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": "2018-05-21T13:45:05+01:00"
},
"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": "2018-05-11T22:05:25+01:00",
"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": "2018-05-11T22:05:25+01:00",
"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"
}
}
}
]
}