This example includes the FHIR representation of all of the data items in the Ambulance Data Set. The example may not make sense clinically, as not all data would normally be present.
<Bundle xmlns="http://hl7.org/fhir"> <id value="ADS-EPR-Example-1.6" /> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Bundle" /> <tag> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-BundleType" /> <code value="epr-Version-1.6" /> <display value="ADS FHIR Bundle - EPR items (version 1.6)" /> </tag> </meta> <type value="collection" /> <!-- Communication entry, holds details about the call. --> <entry> <fullUrl value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> <resource> <Communication> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Communication" /> </meta> <!-- ## Time Call Ended (ADS24) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-call-ended" /> <display value="Time Call Ended" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Call Answered (ADS11) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-call-answered" /> <display value="Time Call Answered" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Clock Start Date Time (ADS9) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="clock-start-date-time" /> <display value="Clock Start Date Time" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- NHS111 Flag (ADS7)(only present if call originated from NHS111 - so will only ever be Yes) --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-111Flag"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136" /> <code value="Y" /> <display value="Yes" /> </coding> </valueCodeableConcept> </extension> <!-- ## Call Origin (ADS2B) ## --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-CallOrigin"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-CallOrigin" /> <code value="01" /> <display value="999" /> </coding> </valueCodeableConcept> </extension> <!-- ## Time Dispatch Code Established (ADS21) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-dispatch-code-established" /> <display value="Time Dispatch Code Established" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:36:30+00:00" /> </extension> </extension> <!-- Cat 1 Early Prediction --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-Cat1EarlyPrediction"> <!-- ## Cat 1 Early Prediction Flag (ADS12) ## --> <extension url="cat1EarlyPredictionFlag"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-Cat1EarlyPredictionFlag" /> <code value="01" /> <display value="Cat 1 early predicted" /> </coding> </valueCodeableConcept> </extension> <!-- ## Time Cat 1 Early Prediction established (ADS15) ## --> <extension url="timeCat1EarlyPredictionFlagEstablished"> <valueDateTime value="2020-06-29T15:35:55+00:00" /> </extension> </extension> <!-- ## Initial Response Category (ADS15) ## --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-ResponseCategory"> <extension url="responseCategoryType"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-ResponseCategoryType" /> <code value="initial" /> <display value="Initial Response Category" /> </coding> </valueCodeableConcept> </extension> <extension url="responseCategoryCode"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseCategory" /> <code value="C3" /> <display value="Category 3" /> </coding> </valueCodeableConcept> </extension> </extension> <!-- ## Reporting Response Category (ADS20) ## --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-ResponseCategory"> <extension url="responseCategoryType"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-ResponseCategoryType" /> <code value="reporting" /> <display value="Reporting Response Category" /> </coding> </valueCodeableConcept> </extension> <extension url="responseCategoryCode"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseCategory" /> <code value="C3" /> <display value="Category 3" /> </coding> </valueCodeableConcept> </extension> </extension> <!-- ## AQI Response Time (ADS26) ## --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-AQIResponseTime"> <valueDuration> <value value="48" /> <unit value="second" /> <system value="http://unitsofmeasure.org" /> </valueDuration> </extension> <!-- ## AQI Incident Flag (ADS8) ## --> <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-AQIIncidentFlag"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136" /> <code value="Y" /> </coding> </valueCodeableConcept> </extension> <!-- ## Call Identifier (ADS3) ## --> <identifier> <system value="http://RX8/Id/call-identifier" /> <value value="b5e05918-9f5d-11ea-bb37-0242ac130002" /> <!-- ## Call date (ADS2A) ## --> <period> <start value="2020-06-29T14:55:37+00:00" /> </period> </identifier> <!-- This is a FHIR mandatory status code. If the call was stopped, this would be "stopped" and a statusReason included. --> <status value="completed" /> <!-- ## stop code (ADS4) --> <statusReason> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-StopCodes" /> <code value="12" /> <display value="Police Transported Other" /> </coding> </statusReason> <!-- ## Treatment Type (ADS33) ## --> <category> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-TreatmentType" /> <code value="03" /> <display value="See and Convey" /> </coding> </category> <!-- ## Time Call Connected (ADS10) ## --> <sent value="2020-06-29T15:34:55+00:00" /> <!-- Reference to Provider Organization. --> <recipient> <reference value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" /> </recipient> <!-- Reference to Submitting Organization. --> <sender> <reference value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" /> </sender> </Communication> </resource> </entry> <!-- ServiceRequest entry. This resource identifies the ambulance response vehicles dispatched to an incident location, with the originating call referenced in the supporting information. --> <entry> <fullUrl value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" /> <resource> <ServiceRequest> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-ServiceRequest" /> </meta> <status value="completed" /> <intent value="order" /> <!-- Reference to incident location --> <subject> <reference value="urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47" /> </subject> <!-- Reference to Ambulance Response Vehicle(s) --> <locationReference> <reference value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" /> </locationReference> <locationReference> <reference value="urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd" /> </locationReference> <supportingInfo> <!