FHIR IG analytics| Package | uk.nhsdigital.bars.r4 |
| Resource Type | Bundle |
| Id | REFREQ8D - Referral Service Request - CAD Out of Area C1(4 of 4 - Final Update).json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "86e3371d-1c15-4862-9552-d9560f8292ba",
"meta": {
"versionId": "1.0.0-beta",
"lastUpdated": "2023-12-26T15:00:04.8185338+00:00",
"profile": [
"https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage"
]
},
"type": "message",
"timestamp": "2023-12-26T15:00:00+00:00",
"entry": [
{
"fullUrl": "urn:uuid:1cbdfb97-5859-48a4-8301-d54eab818d68",
"resource": {
"resourceType": "MessageHeader",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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:10397afd-479c-42ea-9d5d-e4024481e0f8"
}
}
],
"sender": {
"reference": "urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679"
},
"source": {
"name": "Emergency service",
"software": "Patient Manager",
"version": "1.7",
"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": "update"
}
]
},
"focus": [
{
"reference": "urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c"
}
],
"definition": "https://fhir.nhs.uk/MessageDefinition/bars-message-servicerequest-request-referral"
}
},
{
"fullUrl": "urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c",
"resource": {
"resourceType": "ServiceRequest",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be619",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-referral"
]
},
"basedOn": [
{
"reference": "urn:uuid:68d3c42e-f76e-4f66-9498-d96e1040c81c"
}
],
"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": "a6t1",
"display": "CAD to CAD Out of Area Referral"
}
]
}
],
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"authoredOn": "2023-12-26T11:30:00+00:00",
"requester": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"performer": [
{
"reference": "urn:uuid:d482d092-6efc-4eef-b4a0-730718b1fbfd"
}
],
"locationReference": [
{
"reference": "urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22"
}
]
}
},
{
"fullUrl": "urn:uuid:d482d092-6efc-4eef-b4a0-730718b1fbfd",
"resource": {
"resourceType": "HealthcareService",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be779",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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:10397afd-479c-42ea-9d5d-e4024481e0f8"
},
"name": "Ambulance Service Trust A"
}
},
{
"fullUrl": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d",
"resource": {
"resourceType": "Encounter",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be651",
"meta": {
"lastUpdated": "2023-12-26T15:00:04.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
]
},
"identifier": [
{
"system": "https://sender.url/Id/case-number",
"value": "sender1234"
}
],
"status": "finished",
"statusHistory": [
{
"status": "planned",
"period": {
"start": "2023-12-26T14:59:50+00:00"
}
},
{
"status": "arrived",
"period": {
"start": "2023-12-26T14:59:56+00:00"
}
},
{
"status": "in-progress",
"period": {
"start": "2023-12-26T15:00:02+00:00"
}
}
],
"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": "2023-12-26T15:00:00+00:00"
},
"location": [
{
"location": {
"reference": "urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22"
},
"status": "active",
"period": {
"start": "2023-12-26T15:00:02+00:00"
}
}
]
}
},
{
"fullUrl": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d499884",
"resource": {
"resourceType": "Encounter",
"id": "1228ec8e-0602-4d02-af8a-7b3cb72be221",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter"
]
},
"identifier": [
{
"system": "https://sender.url/Id/case-number",
"value": "receiver1234"
}
],
"status": "in-progress",
"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": "2023-12-26T15:00:00+00:00"
}
}
},
{
"fullUrl": "urn:uuid:68d3c42e-f76e-4f66-9498-d96e1040c81c",
"resource": {
"resourceType": "CarePlan",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be385",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan"
]
},
"status": "active",
"intent": "plan",
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"period": {
"start": "2023-12-26T15:00:00+00:00"
},
"author": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"activity": [
{
