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

Example ADS-AllSections

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-CorrectedForJSON" />
<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" />
<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>
<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>
<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>
<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>
<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>
<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>
<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>
<extension url="https://fhir.nhs.uk/R4/StructureDefinition/Extension-ADS-Cat1EarlyPrediction">
<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>
<extension url="timeCat1EarlyPredictionFlagEstablished">
<valueDateTime value="2020-06-29T15:35:55+00:00" />
</extension>
</extension>
<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>
<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>
<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>
<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>
<identifier>
<system value="http://RX8/Id/call-identifier" />
<value value="b5e05918-9f5d-11ea-bb37-0242ac130002" />
<period>
<start value="2020-06-29T14:55:37+00:00" />
</period>
</identifier>
<status value="completed" />
<statusReason>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-StopCodes" />
<code value="12" />
<display value="Police Transported Other" />
</coding>
</statusReason>
<category>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-TreatmentType" />
<code value="03" />
<display value="See and Convey" />
</coding>
</category>
<sent value="2020-06-29T15:34:55+00:00" />
<recipient>
<reference value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" />
</recipient>
<sender>
<reference value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" />
</sender>
</Communication>
</resource>
</entry>
<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" />
<subject>
<reference value="urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47" />
</subject>
<locationReference>
<reference value="urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002" />
</locationReference>
<locationReference>
<reference value="urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd" />
</locationReference>
<supportingInfo>
<reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" />
</supportingInfo>
</ServiceRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47" />
<resource>
<Location>
<meta>
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
</meta>
<address>
<postalCode value="LS16 7HY" />
</address>
<managingOrganization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="15F" />
</identifier>
</managingOrganization>
</Location>
</resource>
</entry>
<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>
<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>
<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>
<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>
<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>
<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" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<code value="AMBT" />
<display value="Ambulance Transport" />
</class>
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<basedOn>
<reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" />
</basedOn>
<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>
<start value="2020-06-29T15:36:44+00:00" />
<end value="2020-06-29T18:56:44+00:00" />
</period>
<hospitalization>
<destination>
<reference value="urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002" />
</destination>
</hospitalization>
<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>
<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>
<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>
<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>
<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" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<code value="AMBT" />
<display value="Ambulance Transport" />
</class>
<subject>
<reference value="urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0" />
</subject>
<basedOn>
<reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" />
</basedOn>
<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>
<start value="2020-06-29T15:36:44+00:00" />
<end value="2020-06-30T15:36:44+00:00" />
</period>
<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>
<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>
<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>
<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>
<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>
<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" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<code value="AMBT" />
<display value="ambulance transport" />
</class>
<subject>
<reference value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" />
</subject>
<basedOn>
<reference value="urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e" />
</basedOn>
<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>
<start value="2020-06-29T15:42:03+00:00" />
<end value="2020-06-29T18:01:06+00:00" />
</period>
<hospitalization>
<destination>
<reference value="urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002" />
</destination>
</hospitalization>
<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>
<entry>
<fullUrl value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
<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="A" />