-- Reference to originating call --> <reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> </supportingInfo> </ServiceRequest> </resource> </entry> <!-- Location entry for the incident location. --> <entry> <fullUrl value="urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47" /> <resource> <Location> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" /> </meta> <!-- ## Incident location postcode (ADS23) ## --> <address> <postalCode value="LS16 7HY" /> </address> <!-- ## CCG Code (ADS25) ## --> <managingOrganization> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="15F" /> </identifier> </managingOrganization> </Location> </resource> </entry> <!-- First Encounter entry. This encounter covers callsign YAS123 attending to NHS Number 9912003888, who is conveyed to RR807. --> <entry> <fullUrl value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> <resource> <Encounter> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter" /> </meta> <!-- ## Time Resource Mobilised (ADS39) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-mobilised" /> <display value="Time Resource Mobilised" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Time Stood Down (ADS41) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-stood-down" /> <display value="Time Stood Down" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Arrived on Scene (ADS40) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-arrived-on-scene" /> <display value="Time Resource Arrived On Scene" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Arrived at Receiving Location (ADS43) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-arrived-receiving-location" /> <display value="Time Arrived at Receiving Location" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time of Patient Handover (ADS44) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-patient-handover" /> <display value="Time Patient Handover" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T17:06:03+00:00" /> </extension> </extension> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </identifier> <status value="finished" /> <!-- This is a FHIR mandatory class code, and is fixed as shown. --> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="AMBT" /> <display value="Ambulance Transport" /> </class> <!-- Reference to the Patient entry. --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <basedOn> <reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" /> </basedOn> <!-- PractitionerRoleLink to the PractitionerRole that has the highest skill level --> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="ATND" /> <display value="Attender" /> </coding> </type> <individual> <reference value="urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e" /> </individual> </participant> <period> <!-- ## Time Resource Allocated (ADS38) ## --> <start value="2020-06-29T15:36:44+00:00" /> <!-- ## Time Clear (ADS45) ## --> <end value="2020-06-29T18:56:44+00:00" /> </period> <hospitalization> <!-- Reference to Receiving Location entry. --> <destination> <reference value="urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002" /> </destination> </hospitalization> <!-- Reference to the Ambulance resource that provided the care. --> <location> <location> <reference value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" /> </location> <physicalType> <coding> <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" /> <code value="ve" /> <display value="Vehicle" /> </coding> </physicalType> </location> </Encounter> </resource> </entry> <!-- Second Encounter entry. This encounter covers callsign YAS123 attending to NHS Number 2233445566, who is not conveyed further. --> <entry> <fullUrl value="urn:uuid:9450d479-328c-4c3c-bf35-efb1d80bd576" /> <resource> <Encounter> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter" /> </meta> <!-- ## Time Resource Mobilised (ADS39) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-mobilised" /> <display value="Time Resource Mobilised" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Arrived on Scene (ADS40) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-arrived-on-scene" /> <display value="Time Resource Arrived On Scene" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Left Scene (ADS42) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-left-scene" /> <display value="Time Resource Left Scene" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="9450d479-328c-4c3c-bf35-efb1d80bd576" /> </identifier> <status value="finished" /> <!-- This is a FHIR mandatory class code, and is fixed as shown. --> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="AMBT" /> <display value="Ambulance Transport" /> </class> <!-- Reference to the Patient entry. --> <subject> <reference value="urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0" /> </subject> <basedOn> <reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" /> </basedOn> <!-- PractitionerRoleLink to the PractitionerRole that has the highest skill level --> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="ATND" /> <display value="Attender" /> </coding> </type> <individual> <reference value="urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e" /> </individual> </participant> <period> <!-- ## Time Resource Allocated (ADS38) ## --> <start value="2020-06-29T15:36:44+00:00" /> <!-- ## Time Clear (ADS45) ## --> <end value="2020-06-30T15:36:44+00:00" /> </period> <!-- Reference to the Ambulance resource that provided the care. --> <location> <location> <reference value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" /> </location> <physicalType> <coding> <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" /> <code value="ve" /> <display value="Vehicle" /> </coding> </physicalType> </location> </Encounter> </resource> </entry> <!-- Third Encounter entry. This encounter covers callsign YAS456 attending to NHS Number 9988776655, who is conveyed to RR807. --> <entry> <fullUrl value="urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313" /> <resource> <Encounter> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter" /> </meta> <!