FHIR Data Standards Wales for PSOM v1.0.0-rc1
Important: This is the release candidate of the FHIR Data Standards Wales for PSOM version 1.0 Implementation Guide. It is intended for trial use, and is published for early comment and feedback. Click here to give feedback.

Example Bundle - Myeloma (Response HB)

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  • Narrative
Bundle
Bundle.id[0]Example-DataStandardsWales-PSOM-Bundle-Myeloma-Response-HB
Bundle.identifier[0].system[0]https://example.org/Id/oracle-guid
Bundle.identifier[0].value[0]41aa0ed5-d297-4aa8-b052-3017e7cf0bb0
Bundle.type[0]message
Bundle.timestamp[0]2022-03-14T11:15:33+10:00
Bundle.entry[0].fullUrl[0]urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b
Bundle.entry[0].resource[0].id[0]267b18ce-3d37-4581-9baa-6fada338038b
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-MessageHeader
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-MessageEvent
Bundle.entry[0].resource[0].event[0].code[0]psom-response
Bundle.entry[0].resource[0].event[0].display[0]PSOM response
Bundle.entry[0].resource[0].source[0].name[0]Example PROMs Vendor
Bundle.entry[0].resource[0].source[0].endpoint[0]https://nhspsom.examplepromsprovider.com
Bundle.entry[0].resource[0].focus[0].reference[0]urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a
Bundle.entry[0].resource[0].focus[0].type[0]CarePlan
Bundle.entry[0].resource[0].focus[0].display[0]Myeloma pathway
Bundle.entry[0].resource[0].focus[1].reference[0]urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a
Bundle.entry[0].resource[0].focus[1].type[0]Task
Bundle.entry[0].resource[0].focus[1].display[0]Myeloma pathway for EQ5D5L at Referral
Bundle.entry[0].resource[0].definition[0]https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-PSOM-Response
Bundle.entry[1].fullUrl[0]urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a
Bundle.entry[1].resource[0].id[0]5ddae74e-04c7-415c-bd62-71951d861a1a
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.cavuhb.nhs.wales/Id/referral-identifier
Bundle.entry[1].resource[0].identifier[0].value[0]12345678
Bundle.entry[1].resource[0].identifier[0].assigner[0].reference[0]urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e
Bundle.entry[1].resource[0].identifier[0].assigner[0].display[0]Cardiff and Vale University Health Board
Bundle.entry[1].resource[0].status[0]active
Bundle.entry[1].resource[0].intent[0]order
Bundle.entry[1].resource[0].category[0].coding[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType
Bundle.entry[1].resource[0].category[0].coding[0].code[0]CMY
Bundle.entry[1].resource[0].category[0].coding[0].display[0]Cancer pathway - myeloma
Bundle.entry[1].resource[0].category[1].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].category[1].coding[0].code[0]394593009
Bundle.entry[1].resource[0].category[1].coding[0].display[0]Medical oncology
Bundle.entry[1].resource[0].subject[0].reference[0]urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902
Bundle.entry[1].resource[0].subject[0].display[0]Alice Jones
Bundle.entry[1].resource[0].author[0].reference[0]urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a
Bundle.entry[1].resource[0].author[0].display[0]Dr Dhiren Patel (GMC: 9630333)
Bundle.entry[1].resource[0].activity[0].extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-Laterality
Bundle.entry[1].resource[0].activity[0].extension[0].value[0].coding[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-Laterality
Bundle.entry[1].resource[0].activity[0].extension[0].value[0].coding[0].code[0]8
Bundle.entry[1].resource[0].activity[0].extension[0].value[0].coding[0].display[0]N/A
Bundle.entry[1].resource[0].activity[0].reference[0].reference[0]urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a
Bundle.entry[1].resource[0].activity[0].reference[0].display[0]Task for EQ5D5L at Referral
Bundle.entry[2].fullUrl[0]urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a
Bundle.entry[2].resource[0].id[0]ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task
Bundle.entry[2].resource[0].status[0]completed
Bundle.entry[2].resource[0].intent[0]order
Bundle.entry[2].resource[0].code[0].coding[0].system[0]http://hl7.org/fhir/uv/sdc/CodeSystem/temp
Bundle.entry[2].resource[0].code[0].coding[0].code[0]complete-questionnaire
Bundle.entry[2].resource[0].executionPeriod[0].start[0]2022-03-12T11:15:33+10:00
Bundle.entry[2].resource[0].executionPeriod[0].end[0]2022-03-14T10:15:33+10:00
Bundle.entry[2].resource[0].location[0].reference[0]urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b
Bundle.entry[2].resource[0].location[0].display[0]CadogWard
Bundle.entry[2].resource[0].reasonCode[0].coding[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerClassification
Bundle.entry[2].resource[0].reasonCode[0].coding[0].code[0]02
Bundle.entry[2].resource[0].reasonCode[0].coding[0].display[0]At the point of referral
Bundle.entry[2].resource[0].input[0].type[0].coding[0].system[0]http://hl7.org/fhir/uv/sdc/CodeSystem/temp
Bundle.entry[2].resource[0].input[0].type[0].coding[0].code[0]questionnaire
Bundle.entry[2].resource[0].input[0].value[0]https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214
Bundle.entry[2].resource[0].output[0].type[0].coding[0].system[0]http://hl7.org/fhir/uv/sdc/CodeSystem/temp
Bundle.entry[2].resource[0].output[0].type[0].coding[0].code[0]questionnaire-response
Bundle.entry[2].resource[0].output[0].value[0].reference[0]urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e
Bundle.entry[2].resource[0].output[0].value[0].display[0]EQ5D5L answers and score at Referral
Bundle.entry[3].fullUrl[0]urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902
Bundle.entry[3].resource[0].id[0]d731b662-19dc-4b15-bf63-3ccf3a1b9902
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient
Bundle.entry[3].resource[0].identifier[0].extension[0].url[0]https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus
