Example Message Bundle - Care Document Submit (Minimal Required CDR Data)

This example provides comprehensive coverage of the data that should be completed, where available, when submitting a care document to the Care Data Repository. The scenario is a record of a dermatology consultation conducted face-to-face with the patient on the ward as part of a dermatology clinic session. To simplify the bundle, the same consultant is referenced as author, attester and senior responsible clinician (attender). In practice there could be multiple individual practitioners fulfilling this set of roles.

To clarify use, the DocumentReference resource entry contains both content.attachment.data and content.attachement.url. In practice the bundle would content only one of these fields:

  • If the bundle carries the actual PDF content prior to storage by the Care Document Service, use content.attachment.data to carry the PDF content as a base 64 binary.
  • If the document is already in the applicable document store, use content.attachment.url to point to the document location.

The bundle does not cover external supersession identifier, as the construction of the DocumentReference.identifier element in this case has not been finalised at the time of publication.

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Bundle
Bundle.id[0]Example-DataStandardsWales-Bundle-CareDocumentSubmit-CDR
Bundle.identifier[0].system[0]https://fhir.sbuhb.nhs.wales/Id/example-bundle-identifier
Bundle.identifier[0].value[0]3d1ca4a0-3d63-11f1-a707-dd757aa080e0
Bundle.type[0]message
Bundle.timestamp[0]2026-04-03T13:37:15+00:00
Bundle.entry[0].fullUrl[0]urn:uuid:471b63b0-3d63-11f1-a707-dd757aa080e0
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.wales/CodeSystem/DataStandardsWales-MessageEvent
Bundle.entry[0].resource[0].event[0].code[0]care-document-submit
Bundle.entry[0].resource[0].event[0].display[0]Care document submit
Bundle.entry[0].resource[0].enterer[0].reference[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[0].resource[0].enterer[0].type[0]PractitionerRole
Bundle.entry[0].resource[0].enterer[0].display[0]PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant
Bundle.entry[0].resource[0].source[0].name[0]ABMU Myrddin (New)
Bundle.entry[0].resource[0].source[0].endpoint[0]urn:oid:2.16.840.1.113883.2.1.8.1.5.108
Bundle.entry[0].resource[0].responsible[0].reference[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[0].resource[0].responsible[0].type[0]Organization
Bundle.entry[0].resource[0].responsible[0].display[0]Swansea Bay University Local Health Board
Bundle.entry[0].resource[0].reason[0].text[0]Document Created
Bundle.entry[0].resource[0].focus[0].reference[0]urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67
Bundle.entry[0].resource[0].focus[0].type[0]DocumentReference
Bundle.entry[0].resource[0].focus[0].display[0]Clinic Note - Dermatology Clinic Attendance 2026-04-02T13:17:14+00:00
Bundle.entry[0].resource[0].focus[1].reference[0]urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6
Bundle.entry[0].resource[0].focus[1].type[0]Encounter
Bundle.entry[0].resource[0].focus[1].display[0]Clinic Attendance 2026-04-02T13:17:14+00:00
Bundle.entry[0].resource[0].focus[2].reference[0]urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4
Bundle.entry[0].resource[0].focus[2].type[0]Patient
Bundle.entry[0].resource[0].focus[2].display[0]Mrs. Alice Jones
Bundle.entry[0].resource[0].focus[3].reference[0]urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea
Bundle.entry[0].resource[0].focus[3].type[0]Location
Bundle.entry[0].resource[0].focus[3].display[0]Ward E (Neath Port Talbot Hospital)
Bundle.entry[0].resource[0].focus[4].reference[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[0].resource[0].focus[4].type[0]Organization
Bundle.entry[0].resource[0].focus[4].display[0]Swansea Bay University Local Health Board
Bundle.entry[0].resource[0].focus[5].reference[0]urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79
Bundle.entry[0].resource[0].focus[5].type[0]Practitioner
Bundle.entry[0].resource[0].focus[5].display[0]PATEL Dhiren, Dr (GMC:9630333)
Bundle.entry[0].resource[0].focus[6].reference[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[0].resource[0].focus[6].type[0]PractitionerRole
Bundle.entry[0].resource[0].focus[6].display[0]PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant
Bundle.entry[0].resource[0].definition[0]https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-CareDocumentSubmit
Bundle.entry[1].fullUrl[0]urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67
Bundle.entry[1].resource[0].meta[0].source[0]urn:oid:2.16.840.1.113883.2.1.8.1.5.108
Bundle.entry[1].resource[0].meta[0].tag[0].system[0]seqno
Bundle.entry[1].resource[0].meta[0].tag[0].display[0]1
Bundle.entry[1].resource[0].meta[0].tag[1].system[0]docattr_documenttypecode
Bundle.entry[1].resource[0].meta[0].tag[1].display[0]CLINICATT
Bundle.entry[1].resource[0].meta[0].tag[2].system[0]docattr_documentsubtype
Bundle.entry[1].resource[0].meta[0].tag[2].display[0]Face to face
Bundle.entry[1].resource[0].meta[0].tag[3].system[0]repositorycode