-- ## Time Resource Mobilised (ADS39) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-mobilised" /> <display value="Time Resource Mobilised" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Arrived on Scene (ADS40) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-resource-arrived-on-scene" /> <display value="Time Resource Arrived On Scene" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </extension> </extension> <!-- ## Time Resource Arrived at Receiving Location (ADS43) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-arrived-receiving-location" /> <display value="Time Arrived at Receiving Location" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T16:07:54+00:00" /> </extension> </extension> <!-- ## Time of Patient Handover (ADS44) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"> <extension url="dateTimeType"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType" /> <code value="time-patient-handover" /> <display value="Time Patient Handover" /> </coding> </valueCodeableConcept> </extension> <extension url="dateTime"> <valueDateTime value="2020-06-29T15:06:03+00:00" /> </extension> </extension> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="393c3471-3339-463f-b431-d4fa3f62c313" /> </identifier> <status value="finished" /> <!-- This is a FHIR mandatory class code, and is fixed as shown. --> <class> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> <code value="AMBT" /> <display value="ambulance transport" /> </class> <!-- Reference to the Patient entry. --> <subject> <reference value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" /> </subject> <basedOn> <reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" /> </basedOn> <!-- PractitionerRoleLink to the PractitionerRole that has the highest skill level --> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="ATND" /> <display value="Attender" /> </coding> </type> <individual> <reference value="urn:uuid:0d743079-780c-40f3-8a52-be15f746b484" /> </individual> </participant> <period> <!-- ## Time Resource Allocated (ADS38) ## --> <start value="2020-06-29T15:42:03+00:00" /> <!-- ## Time Clear (ADS45) ## --> <end value="2020-06-29T18:01:06+00:00" /> </period> <hospitalization> <!-- Reference to Receiving Location entry. --> <destination> <reference value="urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002" /> </destination> </hospitalization> <!-- Reference to the Ambulance resource that provided the care. --> <location> <location> <reference value="urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd" /> </location> <physicalType> <coding> <system value="http://terminology.hl7.org/CodeSystem/location-physical-type" /> <code value="ve" /> <display value="Vehicle" /> </coding> </physicalType> </location> </Encounter> </resource> </entry> <!-- First Patient entry. --> <entry> <fullUrl value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> <resource> <Patient> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </meta> <!-- ## Patient ethnicity EPR (ADS58) ## --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland" /> <code value="A" /> <display value="British, Mixed British" /> </coding> </valueCodeableConcept> </extension> <!-- ## Patient gender ADS57) ## --> <extension url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-GenderIdentity" /> <code value="01" /> <display value="Male (including trans man)" /> </coding> </valueCodeableConcept> </extension> <identifier> <!-- Extended patient section for NHSNumberVerificationStatus --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="NI" /> <display value="NoInformation" /> </coding> </valueCodeableConcept> </extension> <!-- ## NHS Number (ADS59) ## --> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9912003888" /> </identifier> <identifier> <!-- ## Unique patient contact record identifier EPR (ADS51) ## --> <system value="http://RX8/Id/patient-record-identifier" /> <value value="ABC1234567" /> </identifier> <!-- ## Patient name EPR (ADS54) ## --> <!-- structured name --> <name> <use value="usual" /> <family value="CHALMERS" /> <given value="Peter" /> </name> <!-- unstructured name --> <name> <use value="usual" /> <text value="Peter Chalmers" /> </name> <!-- ## Patient gender EPR (ADS57) - now covered by the genderIdentity Extension above ## <gender value="male"/> --> <!-- ## Dateof birth (ADS55) ## --> <birthDate value="1963-08-08" /> <!-- ## Patient address postcode EPR (ADS5) ## --> <address> <postalCode value="LS6 7QR" /> </address> <!-- ## Registered GP Practice EPR (ADS53) ## --> <generalPractitioner> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="GP123" /> </identifier> </generalPractitioner> </Patient> </resource> </entry> <!-- patient's approximate age --> <entry> <fullUrl value="urn:uuid:a3ebb1f1-a5c3-46a3-bc93-c52e660682f1" /> <resource> <Observation> <!-- code element will always be as shown --> <status value="final" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="102519007" /> <display value="Apparent age" /> </coding> </code> <!-- MUST be linked to a subject --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- ## Patient approximate age EPR (ADS56) ## --> <valueQuantity> <value value="38" /> <unit value="Year" /> <system value="http://unitsofmeasure.org" /> <code value="a" /> </valueQuantity> </Observation> </resource> </entry> <!-- Second Patient entry. --> <entry> <fullUrl value="urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0" /> <resource> <Patient> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </meta> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategory" /> <code value="B" /> <display value="Irish" /> </coding> </valueCodeableConcept> </extension> <!-- ## Patient gender ADS57) ## --> <extension url="http://hl7.org/fhir/StructureDefinition/patient-genderIdentity"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-GenderIdentity" /> <code value="02" /> <display value="Female (including trans woman)" /> </coding> </valueCodeableConcept> </extension> <identifier> <!-- Extended patient section for NHSNumberVerificationStatus --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="NI" /> <display value="NoInformation" /> </coding> </valueCodeableConcept> </extension> <!-- ## NHS Number (ADS59) ## --> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="2233445566" /> </identifier> <identifier> <!-- ## Unique patient contact record identifier EPR (ADS51) ## --> <system value="http://RX8/Id/patient-record-identifier" /> <value value="DEF1234567" /> </identifier> <!-- ## Patient name EPR (ADS54) ## --> <name> <use value="usual" /> <family value="PETERS" /> <given value="Mary" /> </name> <!