Bundle.entry[3].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusWales
Bundle.entry[3].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]nn
Bundle.entry[3].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and traced using Welsh NHS AR
Bundle.entry[3].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[3].resource[0].identifier[0].value[0]9912003444
Bundle.entry[3].resource[0].identifier[1].system[0]https://fhir.cavuhb.nhs.wales/Id/pas-identifier
Bundle.entry[3].resource[0].identifier[1].value[0]A000003
Bundle.entry[3].resource[0].name[0].use[0]official
Bundle.entry[3].resource[0].name[0].family[0]Jones
Bundle.entry[3].resource[0].name[0].given[0]Alice
Bundle.entry[3].resource[0].gender[0]female
Bundle.entry[3].resource[0].birthDate[0]1980-09-13
Bundle.entry[3].resource[0].address[0].postalCode[0]CF62 9AZ
Bundle.entry[3].resource[0].communication[0].language[0].coding[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage
Bundle.entry[3].resource[0].communication[0].language[0].coding[0].code[0]cy
Bundle.entry[3].resource[0].communication[0].language[0].coding[0].display[0]Welsh
Bundle.entry[3].resource[0].communication[0].preferred[0]True
Bundle.entry[3].resource[0].communication[1].language[0].coding[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage
Bundle.entry[3].resource[0].communication[1].language[0].coding[0].code[0]en
Bundle.entry[3].resource[0].communication[1].language[0].coding[0].display[0]English
Bundle.entry[3].resource[0].communication[1].preferred[0]False
Bundle.entry[4].fullUrl[0]urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e
Bundle.entry[4].resource[0].id[0]44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e
Bundle.entry[4].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse
Bundle.entry[4].resource[0].language[0]en
Bundle.entry[4].resource[0].identifier[0].system[0]http://example.org/NPROMS-QuestionnaireId
Bundle.entry[4].resource[0].identifier[0].value[0]828da5f2-b779-11ed-afa1-0242ac120002
Bundle.entry[4].resource[0].identifier[0].assigner[0].reference[0]urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515
Bundle.entry[4].resource[0].identifier[0].assigner[0].display[0]NPROMS
Bundle.entry[4].resource[0].questionnaire[0]https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214
Bundle.entry[4].resource[0].status[0]completed
Bundle.entry[4].resource[0].subject[0].reference[0]urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902
Bundle.entry[4].resource[0].subject[0].display[0]Alice Jones
Bundle.entry[4].resource[0].authored[0]2020-10-11T04:44:16Z
Bundle.entry[4].resource[0].item[0].linkId[0]E5DPX001X
Bundle.entry[4].resource[0].item[0].answer[0].value[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility
Bundle.entry[4].resource[0].item[0].answer[0].value[0].code[0]4
Bundle.entry[4].resource[0].item[0].answer[0].value[0].display[0]I have slight problems in walking about
Bundle.entry[4].resource[0].item[1].linkId[0]E5DPX002X
Bundle.entry[4].resource[0].item[1].answer[0].value[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare
Bundle.entry[4].resource[0].item[1].answer[0].value[0].code[0]2
Bundle.entry[4].resource[0].item[1].answer[0].value[0].display[0]I have severe problems in washing or dressing myself
Bundle.entry[4].resource[0].item[2].linkId[0]E5DPX003X
Bundle.entry[4].resource[0].item[2].answer[0].value[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities
Bundle.entry[4].resource[0].item[2].answer[0].value[0].code[0]5
Bundle.entry[4].resource[0].item[2].answer[0].value[0].display[0]I have no problems doing my usual activities
Bundle.entry[4].resource[0].item[3].linkId[0]E5DPX004X
Bundle.entry[4].resource[0].item[3].answer[0].value[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort
Bundle.entry[4].resource[0].item[3].answer[0].value[0].code[0]5
Bundle.entry[4].resource[0].item[3].answer[0].value[0].display[0]I have no pain or discomfort
Bundle.entry[4].resource[0].item[4].linkId[0]E5DPX005X
Bundle.entry[4].resource[0].item[4].answer[0].value[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression
Bundle.entry[4].resource[0].item[4].answer[0].value[0].code[0]3
Bundle.entry[4].resource[0].item[4].answer[0].value[0].display[0]I am moderately anxious or depressed
Bundle.entry[4].resource[0].item[5].linkId[0]E5DPX006X
Bundle.entry[4].resource[0].item[5].answer[0].value[0]67
Bundle.entry[4].resource[0].item[6].linkId[0]E5DPX007X
Bundle.entry[4].resource[0].item[6].answer[0].value[0]0.766
Bundle.entry[5].fullUrl[0]urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515
Bundle.entry[5].resource[0].id[0]55aebc2f-22d1-4da4-9814-54648a8a2515
Bundle.entry[5].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization
Bundle.entry[5].resource[0].identifier[0].system[0]https://example.org/Id/OriginatingSystem
Bundle.entry[5].resource[0].identifier[0].value[0]NPROMS
Bundle.entry[5].resource[0].name[0]NPROMS
Bundle.entry[6].fullUrl[0]urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b
Bundle.entry[6].resource[0].id[0]e18e211e-1e62-43fe-971c-a0a2c5ef5a5b
Bundle.entry[6].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Location
Bundle.entry[6].resource[0].identifier[0].system[0]https://fhir.nhs.wales/Id/wrts-location-identifier
Bundle.entry[6].resource[0].identifier[0].value[0]7A2AGCADOG
Bundle.entry[6].resource[0].name[0]Cadog Ward
Bundle.entry[6].resource[0].address[0].text[0]Dolgwili Rd, Carmarthen SA31 2AF, United Kingdom
Bundle.entry[7].fullUrl[0]urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a
Bundle.entry[7].resource[0].id[0]c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a
Bundle.entry[7].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner
Bundle.entry[7].resource[0].identifier[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[7].resource[0].identifier[0].value[0]9630333
Bundle.entry[7].resource[0].name[0].family[0]Patel
Bundle.entry[7].resource[0].name[0].given[0]Dhiren