<display value="British, Mixed British" />
</coding>
</valueCodeableConcept>
</extension>
<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>
<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>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9912003888" />
</identifier>
<identifier>
<system value="http://RX8/Id/patient-record-identifier" />
<value value="ABC1234567" />
</identifier>
<name>
<use value="usual" />
<family value="CHALMERS" />
<given value="Peter" />
</name>
<name>
<use value="usual" />
<text value="Peter Chalmers" />
</name>
<birthDate value="1963-08-08" />
<address>
<postalCode value="LS6 7QR" />
</address>
<generalPractitioner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="GP123" />
</identifier>
</generalPractitioner>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a3ebb1f1-a5c3-46a3-bc93-c52e660682f1" />
<resource>
<Observation>
<status value="final" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="102519007" />
<display value="Apparent age" />
</coding>
</code>
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<valueQuantity>
<value value="38" />
<unit value="Year" />
<system value="http://unitsofmeasure.org" />
<code value="a" />
</valueQuantity>
</Observation>
</resource>
</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>
<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>
<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>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="2233445566" />
</identifier>
<identifier>
<system value="http://RX8/Id/patient-record-identifier" />
<value value="DEF1234567" />
</identifier>
<name>
<use value="usual" />
<family value="PETERS" />
<given value="Mary" />
</name>
<birthDate value="1970-09-04" />
<address>
<postalCode value="LS16 5BH" />
</address>
</Patient>
</resource>
</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>
<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>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="9988776655" />
</identifier>
<identifier>
<system value="http://RX8/Id/patient-record-identifier" />
<value value="GHI1234567" />
</identifier>
<name>
<use value="usual" />
<family value="SMITH" />
<given value="Colin" />
</name>
<gender value="unknown" />
<birthDate value="2002-12-08" />
<address>
<postalCode value="LS4 2WE" />
</address>
</Patient>
</resource>
</entry>
<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>
<identifier>
<system value="https://RX8/Id/call-sign" />
<value value="YAS123" />
</identifier>
<mode value="kind" />
<type>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType" />
<code value="01" />
<display value="DCA: Double Crewed Ambulance (Emergency)" />
</coding>
</type>
<managingOrganization>
<reference value="urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7" />
</managingOrganization>
</Location>
</resource>
</entry>
<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>
<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>
<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>
<identifier>
<system value="https://RX8/Id/call-sign" />
<value value="YAS456" />
</identifier>
<mode value="kind" />
<type>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType" />
<code value="01" />
<display value="DCA: Double Crewed Ambulance (Emergency)" />
</coding>
</type>
<managingOrganization>
<reference value="urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7" />
</managingOrganization>
</Location>
</resource>
</entry>
<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>
<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>
<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>
<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>
<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>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-site-code" />
<value value="RR807" />
</identifier>
<type>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocationCAD" />
<code value="UCC" />
<display value="Urgent Care Centre" />
</coding>
</type>
</Location>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002" />
<resource>
<Organization>
<meta>
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
</meta>
<identifier>
<use value="official" />
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="RR8" />
</identifier>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:0dabe91e-f1c9-4a55-8231-ed7453f29a8b" />
<resource>
<Observation>
<id value="0dabe91e-f1c9-4a55-8231-ed7453f29a8b" />
<status value="final" />
<code>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" />
<code value="01" />
<display value="AMPDS Triage Disposition" />
</coding>
</code>
<focus>
<reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" />
</focus>
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-AMPDSTriageDisposition" />
<code value="1A01" />
<display value="Abdominal pain" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bf1533f8-309a-4737-b485-73291eb912a8" />
<resource>
<Observation>
<id value="bf1533f8-309a-4737-b485-73291eb912a8" />
<status value="final" />
<code>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" />
<code value="02" />
<display value="Pathways Triage Disposition" />
</coding>
</code>
<focus>
<reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" />
</focus>
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PathwaysTriageDisposition" />
<code value="DG10" />
<display value="Ambulance request" />
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e" />
<resource>
<Observation>
<id value="bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e" />
<status value="final" />
<code>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" />
