FHIR IG analytics| Package | uk.nhsdigital.bars.r4 |
| Resource Type | Bundle |
| Id | REFREQ01 - Referral Service Request New Full - 111 to ED.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
{
"resourceType": "Bundle",
"id": "79120f41-a431-4f08-bcc5-1e67006fcae0",
"meta": {
"versionId": "1.0.0",
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage"
]
},
"type": "message",
"timestamp": "2021-10-11T12:15:10+00:00",
"entry": [
{
"fullUrl": "urn:uuid:c89a8895-56fe-41de-b20b-fab6efa99c99",
"resource": {
"resourceType": "MessageHeader",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.nhs.uk/StructureDefinition/BARSMessageHeader-servicerequest-request"
]
},
"extension": [
{
"extension": [
{
"url": "RequesterCDSSsoftware",
"valueString": "Pathways"
},
{
"url": "RequesterCDSSversion",
"valueString": "30.2.0"
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/CDSSExtension"
}
],
"eventCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/message-events-bars",
"code": "servicerequest-request"
},
"destination": [
{
"endpoint": "https://fhir.nhs.uk/Id/dos-service-id|111111111",
"receiver": {
"reference": "urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5"
}
}
],
"sender": {
"reference": "urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679"
},
"source": {
"name": "Emergency service",
"software": "Anon Patient Manager",
"version": "2.1.45",
"contact": {
"system": "phone",
"value": "+44 (0113) 123 4567"
},
"endpoint": "https://fhir.nhs.uk/Id/dos-service-id|2222222222"
},
"reason": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/message-reason-bars",
"code": "new"
}
]
},
"focus": [
{
"reference": "urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c"
}
],
"definition": "https://fhir.nhs.uk/MessageDefinition/bars-message-servicerequest-request-referral"
}
},
{
"fullUrl": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d",
"resource": {
"resourceType": "Encounter",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
]
},
"identifier": [
{
"system": "https://sender.url/Id/case-number",
"value": "sender1234"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "EMER",
"display": "emergency"
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"episodeOfCare": [
{
"reference": "EpisodeOfCare/d877b820-e72b-44d1-a627-195f54bfc606"
}
],
"period": {
"start": "2021-02-19T07:15:00+10:00"
}
}
},
{
"fullUrl": "urn:uuid:38e9c018-adbb-4579-9cd8-45f4f890b93b",
"resource": {
"resourceType": "CarePlan",
"meta": {
"lastUpdated": "2021-11-26T15:15:15.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan"
]
},
"status": "completed",
"intent": "plan",
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"supportingInfo": [
{
"reference": "urn:uuid:e53b2595-7875-4687-80e9-23a0c8cb8ea0",
"display": "Person expectations and wishes"
},
{
"reference": "urn:uuid:ea37a499-245c-40e9-b0fa-df4383c4d413",
"display": "Safeguarding Concerns Flag"
},
{
"reference": "urn:uuid:75f0e2c7-79db-4518-8a03-edcf096fccbb",
"display": "Additional Information Sources"
}
],
"activity": [
{
"outcomeCodeableConcept": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-sd-codes",
"code": "4389",
"display": "ED post tonsillectomy bleeding"
}
],
"text": "Pathways Assessment SD Code"
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-dx-codes",
"code": "DX02",
"display": "The individual needs to attend an emergency treatment centre within 1 hour."
}
],
"text": "Pathways Assessment DX Code"
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-pathway-codes",
"code": "PA21",
"display": "Chest and Upper Back Pain"
}
],
"text": "Presenting Complaint - selected Pathway or Template"
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-sg-codes",
"code": "1010",
"display": "Allergic Reaction"
}
],
"text": "Pathways Assessment SG Code - Chief Complaint"
},
{
"text": "PATHWAYS ASSESSMENT:/n An injury or health problem was the reason for the contact./n Heavy bleeding had not occurred in the previous 2 hours./n An illness or health problem was the main problem. - bleeding for 15 minutes/n The individual was not fighting for breath./n The main reason for the assessment was not an allergic reaction, heart attack, chest/upper back pain, probable/n stroke, recent fit/seizure or suicide attempt./n The main reason for contact was not new confusion, declared diabetic hypo/hyperglycaemia, or ICD shock./n The skin on the torso felt normal, warm or hot./n Pathway Selected: PW818, Nosebleeds without Injury/n The individual was not feeling faint or dizzy./n The nose was continuing to bleed./n There was no nasal foreign body./n Constant pressure for at least 10 minutes had not been applied./n There was no spontaneous bruising, abnormal bleeding or frequent nosebleeds within the previous 2 weeks./n The individual did not use anticoagulant medication or have a bleeding/clotting disorder."