"outcomeCodeableConcept": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-sd-codes",
"code": "SD4212",
"display": "AMB cardiac arrest"
}
]
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-sg-codes",
"code": "SG1193",
"display": "Immediate threats to life"
}
]
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/pathways-dx-codes",
"code": "Dx010",
"display": "Emergency Ambulance Response for Potential Cardiac Arrest(Category 1)"
}
]
},
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/arp-priority-codes",
"code": "C1",
"display": "Cat1 Urgent"
}
]
},
{
"text": "CONSULTATION SUMMARY /n PRINTED ON 18/09/2024 15:10:18 Pathways R45.2.0 System Settings: MERS virus Call Handler Triage Cut Off: Set to 0 Clinician Triage Cut Off: Set to 0 PATIENT: Joe Bloggs TELEPHONE: AGE GROUP: Adult GENDER: Male PARTY: 3 POSTCODE: DH1 2HP NOTES: SKILLSET: 999 Call Handler CALL HANDLER USER ID: John.Jone@nhs.net PATHWAY: PMA3 - Calling About Someone Else SYMPTOM GROUP: SG1193 - Immediate threats to life SYMPTOM DISCRIMINATOR: SD4212 - AMB cardiac arrest DISPOSITION: Dx010 - Emergency Ambulance Response for Potential Cardiac Arrest (Category 1) SELECTED SERVICE: No care service selected CONSULTATION SUMMARY: Cardiac arrest. Dispatch Information - Not breathing. No indication scene unsafe. Someone in close proximity to casualty. BLS instruction required. Assistance not available. Life support being given. PATHWAYS ASSESSMENT: Cardiac arrest identified. Further information to help with dispatch was given. - Not breathing. The scene was safe. The individual was in close proximity. Choking, hanging, drowning, allergic reaction or opioid overdose was not declared. BLS instruction was required. The patient was 18 years of age or older. There was no defibrillator within easy reach. A defibrillator was not being collected. No other person was available to assist. Life support was being given. ADVICE GIVEN: I am going to tell you how to give life support. Switch your phone onto hands-free or loudspeaker now. Lay the individual on their back, on the floor if possible. Kneel by their side. Put one hand flat in the centre of their chest. Put the other hand on top. Lock your fingers together. Keeping your arms straight, push down hard and fast. Don't be afraid to push too hard. Push about 2 times a second. Say 'PUSH' out loud with every push, so I know how fast you are going. Keep pushing hard and fast. Continue with compressions. If someone can assist with compressions, swap over when you get tired. Keep going until emergency services take over. THEY START WAKING UP AND BREATHING NORMALLY AND MOVING, STOP AND ROLL THEM ONTO THEIR SIDE. If you can, ask for someone to meet and direct the vehicle. Shut any dogs away. NO INSTRUCTIONS GIVEN AS NOT SAFE AND/OR APPROPRIATE"
},
{
"text": "Pre-Triage Sieve, Not Breathing, Loss of consciousness, NOC - Arrest/Peri Arrest (Cat1)"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8",
"resource": {
"resourceType": "Patient",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be274",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+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",
"Overtown",
"Leeds",
"West Yorkshire"
],
"city": "Overtown",
"district": "West Yorkshire",
"postalCode": "LS10 4YU"
}
],
"contact": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank",
"valuePositiveInt": 2
}
],
"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": 1
}
],
"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:c8c21609-cb27-4958-8eb2-37c76f3def85",
"resource": {
"resourceType": "Organization",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be123",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+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:1e744e34-6bbb-4aa9-8b20-fa3bb91f9d8f",
"resource": {
"resourceType": "PractitionerRole",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be111",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+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:07dec093-be12-42f4-ade5-0d582d255ef1",
"resource": {
"resourceType": "Practitioner",
"id": "3218ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:03.8185338+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": [
"Alex"
]
}
],