Bundle.entry[7].resource[0].name[0].prefix[0]Dr
Bundle.entry[8].fullUrl[0]urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e
Bundle.entry[8].resource[0].id[0]ad8c0705-1fed-46de-8707-8370263ebe0e
Bundle.entry[8].resource[0].meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization
Bundle.entry[8].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[8].resource[0].identifier[0].value[0]7A4
Bundle.entry[8].resource[0].name[0]Cardiff and Vale University Health Board
<Bundle xmlns="http://hl7.org/fhir">
    <id value="Example-DataStandardsWales-PSOM-Bundle-Myeloma-Response-HB" />
    <identifier>
        <system value="https://example.org/Id/oracle-guid" />
        <value value="41aa0ed5-d297-4aa8-b052-3017e7cf0bb0" />
    </identifier>
    <type value="message" />
    <timestamp value="2022-03-14T11:15:33+10:00" />
    <entry>
        <fullUrl value="urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b" />
        <resource>
            <MessageHeader>
                <id value="267b18ce-3d37-4581-9baa-6fada338038b" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-MessageHeader" />
                </meta>
                <eventCoding>
                    <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-MessageEvent" />
                    <code value="psom-response" />
                    <display value="PSOM response" />
                </eventCoding>
                <source>
                    <name value="Example PROMs Vendor" />
                    <endpoint value="https://nhspsom.examplepromsprovider.com" />
                </source>
                <focus>
                    <reference value="urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a" />
                    <type value="CarePlan" />
                    <display value="Myeloma pathway" />
                </focus>
                <focus>
                    <reference value="urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a" />
                    <type value="Task" />
                    <display value="Myeloma pathway for EQ5D5L at Referral" />
                </focus>
                <definition value="https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-PSOM-Response" />
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a" />
        <resource>
            <CarePlan>
                <id value="5ddae74e-04c7-415c-bd62-71951d861a1a" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan" />
                </meta>
                <identifier>
                    <system value="https://fhir.cavuhb.nhs.wales/Id/referral-identifier" />
                    <value value="12345678" />
                    <assigner>
                        <reference value="urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e" />
                        <display value="Cardiff and Vale University Health Board" />
                    </assigner>
                </identifier>
                <status value="active" />
                <intent value="order" />
                <category>
                    <coding>
                        <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType" />
                        <code value="CMY" />
                        <display value="Cancer pathway - myeloma" />
                    </coding>
                </category>
                <category>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="394593009" />
                        <display value="Medical oncology" />
                    </coding>
                </category>
                <subject>
                    <reference value="urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902" />
                    <display value="Alice Jones" />
                </subject>
                <author>
                    <reference value="urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a" />
                    <display value="Dr Dhiren Patel (GMC: 9630333)" />
                </author>
                <activity>
                    <extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-Laterality">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-Laterality" />
                                <code value="8" />
                                <display value="N/A" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <reference>
                        <reference value="urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a" />
                        <display value="Task for EQ5D5L at Referral" />
                    </reference>
                </activity>
            </CarePlan>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a" />
        <resource>
            <Task>
                <id value="ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task" />
                </meta>
                <status value="completed" />
                <intent value="order" />
                <code>
                    <coding>
                        <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/temp" />
                        <code value="complete-questionnaire" />
                    </coding>
                </code>
                <executionPeriod>
                    <start value="2022-03-12T11:15:33+10:00" />
                    <end value="2022-03-14T10:15:33+10:00" />
                </executionPeriod>
                <location>
                    <reference value="urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b" />
                    <display value="CadogWard" />
                </location>
                <reasonCode>
                    <coding>
                        <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerClassification" />
                        <code value="02" />
                        <display value="At the point of referral" />
                    </coding>
                </reasonCode>
                <input>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/temp" />