-- ## Patient gender EPR (ADS57) - now covered by the genderIdentity Extension above ## <gender value="female"/> --> <!-- ## Date of Birth (ADS55) ## --> <birthDate value="1970-09-04" /> <!-- ## Patient address postcode EPR (ADS52) ## --> <address> <postalCode value="LS16 5BH" /> </address> </Patient> </resource> </entry> <!-- Third Patient entry. --> <entry> <fullUrl value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" /> <resource> <Patient> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> </meta> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland" /> <code value="D" /> <display value="White and Black Caribbean" /> </coding> </valueCodeableConcept> </extension> <identifier> <!-- Extended patient section for NHSNumberVerificationStatus --> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> <valueCodeableConcept> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="NI" /> <display value="NoInformation" /> </coding> </valueCodeableConcept> </extension> <!-- ## NHS Number (ADS59) ## --> <system value="https://fhir.nhs.uk/Id/nhs-number" /> <value value="9988776655" /> </identifier> <identifier> <!-- ## Unique patient contact record identifier EPR (ADS51) ## --> <system value="http://RX8/Id/patient-record-identifier" /> <value value="GHI1234567" /> </identifier> <!-- ## Patient name EPR (ADS54) ## --> <name> <use value="usual" /> <family value="SMITH" /> <given value="Colin" /> </name> <!-- ## Patient gender EPR (ADS57) ## --> <gender value="unknown" /> <!-- ## Date of Birth (ADS55) ## --> <birthDate value="2002-12-08" /> <!-- ## Patient address postcode EPR (ADS52) ## --> <address> <postalCode value="LS4 2WE" /> </address> </Patient> </resource> </entry> <!-- Ambulance Response Vehicle Location entry for YAS123 --> <entry> <fullUrl value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" /> <resource> <Location> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-AmbulanceResponseVehicle-Location" /> </meta> <!-- ## Call Sign (ADS36) ## --> <identifier> <system value="https://RX8/Id/call-sign" /> <value value="YAS123" /> </identifier> <mode value="kind" /> <!-- ## Response Type (ADS34) ## --> <type> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType" /> <code value="01" /> <display value="DCA: Double Crewed Ambulance (Emergency)" /> </coding> </type> <!-- Reference to the organisation managing the response. --> <managingOrganization> <reference value="urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7" /> </managingOrganization> </Location> </resource> </entry> <!-- ## Highest Skill Level on Vehicle for Ambulance Response Vehicle Location YAS123 ## --> <entry> <fullUrl value="urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e" /> <resource> <PractitionerRole> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-PractitionerRole" /> </meta> <!-- ## Highest Skill Level on Vehicle (ADS35) ## --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalSkillLevel" /> <code value="03" /> <display value="Registered Clinician" /> </coding> </code> <location> <reference value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" /> </location> </PractitionerRole> </resource> </entry> <!-- Ambulance Response Vehicle Location entry for YAS456 --> <entry> <fullUrl value="urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd" /> <resource> <Location> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-AmbulanceResponseVehicle-Location" /> </meta> <!-- ## Call Sign (ADS36) ## --> <identifier> <system value="https://RX8/Id/call-sign" /> <value value="YAS456" /> </identifier> <mode value="kind" /> <!-- ## Response Type (ADS34) ## --> <type> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType" /> <code value="01" /> <display value="DCA: Double Crewed Ambulance (Emergency)" /> </coding> </type> <!-- Reference to the organisation managing the response. --> <managingOrganization> <reference value="urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7" /> </managingOrganization> </Location> </resource> </entry> <!-- ## Highest Skill Level on Vehicle for Ambulance Response Vehicle Location YAS456 ## --> <entry> <fullUrl value="urn:uuid:0d743079-780c-40f3-8a52-be15f746b484" /> <resource> <PractitionerRole> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-PractitionerRole" /> </meta> <!-- ## Highest Skill Level on Vehicle (ADS35) ## --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalSkillLevel" /> <code value="03" /> <display value="Registered Clinician" /> </coding> </code> <location> <reference value="urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd" /> </location> </PractitionerRole> </resource> </entry> <!-- Organisation entry for organisation managing the response. --> <entry> <fullUrl value="urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7" /> <resource> <Organization> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Responding-Organization" /> </meta> <identifier> <use value="official" /> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="RX8" /> </identifier> <!-- ## Responding organisation type (ADS37) ## --> <type> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-RespondingOrganisationType" /> <code value="01" /> <display value="NHS Ambulance Service" /> </coding> </type> </Organization> </resource> </entry> <!-- Receiving Location entry. --> <entry> <fullUrl value="urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002" /> <resource> <Location> <meta> <profile value="https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Receiving-Location" /> </meta> <!-- ## Receiving Destination Site Code (CAD) (ADS94A) ## --> <identifier> <system value="https://fhir.nhs.uk/Id/ods-site-code" /> <value value="RR807" /> </identifier> <type> <coding> <!-- ## Receiving Location Type (CAD) (ADS93A) ## --> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocationCAD" /> <code value="UCC" /> <display value="Urgent Care Centre" /> </coding> </type> </Location> </resource> </entry> <!-- Organization entry for Submitting and Provider Organisation Code --> <entry> <fullUrl value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" /> <resource> <Organization> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> </meta> <!-- ## Submitting Organisation Code (ADS0) ## --> <!-- ## Provider Organisation Code (ADS1) ## --> <identifier> <use value="official" /> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="RR8" /> </identifier> </Organization> </resource> </entry> <!