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{
"resourceType" : "Bundle",
"id" : "patient-referral",
"identifier" : {
"value" : "14038913245354"
},
"type" : "message",
"entry" : [
{
"fullUrl" : "urn:oid:3d4a07cc-ff85-45c2-8f60-202d5506db02",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "3d4a07cc-ff85-45c2-8f60-202d5506db02",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 3d4a07cc-ff85-45c2-8f60-202d5506db02</p><p><b>event</b>: patient-referral (Details: [not stated] code patient-referral = 'patient-referral', stated as 'patient-referral')</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>receiver</b>: DHU HEALTH CARE C.I.C</p><p><b>sender</b>: YORKSHIRE AMBULANCE SERVICE NHS TRUST</p><p><b>timestamp</b>: 1 Nov 2010, 15:12:00</p><p><b>focus</b>: <a href=\"#backboneelement_6eb72362-cc88-4c54-bd05-a49885d370be\">Generated Summary: unknown resource entry</a></p></div>"
},
"event" : {
"code" : "patient-referral",
"display" : "patient-referral"
},
"destination" : [
{
"name" : "ROUTE"
}
],
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-site-code",
"value" : "NNJ"
},
"display" : "DHU HEALTH CARE C.I.C"
},
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "RX8"
},
"display" : "YORKSHIRE AMBULANCE SERVICE NHS TRUST"
},
"timestamp" : "2010-11-01T15:12:00.000+00:00",
"focus" : [
{
"reference" : "urn:oid:6eb72362-cc88-4c54-bd05-a49885d370be"
}
]
}
},
{
"fullUrl" : "urn:oid:6eb72362-cc88-4c54-bd05-a49885d370be",
"resource" : {
"resourceType" : "ReferralRequest",
"id" : "6eb72362-cc88-4c54-bd05-a49885d370be",
"meta" : {
"lastUpdated" : "2019-06-26T16:08:17.275+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 6eb72362-cc88-4c54-bd05-a49885d370be</p><p><b>meta</b>: </p><p><b>identifier</b>: R3</p><p><b>status</b>: completed</p><p><b>intent</b>: order</p><p><b>type</b>: Referral to medical emergency team <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '713400007' = 'Referral to medical emergency team', given as 'Referral to medical emergency team'})</span></p><p><b>serviceRequested</b>: Surgical-Accident & emergency <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '394576009' = 'Accident & emergency (qualifier value)', given as 'Surgical-Accident & emergency'})</span></p><p><b>subject</b>: <a href=\"#backboneelement_a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4\">MRS FREDICA SMITH. Generated Summary: unknown resource entry</a></p><p><b>context</b>: <a href=\"#backboneelement_38eeb5d7-e689-4ec5-81d2-f51f3011c72c\">Generated Summary: unknown resource entry</a></p><p><b>authoredOn</b>: 8 Nov 2018, 12:30:00</p><h3>Requesters</h3><table class=\"grid\"><tr><td>-</td><td><b>Agent</b></td><td><b>OnBehalfOf</b></td></tr><tr><td>*</td><td>Dr Samuel Darwin</td><td>YORKSHIRE AMBULANCE SERVICE NHS TRUST</td></tr></table><p><b>specialty</b>: ACCIDENT AND EMERGENCY <span style=\"background: LightGoldenRodYellow\">(Details : {https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1 code '180' = '180', given as 'ACCIDENT AND EMERGENCY'})</span></p><p><b>recipient</b>: DHU HEALTH CARE C.I.C</p><p><b>reasonCode</b>: Intermittent vomiting <span style=\"background: LightGoldenRodYellow\">(Details : {SNOMED CT code '236083006' = 'Intermittent vomiting', given as 'Intermittent vomiting'})</span></p></div>"
},
"identifier" : [
{
"system" : "https://fhir.interopen.org/ReferralRequest/Identifier",
"value" : "R3"
}
],
"status" : "completed",
"intent" : "order",
"type" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "713400007",
"display" : "Referral to medical emergency team"
}
]
},
"serviceRequested" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394576009",
"display" : "Surgical-Accident & emergency"
}
]
}
],
"subject" : {
"reference" : "urn:oid:a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4",
"display" : "MRS FREDICA SMITH"
},
"context" : {
"reference" : "urn:oid:38eeb5d7-e689-4ec5-81d2-f51f3011c72c"
},
"authoredOn" : "2018-11-08T12:30:00+00:00",
"requester" : {
"agent" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C3456789"
},
"display" : "Dr Samuel Darwin"
},
"onBehalfOf" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-site-code",
"value" : "RX8"
},
"display" : "YORKSHIRE AMBULANCE SERVICE NHS TRUST"
}
},
"specialty" : {
"coding" : [
{
"system" : "https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1",
"code" : "180",
"display" : "ACCIDENT AND EMERGENCY"
}
]
},
"recipient" : [
{
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-site-code",
"value" : "NNJ"
},
"display" : "DHU HEALTH CARE C.I.C"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "236083006",
"display" : "Intermittent vomiting"
}
]
}
]
}
},
{
"fullUrl" : "urn:oid:38eeb5d7-e689-4ec5-81d2-f51f3011c72c",
"resource" : {
"resourceType" : "Encounter",