<code value="03" />
<display value="SG Code (Symptom Group)" />
</coding>
</code>
<focus>
<reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" />
</focus>
<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>
<entry>
<fullUrl value="urn:uuid:bcd5a787-7359-49f8-8412-2790ab47c8fd" />
<resource>
<Observation>
<id value="bcd5a787-7359-49f8-8412-2790ab47c8fd" />
<status value="final" />
<code>
<coding>
<system value="https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory" />
<code value="04" />
<display value="SD Code (Symptom Discriminator)" />
</coding>
</code>
<focus>
<reference value="urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002" />
</focus>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<item>
<linkId value="ADS48" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136" />
<code value="Y" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS49" />
<answer>
<valueCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0136" />
<code value="N" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS50" />
<answer>
<valueDateTime value="2020-06-29T14:45:32+00:00" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<item>
<linkId value="ADS62" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="315570003" />
<display value="Main spoken language English" />
</valueCoding>
</answer>
</item>
<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>
<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>
<item>
<linkId value="ADS66" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="414418009" />
<display value="Housed" />
</valueCoding>
</answer>
</item>
<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>
<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" />
<subject>
<reference value="urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0" />
</subject>
<encounter>
<reference value="urn:uuid:9450d479-328c-4c3c-bf35-efb1d80bd576" />
</encounter>
<item>
<linkId value="ADS68" />
<answer>
<valueDateTime value="2020-06-29T14:40:32+00:00" />
</answer>
</item>
<item>
<linkId value="ADS69" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="48979004" />
<display value="Left lower leg" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS70" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="242651001" />
<display value="Injury caused by animal" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS71" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="1067601000000108" />
<display value="Leisure" />
</valueCoding>
</answer>
</item>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<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>
<item>
<linkId value="ADS79A" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="398979000" />
<display value="Pale colour" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS79B" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="1064901000000108" />
<display value="Urgent level emergency care" />
</valueCoding>
</answer>
</item>
<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>
<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>
<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>
<entry>
<fullUrl value="urn:uuid:2cbcc5a0-6357-4e9a-93ab-063aeadca024" />
<resource>
<MedicationAdministration>
<status value="completed" />
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct" />
<code value="17648211000001109" />
<display value="Morphine 2% gel" />
</coding>
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79" />
</subject>
<context>
<reference value="urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313" />
</context>
<effectiveDateTime value="2020-06-29T15:10:32+00:00" />
<dosage>
<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>
<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>
<effectiveDateTime value="2020-06-29T15:30:32+00:00" />
<valueQuantity>
<value value="6" />
<unit value="ScoreOf" />
<system value="http://unitsofmeasure.org" />
<code value="{ScoreOf}" />
</valueQuantity>
</Observation>
</resource>
</entry>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<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>
<severity>
<coding>
<system value="http://snomed.info/sct" />
<code value="1077241000000103" />
<display value="Standard level emergency care" />
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="812751000000104" />
<display value="Injury of muscle of lower leg (disorder)" />
</coding>
</code>
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<severity>
<coding>
<system value="http://snomed.info/sct" />
<code value="24484000" />
<display value="Severe" />
</coding>
</severity>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="80313002" />
<display value="Palpitations" />
</coding>
</code>
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<evidence>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="80313002" />
<display value="Palpitations" />
</coding>
</code>
</evidence>
</Condition>
</resource>
</entry>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<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>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<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>
<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>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<item>
<linkId value="ADS92A" />
<answer>
<valueDateTime value="2020-06-29T15:55:32+00:00" />
</answer>
</item>
<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>
<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>
<item>
<linkId value="ADS94A" />
<answer>
<valueReference>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-site-code" />
