NEWS2 example

<Bundle xmlns="http://hl7.org/fhir">
    <id value="news2-report" />
    <identifier>
        <system value="https://fhir.mytrust.nhs.uk/Id/RCB/PAS" />
        <value value="14038913245354" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448" />
        <resource>
            <MessageHeader>
                <id value="22ed2deb-effa-408c-9437-d3c4975ff448" />
                <eventCoding>
                    <system value="https://fhir.lhcre.nhs.uk/CodeSystem/message-event" />
                    <code value="unsolicited-observation" />
                    <display value="Unsolicited Observations" />
                </eventCoding>
                <destination>
                    <name value="ROUTE" />
                    <target>
                        <display value="ROUTE" />
                    </target>
                    <endpoint value="ROUTE" />
                </destination>
                <sender>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="RCB" />
                    </identifier>
                    <display value="RCB" />
                </sender>
                <source>
                    <name value="PAS" />
                    <endpoint value="PAS" />
                </source>
                <focus>
                    <reference value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:3915b469-57b7-470f-942f-e276c4458d63" />
        <resource>
            <DiagnosticReport>
                <id value="3915b469-57b7-470f-942f-e276c4458d63" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374" />
                </identifier>
                <status value="unknown" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="118227000" />
                        <display value="Vital Signs" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <effectivePeriod>
                    <start value="2018-05-21T13:45:05+01:00" />
                </effectivePeriod>
                <result>
                    <reference value="urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" />
                </result>
                <result>
                    <reference value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" />
                </result>
                <result>
                    <reference value="urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" />
                </result>
                <result>
                    <reference value="urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" />
                </result>
                <result>
                    <reference value="urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" />
                </result>
                <result>
                    <reference value="urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" />
                </result>
            </DiagnosticReport>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5" />
        <resource>
            <Observation>
                <id value="11842d63-f473-4374-a00d-4caffc94c0f5" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-1" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="364075005" />
                        <display value="Heart Rate" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <effectiveDateTime value="2018-05-11T22:05:25+01:00" />
                <valueQuantity>
                    <value value="73.0" />
                    <unit value="/min" />
                </valueQuantity>
                <referenceRange>
                    <text value="60-100" />
                </referenceRange>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d" />
        <resource>
            <Observation>
                <id value="926b9534-c247-45da-916c-b5bbbfb3da6d" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-2" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="103228002" />
                        <display value="Blood oxygen saturation" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <effectiveDateTime value="2018-05-11T22:05:25+01:00" />
                <valueQuantity>
                    <value value="98.0" />
                    <unit value="%" />
                </valueQuantity>
                <referenceRange>
                    <text value="94-100" />
                </referenceRange>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" />
        <resource>
            <Observation>
                <id value="ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-3" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="722742002" />
                        <display value="Breathing room air" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382" />
        <resource>
            <Observation>
                <id value="87e13a1f-0173-415a-9f5d-66ac2746b382" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-4" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="1104441000000107" />
                        <display value="ACVPU (Alert Confusion Voice Pain Unresponsive) scale score" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <valueCodeableConcept>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="248234008" />
                        <display value="Mentally alert" />
                    </coding>
                </valueCodeableConcept>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" />
        <resource>
            <Observation>
                <id value="3d69129a-7c83-4fa4-adbb-d21a8d5d7d92" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-5" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="86290005" />
                        <display value="Respiratory rate" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <valueQuantity>
                    <value value="20.0" />
                    <unit value="/min" />
                </valueQuantity>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c" />
        <resource>
            <Observation>
                <id value="6c87c7b5-632f-431d-b15d-fad1d93d360c" />
                <identifier>
                    <system value="https://fhir.mytrust.nhs.uk/Id/NK" />
                    <value value="108512374-BP" />
                </identifier>
                <status value="final" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="75367002" />
                        <display value="Blood Pressure" />
                    </coding>
                </code>
                <subject>
                    <reference value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
                </subject>
                <component>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="72313002" />
                            <display value="Systolic arterial pressure" />
                        </coding>
                    </code>
                    <valueQuantity>
                        <value value="132.0" />
                        <unit value="mm[Hg]" />
                    </valueQuantity>
                </component>
                <component>
                    <code>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="1091811000000102" />
                            <display value="Diastolic arterial pressure" />
                        </coding>
                    </code>
                    <valueQuantity>
                        <value value="86.0" />
                        <unit value="mm[Hg]" />
                    </valueQuantity>
                </component>
            </Observation>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231" />
        <resource>
            <Patient>
                <id value="d980f514-8d01-4d6b-9b52-29436fda1231" />
                <identifier>
                    <extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="01" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="3333333333" />
                </identifier>
                <name>
                    <family value="SMITH" />
                    <given value="FREDRICA" />
                    <prefix value="MRS" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="+441234567890" />
                    <use value="home" />
                </telecom>
                <gender value="female" />
                <birthDate value="1965-12-13" />
                <address>
                    <use value="home" />
                    <city value="MALTON" />
                    <district value="NORTH YORKSHIRE" />
                    <postalCode value="YO32 5TT" />
                </address>
                <generalPractitioner>
                    <identifier>
                        <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                        <value value="G5612908" />
                    </identifier>
                    <display value="Dr Gregory Townley" />
                </generalPractitioner>
