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Packageuk.nhsdigital.bars.r4
Resource TypeBundle
IdREFREQ10 - Referral Service Request - CAD Out of Area C4(1 of 1).json
FHIR VersionR4

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Source1

{
  "resourceType": "Bundle",
  "id": "146b45fc-30f3-4f8f-9cd9-6462db3ff0c4",
  "meta": {
    "versionId": "1.0.0-beta",
    "lastUpdated": "2025-10-27T11:30:00.8185338+00:00",
    "profile": [
      "https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage"
    ]
  },
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  "timestamp": "2025-10-27T11:30:00+00:00",
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          "lastUpdated": "2025-10-27T11:30:00.8185338+00:00",
          "profile": [
            "https://fhir.nhs.uk/StructureDefinition/BARSMessageHeader-servicerequest-request"
          ]
        },
        "extension": [
          {
            "extension": [
              {
                "url": "RequesterCDSSsoftware",
                "valueString": "Pathways"
              },
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                "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:ed6edb24-7cc3-4847-bedd-cfa342be47bb"
            }
          }
        ],
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        },
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          "version": "1.7",
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            "value": "+44 (0113) 123 4567"
          },
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        },
        "reason": {
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              "code": "new"
            }
          ]
        },
        "focus": [
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          }
        ],
        "definition": "https://fhir.nhs.uk/MessageDefinition/bars-message-servicerequest-request-referral"
      }
    },
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          "profile": [
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          ]
        },
        "basedOn": [
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                "code": "referral",
                "display": "Transfer of Care"
              },
              {
                "system": "https://fhir.nhs.uk/CodeSystem/usecases-categories-bars",
                "code": "a6t1",
                "display": "CAD to CAD Out of Area Referral"
              }
            ]
          }
        ],
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        },
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        "authoredOn": "2025-10-27T11:30:00+00:00",
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        },
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        ],
        "locationReference": [
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          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:51561c40-26fb-45c1-8879-99397e8a60d5",
      "resource": {
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        "meta": {
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            "value": "111111111"
          }
        ],
        "active": true,
        "providedBy": {
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        },
        "name": "Ambulance Service Trust A"
      }
    },
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          ]
        },
        "identifier": [
          {
            "system": "https://sender.url/Id/case-number",
            "value": "sender1234"
          }
        ],
        "status": "finished",
        "statusHistory": [
          {
            "status": "planned",
            "period": {
              "start": "2025-10-27T11:22:00+00:00"
            }
          },
          {
            "status": "arrived",
            "period": {
              "start": "2025-10-27T11:23:00+00:00"
            }
          },
          {
            "status": "in-progress",
            "period": {
              "start": "2025-10-27T11:25:00+00:00"
            }
          }
        ],
        "class": {
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          "code": "EMER",
          "display": "emergency"
        },
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        },
        "episodeOfCare": [
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          }
        ],
        "period": {
          "start": "2025-10-27T11:30:00+00:00"
        },
        "location": [
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              "reference": "urn:uuid:02722d80-ac23-460f-8492-c6736d4eb7d3"
            },
            "status": "active",
            "period": {
              "start": "2025-10-27T11:30:00+00:00"
            }
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:6b5f7f75-77c7-4e3a-9855-ced66ae94301",
      "resource": {
        "resourceType": "CarePlan",
        "id": "1118ec8e-0602-4d02-af8a-7b3cb72be385",
        "meta": {
          "lastUpdated": "2025-10-27T11:30:00.8185338+00:00",
          "profile": [
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        "status": "active",
        "intent": "plan",
        "subject": {
          "reference": "urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957"
        },
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          "start": "2025-10-27T11:30:00+00:00"
        },
        "author": {
          "reference": "urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343"
        },
        "activity": [
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            "outcomeCodeableConcept": [
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                "coding": [
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                    "system": "https://fhir.nhs.uk/CodeSystem/pathways-sd-codes",
                    "code": "SD4521",
                    "display": "AMB oxygen level concern"
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                ]
              },
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                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/pathways-sg-codes",
                    "code": "SG1131",
                    "display": "Nosebleeds without injury"
                  }
                ]
              },
              {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/pathways-dx-codes",
                    "code": "Dx0128",
                    "display": "Non-emergency Ambulance Response (Category 4)"
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              },
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                "coding": [
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                    "system": "https://fhir.nhs.uk/CodeSystem/arp-priority-codes",
                    "code": "C4",
                    "display": "Cat4 Emergency"
                  }
                ]
              },
              {
                "text": "CONSULTATION SUMMARY:/nAmbulance response not required/nReferral to another service required/nReferral to primary care or emergency treatment centre required/nIllness or other health problem/nEmergency treatment centre within 4hrs/nPATHWAYS ASSESSMENT:/nAn ambulance response was not required./nCoronavirus risk was not identified./nReferral to another service was required./nA referral to a primary care service or emergency treatment centre was required./nAn illness or other health problem was the reason for referral./nPathway Selected: PW818, Nosebleeds without Injury/nReferral to an emergency treatment centre within 4 hours was required./nADVICE GIVEN:/nIf there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, call us/nback./nRemember to take a list of any current medications if you go to the out of hours surgery./nNO INSTRUCTIONS GIVEN AS CALL RELATES TO AN INDIVIDUAL WHO HAS DIED./nNO INSTRUCTIONS GIVEN AS CALL IS BEING WARM TRANSFERRED (INTERIM CARE ADVICE MUST BE GIVEN IF THE CALL IS PLACED ON A QUEUE)"
              },
              {
                "text": "Pre-Triage Sieve, Patient breathing, Patient conscious, NOT noisy breathing, No NOC - Proceed to Triage"
              }
            ]
          }
        ]
      }
    },
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      "resource": {
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        "meta": {
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          ]
        },
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                "valueCodeableConcept": {
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                      "code": "number-present-and-verified",
                      "display": "Number present and verified"
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            ],
            "system": "https://fhir.nhs.uk/Id/nhs-number",
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        "name": [
          {
            "use": "official",
            "text": "Mrs Julie Grayson",
            "family": "Grayson",
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            "prefix": [
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        ],
        "gender": "female",
        "birthDate": "1990-09-04",
        "address": [
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            "use": "home",
            "type": "both",
            "text": "22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU",
            "line": [
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            ],
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        "contact": [
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        "communication": [
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            "given": [
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        },
        "name": "Practitioner Org"
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        "meta": {
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            "https://fhir.hl7.org.uk/StructureDefinition/BARSLocation-incident-location"
          ]
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            "Greater Manchester"
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          "country": "UK"
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          ]
        },
        "extension": [
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                "valueString": "200002546857"
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        ],
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          "district": "Greater Manchester",
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          "country": "UK"
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          }
        ],
        "name": [
          {
            "family": "TRUMAN",
            "given": [
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            "use": "work"
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