                            <code value="questionnaire" />
                        </coding>
                    </type>
                    <valueCanonical value="https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214" />
                </input>
                <output>
                    <type>
                        <coding>
                            <system value="http://hl7.org/fhir/uv/sdc/CodeSystem/temp" />
                            <code value="questionnaire-response" />
                        </coding>
                    </type>
                    <valueReference>
                        <reference value="urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e" />
                        <display value="EQ5D5L answers and score at Referral" />
                    </valueReference>
                </output>
            </Task>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902" />
        <resource>
            <Patient>
                <id value="d731b662-19dc-4b15-bf63-3ccf3a1b9902" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" />
                </meta>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusWales" />
                                <code value="nn" />
                                <display value="Number present and traced using Welsh NHS AR" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="9912003444" />
                </identifier>
                <identifier>
                    <system value="https://fhir.cavuhb.nhs.wales/Id/pas-identifier" />
                    <value value="A000003" />
                </identifier>
                <name>
                    <use value="official" />
                    <family value="Jones" />
                    <given value="Alice" />
                </name>
                <gender value="female" />
                <birthDate value="1980-09-13" />
                <address>
                    <postalCode value="CF62 9AZ" />
                </address>
                <communication>
                    <language>
                        <coding>
                            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage" />
                            <code value="cy" />
                            <display value="Welsh" />
                        </coding>
                    </language>
                    <preferred value="true" />
                </communication>
                <communication>
                    <language>
                        <coding>
                            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage" />
                            <code value="en" />
                            <display value="English" />
                        </coding>
                    </language>
                    <preferred value="false" />
                </communication>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e" />
        <resource>
            <QuestionnaireResponse>
                <id value="44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse" />
                </meta>
                <language value="en" />
                <identifier>
                    <system value="http://example.org/NPROMS-QuestionnaireId" />
                    <value value="828da5f2-b779-11ed-afa1-0242ac120002" />
                    <assigner>
                        <reference value="urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515" />
                        <display value="NPROMS" />
                    </assigner>
                </identifier>
                <!--  
        <basedOn>
          <reference value="urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a"/>
          <display value="Myeloma Care Plan"/>
        </basedOn>
         -->
                <questionnaire value="https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214" />
                <status value="completed" />
                <subject>
                    <reference value="urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902" />
                    <display value="Alice Jones" />
                </subject>
                <authored value="2020-10-11T04:44:16Z" />
                <item>
                    <linkId value="E5DPX001X" />
                    <answer>
                        <valueCoding>
                            <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility" />
                            <code value="4" />
                            <display value="I have slight problems in walking about" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX002X" />
                    <answer>
                        <valueCoding>
                            <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare" />
                            <code value="2" />
                            <display value="I have severe problems in washing or dressing myself" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX003X" />
                    <answer>
                        <valueCoding>
                            <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities" />
                            <code value="5" />
                            <display value="I have no problems doing my usual activities" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX004X" />
                    <answer>
                        <valueCoding>
                            <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort" />
                            <code value="5" />
                            <display value="I have no pain or discomfort" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX005X" />
                    <answer>
                        <valueCoding>
                            <system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression" />
                            <code value="3" />
                            <display value="I am moderately anxious or depressed" />