-- AMPDS Triage Disposition (ADS16) --> <entry> <fullUrl value="urn:uuid:0dabe91e-f1c9-4a55-8231-ed7453f29a8b" /> <resource> <Observation> <id value="0dabe91e-f1c9-4a55-8231-ed7453f29a8b" /> <status value="final" /> <!-- this code says this obs is an AMPDS Triage Disposition (ADS16) --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" /> <code value="01" /> <display value="AMPDS Triage Disposition" /> </coding> </code> <focus> <!-- the focus is the communication resource --> <reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> </focus> <!-- the value for the AMPDSTriageDisposition --> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-AMPDSTriageDisposition" /> <code value="1A01" /> <display value="Abdominal pain" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!-- AMPDS Triage Disposition (ADS17) --> <entry> <fullUrl value="urn:uuid:bf1533f8-309a-4737-b485-73291eb912a8" /> <resource> <Observation> <id value="bf1533f8-309a-4737-b485-73291eb912a8" /> <status value="final" /> <!-- this code says this obs is an AMPDS Triage Disposition (ADS17) --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" /> <code value="02" /> <display value="Pathways Triage Disposition" /> </coding> </code> <focus> <!-- the focus is the communication resource --> <reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> </focus> <!-- the value for the ADS-TriageCategory --> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PathwaysTriageDisposition" /> <code value="DG10" /> <display value="Ambulance request" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!-- AMPDS Triage Disposition (ADS18) --> <entry> <fullUrl value="urn:uuid:bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e" /> <resource> <Observation> <id value="bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e" /> <status value="final" /> <!-- this code says this obs is an AMPDS Triage Disposition (ADS18) --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" /> <code value="03" /> <display value="SG Code (Symptom Group)" /> </coding> </code> <focus> <!-- the focus is the communication resource --> <reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> </focus> <!-- the value for the SGCodeSymptomGroup --> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-SGCodeSymptomGroup" /> <code value="SG9" /> <display value="Symptom group display" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!-- AMPDS Triage Disposition (ADS19) --> <entry> <fullUrl value="urn:uuid:bcd5a787-7359-49f8-8412-2790ab47c8fd" /> <resource> <Observation> <id value="bcd5a787-7359-49f8-8412-2790ab47c8fd" /> <status value="final" /> <!-- this code says this obs is an AMPDS Triage Disposition (ADS18) --> <code> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" /> <code value="04" /> <display value="SD Code (Symptom Discriminator)" /> </coding> </code> <focus> <!-- the focus is the communication resource --> <reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" /> </focus> <!-- the value for the SGCodeSymptomGroup --> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-SDCodeSymptomDiscriminator" /> <code value="SD6" /> <display value="Symptom Discriminator display" /> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!-- ## Patient response QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:83441015-1844-4bae-881d-2c7808d632dc" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientResponseDetails-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## CFR Utilisation Flag (Community First Responder) EPR (ADS48) ## --> <item> <linkId value="ADS48" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136" /> <code value="Y" /> </valueCoding> </answer> </item> <!-- ## Bystander CPR Started Flag EPR (ADS49) ## --> <item> <linkId value="ADS49" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136" /> <code value="N" /> </valueCoding> </answer> </item> <!-- ## Time Bystander CPR started (ADS50) ## --> <item> <linkId value="ADS50" /> <answer> <valueDateTime value="2020-06-29T14:45:32+00:00" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Patient information QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:2fa49410-fb2e-4441-a6aa-f9ba9bc0efc0" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientInformationDetails-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Spoken Language (SNOMED CT) EPR (ADS62) ## --> <item> <linkId value="ADS62" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="315570003" /> <display value="Main spoken language English" /> </valueCoding> </answer> </item> <!-- ## Accessible information professional required EPR (ADS63) ## --> <item> <linkId value="ADS63" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="966401000000100" /> <display value="Requires speech to text reporter" /> </valueCoding> </answer> </item> <!-- ## Pregnancy Status EPR (ADS64) ## --> <item> <linkId value="ADS64" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PregnancyStatus" /> <code value="02" /> <display value="Not Pregnant" /> </valueCoding> </answer> </item> <!-- ## Accommodation Status (SNOMED CT) EPR (ADS66) ## --> <item> <linkId value="ADS66" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="414418009" /> <display value="Housed" /> </valueCoding> </answer> </item> <!-- ## Mental Health Legal Class EPR (ADS67) ## --> <item> <linkId value="ADS67" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-MentalHealthLegalClass" /> <code value="32" /> <display value="Formally detained under other acts" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Injury informmation QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:a75a94ef-bfa0-4b92-bdfe-efc75015699b" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-InjuryInformation-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:9450d479-328c-4c3c-bf35-efb1d80bd576" /> </encounter> <!-- ## Injury Date / Time Occurred EPR (ADS68) ## --> <item> <linkId value="ADS68" /> <answer> <valueDateTime value="2020-06-29T14:40:32+00:00" /> </answer> </item> <!-- ## Location patient injury occurred (SNOMED CT) EPR (ADS69) ## --> <item> <linkId value="ADS69" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="48979004" /> <display value="Left lower leg" /> </valueCoding> </answer> </item> <!