<value value="RR807" />
</identifier>
</valueReference>
</answer>
</item>
<item>
<linkId value="ADS94B" />
<answer>
<valueReference>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-site-code" />
<value value="RX8" />
</identifier>
</valueReference>
</answer>
</item>
<item>
<linkId value="ADS95" />
<answer>
<valueDateTime value="2020-06-29T16:35:32+00:00" />
</answer>
</item>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<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>
<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>
<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" />
<subject>
<reference value="urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002" />
</subject>
<encounter>
<reference value="urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0" />
</encounter>
<item>
<linkId value="ADS100" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="443684005" />
<display value="Disease outbreak" />
</valueCoding>
</answer>
</item>
<item>
<linkId value="ADS100A" />
<answer>
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="409498004" />
<display value="Anthrax" />
</valueCoding>
</answer>
</item>
<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>
<item>
<linkId value="ADS101" />
<answer>
<valueString value="RESEARCH-REF-1234" />
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "ADS-EPR-Example-1.6-CorrectedForJSON",
"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": [
{
"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.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"
},
{
"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"
}
]
}
},
{
"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.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"
},
{
"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-Cat1EarlyPrediction"
},
{
"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-ResponseCategory"
},
{
"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": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-StopCodes",
"code": "12",
"display": "Police Transported Other"
}
]
},
"category": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-TreatmentType",
"code": "03",
"display": "See and Convey"
}
]
}
],
"sent": "2020-06-29T15:34:55+00:00",
"recipient": [
{
"reference": "urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002"
}
],
"sender": {
"reference": "urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002"
}
}
},
{
"fullUrl": "urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e",
"resource": {
"resourceType": "ServiceRequest",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-ServiceRequest"
]
},
"status": "completed",
"intent": "order",
"subject": {
"reference": "urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47"
},
"locationReference": [
{
"reference": "urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002"
},
{
"reference": "urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd"
}
],
"supportingInfo": [
{
"reference": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002"
}
]
}
},
{
"fullUrl": "urn:uuid:a0e4207d-5dfd-41f4-850d-3870819e7a47",
"resource": {
"resourceType": "Location",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location"
]
},
"address": {
"postalCode": "LS16 7HY"
},
"managingOrganization": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "15F"
}
}
}
},
{
"fullUrl": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0",
"resource": {
"resourceType": "Encounter",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter"
]
},
"extension": [
{
"extension": [
{
"url": "dateTimeType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType",
"code": "time-resource-mobilised",
"display": "Time Resource Mobilised"
}
]
}
},
{
"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-stood-down",
"display": "Time Stood Down"
}
]
}
},
{
"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-resource-arrived-on-scene",
"display": "Time Resource Arrived On Scene"
}
]
}
},
{
"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-arrived-receiving-location",
"display": "Time Arrived at Receiving Location"
}
]
}
},
{
"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-patient-handover",
"display": "Time Patient Handover"
}
]
}
},
{
"url": "dateTime",
"valueDateTime": "2020-06-29T17:06:03+00:00"
}
],
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"
}
],
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "835538cb-5722-41d2-a65e-5491ccb0b7e0"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMBT",
"display": "Ambulance Transport"
},
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"basedOn": [
{
"reference": "urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e"
}
],
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "Attender"
}
]
}
],
"individual": {
"reference": "urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e"
}
}
],
"period": {
"start": "2020-06-29T15:36:44+00:00",
"end": "2020-06-29T18:56:44+00:00"
},
"hospitalization": {
"destination": {
"reference": "urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002"
}
},
"location": [
{
"location": {
"reference": "urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "ve",
"display": "Vehicle"
}
]
}
}
]
}
},
{
"fullUrl": "urn:uuid:9450d479-328c-4c3c-bf35-efb1d80bd576",
"resource": {
"resourceType": "Encounter",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter"
]
},
"extension": [
{
"extension": [
{
"url": "dateTimeType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType",
"code": "time-resource-mobilised",
"display": "Time Resource Mobilised"
}
]
}
},
{