                <managingOrganization>
                    <identifier>
                        <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                        <value value="Y06601" />
                    </identifier>
                    <display value="MALTON GP PRACTICE" />
                </managingOrganization>
            </Patient>
        </resource>
    </entry>
</Bundle>
{
    "resourceType": "Bundle",
    "id": "news2-report",
    "identifier": {
        "system": "https://fhir.mytrust.nhs.uk/Id/RCB/PAS",
        "value": "14038913245354"
    },
    "type": "message",
    "entry":  [
        {
            "fullUrl": "urn:oid:22ed2deb-effa-408c-9437-d3c4975ff448",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "22ed2deb-effa-408c-9437-d3c4975ff448",
                "eventCoding": {
                    "system": "https://fhir.lhcre.nhs.uk/CodeSystem/message-event",
                    "code": "unsolicited-observation",
                    "display": "Unsolicited Observations"
                },
                "destination":  [
                    {
                        "name": "ROUTE",
                        "target": {
                            "display": "ROUTE"
                        },
                        "endpoint": "ROUTE"
                    }
                ],
                "sender": {
                    "identifier": {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "RCB"
                    },
                    "display": "RCB"
                },
                "source": {
                    "name": "PAS",
                    "endpoint": "PAS"
                },
                "focus":  [
                    {
                        "reference": "urn:oid:3915b469-57b7-470f-942f-e276c4458d63"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:3915b469-57b7-470f-942f-e276c4458d63",
            "resource": {
                "resourceType": "DiagnosticReport",
                "id": "3915b469-57b7-470f-942f-e276c4458d63",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374"
                    }
                ],
                "status": "unknown",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "118227000",
                            "display": "Vital Signs"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "effectivePeriod": {
                    "start": "05/21/2018 12:45:05"
                },
                "result":  [
                    {
                        "reference": "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5"
                    },
                    {
                        "reference": "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d"
                    },
                    {
                        "reference": "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46"
                    },
                    {
                        "reference": "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382"
                    },
                    {
                        "reference": "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92"
                    },
                    {
                        "reference": "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:11842d63-f473-4374-a00d-4caffc94c0f5",
            "resource": {
                "resourceType": "Observation",
                "id": "11842d63-f473-4374-a00d-4caffc94c0f5",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-1"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "364075005",
                            "display": "Heart Rate"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "effectiveDateTime": "05/11/2018 21:05:25",
                "valueQuantity": {
                    "value": 73,
                    "unit": "/min"
                },
                "referenceRange":  [
                    {
                        "text": "60-100"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:926b9534-c247-45da-916c-b5bbbfb3da6d",
            "resource": {
                "resourceType": "Observation",
                "id": "926b9534-c247-45da-916c-b5bbbfb3da6d",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-2"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "103228002",
                            "display": "Blood oxygen saturation"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "effectiveDateTime": "05/11/2018 21:05:25",
                "valueQuantity": {
                    "value": 98,
                    "unit": "%"
                },
                "referenceRange":  [
                    {
                        "text": "94-100"
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46",
            "resource": {
                "resourceType": "Observation",
                "id": "ac30fbfd-a166-4ebf-acd0-89fc6a8e5e46",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-3"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "722742002",
                            "display": "Breathing room air"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                }
            }
        },
        {
            "fullUrl": "urn:oid:87e13a1f-0173-415a-9f5d-66ac2746b382",
            "resource": {
                "resourceType": "Observation",
                "id": "87e13a1f-0173-415a-9f5d-66ac2746b382",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-4"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "1104441000000107",
                            "display": "ACVPU (Alert Confusion Voice Pain Unresponsive) scale score"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "valueCodeableConcept": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "248234008",
                            "display": "Mentally alert"
                        }
                    ]
                }
            }
        },
        {
            "fullUrl": "urn:oid:3d69129a-7c83-4fa4-adbb-d21a8d5d7d92",
            "resource": {
                "resourceType": "Observation",
                "id": "3d69129a-7c83-4fa4-adbb-d21a8d5d7d92",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-5"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "86290005",
                            "display": "Respiratory rate"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "valueQuantity": {
                    "value": 20,
                    "unit": "/min"
                }
            }
        },
        {
            "fullUrl": "urn:oid:6c87c7b5-632f-431d-b15d-fad1d93d360c",
            "resource": {
                "resourceType": "Observation",
                "id": "6c87c7b5-632f-431d-b15d-fad1d93d360c",
                "identifier":  [
                    {
                        "system": "https://fhir.mytrust.nhs.uk/Id/NK",
                        "value": "108512374-BP"
                    }
                ],
                "status": "final",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "75367002",
                            "display": "Blood Pressure"
                        }
                    ]
                },
                "subject": {
                    "reference": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231"
                },
                "component":  [
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "72313002",
                                    "display": "Systolic arterial pressure"
                                }
                            ]
                        },
                        "valueQuantity": {
                            "value": 132,
                            "unit": "mm[Hg]"
                        }
                    },
                    {
                        "code": {
                            "coding":  [
                                {
                                    "system": "http://snomed.info/sct",
                                    "code": "1091811000000102",
                                    "display": "Diastolic arterial pressure"
                                }
                            ]
                        },
                        "valueQuantity": {
                            "value": 86,
                            "unit": "mm[Hg]"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:oid:d980f514-8d01-4d6b-9b52-29436fda1231",
            "resource": {
                "resourceType": "Patient",
                "id": "d980f514-8d01-4d6b-9b52-29436fda1231",
                "identifier":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.nhs.uk/R4/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.nhs.uk/R4/CodeSystem/UKCore-NHSNumberVerificationStatus",
                                            "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"
                }
            }
        }
    ]
}