Ambulance Data Set (ADS) FHIR Bundle Implementation Guide (plus EPR)

How To Construct The ADS FHIR Bundle

The Ambulance Data Set ADS FHIR Bundle is constructed as follows:

A Profile UKCore-ADS-Bundle resource to hold the collection of resources.
A Profile UKCore-Organization resource for the submitting and provider organisations. This may be the same resource if they are the same organisation.
A Profile UKCore-ADS-Communication resource to hold details of the Call.
A triage code observation based on triage coding in use (up to one of each):
A Profile UKCore-ADS-ServiceRequest resource to hold details of the Ambulances requested for an incident location.
A Profile UKCore-ADS-Encounter resource for each Patient Contact between an Ambulance and a Patient at an incident location.
A Profile UKCore-Patient resource for every Patient attended to at the incident location.
A Profile UKCore-ADS-AmbulanceResponseVehicle-Location resource for each Ambulance response vehicle, holding a call sign identifier for the Ambulance.
A Profile UKCore-ADS-PractitionerRole resource for the Highest Clinical Skill Level present on each Ambulance response vehicle.
A Profile UKCore-ADS-Responding-Organization resource for the type of organisation the Ambulance response belongs to.
A Profile UKCore-ADS-Receiving-Location resource for each different location a Patient may be conveyed to at the end of a Patient Contact.
A Profile UKCore-Location resource for the incident location.

The Design Overview includes a diagrammatical representation of the references and relationships between resources in the ADS FHIR Bundle design.

Additional note

There are different ways to reference resources in FHIR, and some of the Ambulance Data Set examples in this guide might use the format below in single resource examples e.g. for an Encounter or Communication resource:

   <subject>
        <reference value="Patient/b6256eda-a021-11ea-bb37-0242ac130002" />
    </subject>

This referencing format has been used as the example resource is being presented on its own and not within a Bundle.

If however the example resource was included in an ADS FHIR Bundle, along with the Patient resource for the subject, that reference would be presented as:

   <subject>
        <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
    </subject>