<entry> <fullUrl value="urn:uuid:001c858c-3e3d-4b58-be94-0f46c79d8bae"/> <resource> <Observation> <id value="001c858c-3e3d-4b58-be94-0f46c79d8bae"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1322781000000102"/> <display value="Severe acute respiratory syndrome coronavirus 2 antigen detection result positive (finding)"/> </coding> </code> <effectiveDateTime value="2020-08-05"/> </Observation> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1" /> <seperatableInd value="true" /> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163141000000104" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Investigation Results" /> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component" /> <seperatableInd value="false" /> <UKCT_MT144043UK02.Finding classCode="OBS" moodCode="EVN"> <id root="3CDB62E6-EFEA-4036-9709-52AE7ED7D930" /> <code code="1322781000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Severe acute respiratory syndrome coronavirus 2 antigen detection result positive (finding)"> </code> <statusCode code="active" /> <effectiveTime> <low value="20200805" /> </effectiveTime> </UKCT_MT144043UK02.Finding> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:36c913f3-b0a8-4bf6-b84d-a3dec49b41d1"/> <resource> <Observation> <id value="36c913f3-b0a8-4bf6-b84d-a3dec49b41d1"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1240431000000104"/> <display value="Exposure to severe acute respiratory syndrome coronavirus 2 infection (event)"/> </coding> </code> <effectiveDateTime value="2020-08-05"/> </Observation> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163231000000100" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Risks to Patient"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144054UK01.RiskToPatient classCode="OBS" moodCode="EVN"> <id root="10CE2F30-8AF5-11EA-9FCE-AFDCAECF9DFB"/> <code code="1240441000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Close exposure to severe acute respiratory syndrome coronavirus 2 infection (event)"/> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144054UK01.RiskToPatient> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:722e35ec-0f00-4b71-b1f9-2240623c6b41"/> <resource> <Encounter> <id value="722e35ec-0f00-4b71-b1f9-2240623c6b41"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" /> </meta> <status value="finished"/> <class> <code value="GENRL"> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <display value="General"/> </class> <type> <coding> <code value="1240631000000102"> <system value="http://snomed.info/sct"/> <display value="Did not attend SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination"/> </coding> </type> <period> <end value="2020-08-05"/> </period> </Encounter> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="162951000000105" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Care Events"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144037UK01.CareEvent classCode="ENC" moodCode="EVN"> <id root="0F582D91-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240631000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Did not attend SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination"> </code> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144037UK01.CareEvent> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:3fcf3797-8b3d-4d4f-a59a-b43b7615e51d"/> <resource> <Procedure> <id value="3fcf3797-8b3d-4d4f-a59a-b43b7615e51d"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" /> </meta> <status value="completed" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1240461000000109" /> <display value="Measurement of severe acute respiratory syndrome coronavirus 2 antibody (procedure)" /> </coding> </code> <performedDateTime value="2020=08-05" /> </Procedure> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163081000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Investigations"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144045UK01.Investigation classCode="PROC" moodCode="EVN"> <id root="0F5A9E75-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240461000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Measurement of severe acute respiratory syndrome coronavirus 2 antibody (procedure)"> </code> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144045UK01.Investigation> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:870bfee5-67e6-4611-8b62-e4609e2f3105"/> <resource> <Procedure> <id value="870bfee5-67e6-4611-8b62-e4609e2f3105"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" /> </meta> <status value="completed" /> <code> <coding> <system value="http://snomed.info/sct" /> <code value="1240491000000103" /> <display value="Severe acute respiratory syndrome coronavirus 2 vaccination (procedure)" /> </coding> </code> <performedDateTime value="2020=08-05" /> </Procedure> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163071000000106" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Treatments"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144055UK01.Treatment classCode="PROC" moodCode="EVN"> <id