"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-resource-arrived-on-scene",
"display": "Time Resource Arrived On Scene"
}
]
}
},
{
"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-resource-left-scene",
"display": "Time Resource Left Scene"
}
]
}
},
{
"url": "dateTime",
"valueDateTime": "2020-06-29T15:55:32+00:00"
}
],
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"
}
],
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "9450d479-328c-4c3c-bf35-efb1d80bd576"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMBT",
"display": "Ambulance Transport"
},
"subject": {
"reference": "urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0"
},
"basedOn": [
{
"reference": "urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e"
}
],
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "Attender"
}
]
}
],
"individual": {
"reference": "urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e"
}
}
],
"period": {
"start": "2020-06-29T15:36:44+00:00",
"end": "2020-06-30T15:36:44+00:00"
},
"location": [
{
"location": {
"reference": "urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "ve",
"display": "Vehicle"
}
]
}
}
]
}
},
{
"fullUrl": "urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313",
"resource": {
"resourceType": "Encounter",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Encounter"
]
},
"extension": [
{
"extension": [
{
"url": "dateTimeType",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DateTimeType",
"code": "time-resource-mobilised",
"display": "Time Resource Mobilised"
}
]
}
},
{
"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-resource-arrived-on-scene",
"display": "Time Resource Arrived On Scene"
}
]
}
},
{
"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-arrived-receiving-location",
"display": "Time Arrived at Receiving Location"
}
]
}
},
{
"url": "dateTime",
"valueDateTime": "2020-06-29T16:07:54+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-patient-handover",
"display": "Time Patient Handover"
}
]
}
},
{
"url": "dateTime",
"valueDateTime": "2020-06-29T15:06:03+00:00"
}
],
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-TypedDateTime"
}
],
"identifier": [
{
"system": "https://tools.ietf.org/html/rfc4122",
"value": "393c3471-3339-463f-b431-d4fa3f62c313"
}
],
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMBT",
"display": "ambulance transport"
},
"subject": {
"reference": "urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79"
},
"basedOn": [
{
"reference": "urn:uuid:c40eb149-ee06-4be3-abe6-e1c458efa55e"
}
],
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "Attender"
}
]
}
],
"individual": {
"reference": "urn:uuid:0d743079-780c-40f3-8a52-be15f746b484"
}
}
],
"period": {
"start": "2020-06-29T15:42:03+00:00",
"end": "2020-06-29T18:01:06+00:00"
},
"hospitalization": {
"destination": {
"reference": "urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002"
}
},
"location": [
{
"location": {
"reference": "urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd"
},
"physicalType": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/location-physical-type",
"code": "ve",
"display": "Vehicle"
}
]
}
}
]
}
},
{
"fullUrl": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
]
},
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
"code": "A",
"display": "British, Mixed British"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-GenderIdentity",
"code": "01",
"display": "Male (including trans man)"
}
]
}
}
],
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NI",
"display": "NoInformation"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9912003888"
},
{
"system": "http://RX8/Id/patient-record-identifier",
"value": "ABC1234567"
}
],
"name": [
{
"use": "usual",
"family": "CHALMERS",
"given": [
"Peter"
]
},
{
"use": "usual",
"text": "Peter Chalmers"
}
],
"birthDate": "1963-08-08",
"address": [
{
"postalCode": "LS6 7QR"
}
],
"generalPractitioner": [
{
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "GP123"
}
}
]
}
},
{
"fullUrl": "urn:uuid:a3ebb1f1-a5c3-46a3-bc93-c52e660682f1",
"resource": {
"resourceType": "Observation",
"status": "final",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "102519007",
"display": "Apparent age"
}
]
},
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"valueQuantity": {
"value": 38,
"unit": "Year",
"system": "http://unitsofmeasure.org",
"code": "a"
}
}
},
{
"fullUrl": "urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
]
},
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategory",
"code": "B",
"display": "Irish"
}
]
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/patient-genderIdentity",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-GenderIdentity",
"code": "02",
"display": "Female (including trans woman)"
}
]
}
}
],
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NI",
"display": "NoInformation"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "2233445566"
},
{
"system": "http://RX8/Id/patient-record-identifier",
"value": "DEF1234567"
}
],
"name": [
{
"use": "usual",
"family": "PETERS",
"given": [
"Mary"
]
}
],
"birthDate": "1970-09-04",
"address": [
{
"postalCode": "LS16 5BH"
}
]
}
},
{
"fullUrl": "urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79",
"resource": {
"resourceType": "Patient",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
]
},
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
"code": "D",
"display": "White and Black Caribbean"
}
]
}
}
],
"identifier": [
{
"extension": [
{
"url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
"valueCodeableConcept": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "NI",