                        </valueCoding>
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX006X" />
                    <answer>
                        <valueInteger value="67" />
                    </answer>
                </item>
                <item>
                    <linkId value="E5DPX007X" />
                    <answer>
                        <valueDecimal value="0.766" />
                    </answer>
                </item>
            </QuestionnaireResponse>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515" />
        <resource>
            <Organization>
                <id value="55aebc2f-22d1-4da4-9814-54648a8a2515" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" />
                </meta>
                <identifier>
                    <system value="https://example.org/Id/OriginatingSystem" />
                    <value value="NPROMS" />
                </identifier>
                <name value="NPROMS" />
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b" />
        <resource>
            <Location>
                <id value="e18e211e-1e62-43fe-971c-a0a2c5ef5a5b" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Location" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.wales/Id/wrts-location-identifier" />
                    <value value="7A2AGCADOG" />
                </identifier>
                <name value="Cadog Ward" />
                <address>
                    <text value="Dolgwili Rd, Carmarthen SA31 2AF, United Kingdom" />
                </address>
            </Location>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a" />
        <resource>
            <Practitioner>
                <id value="c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                    <value value="9630333" />
                </identifier>
                <name>
                    <family value="Patel" />
                    <given value="Dhiren" />
                    <prefix value="Dr" />
                </name>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e" />
        <resource>
            <Organization>
                <id value="ad8c0705-1fed-46de-8707-8370263ebe0e" />
                <meta>
                    <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="7A4" />
                </identifier>
                <name value="Cardiff and Vale University Health Board" />
            </Organization>
        </resource>
    </entry>
</Bundle>

{
    "resourceType": "Bundle",
    "id": "Example-DataStandardsWales-PSOM-Bundle-Myeloma-Response-HB",
    "identifier": {
        "system": "https://example.org/Id/oracle-guid",
        "value": "41aa0ed5-d297-4aa8-b052-3017e7cf0bb0"
    },
    "type": "message",
    "timestamp": "2022-03-14T11:15:33+10:00",
    "entry":  [
        {
            "fullUrl": "urn:uuid:267b18ce-3d37-4581-9baa-6fada338038b",
            "resource": {
                "resourceType": "MessageHeader",
                "id": "267b18ce-3d37-4581-9baa-6fada338038b",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-MessageHeader"
                    ]
                },
                "eventCoding": {
                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-MessageEvent",
                    "code": "psom-response",
                    "display": "PSOM response"
                },
                "source": {
                    "name": "Example PROMs Vendor",
                    "endpoint": "https://nhspsom.examplepromsprovider.com"
                },
                "focus":  [
                    {
                        "reference": "urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a",
                        "type": "CarePlan",
                        "display": "Myeloma pathway"
                    },
                    {
                        "reference": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
                        "type": "Task",
                        "display": "Myeloma pathway for EQ5D5L at Referral"
                    }
                ],
                "definition": "https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-PSOM-Response"
            }
        },
        {
            "fullUrl": "urn:uuid:5ddae74e-04c7-415c-bd62-71951d861a1a",
            "resource": {
                "resourceType": "CarePlan",
                "id": "5ddae74e-04c7-415c-bd62-71951d861a1a",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-CarePlan"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.cavuhb.nhs.wales/Id/referral-identifier",
                        "value": "12345678",
                        "assigner": {
                            "reference": "urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e",
                            "display": "Cardiff and Vale University Health Board"
                        }
                    }
                ],
                "status": "active",
                "intent": "order",
                "category":  [
                    {
                        "coding":  [
                            {
                                "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-PathwayType",
                                "code": "CMY",
                                "display": "Cancer pathway - myeloma"
                            }
                        ]
                    },
                    {
                        "coding":  [
                            {
                                "system": "http://snomed.info/sct",
                                "code": "394593009",
                                "display": "Medical oncology"
                            }
                        ]
                    }
                ],
                "subject": {
                    "reference": "urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902",
                    "display": "Alice Jones"