"telecom": [
{
"system": "phone",
"value": "0205663333",
"use": "work"
}
]
}
},
{
"fullUrl": "urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9",
"resource": {
"resourceType": "Organization",
"id": "1238ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"name": "Practitioner Org"
}
},
{
"fullUrl": "urn:uuid:10397afd-479c-42ea-9d5d-e4024481e0f8",
"resource": {
"resourceType": "Organization",
"id": "6758ec8e-0602-4d02-af8a-7b3cb72be614",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"name": "Receiver Organization"
}
},
{
"fullUrl": "urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679",
"resource": {
"resourceType": "Organization",
"id": "5558ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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:2ec99e82-a0af-4b70-bd53-1869d84b2a22",
"resource": {
"resourceType": "Location",
"id": "4448ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:02.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location",
"https://fhir.hl7.org.uk/StructureDefinition/BARSLocation-incident-location"
]
},
"extension": [
{
"extension": [
{
"url": "UPRN",
"valueString": "0008755622"
},
{
"url": "eastings",
"valueString": "0.368598"
},
{
"url": "northings",
"valueString": "0.409257"
},
{
"url": "accuracy",
"valueString": "80"
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/LocationExtension"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/location-types-bars",
"code": "ILOC",
"display": "Incident Location"
}
]
}
],
"address": {
"line": [
"Ladybridge Hall",
"399 Chorley New Road",
"Markland Hill",
"Bolton",
"Greater Manchester"
],
"city": "Bolton",
"district": "Greater Manchester",
"postalCode": "BL1 5DD",
"country": "UK"
},
"position": {
"longitude": 53.57896,
"latitude": -2.4757443
}
}
},
{
"fullUrl": "urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2ad1",
"resource": {
"resourceType": "Location",
"id": "3338ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
]
},
"extension": [
{
"extension": [
{
"url": "UPRN",
"valueString": "0008755622"
},
{
"url": "eastings",
"valueString": "0.368598"
},
{
"url": "northings",
"valueString": "0.409257"
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/LocationExtension"
}
],
"name": "Briggate corner",
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/location-types-bars",
"code": "CLOC",
"display": "Caller Location"
}
]
}
],
"address": {
"line": [
"Ladybridge Hall",
"399 Chorley New Road",
"Markland Hill",
"Bolton",
"Greater Manchester"
],
"city": "Bolton",
"district": "Greater Manchester",
"postalCode": "BL1 5DD",
"country": "UK"
}
}
},
{
"fullUrl": "urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2ba2",
"resource": {
"resourceType": "Location",
"meta": {
"lastUpdated": "2023-12-26T15:00:04.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
]
},
"extension": [
{
"extension": [
{
"url": "UPRN",
"valueString": "200002541286"
},
{
"url": "what3words",
"valueString": "raft.metals.misty"
}
],
"url": "https://fhir.nhs.uk/StructureDefinition/LocationExtension"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/location-types-bars",
"code": "RLOC",
"display": "Rendezvous Location"
}
]
}
],
"address": {
"line": [
"425 Chorley New Road",
"Markland Hill",
"Bolton",
"Greater Manchester"
],
"city": "Bolton",
"district": "Greater Manchester",
"postalCode": "BL1 5DH",
"country": "UK"
}
}
},
{
"fullUrl": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56",
"resource": {
"resourceType": "Practitioner",
"id": "2228ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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",
"id": "1118ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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:c584542a-a1c6-4b77-a3e8-4a5b0b9cea09",
"resource": {
"resourceType": "Observation",
"id": "6668ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation"
]
},
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "6155003",
"display": "Arrested (qualifier value)"
}
]
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"effectiveDateTime": "2023-12-26T15:00:00+00:00"
}
},
{
"fullUrl": "urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c8e8b4",
"resource": {
"resourceType": "Condition",