"display": "NoInformation"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9988776655"
},
{
"system": "http://RX8/Id/patient-record-identifier",
"value": "GHI1234567"
}
],
"name": [
{
"use": "usual",
"family": "SMITH",
"given": [
"Colin"
]
}
],
"gender": "unknown",
"birthDate": "2002-12-08",
"address": [
{
"postalCode": "LS4 2WE"
}
]
}
},
{
"fullUrl": "urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002",
"resource": {
"resourceType": "Location",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-AmbulanceResponseVehicle-Location"
]
},
"identifier": [
{
"system": "https://RX8/Id/call-sign",
"value": "YAS123"
}
],
"mode": "kind",
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType",
"code": "01",
"display": "DCA: Double Crewed Ambulance (Emergency)"
}
]
}
],
"managingOrganization": {
"reference": "urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7"
}
}
},
{
"fullUrl": "urn:uuid:6b6cb092-6af5-4154-8d99-002614ec444e",
"resource": {
"resourceType": "PractitionerRole",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-PractitionerRole"
]
},
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalSkillLevel",
"code": "03",
"display": "Registered Clinician"
}
]
}
],
"location": [
{
"reference": "urn:uuid:52e9d37a-a40d-11ea-bb37-0242ac130002"
}
]
}
},
{
"fullUrl": "urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd",
"resource": {
"resourceType": "Location",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-AmbulanceResponseVehicle-Location"
]
},
"identifier": [
{
"system": "https://RX8/Id/call-sign",
"value": "YAS456"
}
],
"mode": "kind",
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ResponseType",
"code": "01",
"display": "DCA: Double Crewed Ambulance (Emergency)"
}
]
}
],
"managingOrganization": {
"reference": "urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7"
}
}
},
{
"fullUrl": "urn:uuid:0d743079-780c-40f3-8a52-be15f746b484",
"resource": {
"resourceType": "PractitionerRole",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-PractitionerRole"
]
},
"code": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalSkillLevel",
"code": "03",
"display": "Registered Clinician"
}
]
}
],
"location": [
{
"reference": "urn:uuid:f8f36dd8-c01c-4ea5-824d-7f53e98800dd"
}
]
}
},
{
"fullUrl": "urn:uuid:343b74f7-2b8c-4659-ae76-70ee8d7161f7",
"resource": {
"resourceType": "Organization",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Responding-Organization"
]
},
"identifier": [
{
"use": "official",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RX8"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-RespondingOrganisationType",
"code": "01",
"display": "NHS Ambulance Service"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:2003ffd2-9f42-11ea-bb37-0242ac130002",
"resource": {
"resourceType": "Location",
"meta": {
"profile": [
"https://fhir.nhs.uk/R4/StructureDefinition/UKCore-ADS-Receiving-Location"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-site-code",
"value": "RR807"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocationCAD",
"code": "UCC",
"display": "Urgent Care Centre"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:fed005b8-9f5f-11ea-bb37-0242ac130002",
"resource": {
"resourceType": "Organization",
"meta": {
"profile": [
"https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization"
]
},
"identifier": [
{
"use": "official",
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "RR8"
}
]
}
},
{
"fullUrl": "urn:uuid:0dabe91e-f1c9-4a55-8231-ed7453f29a8b",
"resource": {
"resourceType": "Observation",
"id": "0dabe91e-f1c9-4a55-8231-ed7453f29a8b",
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory",
"code": "01",
"display": "AMPDS Triage Disposition"
}
]
},
"focus": [
{
"reference": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-AMPDSTriageDisposition",
"code": "1A01",
"display": "Abdominal pain"
}
]
}
}
},
{
"fullUrl": "urn:uuid:bf1533f8-309a-4737-b485-73291eb912a8",
"resource": {
"resourceType": "Observation",
"id": "bf1533f8-309a-4737-b485-73291eb912a8",
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory",
"code": "02",
"display": "Pathways Triage Disposition"
}
]
},
"focus": [
{
"reference": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PathwaysTriageDisposition",
"code": "DG10",
"display": "Ambulance request"
}
]
}
}
},
{
"fullUrl": "urn:uuid:bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e",
"resource": {
"resourceType": "Observation",
"id": "bf5ce3ef-65ab-464b-8f32-6c6e059b7e4e",
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory",
"code": "03",
"display": "SG Code (Symptom Group)"
}
]
},
"focus": [
{
"reference": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-SGCodeSymptomGroup",
"code": "SG9",
"display": "Symptom group display"
}
]
}
}
},
{
"fullUrl": "urn:uuid:bcd5a787-7359-49f8-8412-2790ab47c8fd",
"resource": {
"resourceType": "Observation",
"id": "bcd5a787-7359-49f8-8412-2790ab47c8fd",
"status": "final",
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/ADS-TriageCategory",
"code": "04",
"display": "SD Code (Symptom Discriminator)"
}
]
},
"focus": [
{
"reference": "urn:uuid:b5e05918-9f5d-11ea-bb37-0242ac130002"
}
],
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-SDCodeSymptomDiscriminator",
"code": "SD6",
"display": "Symptom Discriminator display"
}
]
}
}
},
{
"fullUrl": "urn:uuid:83441015-1844-4bae-881d-2c7808d632dc",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientResponseDetails-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS48",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y"
}
}
]
},
{
"linkId": "ADS49",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "N"