-- ## Injury Intent (SNOMED CT) (SNOMED CT) EPR (ADS70) ## --> <item> <linkId value="ADS70" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="242651001" /> <display value="Injury caused by animal" /> </valueCoding> </answer> </item> <!-- ## Injury Activity Status (SNOMED CT) (ADS71) EPR ## --> <item> <linkId value="ADS71" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1067601000000108" /> <display value="Leisure" /> </valueCoding> </answer> </item> <!-- ## Injury Mechanism (SNOMED CT) (ADS72) EPR ## --> <item> <linkId value="ADS72" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="283734005" /> <display value="Injury from dog" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Patient assessment QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:1c1caef1-7ff6-49a4-96cd-07a95e326702" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientAssessmentDetails-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Investigation (SNOMED (CT) EPR (ADS75) ## --> <item> <linkId value="ADS75" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="312882009" /> <display value="Taking nasal swab" /> </valueCoding> </answer> </item> <item> <linkId value="ADS75" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="312880001" /> <display value="Taking throat swab" /> </valueCoding> </answer> </item> <!-- ## Treatment (SNOMED CT) EPR (ADS78) ## --> <item> <linkId value="ADS78" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="225692006" /> <display value="Applying eye pad and bandage" /> </valueCoding> </answer> </item> <!-- ## Chief Complaint EPR (ADS79A) ## --> <item> <linkId value="ADS79A" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="398979000" /> <display value="Pale colour" /> </valueCoding> </answer> </item> <!-- ## Initial Acuity (SNOMED CT) EPR (ADS79B) ## --> <item> <linkId value="ADS79B" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1064901000000108" /> <display value="Urgent level emergency care" /> </valueCoding> </answer> </item> <!-- ## Screening Tool EPR (ADS82) ## --> <item> <linkId value="ADS82" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ScreeningTool" /> <code value="WELL" /> <display value="Wells score (PE & DVT)" /> </valueCoding> </answer> </item> <!-- ## Clinical Triage Tool EPR (ADS83) ## --> <item> <linkId value="ADS83" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalTriageTool" /> <code value="MTSFTF" /> <display value="Manchester Triage System - Face-to-Face" /> </valueCoding> </answer> </item> <!-- ## Existing Treatment Plans EPR (ADS84) ## --> <item> <linkId value="ADS84" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ExistingTreatmentPlans" /> <code value="02" /> <display value="EOL" /> </valueCoding> </answer> </item> <item> <linkId value="ADS84" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ExistingTreatmentPlans" /> <code value="08" /> <display value="Social Care" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- Medication data items --> <!-- there may be many of these - each medication administration will be a seperate resource --> <entry> <fullUrl value="urn:uuid:2cbcc5a0-6357-4e9a-93ab-063aeadca024" /> <resource> <MedicationAdministration> <!-- this is mandatory & fixed to completed --> <status value="completed" /> <!-- ## Medication Administered (ADS85A) EPR ## --> <medicationCodeableConcept> <coding> <system value="http://snomed.info/sct" /> <code value="17648211000001109" /> <display value="Morphine 2% gel" /> </coding> </medicationCodeableConcept> <!-- MUST have a patient link --> <subject> <reference value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" /> </subject> <!-- MUST have an encounter link --> <context> <reference value="urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313" /> </context> <!-- Mandated element --> <effectiveDateTime value="2020-06-29T15:10:32+00:00" /> <dosage> <!-- ## Medication route (ADS85B) EPR ## --> <route> <coding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-MedicationAdministrationRoute" /> <code value="067" /> <display value="Sublingual" /> </coding> </route> <dose> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" /> <code value="UNK" /> </dose> </dosage> </MedicationAdministration> </resource> </entry> <!-- NEWS2 scores --> <!-- there may be many of these - each NEWS2 will be a seperate resource --> <entry> <fullUrl value="urn:uuid:3d23751f-8ea3-4de9-bdf1-6a6acad592ad" /> <resource> <Observation> <status value="final" /> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/observation-category" /> <code value="survey" /> <display value="Survey" /> </coding> </category> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1104051000000101" /> <display value="Royal College of Physicians NEWS2 (National Early Warning Score 2) total score" /> </coding> </code> <subject> <reference value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" /> </subject> <encounter> <reference value="urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313" /> </encounter> <!-- ## NEWS2 Score Date and Time EPR (ADS80A) ## --> <effectiveDateTime value="2020-06-29T15:30:32+00:00" /> <!-- ## NEWS2 SCORES EPR (ADS80) ## --> <valueQuantity> <value value="6" /> <unit value="ScoreOf" /> <system value="http://unitsofmeasure.org" /> <code value="{ScoreOf}" /> </valueQuantity> </Observation> </resource> </entry> <!-- ## Frailty Score QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:a56b5066-db71-4491-bc43-6048e0eccc0a" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-FrailtyScoreDetails-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Frailty Score EPR (ADS81) --> <item> <linkId value="ADS81" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="1129351000000108" /> <display value="Clinical Frailty Scale level 3 - managing well" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- Diagnosis data items --> <!-- Diagnosis data items are in a List, ordered by priority --> <entry> <fullUrl value="urn:uuid:665b7733-0c15-4682-bbb1-3fa9ffcbd9b1" /> <resource> <List> <status value="current" /> <mode value="snapshot" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="887161000000102" /> <display value="Diagnoses" /> </coding> </code> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <orderedBy> <coding> <system value="http://terminology.hl7.org/CodeSystem/list-order" /> <code value="priority" /> <display value="Sorted by Priority" /> </coding> </orderedBy> <entry> <item> <reference value="urn:uuid:a0af1eb3-3e3e-4d91-90b7-444d0d0fa645" /> </item> </entry> <entry> <item> <reference value="urn:uuid:3f343fe7-c31e-4520-bb81-79d091851b54" /> </item> </entry> </List> </resource> </entry> <entry> <fullUrl value="urn:uuid:a0af1eb3-3e3e-4d91-90b7-444d0d0fa645" /> <resource> <Condition> <!