                },
                "author": {
                    "reference": "urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a",
                    "display": "Dr Dhiren Patel (GMC: 9630333)"
                },
                "activity":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-PSOM-Laterality",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-Laterality",
                                            "code": "8",
                                            "display": "N/A"
                                        }
                                    ]
                                }
                            }
                        ],
                        "reference": {
                            "reference": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
                            "display": "Task for EQ5D5L at Referral"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
            "resource": {
                "resourceType": "Task",
                "id": "ee9c2a41-7a44-401f-8b4c-4da4d7c48d8a",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-Task"
                    ]
                },
                "status": "completed",
                "intent": "order",
                "code": {
                    "coding":  [
                        {
                            "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                            "code": "complete-questionnaire"
                        }
                    ]
                },
                "executionPeriod": {
                    "start": "2022-03-12T11:15:33+10:00",
                    "end": "2022-03-14T10:15:33+10:00"
                },
                "location": {
                    "reference": "urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b",
                    "display": "CadogWard"
                },
                "reasonCode": {
                    "coding":  [
                        {
                            "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-TriggerClassification",
                            "code": "02",
                            "display": "At the point of referral"
                        }
                    ]
                },
                "input":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                                    "code": "questionnaire"
                                }
                            ]
                        },
                        "valueCanonical": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214"
                    }
                ],
                "output":  [
                    {
                        "type": {
                            "coding":  [
                                {
                                    "system": "http://hl7.org/fhir/uv/sdc/CodeSystem/temp",
                                    "code": "questionnaire-response"
                                }
                            ]
                        },
                        "valueReference": {
                            "reference": "urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
                            "display": "EQ5D5L answers and score at Referral"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902",
            "resource": {
                "resourceType": "Patient",
                "id": "d731b662-19dc-4b15-bf63-3ccf3a1b9902",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient"
                    ]
                },
                "identifier":  [
                    {
                        "extension":  [
                            {
                                "url": "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
                                "valueCodeableConcept": {
                                    "coding":  [
                                        {
                                            "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusWales",
                                            "code": "nn",
                                            "display": "Number present and traced using Welsh NHS AR"
                                        }
                                    ]
                                }
                            }
                        ],
                        "system": "https://fhir.nhs.uk/Id/nhs-number",
                        "value": "9912003444"
                    },
                    {
                        "system": "https://fhir.cavuhb.nhs.wales/Id/pas-identifier",
                        "value": "A000003"
                    }
                ],
                "name":  [
                    {
                        "use": "official",
                        "family": "Jones",
                        "given":  [
                            "Alice"
                        ]
                    }
                ],
                "gender": "female",
                "birthDate": "1980-09-13",
                "address":  [
                    {
                        "postalCode": "CF62 9AZ"
                    }
                ],
                "communication":  [
                    {
                        "language": {
                            "coding":  [
                                {
                                    "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage",
                                    "code": "cy",
                                    "display": "Welsh"
                                }
                            ]
                        },
                        "preferred": true
                    },
                    {
                        "language": {
                            "coding":  [
                                {
                                    "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage",