Bundle.entry[1].resource[0].meta[0].tag[3].display[0]NDR
Bundle.entry[1].resource[0].extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus
Bundle.entry[1].resource[0].extension[0].value[0]born-digital-document
Bundle.entry[1].resource[0].extension[1].url[0]http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version
Bundle.entry[1].resource[0].extension[1].value[0]1
Bundle.entry[1].resource[0].extension[2].extension[0].url[0]mode
Bundle.entry[1].resource[0].extension[2].extension[0].value[0].coding[0].system[0]https://hl7.org/fhir/valueset-composition-attestation-mode.html
Bundle.entry[1].resource[0].extension[2].extension[0].value[0].coding[0].code[0]professional
Bundle.entry[1].resource[0].extension[2].extension[0].value[0].coding[0].display[0]Professional
Bundle.entry[1].resource[0].extension[2].extension[1].url[0]time
Bundle.entry[1].resource[0].extension[2].extension[1].value[0]2026-04-03T13:37:15+00:00
Bundle.entry[1].resource[0].extension[2].extension[2].url[0]party
Bundle.entry[1].resource[0].extension[2].extension[2].value[0].reference[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[1].resource[0].extension[2].extension[2].value[0].type[0]PractitionerRole
Bundle.entry[1].resource[0].extension[2].extension[2].value[0].display[0]PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant
Bundle.entry[1].resource[0].extension[2].url[0]http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.wales/Id/wcrs-document-identifier
Bundle.entry[1].resource[0].identifier[0].value[0]aaf82a9f-c156-44df-91a3-a17501e5cd18
Bundle.entry[1].resource[0].identifier[1].system[0]https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier
Bundle.entry[1].resource[0].identifier[1].value[0]872acb32-fa72-4834-b6c5-a02b0ed6f012
Bundle.entry[1].resource[0].status[0]current
Bundle.entry[1].resource[0].docStatus[0]final
Bundle.entry[1].resource[0].type[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].type[0].coding[0].code[0]766841000000106
Bundle.entry[1].resource[0].type[0].coding[0].display[0]Consultation with patient
Bundle.entry[1].resource[0].category[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[1].resource[0].category[0].coding[0].code[0]823651000000106
Bundle.entry[1].resource[0].category[0].coding[0].display[0]Clinical note
Bundle.entry[1].resource[0].subject[0].reference[0]urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4
Bundle.entry[1].resource[0].subject[0].display[0]Mrs. Alice Jones
Bundle.entry[1].resource[0].date[0]2026-04-03T13:37:15+00:00
Bundle.entry[1].resource[0].author[0].reference[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[1].resource[0].author[0].type[0]PractitionerRole
Bundle.entry[1].resource[0].author[0].display[0]PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant
Bundle.entry[1].resource[0].custodian[0].reference[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[1].resource[0].custodian[0].display[0]Swansea Bay University Local Health Board
Bundle.entry[1].resource[0].description[0]Clinic Note
Bundle.entry[1].resource[0].securityLabel[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-Confidentiality
Bundle.entry[1].resource[0].securityLabel[0].coding[0].code[0]N
Bundle.entry[1].resource[0].securityLabel[0].coding[0].display[0]Normal
Bundle.entry[1].resource[0].content[0].attachment[0].contentType[0]application/pdf
Bundle.entry[1].resource[0].content[0].attachment[0].data[0]U2FtcGxlIERvY3VtZW50
Bundle.entry[1].resource[0].content[0].attachment[0].url[0]https://www.example.com/documentref9876
Bundle.entry[1].resource[0].context[0].encounter[0].reference[0]urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6
Bundle.entry[1].resource[0].context[0].encounter[0].display[0]Clinic Attendance 2026-04-02T13:17:14+00:00
Bundle.entry[1].resource[0].context[0].practiceSetting[0].coding[0].system[0]https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode
Bundle.entry[1].resource[0].context[0].practiceSetting[0].coding[0].code[0]330
Bundle.entry[1].resource[0].context[0].practiceSetting[0].coding[0].display[0]Dermatology
Bundle.entry[2].fullUrl[0]urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6
Bundle.entry[2].resource[0].status[0]unknown
Bundle.entry[2].resource[0].class[0].system[0]http://terminology.hl7.org/CodeSystem/v3-NullFlavor
Bundle.entry[2].resource[0].class[0].code[0]UNK
Bundle.entry[2].resource[0].class[0].display[0]Unknown
Bundle.entry[2].resource[0].subject[0].reference[0]urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4
Bundle.entry[2].resource[0].subject[0].display[0]Mrs. Alice Jones
Bundle.entry[2].resource[0].participant[0].type[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/v3-ParticipationType
Bundle.entry[2].resource[0].participant[0].type[0].coding[0].code[0]ATND
Bundle.entry[2].resource[0].participant[0].type[0].coding[0].display[0]attender
Bundle.entry[2].resource[0].participant[0].individual[0].reference[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[2].resource[0].participant[0].individual[0].type[0]PractitionerRole
Bundle.entry[2].resource[0].participant[0].individual[0].display[0]PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant
Bundle.entry[2].resource[0].period[0].start[0]2026-04-02T13:09:37+00:00
Bundle.entry[2].resource[0].location[0].location[0].reference[0]urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea
Bundle.entry[2].resource[0].location[0].location[0].display[0]Ward E (Neath Port Talbot Hospital)
Bundle.entry[2].resource[0].serviceProvider[0].reference[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[2].resource[0].serviceProvider[0].display[0]Swansea Bay University Local Health Board
Bundle.entry[3].fullUrl[0]urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4
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].line[0]14 Western Way
Bundle.entry[3].resource[0].address[0].line[1]BARRY
Bundle.entry[3].resource[0].address[0].postalCode[0]CF62 9AZ
Bundle.entry[4].fullUrl[0]urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea
Bundle.entry[4].resource[0].identifier[0].system[0]https://fhir.sbuhb.nhs.wales/Id/pas-location-identifier
Bundle.entry[4].resource[0].identifier[0].value[0]60138-example
Bundle.entry[4].resource[0].name[0]Ward E (Neath Port Talbot Hospital)
Bundle.entry[5].fullUrl[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[5].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[5].resource[0].identifier[0].value[0]7A3
Bundle.entry[5].resource[0].name[0]Swansea Bay University Local Health Board
Bundle.entry[6].fullUrl[0]urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79
Bundle.entry[6].resource[0].identifier[0].system[0]https://fhir.hl7.org.uk/Id/gmc-number
Bundle.entry[6].resource[0].identifier[0].value[0]9630333
Bundle.entry[6].resource[0].identifier[1].system[0]https://fhir.nhs.wales/Id/nadex-identifier
Bundle.entry[6].resource[0].identifier[1].value[0]DH000567
Bundle.entry[6].resource[0].name[0].text[0]PATEL Dhiren, Dr
Bundle.entry[6].resource[0].name[0].family[0]Patel
Bundle.entry[6].resource[0].name[0].given[0]Dhiren
Bundle.entry[6].resource[0].name[0].prefix[0]Dr
Bundle.entry[7].fullUrl[0]urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0
Bundle.entry[7].resource[0].practitioner[0].reference[0]urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79
Bundle.entry[7].resource[0].practitioner[0].display[0]PATEL Dhiren, Dr (GMC:9630333)
Bundle.entry[7].resource[0].organization[0].reference[0]urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a
Bundle.entry[7].resource[0].organization[0].display[0]Swansea Bay University Local Health Board
Bundle.entry[7].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[7].resource[0].code[0].coding[0].code[0]768839008
Bundle.entry[7].resource[0].code[0].coding[0].display[0]Consultant
<Bundle xmlns="http://hl7.org/fhir">
<id value="Example-DataStandardsWales-Bundle-CareDocumentSubmit-CDR" />
<identifier>
<system value="https://fhir.sbuhb.nhs.wales/Id/example-bundle-identifier" />
<value value="3d1ca4a0-3d63-11f1-a707-dd757aa080e0" />
</identifier>
<type value="message" />
<timestamp value="2026-04-03T13:37:15+00:00" />
<entry>
<fullUrl value="urn:uuid:471b63b0-3d63-11f1-a707-dd757aa080e0" />
<resource>
<MessageHeader>
<eventCoding>
<system value="https://fhir.nhs.wales/CodeSystem/DataStandardsWales-MessageEvent" />
<code value="care-document-submit" />
<display value="Care document submit" />
</eventCoding>
<enterer>
<reference value="urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0" />
<type value="PractitionerRole" />
<display value="PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant" />
</enterer>
<source>
<name value="ABMU Myrddin (New)" />
<endpoint value="urn:oid:2.16.840.1.113883.2.1.8.1.5.108" />
</source>
<responsible>
<reference value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<type value="Organization" />
<display value="Swansea Bay University Local Health Board" />
</responsible>
<reason>
<text value="Document Created" />
</reason>
<focus>
<reference value="urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67" />
<type value="DocumentReference" />
<display value="Clinic Note - Dermatology Clinic Attendance 2026-04-02T13:17:14+00:00" />
</focus>
<focus>
<reference value="urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6" />
<type value="Encounter" />
<display value="Clinic Attendance 2026-04-02T13:17:14+00:00" />
</focus>
<focus>
<reference value="urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4" />
<type value="Patient" />
<display value="Mrs. Alice Jones" />
</focus>
<focus>
<reference value="urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea" />
<type value="Location" />
<display value="Ward E (Neath Port Talbot Hospital)" />
</focus>
<focus>
<reference value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<type value="Organization" />
<display value="Swansea Bay University Local Health Board" />
</focus>
<focus>
<reference value="urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79" />
<type value="Practitioner" />
<display value="PATEL Dhiren, Dr (GMC:9630333)" />
</focus>
<focus>
<reference value="urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0" />
<type value="PractitionerRole" />
<display value="PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant" />
</focus>