-- ## Final Acuity (SNOMED CT) EPR (ADS79C) ## --> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="1077241000000103" /> <display value="Standard level emergency care" /> </coding> </severity> <!-- ## Suspected Diagnosis (SNOMED CT) EPR (ADS77) ## --> <code> <coding> <system value="http://snomed.info/sct" /> <code value="812751000000104" /> <display value="Injury of muscle of lower leg (disorder)" /> </coding> </code> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Main Symptom (SNOMED CT) (ADS74) ## --> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="162784002" /> <display value="Swollen leg (single)" /> </coding> </code> </evidence> </Condition> </resource> </entry> <entry> <fullUrl value="urn:uuid:3f343fe7-c31e-4520-bb81-79d091851b54" /> <resource> <Condition> <!-- ## Final Acuity (SNOMED CT) EPR (ADS79C) ## --> <severity> <coding> <system value="http://snomed.info/sct" /> <code value="24484000" /> <display value="Severe" /> </coding> </severity> <!-- ## Suspected Diagnosis (SNOMED CT) EPR (ADS77) ## --> <code> <coding> <system value="http://snomed.info/sct" /> <code value="80313002" /> <display value="Palpitations" /> </coding> </code> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Main Symptom (SNOMED CT) (ADS74) ## --> <evidence> <code> <coding> <system value="http://snomed.info/sct" /> <code value="80313002" /> <display value="Palpitations" /> </coding> </code> </evidence> </Condition> </resource> </entry> <!-- ## Clinical response QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:81cbaaca-7272-441c-a7f6-82ecebd7a1d2" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-ClinicalResponse-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Highest Skill level in attendance EPR (ADS86) ## --> <item> <linkId value="ADS86" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalSkillLevel" /> <code value="03" /> <display value="Registered Clinician" /> </valueCoding> </answer> </item> <!-- ## Clinical Decision Maker (ADS103) ## --> <item> <linkId value="ADS103" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalDecisionMaker" /> <code value="03" /> <display value="Face-to-Face Registered Clinician" /> </valueCoding> </answer> </item> <!-- ## Discharging Clinician skill level (ADS88) ## --> <item> <linkId value="ADS88" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalSkillLevel" /> <code value="04" /> <display value="Registered Clinician working at Clinical Speciality and/or Supervisory Level" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Episode outcome QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per patient) --> <entry> <fullUrl value="urn:uuid:fc29932b-9b57-40bd-8e95-019afe95332b" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-EpisodeOutcome-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## DoS Usage EPR (ADS89) ## --> <item> <linkId value="ADS89" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-DoSUsage" /> <code value="02" /> <display value="DoS/Service Finder Used - Referred to alternative pathway to ED" /> </valueCoding> </answer> </item> <!-- ## Treatment Status (SNOMED CT) (ADS90) ## --> <item> <linkId value="ADS90" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-TreatmentStatus" /> <code value="02" /> <display value="Treatment incomplete : refusal of care" /> </valueCoding> </answer> </item> <!-- ## On scene discharge Follow Up (SNOMED CT) (ADS91) ## --> <item> <linkId value="ADS91" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-DischargeFollowup" /> <code value="08" /> <display value="Emergency Department" /> </valueCoding> </answer> </item> <!-- ## Alternative Pathway ( if not available via ADS89) (ADS102) ## --> <item> <linkId value="ADS102" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-AlternativePathway" /> <code value="05" /> <display value="Urgent treatment centre" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## See and Convey Episode Outcome QuestionnaireResponse EPR ## --> <!-- there may be many of these (one per encounter) --> <entry> <fullUrl value="urn:uuid:7106114d-b96f-4f18-9e90-bf899afc9eb8" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-SeeAndConveyEpisodeOutcome-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Pre-Alert Status EPR (ADS92) --> <item> <linkId value="ADS92" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PreAlertStatus" /> <code value="02" /> <display value="Pre-alert not required" /> </valueCoding> </answer> </item> <!-- ## Pre-Alert StatusTime stamp EPR (ADS92A) ## --> <item> <linkId value="ADS92A" /> <answer> <valueDateTime value="2020-06-29T15:55:32+00:00" /> </answer> </item> <!-- ## Receiving Location Type (CAD) EPR (ADS93A) ## --> <item> <linkId value="ADS93A" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocation" /> <code value="05" /> <display value="Urgent treatment centre" /> </valueCoding> </answer> </item> <!-- ## Conveying Destination Type (EPR) (SNOMED CT) (ADS93B) ## --> <item> <linkId value="ADS93B" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="73770003" /> <display value="Hospital-based outpatient emergency care center" /> </valueCoding> </answer> </item> <!-- ## Receiving Location Site Code (CAD) (ADS94A) ## --> <item> <linkId value="ADS94A" /> <answer> <valueReference> <identifier> <system value="https://fhir.nhs.uk/Id/ods-site-code" /> <value value="RR807" /> </identifier> </valueReference> </answer> </item> <!-- ## Conveying Destination Site Code (EPR) (ADS94B) ## --> <item> <linkId value="ADS94B" /> <answer> <valueReference> <identifier> <system value="https://fhir.nhs.uk/Id/ods-site-code" /> <value value="RX8" /> </identifier> </valueReference> </answer> </item> <!-- ## Time of Clinical Handover EPR (ADS95) ## --> <item> <linkId value="ADS95" /> <answer> <valueDateTime value="2020-06-29T16:35:32+00:00" /> </answer> </item> <!