"id": "4b816945-a51b-47c4-9efd-4d7f94c8e718",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition"
]
},
"clinicalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code": "active"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "33962009",
"display": "Presenting complaint"
}
]
}
],
"code": {
"text": "Arrest/ Peri Arrest"
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
}
}
},
{
"fullUrl": "urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c86666",
"resource": {
"resourceType": "Questionnaire",
"id": "81599e54-c713-4f3e-bca9-90225657f18d",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire"
]
},
"identifier": [
{
"value": "bf28a7e8-ae92-4e86-8c0f-ac3144f81bf6"
}
],
"version": "0.1",
"name": "NOC",
"title": "Nature of Call Questionnaire",
"status": "active",
"experimental": false,
"date": "2023-12-26T15:00:00+00:00",
"publisher": "NHSE - BaRS",
"description": "NOC Questionnaire for CAD-to-CAD",
"item": [
{
"linkId": "0",
"text": "What is the nature of call?",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"code": "CHOM",
"display": "Choking"
}
},
{
"valueCoding": {
"code": "DAHM",
"display": "Dangerous Haemorrhage"
}
},
{
"valueCoding": {
"code": "DROM",
"display": "Drowning"
}
},
{
"valueCoding": {
"code": "FINM",
"display": "Fitting now"
}
},
{
"valueCoding": {
"code": "HANM",
"display": "Hanging"
}
},
{
"valueCoding": {
"code": "HI1M",
"display": "HCP /IFT C1"
}
},
{
"valueCoding": {
"code": "INBM",
"display": "Ineffective Breathing"
}
},
{
"valueCoding": {
"code": "MATM",
"display": "Major Trauma"
}
},
{
"valueCoding": {
"code": "MACM",
"display": "Maternity Complications"
}
},
{
"valueCoding": {
"code": "MEUM",
"display": "Medical (unconscious)"
}
},
{
"valueCoding": {
"code": "SARM",
"display": "Severe Allergic Reaction"
}
},
{
"valueCoding": {
"code": "TRUM",
"display": "Trauma (unconcious)"
}
},
{
"valueCoding": {
"code": "ANAP",
"display": "Anaphylaxis (potential)"
}
},
{
"valueCoding": {
"code": "AP1P",
"display": "Arrest/ Peri Arrest (Cat1)"
}
},
{
"valueCoding": {
"code": "ALTP",
"display": "Asthma (life threatening)"
}
},
{
"valueCoding": {
"code": "CHOP",
"display": "Choking"
}
},
{
"valueCoding": {
"code": "DROP",
"display": "Drowning"
}
},
{
"valueCoding": {
"code": "FINP",
"display": "Fitting Now"
}
},
{
"valueCoding": {
"code": "HANP",
"display": "Hanging"
}
},
{
"valueCoding": {
"code": "HI1P",
"display": "HCP/IFT C1"
}
},
{
"valueCoding": {
"code": "OBEP",
"display": "Obstetric Emergency"
}
},
{
"valueCoding": {
"code": "5SHP",
"display": "Under 5 Severe Haemorrhage"
}
},
{
"valueCoding": {
"code": "16UP",
"display": "Under 16 unconscious"
}
},
{
"valueCoding": {
"code": "UNPP",
"display": "Unconscious pregnant > 20 weeks"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c81234",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "8498ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason",
"valueCodeableConcept": {
"text": "Nature of Call Questionnaire"
}
}
],
"questionnaire": "https://fhir.nhs.uk/Questionnaire/NOC",
"status": "completed",
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"authored": "2023-12-26T15:00:00+00:00",
"author": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"source": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"item": [
{
"linkId": "0",
"text": "What is the nature of call??",
"answer": [
{
"valueCoding": {
"code": "AP1P",
"display": "Arrest/ Peri Arrest (Cat1)"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c84444",
"resource": {
"resourceType": "Questionnaire",
"id": "9749ae76-28f7-4b8a-863f-aba64d19d678",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire"
]
},
"identifier": [
{
"value": "76b4622b-2b8b-4f24-aee5-2631c7695594"
}
],
"version": "0.1",
"name": "PTS",
"title": "Pre Triage Sieve Questionnaire",
"status": "active",
"experimental": false,
"date": "2023-12-26T15:00:00+00:00",
"publisher": "NHSE - BaRS",
"description": "PTS Questionnaire for CAD-to-CAD",
"item": [
{
"linkId": "0",
"text": "Is the patient breathing?",
"type": "choice",
"required": true,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "78064003",
"display": "Breathing (observable entity)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1023001",