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c",
"resource": {
"resourceType": "ServiceRequest",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-referral"
]
},
"basedOn": [
{
"reference": "urn:uuid:38e9c018-adbb-4579-9cd8-45f4f890b93b"
}
],
"status": "active",
"intent": "plan",
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/message-category-servicerequest",
"code": "referral",
"display": "Transfer of Care"
},
{
"system": "https://fhir.nhs.uk/CodeSystem/usecases-categories-bars",
"code": "a1t1",
"display": "111 to ED"
}
]
}
],
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"occurrencePeriod": {
"start": "2021-10-13T16:20:27+07:00"
},
"authoredOn": "2021-10-11T15:23:30+00:00",
"requester": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"performer": [
{
"reference": "urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5"
}
],
"supportingInfo": [
{
"reference": "urn:uuid:65508934-c9e6-46d2-a393-af096b502daf",
"display": "Rejected Services - Patient Choice in Service Selection - Details"
},
{
"reference": "urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc",
"display": "Rejected Services - Patient Choice in Service Selection - Flag"
},
{
"reference": "Appointment/3cac9cde-a262-42b3-bcf1-215ab79c3e37",
"display": "Booking"
}
],
"patientInstruction": "ADVICE GIVEN: If there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, call us back."
}
},
{
"fullUrl": "urn:uuid:49073ea7-2d55-433f-9bce-9d3e798cfe40",
"resource": {
"resourceType": "HealthcareService",
"meta": {
"lastUpdated": "2021-11-26T15:00:00.8185338+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/HealthcareService",
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-HealthcareService"
]
},
"identifier": [
{
"system": "http://fhir.nhs.uk/Id/dos-service-id",
"value": "111111111"
}
],
"active": true,
"providedBy": {
"reference": "urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5"
},
"name": "Emergency Department - Adult"
}
},
{
"fullUrl": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8",
"resource": {
"resourceType": "Patient",
"meta": {
"lastUpdated": "2021-11-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
]
},
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategory",
"code": "A",
"display": "British, Mixed British"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/patient-religion",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation",
"code": "1041",
"display": "Roman Catholic Church"
}
]
}
}
],
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus",
"code": "number-present-and-verified",
"display": "Number present and verified"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "3478526985"
}
],
"name": [
{
"use": "official",
"text": "Mrs Julie Jones",
"family": "Jones",
"given": [
"Julie"
],
"prefix": [
"Mrs"
]
}
],
"gender": "female",
"birthDate": "1959-05-04",
"address": [
{
"use": "home",
"type": "both",
"text": "22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU",
"line": [
"22 Brightside Crescent"
],
"city": "Overtown",
"district": "West Yorkshire",
"postalCode": "LS10 4YU"
}
],
"contact": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank",
"valuePositiveInt": 1
}
],
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
"code": "ONESELF",
"display": "self"
}
]
}
],
"telecom": [
{
"system": "phone",
"value": "01138698975",
"use": "home",
"rank": 2
},
{
"system": "phone",
"value": "07736312544",
"use": "mobile",
"rank": 1
},
{
"system": "email",
"value": "jjones@hotmail.co.uk",
"use": "home",
"rank": 3
}
]
},
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank",
"valuePositiveInt": 2
}
],
"relationship": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0131",
"code": "C",
"display": "Emergency Contact"
}
]
}
],
"name": {
"family": "Grayson",
"given": [
"Jack"
]
},
"telecom": [
{
"system": "phone",
"value": "0789 1234567",
"use": "mobile",
"rank": 1
}
],
"gender": "male"
}
],
"communication": [
{
"language": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage",
"code": "en",
"display": "English"
}
]
},
"preferred": true
}
],
"generalPractitioner": [
{
"reference": "urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85"
}
]
}
},
{
"fullUrl": "urn:uuid:1e744e34-6bbb-4aa9-8b20-fa3bb91f9d8f",
"resource": {
"resourceType": "PractitionerRole",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole"
]
},
"practitioner": {
"reference": "urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1"
},
"organization": {
"reference": "urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85"
},
"specialty": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "408443003",
"display": "General medical practice"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9",
"resource": {
"resourceType": "Organization",
"meta": {
"lastUpdated": "2021-11-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"name": "Practitioner Org"
}
},
{
"fullUrl": "urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85",
"resource": {
"resourceType": "Organization",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/id/ods-organization-code",
"value": "G82080"
}
],
"name": "Patient's Surgery"
}
},
{
"fullUrl": "urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1",
"resource": {
"resourceType": "Practitioner",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "G823658"
}
],
"name": [
{
"family": "Smith",
"given": [
"John"
]
}
],
"telecom": [
{
"system": "phone",