-- ## Receiving Location Type (CAD) EPR (ADS96) ## --> <item> <linkId value="ADS96" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-HandoverDelayDetail" /> <code value="03" /> <display value="No cubicle / isolation capacity" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Safeguarding QuestionnaireResponse EPR ## --> <entry> <fullUrl value="urn:uuid:9c4d3ddb-4ece-4627-855a-06829a898a71" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-Safeguarding-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Safeguarding concern (SNOMED CT) (ADS97) ## --> <item> <linkId value="ADS97" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="736792008" /> <display value="At risk of honour based violence" /> </valueCoding> </answer> </item> <!-- ## Safeguarding Referral (ADSADS98) ## --> <item> <linkId value="ADS98" /> <answer> <valueCoding> <system value="http://terminology.hl7.org/CodeSystem/v2-0136" /> <code value="Y" /> <display value="Yes" /> </valueCoding> </answer> </item> </QuestionnaireResponse> </resource> </entry> <!-- ## Public health QuestionnaireResponse EPR ## --> <entry> <fullUrl value="urn:uuid:aa6f3ee7-cff8-44fd-8c02-d7ab1e6afc14" /> <resource> <QuestionnaireResponse> <questionnaire value="http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PublicHealth-Questionnaire" /> <status value="completed" /> <!-- MUST link to a Patient --> <subject> <reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" /> </subject> <!-- MUST link to an Encounter --> <encounter> <reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" /> </encounter> <!-- ## Disease Outbreak Notification (ADS100) ## --> <item> <linkId value="ADS100" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="443684005" /> <display value="Disease outbreak" /> </valueCoding> </answer> </item> <!-- ## Notifiable Disease (ADS100A) ## --> <item> <linkId value="ADS100A" /> <answer> <valueCoding> <system value="http://snomed.info/sct" /> <code value="409498004" /> <display value="Anthrax" /> </valueCoding> </answer> </item> <!-- ## MECC intervention outcome (ADS99) ## --> <item> <linkId value="ADS99" /> <answer> <valueCoding> <system value="https://fhir.nhs.uk/CodeSystem/Ambulance-MCCInterventionOutcome" /> <code value="02" /> <display value="Patient refused MECC intervention or advice" /> </valueCoding> </answer> </item> <!-- ## Research (ADS101) ## --> <item> <linkId value="ADS101" /> <answer> <valueString value="RESEARCH-REF-1234" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> </Bundle>
{ "resourceType": "Bundle", "id": "ADS-EPR-Example-1.6", "meta": { "profile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Bundle" ], "tag": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-BundleType", "code": "epr-Version-1.6", "display": "ADS FHIR Bundle - EPR items (version 1.6)" } ] }, "type": "collection", "entry": [ { "fullUrl": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002", "resource": { "resourceType": "Communication", "meta": { "profile": [ "https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Communication" ] }, "extension": [ { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime", "extension": [ { "url": "dateTimeType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType", "code": "time-call-ended", "display": "Time Call Ended" } ] } }, { "url": "dateTime", "valueDateTime": "2020-06-29T15:55:32+00:00" } ] }, { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime", "extension": [ { "url": "dateTimeType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType", "code": "time-call-answered", "display": "Time Call Answered" } ] } }, { "url": "dateTime", "valueDateTime": "2020-06-29T15:55:32+00:00" } ] }, { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime", "extension": [ { "url": "dateTimeType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType", "code": "clock-start-date-time", "display": "Clock Start Date Time" } ] } }, { "url": "dateTime", "valueDateTime": "2020-06-29T15:55:32+00:00" } ] }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-111Flag", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y", "display": "Yes" } ] } }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-CallOrigin", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-CallOrigin", "code": "01", "display": "999" } ] } }, { "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime", "extension": [ { "url": "dateTimeType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType", "code": "time-dispatch-code-established", "display": "Time Dispatch Code Established" } ] } }, { "url": "dateTime", "valueDateTime": "2020-06-29T15:36:30+00:00" } ] }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-Cat1EarlyPrediction", "extension": [ { "url": "cat1EarlyPredictionFlag", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-Cat1EarlyPredictionFlag", "code": "01", "display": "Cat 1 early predicted" } ] } }, { "url": "timeCat1EarlyPredictionFlagEstablished", "valueDateTime": "2020-06-29T15:35:55+00:00" } ] }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-ResponseCategory", "extension": [ { "url": "responseCategoryType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-ResponseCategoryType", "code": "initial", "display": "Initial Response Category" } ] } }, { "url": "responseCategoryCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseCategory", "code": "C3", "display": "Category 3" } ] } } ] }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-ResponseCategory", "extension": [ { "url": "responseCategoryType", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-ResponseCategoryType", "code": "reporting", "display": "Reporting Response Category" } ] } }, { "url": "responseCategoryCode", "valueCodeableConcept": { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseCategory", "code": "C3", "display": "Category 3" } ] } } ] }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-AQIResponseTime", "valueDuration": { "value": 48, "unit": "second", "system": "http://unitsofmeasure.org" } }, { "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-AQIIncidentFlag", "valueCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/v2-0136", "code": "Y" } ] } } ], "identifier": [ { "system": "http://RX8/Id/call-identifier", "value": "b5e05918-9f5d-11ea-bb37-0242ac130002", "period": { "start": "2020-06-29T14:55:37+00:00" } } ], "status": "completed", "statusReason": { "coding": [ { "code": "12", "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-StopCodes", "display": "Police Transported Other" } ] }, "category": [ { "coding": [ { "system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-TreatmentType", "code": "03", "display": "See and Convey" } ] } ], 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