"display": "Not Breathing (finding)"
}
}
]
},
{
"linkId": "1",
"text": "Is the patient awake (conscious)?",
"type": "choice",
"enableWhen": [
{
"question": "0",
"operator": "=",
"answerCoding": {
"code": "78064003",
"display": "Breathing (observable entity)"
}
}
],
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "428913001",
"display": "No loss of consciousness (situation)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "419045004",
"display": "Loss of consciousness (finding)"
}
}
]
},
{
"linkId": "2",
"text": "Is their breathing noisy?",
"type": "choice",
"enableWhen": [
{
"question": "0",
"operator": "=",
"answerCoding": {
"code": "78064003",
"display": "Breathing (observable entity)"
}
}
],
"required": false,
"answerOption": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "248573009",
"display": "Noisy respiration (finding)"
}
},
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "48348007",
"display": "Normal breath sounds (finding)"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c82222",
"resource": {
"resourceType": "QuestionnaireResponse",
"id": "9998ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse"
]
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason",
"valueCodeableConcept": {
"text": "Pre Triage Sieve Questionnaire"
}
}
],
"questionnaire": "https://fhir.nhs.uk/Questionnaire/PTS",
"status": "completed",
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
},
"authored": "2023-12-26T15:00:00+00:00",
"author": {
"reference": "urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56"
},
"source": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"item": [
{
"linkId": "0",
"text": "Is the patient breathing?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1023001",
"display": "Not Breathing (finding)"
}
}
]
},
{
"linkId": "1",
"text": "Is the patient awake (conscious)?",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "419045004",
"display": "Loss of consciousness (finding)"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:5b94d980-b9b6-42ce-8ca3-56676af6c0a7",
"resource": {
"resourceType": "Flag",
"id": "d0f8ec8e-0602-4d02-af8a-7b3cb72be952",
"meta": {
"lastUpdated": "2023-12-26T15:00:04.8185338+00:00",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Flag",
"https://fhir.nhs.uk/StructureDefinition/BARSFlag-scene-safety"
]
},
"status": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/flag-categories-bars",
"code": "SS",
"display": "Scene Safety"
}
]
}
],
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/scene-safety-codes-bars",
"code": "S",
"display": "The Scene is safe"
}
],
"text": "Intoxicated patient"
},
"subject": {
"reference": "urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22"
},
"period": {
"start": "2023-12-26T15:00:00+00:00"
},
"encounter": {
"reference": "urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d"
}
}
},
{
"fullUrl": "urn:uuid:1e91008e-96d0-438b-873c-c6d2c007f123",
"resource": {
"resourceType": "Communication",
"id": "d0f8ec8e-0602-4d02-af8a-7b3cb72be523",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Communication"
]
},
"status": "completed",
"topic": {
"text": "Crew Note or Call Log Entry"
},
"sent": "2023-12-26T15:00:00.8185338+00:00",
"payload": [
{
"contentString": "CPR has started with the patient."
}
]
}
},
{
"fullUrl": "urn:uuid:d0f8ec8e-0602-4d02-af8a-7b3cb72be566",
"resource": {
"resourceType": "Procedure",
"id": "d0f8ec8e-0602-4d02-af8a-7b3cb72be545",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+00:00",
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure"
]
},
"status": "in-progress",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "89666000",
"display": "Cardiopulmonary resuscitation (procedure)"
}
]
},
"subject": {
"reference": "urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"
},
"performedPeriod": {
"start": "2023-12-26T15:00:00+00:00"
}
}
},
{
"fullUrl": "urn:uuid:1e91008e-96d0-438b-873c-c6d2c007fc29",
"resource": {
"resourceType": "Consent",
"id": "d0f8ec8e-0602-4d02-af8a-7b3cb72be722",
"meta": {
"lastUpdated": "2023-12-26T15:00:00.8185338+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": "2023-12-26",
"policyRule": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "IMPLIED"
}
]
}
}
}
]
}