"value": "0205663859",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5",
"resource": {
"resourceType": "Organization",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/id/ods-organization-code",
"value": "RYE"
}
],
"name": "Receiving/performing Organization"
}
},
{
"fullUrl": "urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679",
"resource": {
"resourceType": "Organization",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/id/ods-organization-code",
"value": "RND"
}
],
"name": "Sender Organization"
}
},
{
"fullUrl": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56",
"resource": {
"resourceType": "Practitioner",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-role-profile-id",
"value": "PT2489"
}
],
"name": [
{
"family": "BLAKE",
"given": [
"Marcy"
]
}
],
"telecom": [
{
"system": "phone",
"value": "0205568263",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:b923aa53-2376-4015-a07d-afe8bf2310eb",
"resource": {
"resourceType": "PractitionerRole",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole"
]
},
"practitioner": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"organization": {
"reference": "urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "224608005",
"display": "Administrative healthcare staff"
}
]
}
],
"specialty": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "408443003",
"display": "General medical practice"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:30b7b6e3-93f0-4061-b90e-71f43d5fb06d",
"resource": {
"resourceType": "MedicationStatement",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement"
]
},
"status": "active",
"category": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/medication-statement-category",
"code": "outpatient",
"display": "Outpatient"
}
]
},
"medicationCodeableConcept": {
"coding": [
{
"system": "https://dmd.nhs.uk/",
"code": "8280711000001102",
"display": "Aspirin 50mg/5ml oral solution"
}
]
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"context": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"effectiveDateTime": "2021-09-23",
"dateAsserted": "2021-10-22",
"reasonCode": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "65363002",
"display": "Otitis media (disorder)"
}
]
}
],
"dosage": [
{
"text": "2 capsules 4 times a day.",
"timing": {
"repeat": {
"frequency": 4,
"period": 1,
"periodUnit": "d"
}
},
"asNeededCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "16001004",
"display": "Otalgia"
}
]
},
"site": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "123851003",
"display": "Mouth region structure"
}
]
},
"route": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "26643006",
"display": "Oral"
}
]
},
"method": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "421984009",
"display": "Until finished"
}
]
},
"doseAndRate": [
{
"doseQuantity": {
"value": 500,
"unit": "milligram",
"system": "http://unitsofmeasure.org",
"code": "mg"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:68e01f49-cf16-4d88-8b06-5c9f40676fdd",
"resource": {
"resourceType": "AllergyIntolerance",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-AllergyIntolerance"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
"code": "active",
"display": "Active"
}
]
},
"verificationStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
"code": "confirmed",
"display": "Confirmed"
}
]
},
"type": "allergy",
"category": [
"medication"
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "372687004",
"display": "Amoxicillin"
}
]
},
"patient": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"recordedDate": "2021-10-10T13:00:00+00:00",
"recorder": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"asserter": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"reaction": [
{
"manifestation": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "247472004",
"display": "Urticarial rash"
}
]
}
],
"severity": "mild"
}
]
}
},
{
"fullUrl": "urn:uuid:ea37a499-245c-40e9-b0fa-df4383c4d413",
"resource": {
"resourceType": "Flag",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Flag",
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag"
]
},
"status": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/flag-categories-bars",
"code": "SG",
"display": "Safeguarding Concern"
}
]
}
],
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/safeguarding-codes-bars",
"code": "836881000000105",
"display": "Child is cause for safeguarding concern (finding)"
}
]
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"period": {
"start": "2020-11-10T19:57:26.961Z",
"end": "2021-11-20T19:57:26.961Z"
}
}
},
{
"fullUrl": "urn:uuid:3fe61915-32d2-4d41-953a-1d4ff56030e0",
"resource": {
"resourceType": "Flag",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Flag",
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag"
]
},
"status": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/flag-categories-bars",
"code": "RA",
"display": "Reasonable Adjustment"
}
]
}
],
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/reasonable-adjustment-codes-bars",
"code": "adjustforneedlephobia",
"display": "Adjust for needle phobia"
}
]
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"period": {
"start": "2018-11-10T19:57:26.961Z"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
}
}
},
{
"fullUrl": "urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc",
"resource": {
"resourceType": "Flag",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Flag",
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag"