root="0F5A9E72-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240491000000103" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Severe acute respiratory syndrome coronavirus 2 vaccination (procedure)"> </code> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144055UK01.Treatment> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:bdb64d63-9c06-44fd-b2c1-324c580c6142"/> <resource> <Condition> <id value="bdb64d63-9c06-44fd-b2c1-324c580c6142"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <identifier> <value value="AF0AAF00-797C-11EA-B378-F1A7EC384595"/> <identifier> <clinicalStatus> <coding> <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> <code value="active" /> <display value="Active" /> </coding> </clinicalStatus> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1300721000000109"/> <display value="COVID-19 confirmed by laboratory test"/> </coding> </code> <onsetDateTime value="2020-08-05"/> </Condition> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163001000000103" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Diagnoses"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144042UK01.Diagnosis classCode="OBS" moodCode="EVN"> <id root="AF0AAF00-797C-11EA-B378-F1A7EC384595"/> <code code="1300721000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="COVID-19 confirmed by laboratory test"> </code> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </pertinentInformation> </UKCT_MT144042UK01.Diagnosis> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:b725e8c8-c397-453b-82fa-37a1eb29a690"/> <resource> <Observation> <id value="b725e8c8-c397-453b-82fa-37a1eb29a690"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1240601000000108"/> <display value="High priority for severe acute respiratory syndrome coronavirus 2 vaccination (finding)"/> </coding> </code> <effectiveDateTime value="2020-08-05"/> </Observation> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163131000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Clinical Observations and Findings"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144043UK02.Finding classCode="OBS" moodCode="EVN"> <id root="19ABC6D1-8AF5-11EA-9FCE-AFDCAECF9DFB"/> <code code="1240601000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="High priority for severe acute respiratory syndrome coronavirus 2 vaccination (finding)"> </code> <statusCode code="completed"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144043UK02.Finding> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:5a3ead29-446d-4ad8-8a2f-aa50a3d026bb"/> <resource> <Observation> <id value="5a3ead29-446d-4ad8-8a2f-aa50a3d026bb"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" /> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="1240651000000109"/> <display value="Severe acute respiratory syndrome coronavirus 2 vaccination declined (situation)"/> </coding> </code> <effectiveDateTime value="2020-08-05"/> </Observation> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="162961000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Personal Preferences"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144046UK01.PersonalPreference classCode="OBS" moodCode="EVN"> <id root="0F5A9E73-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240651000000109" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination declined"> <originalText>Severe acute respiratory syndrome coronavirus 2 vaccination declined (situation)</originalText> </code> <statusCode code="completed"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144046UK01.PersonalPreference> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:2e33e466-7e52-42c8-86ce-7c488d067965"/> <resource> <ImmunizationRecommendation> <id value="2e33e466-7e52-42c8-86ce-7c488d067965"/> <patient> <reference value="urn:uuid:b6f5dd89-fc3a-466d-baad-126c0aac46fc/> </patient> <date value="2020-08-05"/> <recommendation> <contraindicatedVaccineCode> <coding> <code value="1240661000000107"/> <display value="Severe acute respiratory syndrome coronavirus 2 vaccination contraindicated (situation)"/> <system value="http://snomed.info/sct"/> </coding> </contraindicatedVaccineCode> </recommendation> </ImmunizationRecommendation> </resource> </entry>
Note: Medication recommendations is not a supported Summary Care Record CRE Type. Non-supported SCR CRE Types use the "default" Clinical Observations and Findings CRE Type.
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163131000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Clinical Observations and Findings"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144043UK02.Finding classCode="OBS" moodCode="EVN"> <id root="19ABC6D1-8AF5-11EA-9FCE-AFDCAECF9DFB"/> <code code="1240661000000107" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Severe acute respiratory syndrome coronavirus 2 vaccination contraindicated (situation)"> </code> <statusCode code="completed"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144043UK02.Finding> </component> </pertinentCREType> </pertinentInformation2>
Note as the immunisation is a procedure (not done), the Extension-CareConnect-VaccinationProcedure-1 is used.