"id" : "38eeb5d7-e689-4ec5-81d2-f51f3011c72c",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 38eeb5d7-e689-4ec5-81d2-f51f3011c72c</p><p><b>identifier</b>: 2141</p><p><b>status</b>: in-progress</p><p><b>class</b>: ambulatory (Details: http://hl7.org/fhir/v3/ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>type</b>: 13 <span style=\"background: LightGoldenRodYellow\">(Details : {https://fhir.nhs.uk/R4/CodeSystem/UKCore-AdmissionMethod code '13' = '13)</span>, 300 <span style=\"background: LightGoldenRodYellow\">(Details : {https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1 code '300' = '300)</span></p><p><b>subject</b>: <a href=\"#backboneelement_a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4\">Generated Summary: unknown resource entry</a></p><blockquote><p><b>participant</b></p><p><b>type</b>: attender <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/ParticipationType code 'ATND' = 'attender', given as 'attender'})</span></p><p><b>individual</b>: Dr Samuel Darwin</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: admitter <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/ParticipationType code 'ADM' = 'admitter', given as 'admitter'})</span></p><p><b>individual</b>: Dr Samuel Darwin</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: consultant <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/ParticipationType code 'CON' = 'consultant', given as 'consultant'})</span></p><p><b>individual</b>: Dr Samuel Darwin</p></blockquote><blockquote><p><b>participant</b></p><p><b>type</b>: referrer <span style=\"background: LightGoldenRodYellow\">(Details : {http://hl7.org/fhir/v3/ParticipationType code 'REF' = 'referrer', given as 'referrer'})</span></p><p><b>individual</b>: Dr Gregory Townley</p></blockquote><p><b>period</b>: 1 Nov 2010, 16:00:00 --> (ongoing)</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td>-</td><td><b>AdmitSource</b></td></tr><tr><td>*</td><td>Usual place of residence <span style=\"background: LightGoldenRodYellow\">(Details : {https://fhir.nhs.uk/R4/CodeSystem/UKCore-SourceOfAdmission code '19' = '19', given as 'Usual place of residence'})</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td>-</td><td><b>Location</b></td><td><b>Status</b></td></tr><tr><td>*</td><td><a href=\"#backboneelement_335f4089-8979-4bd2-96db-6137c1483ecc\">South Yorks 999. Generated Summary: unknown resource entry</a></td><td>active</td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"value" : "2141"
}
],
"status" : "in-progress",
"class" : {
"system" : "http://hl7.org/fhir/v3/ActCode",
"code" : "AMB",
"display" : "ambulatory"
},
"type" : [
{
"coding" : [
{
"system" : "https://fhir.nhs.uk/R4/CodeSystem/UKCore-AdmissionMethod",
"code" : "13"
}
]
},
{
"coding" : [
{
"system" : "https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1",
"code" : "300"
}
]
}
],
"subject" : {
"reference" : "urn:oid:a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4"
},
"participant" : [
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/ParticipationType",
"code" : "ATND",
"display" : "attender"
}
]
}
],
"individual" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C3456789"
},
"display" : "Dr Samuel Darwin"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/ParticipationType",
"code" : "ADM",
"display" : "admitter"
}
]
}
],
"individual" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C3456789"
},
"display" : "Dr Samuel Darwin"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/ParticipationType",
"code" : "CON",
"display" : "consultant"
}
]
}
],
"individual" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "C3456789"
},
"display" : "Dr Samuel Darwin"
}
},
{
"type" : [
{
"coding" : [
{
"system" : "http://hl7.org/fhir/v3/ParticipationType",
"code" : "REF",
"display" : "referrer"
}
]
}
],
"individual" : {
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmc-number",
"value" : "G5612908"
},
"display" : "Dr Gregory Townley"
}
}
],
"period" : {
"start" : "2010-11-01T16:00:00+00:00"
},
"hospitalization" : {
"admitSource" : {
"coding" : [
{
"system" : "https://fhir.nhs.uk/R4/CodeSystem/UKCore-SourceOfAdmission",
"code" : "19",
"display" : "Usual place of residence"
}
]
}
},
"location" : [
{
"location" : {
"reference" : "urn:oid:335f4089-8979-4bd2-96db-6137c1483ecc",
"display" : "South Yorks 999"
},
"status" : "active"
}
]
}
},
{
"fullUrl" : "urn:oid:a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4",
"resource" : {
"resourceType" : "Patient",
"id" : "a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: a4776fe1-6bb4-4e3c-af5b-d48e1ee873b4</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><h3>Contacts</h3><table class=\"grid\"><tr><td>-</td><td><b>Name</b></td><td><b>Address</b></td></tr><tr><td>*</td><td>FRANCESCA SMITH </td><td>MALTON YO32 5TT (HOME)</td></tr></table><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"
}
],
"contact" : [
{
"name" : {
"family" : "SMITH",
"given" : [
"FRANCESCA"
],
"prefix" : [
"MRS"
]
},
"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"
}
}
},
{
"fullUrl" : "urn:oid:335f4089-8979-4bd2-96db-6137c1483ecc",
"resource" : {
"resourceType" : "Location",
"id" : "335f4089-8979-4bd2-96db-6137c1483ecc",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: 335f4089-8979-4bd2-96db-6137c1483ecc</p><p><b>identifier</b>: SHEF-TRIAGE</p><p><b>name</b>: South Yorks 999</p><p><b>partOf</b>: </p></div>"
},
"identifier" : [
{
"system" : "htttps://fhir.yas.cas/Identifier",
"value" : "SHEF-TRIAGE"
}
],
"name" : "South Yorks 999",
"partOf" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-site-code",
"value" : "RX8"
}
}
}
}
]
}