                                    "code": "en",
                                    "display": "English"
                                }
                            ]
                        },
                        "preferred": false
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
            "resource": {
                "resourceType": "QuestionnaireResponse",
                "id": "44cb6c2d-e8b2-43c7-b6a1-6a92ec6ca97e",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-PSOM-QuestionnaireResponse"
                    ]
                },
                "language": "en",
                "identifier": {
                    "system": "http://example.org/NPROMS-QuestionnaireId",
                    "value": "828da5f2-b779-11ed-afa1-0242ac120002",
                    "assigner": {
                        "reference": "urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515",
                        "display": "NPROMS"
                    }
                },
                "questionnaire": "https://fhir.nhs.wales/Questionnaire/DataStandardsWales-PSOM-EQ5D-5L|202214",
                "status": "completed",
                "subject": {
                    "reference": "urn:uuid:d731b662-19dc-4b15-bf63-3ccf3a1b9902",
                    "display": "Alice Jones"
                },
                "authored": "2020-10-11T04:44:16Z",
                "item":  [
                    {
                        "linkId": "E5DPX001X",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-Mobility",
                                    "code": "4",
                                    "display": "I have slight problems in walking about"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX002X",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-SelfCare",
                                    "code": "2",
                                    "display": "I have severe problems in washing or dressing myself"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX003X",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-UsualActivities",
                                    "code": "5",
                                    "display": "I have no problems doing my usual activities"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX004X",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-PainDiscomfort",
                                    "code": "5",
                                    "display": "I have no pain or discomfort"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX005X",
                        "answer":  [
                            {
                                "valueCoding": {
                                    "system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-PSOM-EQ5D5L-AnxietyDepression",
                                    "code": "3",
                                    "display": "I am moderately anxious or depressed"
                                }
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX006X",
                        "answer":  [
                            {
                                "valueInteger": 67
                            }
                        ]
                    },
                    {
                        "linkId": "E5DPX007X",
                        "answer":  [
                            {
                                "valueDecimal": 0.766
                            }
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:55aebc2f-22d1-4da4-9814-54648a8a2515",
            "resource": {
                "resourceType": "Organization",
                "id": "55aebc2f-22d1-4da4-9814-54648a8a2515",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://example.org/Id/OriginatingSystem",
                        "value": "NPROMS"
                    }
                ],
                "name": "NPROMS"
            }
        },
        {
            "fullUrl": "urn:uuid:e18e211e-1e62-43fe-971c-a0a2c5ef5a5b",
            "resource": {
                "resourceType": "Location",
                "id": "e18e211e-1e62-43fe-971c-a0a2c5ef5a5b",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Location"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.wales/Id/wrts-location-identifier",
                        "value": "7A2AGCADOG"
                    }
                ],
                "name": "Cadog Ward",
                "address": {
                    "text": "Dolgwili Rd, Carmarthen SA31 2AF, United Kingdom"
                }
            }
        },
        {
            "fullUrl": "urn:uuid:c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a",
            "resource": {
                "resourceType": "Practitioner",
                "id": "c2cc3b06-5e5c-464f-a442-4aeeb1d71d1a",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.hl7.org.uk/Id/gmc-number",
                        "value": "9630333"
                    }
                ],
                "name":  [
                    {
                        "family": "Patel",
                        "given":  [
                            "Dhiren"
                        ],
                        "prefix":  [
                            "Dr"
                        ]
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:ad8c0705-1fed-46de-8707-8370263ebe0e",
            "resource": {
                "resourceType": "Organization",
                "id": "ad8c0705-1fed-46de-8707-8370263ebe0e",
                "meta": {
                    "profile":  [
                        "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization"
                    ]
                },
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                        "value": "7A4"
                    }
                ],
                "name": "Cardiff and Vale University Health Board"
            }
        }
    ]
}
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