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{
"resourceType" : "Bundle",
"id" : "orur01",
"identifier" : {
"value" : "14038913245354"
},
"type" : "message",
"entry" : [
{
"fullUrl" : "urn:oid:e4e19085-ce42-4346-9a47-0e379292974b",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "e4e19085-ce42-4346-9a47-0e379292974b",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: e4e19085-ce42-4346-9a47-0e379292974b</p><p><b>event</b>: ORU^R01 (Details: [not stated] code ORU^R01 = 'ORU^R01', stated as 'ORU^R01')</p><h3>Destinations</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td></tr><tr><td>*</td><td>ROUTE</td></tr></table><p><b>sender</b>: RCB</p><p><b>timestamp</b>: 21 May 2018, 13:45:12</p><p><b>focus</b>: <a href=\"#backboneelement_e0956326-29b1-4218-a2a0-8a457b7a4653\">Generated Summary: unknown resource entry</a></p></div>"
},
"event" : {
"code" : "ORU^R01",
"display" : "ORU^R01"
},
"destination" : [
{
"name" : "ROUTE"
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RCB"
},
"display" : "RCB"
},
"timestamp" : "2018-05-21T13:45:12.000+01:00",
"focus" : [
{
"reference" : "urn:oid:e0956326-29b1-4218-a2a0-8a457b7a4653"
}
]
}
},
{
"fullUrl" : "urn:oid:e0956326-29b1-4218-a2a0-8a457b7a4653",
"resource" : {
"resourceType" : "DiagnosticReport",
"id" : "e0956326-29b1-4218-a2a0-8a457b7a4653",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: e0956326-29b1-4218-a2a0-8a457b7a4653</p><p><b>identifier</b>: 108512374</p><p><b>status</b>: ?</p><p><b>code</b>: Vital Signs <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '118227000' = 'Vital signs finding', given as 'Vital Signs'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: 21 May 2018, 13:45:05 --> (ongoing)</p><p><b>result</b>: </p><ul><li><a href=\"#backboneelement_42bf5804-4b10-424c-a880-6b0321137b9a\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_52bb8b6e-a554-42f9-964e-4a8cda265d41\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_0474a71e-2ff5-4405-a859-f4f261886de6\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_c648924f-cc6c-46be-93dc-9115d1e91c0c\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_952d3ab9-7223-4bcb-be62-1480bbede61c\">Generated Summary: unknown resource entry</a></li><li><a href=\"#backboneelement_57dbba71-56b5-4fca-affe-bb3fa673381f\">Generated Summary: unknown resource entry</a></li></ul></div>"
},
"identifier" : [
{
"value" : "108512374"
}
],
"status" : "?",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "118227000",
"display" : "Vital Signs"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"effectivePeriod" : {
"start" : "2018-05-21T13:45:05+01:00"
},
"result" : [
{
"reference" : "urn:oid:42bf5804-4b10-424c-a880-6b0321137b9a"
},
{
"reference" : "urn:oid:52bb8b6e-a554-42f9-964e-4a8cda265d41"
},
{
"reference" : "urn:oid:0474a71e-2ff5-4405-a859-f4f261886de6"
},
{
"reference" : "urn:oid:c648924f-cc6c-46be-93dc-9115d1e91c0c"
},
{
"reference" : "urn:oid:952d3ab9-7223-4bcb-be62-1480bbede61c"
},
{
"reference" : "urn:oid:57dbba71-56b5-4fca-affe-bb3fa673381f"
}
]
}
},
{
"fullUrl" : "urn:oid:42bf5804-4b10-424c-a880-6b0321137b9a",
"resource" : {
"resourceType" : "Observation",
"id" : "42bf5804-4b10-424c-a880-6b0321137b9a",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 42bf5804-4b10-424c-a880-6b0321137b9a</p><p><b>status</b>: final</p><p><b>code</b>: Heart Rate <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '364075005' = 'Heart rate', given as 'Heart Rate'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: 11 May 2018, 22:05:25</p><p><b>value</b>: 73.0 /min</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>60-100</td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "364075005",
"display" : "Heart Rate"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"effectiveDateTime" : "2018-05-11T22:05:25+01:00",
"valueQuantity" : {
"value" : 73.0,
"unit" : "/min"
},
"referenceRange" : [
{
"text" : "60-100"
}
]
}
},
{
"fullUrl" : "urn:oid:52bb8b6e-a554-42f9-964e-4a8cda265d41",
"resource" : {
"resourceType" : "Observation",
"id" : "52bb8b6e-a554-42f9-964e-4a8cda265d41",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 52bb8b6e-a554-42f9-964e-4a8cda265d41</p><p><b>status</b>: final</p><p><b>code</b>: Blood oxygen saturation <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '103228002' = 'Hemoglobin saturation with oxygen', given as 'Blood oxygen saturation'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><p><b>effective</b>: 11 May 2018, 22:05:25</p><p><b>value</b>: 98.0 %</p><h3>ReferenceRanges</h3><table class=\"grid\"><tr><td>-</td><td><b>Text</b></td></tr><tr><td>*</td><td>94-100</td></tr></table></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "103228002",
"display" : "Blood oxygen saturation"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"effectiveDateTime" : "2018-05-11T22:05:25+01:00",
"valueQuantity" : {
"value" : 98.0,
"unit" : "%"
},
"referenceRange" : [
{
"text" : "94-100"
}
]
}
},
{
"fullUrl" : "urn:oid:0474a71e-2ff5-4405-a859-f4f261886de6",
"resource" : {
"resourceType" : "Observation",