}
}
]
},
{
"linkId": "ADS50",
"answer": [
{
"valueDateTime": "2020-06-29T14:45:32+00:00"
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:2fa49410-fb2e-4441-a6aa-f9ba9bc0efc0",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientInformationDetails-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS62",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "315570003",
"display": "Main spoken language English"
}
}
]
},
{
"linkId": "ADS63",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "966401000000100",
"display": "Requires speech to text reporter"
}
}
]
},
{
"linkId": "ADS64",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PregnancyStatus",
"code": "02",
"display": "Not Pregnant"
}
}
]
},
{
"linkId": "ADS66",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "414418009",
"display": "Housed"
}
}
]
},
{
"linkId": "ADS67",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-MentalHealthLegalClass",
"code": "32",
"display": "Formally detained under other acts"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:a75a94ef-bfa0-4b92-bdfe-efc75015699b",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-InjuryInformation-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:02bbfef1-39c3-4e3a-a4fc-4d48aec395b0"
},
"encounter": {
"reference": "urn:uuid:9450d479-328c-4c3c-bf35-efb1d80bd576"
},
"item": [
{
"linkId": "ADS68",
"answer": [
{
"valueDateTime": "2020-06-29T14:40:32+00:00"
}
]
},
{
"linkId": "ADS69",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "48979004",
"display": "Left lower leg"
}
}
]
},
{
"linkId": "ADS70",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "242651001",
"display": "Injury caused by animal"
}
}
]
},
{
"linkId": "ADS71",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1067601000000108",
"display": "Leisure"
}
}
]
},
{
"linkId": "ADS72",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "283734005",
"display": "Injury from dog"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:1c1caef1-7ff6-49a4-96cd-07a95e326702",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PatientAssessmentDetails-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS75",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "312882009",
"display": "Taking nasal swab"
}
}
]
},
{
"linkId": "ADS75",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "312880001",
"display": "Taking throat swab"
}
}
]
},
{
"linkId": "ADS78",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "225692006",
"display": "Applying eye pad and bandage"
}
}
]
},
{
"linkId": "ADS79A",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "398979000",
"display": "Pale colour"
}
}
]
},
{
"linkId": "ADS79B",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1064901000000108",
"display": "Urgent level emergency care"
}
}
]
},
{
"linkId": "ADS82",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ScreeningTool",
"code": "WELL",
"display": "Wells score (PE & DVT)"
}
}
]
},
{
"linkId": "ADS83",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ClinicalTriageTool",
"code": "MTSFTF",
"display": "Manchester Triage System - Face-to-Face"
}
}
]
},
{
"linkId": "ADS84",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ExistingTreatmentPlans",
"code": "02",
"display": "EOL"
}
}
]
},
{
"linkId": "ADS84",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ExistingTreatmentPlans",
"code": "08",
"display": "Social Care"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:2cbcc5a0-6357-4e9a-93ab-063aeadca024",
"resource": {
"resourceType": "MedicationAdministration",
"status": "completed",
"medicationCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "17648211000001109",
"display": "Morphine 2% gel"
}
]
},
"subject": {
"reference": "urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79"
},
"context": {
"reference": "urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313"
},
"effectiveDateTime": "2020-06-29T15:10:32+00:00",
"dosage": {
"route": {
"coding": [
{
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-MedicationAdministrationRoute",
"code": "067",
"display": "Sublingual"
}
]
},
"dose": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "UNK"
}
}
}
},
{
"fullUrl": "urn:uuid:3d23751f-8ea3-4de9-bdf1-6a6acad592ad",
"resource": {
"resourceType": "Observation",
"status": "final",
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/observation-category",
"code": "survey",
"display": "Survey"
}
]
}
],
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1104051000000101",
"display": "Royal College of Physicians NEWS2 (National Early Warning Score 2) total score"
}
]
},
"subject": {
"reference": "urn:uuid:44db6f68-440f-4f05-b0a2-d3880c844e79"
},
"encounter": {
"reference": "urn:uuid:393c3471-3339-463f-b431-d4fa3f62c313"
},
"effectiveDateTime": "2020-06-29T15:30:32+00:00",
"valueQuantity": {
"value": 6,
"unit": "ScoreOf",
"system": "http://unitsofmeasure.org",
"code": "{ScoreOf}"
}
}
},
{
"fullUrl": "urn:uuid:a56b5066-db71-4491-bc43-6048e0eccc0a",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-FrailtyScoreDetails-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS81",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "1129351000000108",
"display": "Clinical Frailty Scale level 3 - managing well"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:665b7733-0c15-4682-bbb1-3fa9ffcbd9b1",
"resource": {
"resourceType": "List",
"status": "current",
"mode": "snapshot",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "887161000000102",
"display": "Diagnoses"
}
]
},
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"orderedBy": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/list-order",
