answers pre-op."
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:502dce29-2474-4071-925f-c383f0488dce",
      "resource": {
        "resourceType": "Task",
        "id": "502dce29-2474-4071-925f-c383f0488dce",
        "meta": {
          "profile": [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
          ]
        },
        "status": "in-progress",
        "intent": "order",
        "code": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
              "code": "complete-questionnaire"
            }
          ]
        },
        "executionPeriod": {
          "start": "2024-03-10T11:15:33+00:00"
        },
        "location": {
          "reference": "urn:uuid:25d582bd-b003-422c-b54a-fc7a95f9a514",
          "display": "CadogWard"
        },
        "reasonCode": {
          "coding": [
            {
              "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerEventType",
              "code": "14",
              "display": "Pre-op assessment"
            }
          ]
        },
        "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"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:3f0b7b1d-afa5-4a38-9be5-9e3c08939155",
      "resource": {
        "resourceType": "Patient",
        "id": "3f0b7b1d-afa5-4a38-9be5-9e3c08939155",
        "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:3f0b7b1d-afa5-4a38-9be5-9e3c08939155",
          "display": "Alice Jones"
        },
        "authored": "2024-03-10T13:23:33+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": "1",
                  "display": "Moderate"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX003X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-WashingCS",
                  "code": "1",
                  "display": "Extreme difficulty"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX004X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-TransportCS",
                  "code": "2",
                  "display": "Moderate trouble"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX005X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-WalkingCS",
                  "code": "1",
                  "display": "Around the house only"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX006X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-StandingCS",
                  "code": "2",
                  "display": "Moderately painful"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX007X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-LimpingCS",
                  "code": "2",
                  "display": "Often, not just at first"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX008X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-KneelingCS",
                  "code": "2",
                  "display": "With moderate difficulty"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX009X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-NightpainCS",
                  "code": "1",
                  "display": "Most nights"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX010X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-WorkCS",
                  "code": "1",
                  "display": "Greatly"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX011X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-ConfidenceCS",
                  "code": "0",
                  "display": "All of the time"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX012X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-ShoppingCS",
                  "code": "2",
                  "display": "With moderate difficulty"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX013X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/OKS-StairsCS",
                  "code": "2",
                  "display": "With moderate difficulty"
                }
              }
            ]
          },
          {
            "linkId": "OKSPX014X",
            "answer": [
              {
                "valueDecimal": 1.42
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:4aec01a4-d19d-423d-99cd-ada5a290e0dc",
      "resource": {
        "resourceType": "QuestionnaireResponse",
        "id": "4aec01a4-d19d-423d-99cd-ada5a290e0dc",
        "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-EQ5D-5L|2022014",
        "status": "completed",
        "subject": {
          "reference": "urn:uuid:3f0b7b1d-afa5-4a38-9be5-9e3c08939155",
          "display": "Alice Jones"
        },
        "authored": "2024-03-10T13:15:33+00:00",
        "item": [
          {
            "linkId": "E5DPX001X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility",
                  "code": "2",
                  "display": "I have severe problems in walking about"
                }
              }
            ]
          },
          {
            "linkId": "E5DPX002X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare",
                  "code": "2",
                  "display": "I have severe problems in washing or dressing myself"
                }
              }
            ]
          },
          {
            "linkId": "E5DPX003X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities",
                  "code": "3",
                  "display": "I have moderate problems doing my usual activities"
                }
              }
            ]
          },
          {
            "linkId": "E5DPX004X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort",
                  "code": "2",
                  "display": "I have severe pain or discomfort"
                }
              }
            ]
          },
          {
            "linkId": "E5DPX005X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression",
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                  "display": "I am moderately anxious or depressed"
                }
              }
            ]
          },
          {
            "linkId": "E5DPX006X",
            "answer": [
              {
                "valueInteger": 55
              }
            ]
          },
          {
            "linkId": "E5DPX007X",
            "answer": [
              {
                "valueDecimal": 0.177
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:8abb948d-f6ef-4012-b41c-ffa330a0c9a0",
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        "resourceType": "QuestionnaireResponse",
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        "meta": {
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          ]
        },
        "language": "en",
        "identifier": {
          "system": "https://acme.com/fhir/identifier/NPROMS-QuestionnaireId",
          "value": "cee63094-1bb0-4fbf-ae6e-58eb70545d58",
          "assigner": {
            "reference": "urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515",
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        },
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        "status": "completed",
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        "item": [
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            "linkId": "MDEPX001X",
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              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-CompletingquestionnaireCS",
                  "code": "0",
                  "display": "No"
                }
              }
            ]
          },
          {
            "linkId": "MDEPX002X",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-RelationshiptopatientCS",
                  "code": "1",
                  "display": "The patient"
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              }
            ]
          },
          {
            "linkId": "MDEPX003A",
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              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-PhysicalimpairmentCS",
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            ]
          },
          {
            "linkId": "MDEPX003B",
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              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-MentalimpairmentCS",
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            ]
          },
          {
            "linkId": "MDEPX003C",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-Under16CS",
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                  "display": "N/A"
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              }
            ]
          },
          {
            "linkId": "MDEPX003D",
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              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-NolanguageCS",
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              }
            ]
          },
          {
            "linkId": "MDEPX003E",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-RemoterollectionCS",
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                  "display": "N/A"
                }
              }
            ]
          },
          {
            "linkId": "MDEPX003F",
            "answer": [
              {
                "valueCoding": {
                  "system": "https://fhir.nhs.wales/CodeSystem/DataEntry-OtherreasonCS",
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                  "display": "N/A"
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        ]
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    },
    {
      "fullUrl": "urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515",
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        "meta": {
          "profile": [
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        },
        "identifier": [
          {
            "system": "https://example.org/Id/OriginatingSystem",
            "value": "NPROMS"
          }
        ],
        "name": "NPROMS"
      }
    },
    {
      "fullUrl": "urn:uuid:25d582bd-b003-422c-b54a-fc7a95f9a514",
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        },
        "identifier": [
          {
            "system": "https://fhir.nhs.wales/Id/wrts-location-identifier",
            "value": "7A2AGCADOG"
          }
        ],
        "name": "Cadog Ward",
        "address": {
          "text": "Dolgwili Rd, Carmarthen SA31 2AF, United Kingdom"
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            "coding": [
              {
                "system": "http://snomed.info/sct",
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                "display": "Consultant"
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            ]
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        },
        "identifier": [
          {
            "system": "https://fhir.hl7.org.uk/Id/gmc-number",
            "value": "9630333"
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        ],
        "name": [
          {
            "family": "Patel",
            "given": [
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            "prefix": [
              "Dr"
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      "fullUrl": "urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e",
      "resource": {
        "resourceType": "Organization",
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        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "7A4"
          }
        ],
        "name": "Cardiff and Vale University Health Board"
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    }
  ]
}