"id" : "0474a71e-2ff5-4405-a859-f4f261886de6",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 0474a71e-2ff5-4405-a859-f4f261886de6</p><p><b>status</b>: final</p><p><b>code</b>: Breathing room air <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '722742002' = 'Breathing room air (finding)', given as 'Breathing room air'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "722742002",
"display" : "Breathing room air"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
}
}
},
{
"fullUrl" : "urn:oid:c648924f-cc6c-46be-93dc-9115d1e91c0c",
"resource" : {
"resourceType" : "Observation",
"id" : "c648924f-cc6c-46be-93dc-9115d1e91c0c",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: c648924f-cc6c-46be-93dc-9115d1e91c0c</p><p><b>status</b>: final</p><p><b>code</b>: ACVPU (Alert Confusion Voice Pain Unresponsive) scale score <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '1104441000000107' = '1104441000000107', given as 'ACVPU (Alert Confusion Voice Pain Unresponsive) scale score'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: Mentally alert <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '248234008' = 'Mentally alert', given as 'Mentally alert'})</span></p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1104441000000107",
"display" : "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"valueCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "248234008",
"display" : "Mentally alert"
}
]
}
}
},
{
"fullUrl" : "urn:oid:952d3ab9-7223-4bcb-be62-1480bbede61c",
"resource" : {
"resourceType" : "Observation",
"id" : "952d3ab9-7223-4bcb-be62-1480bbede61c",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 952d3ab9-7223-4bcb-be62-1480bbede61c</p><p><b>status</b>: final</p><p><b>code</b>: Respiratory rate <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '86290005' = 'Respiratory rate', given as 'Respiratory rate'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><p><b>value</b>: 20.0 /min</p></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "86290005",
"display" : "Respiratory rate"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"valueQuantity" : {
"value" : 20.0,
"unit" : "/min"
}
}
},
{
"fullUrl" : "urn:oid:57dbba71-56b5-4fca-affe-bb3fa673381f",
"resource" : {
"resourceType" : "Observation",
"id" : "57dbba71-56b5-4fca-affe-bb3fa673381f",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 57dbba71-56b5-4fca-affe-bb3fa673381f</p><p><b>status</b>: final</p><p><b>code</b>: Blood Pressure <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '75367002' = 'Blood pressure', given as 'Blood Pressure'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_7dd62c99-357d-4da9-81db-70b26f35c95e\">Generated Summary: unknown resource entry</a></p><blockquote><p><b>component</b></p><p><b>code</b>: Systolic arterial pressure <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '72313002' = 'Systolic arterial pressure', given as 'Systolic arterial pressure'})</span></p><p><b>value</b>: 132.0 mm[Hg]</p></blockquote><blockquote><p><b>component</b></p><p><b>code</b>: Diastolic arterial pressure <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '1091811000000102' = '1091811000000102', given as 'Diastolic arterial pressure'})</span></p><p><b>value</b>: 86.0 mm[Hg]</p></blockquote></div>"
},
"status" : "final",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "75367002",
"display" : "Blood Pressure"
}
]
},
"subject" : {
"reference" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e"
},
"component" : [
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "72313002",
"display" : "Systolic arterial pressure"
}
]
},
"valueQuantity" : {
"value" : 132.0,
"unit" : "mm[Hg]"
}
},
{
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "1091811000000102",
"display" : "Diastolic arterial pressure"
}
]
},
"valueQuantity" : {
"value" : 86.0,
"unit" : "mm[Hg]"
}
}
]
}
},
{
"fullUrl" : "urn:oid:7dd62c99-357d-4da9-81db-70b26f35c95e",
"resource" : {
"resourceType" : "Patient",
"id" : "7dd62c99-357d-4da9-81db-70b26f35c95e",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 7dd62c99-357d-4da9-81db-70b26f35c95e</p><p><b>identifier</b>: 3333333333</p><p><b>name</b>: FREDRICA SMITH </p><p><b>telecom</b>: ph: +441234567890(HOME)</p><p><b>gender</b>: female</p><p><b>birthDate</b>: 1965-12-13</p><p><b>address</b>: MALTON YO32 5TT (HOME)</p><p><b>generalPractitioner</b>: Dr Gregory Townley</p><p><b>managingOrganization</b>: MALTON GP PRACTICE</p></div>"
},
"identifier" : [
{
"extension" : [
{
"url" : "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
"valueCodeableConcept" : {
"coding" : [
{
"system" : "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
"code" : "01"
}
]
}
}
],
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "3333333333"
}
],
"name" : [
{
"family" : "SMITH",
"given" : [
"FREDRICA"
],
"prefix" : [
"MRS"
]
}
],
"telecom" : [
{
"system" : "phone",
"value" : "+441234567890",
"use" : "home"
}
],
"gender" : "female",
"birthDate" : "1965-12-13",
"address" : [
{
"use" : "home",
"city" : "MALTON",
"district" : "NORTH YORKSHIRE",
"postalCode" : "YO32 5TT"
}
],
"generalPractitioner" : [
{
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "G5612908"
},
"display" : "Dr Gregory Townley"
}
],
"managingOrganization" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "Y06601"
},
"display" : "MALTON GP PRACTICE"
}
}
}
]
}