"code": "priority",
"display": "Sorted by Priority"
}
]
},
"entry": [
{
"item": {
"reference": "urn:uuid:a0af1eb3-3e3e-4d91-90b7-444d0d0fa645"
}
},
{
"item": {
"reference": "urn:uuid:3f343fe7-c31e-4520-bb81-79d091851b54"
}
}
]
}
},
{
"fullUrl": "urn:uuid:a0af1eb3-3e3e-4d91-90b7-444d0d0fa645",
"resource": {
"resourceType": "Condition",
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1077241000000103",
"display": "Standard level emergency care"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "812751000000104",
"display": "Injury of muscle of lower leg (disorder)"
}
]
},
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"evidence": [
{
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "162784002",
"display": "Swollen leg (single)"
}
]
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:3f343fe7-c31e-4520-bb81-79d091851b54",
"resource": {
"resourceType": "Condition",
"severity": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "24484000",
"display": "Severe"
}
]
},
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80313002",
"display": "Palpitations"
}
]
},
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"evidence": [
{
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "80313002",
"display": "Palpitations"
}
]
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:81cbaaca-7272-441c-a7f6-82ecebd7a1d2",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-ClinicalResponse-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS86",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalSkillLevel",
"code": "03",
"display": "Registered Clinician"
}
}
]
},
{
"linkId": "ADS103",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalDecisionMaker",
"code": "03",
"display": "Face-to-Face Registered Clinician"
}
}
]
},
{
"linkId": "ADS88",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-ClinicalSkillLevel",
"code": "04",
"display": "Registered Clinician working at Clinical Speciality and/or Supervisory Level"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:fc29932b-9b57-40bd-8e95-019afe95332b",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-EpisodeOutcome-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS89",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-DoSUsage",
"code": "02",
"display": "DoS/Service Finder Used - Referred to alternative pathway to ED"
}
}
]
},
{
"linkId": "ADS90",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-TreatmentStatus",
"code": "02",
"display": "Treatment incomplete : refusal of care"
}
}
]
},
{
"linkId": "ADS91",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-DischargeFollowup",
"code": "08",
"display": "Emergency Department"
}
}
]
},
{
"linkId": "ADS102",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-AlternativePathway",
"code": "05",
"display": "Urgent treatment centre"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:7106114d-b96f-4f18-9e90-bf899afc9eb8",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-SeeAndConveyEpisodeOutcome-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS92",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-PreAlertStatus",
"code": "02",
"display": "Pre-alert not required"
}
}
]
},
{
"linkId": "ADS92A",
"answer": [
{
"valueDateTime": "2020-06-29T15:55:32+00:00"
}
]
},
{
"linkId": "ADS93A",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-ReceivingLocation",
"code": "05",
"display": "Urgent treatment centre"
}
}
]
},
{
"linkId": "ADS93B",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "73770003",
"display": "Hospital-based outpatient emergency care center"
}
}
]
},
{
"linkId": "ADS94A",
"answer": [
{
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-site-code",
"value": "RR807"
}
}
}
]
},
{
"linkId": "ADS94B",
"answer": [
{
"valueReference": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/ods-site-code",
"value": "RX8"
}
}
}
]
},
{
"linkId": "ADS95",
"answer": [
{
"valueDateTime": "2020-06-29T16:35:32+00:00"
}
]
},
{
"linkId": "ADS96",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/R4/CodeSystem/Ambulance-HandoverDelayDetail",
"code": "03",
"display": "No cubicle / isolation capacity"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:9c4d3ddb-4ece-4627-855a-06829a898a71",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-Safeguarding-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS97",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "736792008",
"display": "At risk of honour based violence"
}
}
]
},
{
"linkId": "ADS98",
"answer": [
{
"valueCoding": {
"system": "http://terminology.hl7.org/CodeSystem/v2-0136",
"code": "Y",
"display": "Yes"
}
}
]
}
]
}
},
{
"fullUrl": "urn:uuid:aa6f3ee7-cff8-44fd-8c02-d7ab1e6afc14",
"resource": {
"resourceType": "QuestionnaireResponse",
"questionnaire": "http://fhir.nhs.uk/Questionnaire/AmbulanceDataSet-PublicHealth-Questionnaire",
"status": "completed",
"subject": {
"reference": "urn:uuid:b6256eda-a021-11ea-bb37-0242ac130002"
},
"encounter": {
"reference": "urn:uuid:835538cb-5722-41d2-a65e-5491ccb0b7e0"
},
"item": [
{
"linkId": "ADS100",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "443684005",
"display": "Disease outbreak"
}
}
]
},
{
"linkId": "ADS100A",
"answer": [
{
"valueCoding": {
"system": "http://snomed.info/sct",
"code": "409498004",
"display": "Anthrax"
}
}
]
},
{
"linkId": "ADS99",
"answer": [
{
"valueCoding": {
"system": "https://fhir.nhs.uk/CodeSystem/Ambulance-MCCInterventionOutcome",
"code": "02",
"display": "Patient refused MECC intervention or advice"
}
}
]
},
{
"linkId": "ADS101",
"answer": [
{
"valueString": "RESEARCH-REF-1234"
}
]
}
]
}
}
]
}