<entry> <fullUrl value="urn:uuid:d998d083-64d7-42d0-8bf4-1a5770d84c4f"/> <resource> <Immunization> <id value="d998d083-64d7-42d0-8bf4-1a5770d84c4f"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Immunization" /> </meta> <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-VaccinationProcedure"> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="1240681000000103"/> <display value="Severe acute respiratory syndrome coronavirus 2 vaccination not done (situation)"/> </coding> </valueCodeableConcept> </extension> <status value="not-done"/> <vaccineCode> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/> <code value="UNK"/> <display value="Unknown"/> </coding> </vaccineCode> <patient> <reference value="urn:uuid:b6f5dd89-fc3a-466d-baad-126c0aac46fc/> </patient> <occuranceDateTime value="2020-0805"/> </Observation> </resource> </entry>
Note: Medication record is not a supported Summary Care Record CRE Type. Non-supported SCR CRE Types use the "default" Clinical Observations and Findings CRE Type.
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163131000000108" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Clinical Observations and Findings"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144043UK02.Finding classCode="OBS" moodCode="EVN"> <id root="19ABC6D1-8AF5-11EA-9FCE-AFDCAECF9DFB"/> <code code="1240681000000103" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Severe acute respiratory syndrome coronavirus 2 vaccination not done (situation)"> </code> <statusCode code="completed"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144043UK02.Finding> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:8e8acd76-9a1c-44de-ac88-30254abdee4a"/> <resource> <Communication> <id value="8e8acd76-9a1c-44de-ac88-30254abdee4a"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Communication" /> </meta> <status value="completed"/> <topic> <coding> <code value="1240711000000104"/> <system value="http://snomed.info/sct"/> <display value="Educated about severe acute respiratory syndrome coronavirus 2 infection (situation)"/> </coding> </topic> <sent value="2020-08-05"/> </Communication> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163101000000102" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Provision of Advice and Information to Patients and Carers"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144049UK01.ProvisionOfAdviceAndInformation classCode="INFRM" moodCode="EVN"> <id root="0F582D83-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240711000000104" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Educated about severe acute respiratory syndrome coronavirus 2 infection (situation)"> </code> <statusCode code="normal"/> <effectiveTime> <low value="20200805"/> </effectiveTime> </UKCT_MT144049UK01.ProvisionOfAdviceAndInformation> </component> </pertinentCREType> </pertinentInformation2>
<entry> <fullUrl value="urn:uuid:3b3f207f-be82-4ffb-924e-9be0966f5c65"/> <resource> <Communication> <id value="3b3f207f-be82-4ffb-924e-9be0966f5c65"/> <meta> <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Communication" /> </meta> <status value="completed"/> <topic> <coding> <code value="1240781000000106"/> <system value="http://snomed.info/sct"/> <display value="Severe acute respiratory syndrome coronavirus 2 vaccination invitation short message service text message sent (situation)"/> </coding> </topic> <sent value="2020-08-05"/> </Communication> </resource> </entry>
<pertinentInformation2 typeCode="PERT" inversionInd="false" contextConductionInd="true" negationInd="false"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.pertinentInformation1"/> <seperatableInd value="true"/> <pertinentCREType classCode="CATEGORY" moodCode="EVN"> <code code="163181000000107" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Patient/carer correspondence"/> <component typeCode="COMP" contextConductionInd="true"> <templateId root="2.16.840.1.113883.2.1.3.2.4.18.2" extension="CSAB_RM-NPfITUK10.component"/> <seperatableInd value="false"/> <UKCT_MT144035UK01.PatientCarerCorrespondence classCode="DOC" moodCode="EVN"> <id root="0F582D83-8F89-11EA-8B2D-B741F13EFC47"/> <code code="1240781000000106" codeSystem="2.16.840.1.113883.2.1.3.2.4.15" displayName="Severe acute respiratory syndrome coronavirus 2 vaccination invitation short message service text message sent (situation)"> </code> <statusCode code="normal"/> <effectiveTime value="20200805"/> </UKCT_MT144035UK01.PatientCarerCorrespondence> </component> </pertinentCREType> </pertinentInformation2>