]
},
"status": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/flag-categories-bars",
"code": "RS",
"display": "Rejected Services"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "718941000000104",
"display": "Patient choice"
}
],
"text": "Patient Choice in Service Selection"
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"period": {
"start": "2018-11-10T19:57:26.961Z"
}
}
},
{
"fullUrl": "urn:uuid:65508934-c9e6-46d2-a393-af096b502daf",
"resource": {
"resourceType": "QuestionnaireResponse",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason",
"valueCodeableConcept": {
"text": "Rejected Services - Patient Choice in Service Selection"
}
}
],
"status": "completed",
"subject": {
"reference": "urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc"
},
"authored": "2021-10-13T16:28:00+07:00",
"author": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"source": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"item": [
{
"linkId": "RejectedServices",
"text": "Rejected Services",
"item": [
{
"linkId": "Service1",
"item": [
{
"linkId": "ServiceId",
"answer": [
{
"valueString": "200000359"
}
]
},
{
"linkId": "ServiceName",
"answer": [
{
"valueString": "Test DoS Service"
}
]
},
{
"linkId": "RejectionReason",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dos-rejected-reasons-bars",
"code": "26",
"display": "Rejected for patient choice"
}
}
]
},
{
"linkId": "RejectionComment",
"answer": [
{
"valueString": "Same reason, Patient refused service due to parking"
}
]
}
]
},
{
"linkId": "Service2",
"item": [
{
"linkId": "ServiceId",
"answer": [
{
"valueString": "200000360"
}
]
},
{
"linkId": "ServiceName",
"answer": [
{
"valueString": "2nd Test DoS Service"
}
]
},
{
"linkId": "RejectionReason",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/dos-rejected-reasons-bars",
"code": "26",
"display": "Rejected for patient choice"
}
}
]
},
{
"linkId": "RejectionComment",
"answer": [
{
"valueString": "Same reason, Patient refused service due to parking"
}
]
}
]
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:0a6689a2-ebb4-48a2-825f-9c88c5959684",
"resource": {
"resourceType": "Observation",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/household-composition-bars",
"code": "LivesAlone",
"display": "Lives Alone"
}
]
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"effectiveDateTime": "2021-10-23",
"performer": [
{
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
}
]
}
},
{
"fullUrl": "urn:uuid:660f804e-9003-4623-b6c0-9f0faae50433",
"resource": {
"resourceType": "Observation",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-LivingArrangement",
"code": "N",
"display": "Nursing Home"
}
]
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"effectiveDateTime": "2021-10-23",
"performer": [
{
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
}
]
}
},
{
"fullUrl": "urn:uuid:e53b2595-7875-4687-80e9-23a0c8cb8ea0",
"resource": {
"resourceType": "Observation",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
]
},
"status": "final",
"code": {
"text": "Expectations and wishes"
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"effectiveDateTime": "2021-10-23",
"performer": [
{
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
}
]
}
},
{
"fullUrl": "urn:uuid:75f0e2c7-79db-4518-8a03-edcf096fccbb",
"resource": {
"resourceType": "QuestionnaireResponse",
"meta": {
"lastUpdated": "2021-10-11T15:23:30.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason",
"valueCodeableConcept": {
"text": "Additional Information Sources"
}
}
],
"status": "completed",
"authored": "2021-10-13T16:28:00+07:00",
"author": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"source": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"item": [
{
"linkId": "AdditionalSources",
"text": "Additional Lookup Sources",
"item": [
{
"linkId": "Source1",
"item": [
{
"linkId": "SourceName",
"answer": [
{
"valueString": "Healthcare Gateway MIG"
}
]
},
{
"linkId": "SourceURL",
"answer": [
{
"valueUri": "http://www.healthcaregateway.co.uk/mig/"
}
]
}
]
},
{
"linkId": "Source2",
"item": [
{
"linkId": "SourceName",
"answer": [
{
"valueString": "Graphnet"
}
]
},
{
"linkId": "SourceURL",
"answer": [
{
"valueUri": "http://www.graphnet.co.uk/"
}
]
}
]
},
{
"linkId": "Source3",
"item": [
{
"linkId": "SourceName",
"answer": [
{
"valueString": "Local SPN"
}
]
},
{
"linkId": "SPNTitle",
"answer": [
{
"valueString": "Abusive patient"
}
]
},
{
"linkId": "SPNDetail",
"answer": [
{
"valueString": "On one encounter with the patient they were verbally abusive to attending staff. Patient should not be seen alone"
}
]
},
{
"linkId": "SPNActiveDate",
"answer": [
{
"valueDateTime": "2021-11-10T19:45:28.654Z"
}
]
},
{
"linkId": "SPNReviewDate",
"answer": [
{
"valueDateTime": "2022-05-10T19:45:28.654Z"
}
]
}
]
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:1e91008e-96d0-438b-873c-c6d2c007fc29",
"resource": {
"resourceType": "Consent",
"meta": {
"lastUpdated": "2021-11-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Consent"
]
},
"status": "active",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "patient-privacy"
}
]
},
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/consent-categories-bars",
"code": "DRC",
"display": "Direct Care"
}
]
}
],
"patient": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"dateTime": "2021-11-26",
"policyRule": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMPLIED"
}
]
}
}
}
]
}