<definition value="https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-CareDocumentSubmit" />
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67" />
<resource>
<DocumentReference>
<meta>
<source value="urn:oid:2.16.840.1.113883.2.1.8.1.5.108" />
<tag>
<system value="seqno" />
<display value="1" />
</tag>
<tag>
<system value="docattr_documenttypecode" />
<display value="CLINICATT" />
</tag>
<tag>
<system value="docattr_documentsubtype" />
<display value="Face to face" />
</tag>
<tag>
<system value="repositorycode" />
<display value="NDR" />
</tag>
</meta>
<extension url="https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus">
<valueCode value="born-digital-document" />
</extension>
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version">
<valueString value="1" />
</extension>
<extension url="http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester">
<extension url="mode">
<valueCodeableConcept>
<coding>
<system value="https://hl7.org/fhir/valueset-composition-attestation-mode.html" />
<code value="professional" />
<display value="Professional" />
</coding>
</valueCodeableConcept>
</extension>
<extension url="time">
<valueDateTime value="2026-04-03T13:37:15+00:00" />
</extension>
<extension url="party">
<valueReference>
<reference value="urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0" />
<type value="PractitionerRole" />
<display value="PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant" />
</valueReference>
</extension>
</extension>
<identifier>
<system value="https://fhir.nhs.wales/Id/wcrs-document-identifier" />
<value value="aaf82a9f-c156-44df-91a3-a17501e5cd18" />
</identifier>
<identifier>
<system value="https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier" />
<value value="872acb32-fa72-4834-b6c5-a02b0ed6f012" />
</identifier>
<status value="current" />
<docStatus value="final" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="766841000000106" />
<display value="Consultation with patient" />
</coding>
</type>
<category>
<coding>
<system value="http://snomed.info/sct" />
<code value="823651000000106" />
<display value="Clinical note" />
</coding>
</category>
<subject>
<reference value="urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4" />
<display value="Mrs. Alice Jones" />
</subject>
<date value="2026-04-03T13:37:15+00:00" />
<author>
<reference value="urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0" />
<type value="PractitionerRole" />
<display value="PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant" />
</author>
<custodian>
<reference value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<display value="Swansea Bay University Local Health Board" />
</custodian>
<description value="Clinic Note" />
<securityLabel>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality" />
<code value="N" />
<display value="Normal" />
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/pdf" />
<data value="U2FtcGxlIERvY3VtZW50" />
<url value="https://www.example.com/documentref9876" />
</attachment>
</content>
<context>
<encounter>
<reference value="urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6" />
<display value="Clinic Attendance 2026-04-02T13:17:14+00:00" />
</encounter>
<practiceSetting>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode" />
<code value="330" />
<display value="Dermatology" />
</coding>
</practiceSetting>
</context>
</DocumentReference>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6" />
<resource>
<Encounter>
<status value="unknown" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor" />
<code value="UNK" />
<display value="Unknown" />
</class>
<subject>
<reference value="urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4" />
<display value="Mrs. Alice Jones" />
</subject>
<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:a049e510-3d63-11f1-a707-dd757aa080e0" />
<type value="PractitionerRole" />
<display value="PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant" />
</individual>
</participant>
<period>
<start value="2026-04-02T13:09:37+00:00" />
</period>
<location>
<location>
<reference value="urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea" />
<display value="Ward E (Neath Port Talbot Hospital)" />
</location>
</location>
<serviceProvider>
<reference value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<display value="Swansea Bay University Local Health Board" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4" />
<resource>
<Patient>
<name>
<use value="official" />
<family value="Jones" />
<given value="Alice" />
</name>
<gender value="female" />
<birthDate value="1980-09-13" />
<address>
<line value="14 Western Way" />
<line value="BARRY" />
<postalCode value="CF62 9AZ" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea" />
<resource>
<Location>
<identifier>
<system value="https://fhir.sbuhb.nhs.wales/Id/pas-location-identifier" />
<value value="60138-example" />
</identifier>
<name value="Ward E (Neath Port Talbot Hospital)" />
</Location>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<resource>
<Organization>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="7A3" />
</identifier>
<name value="Swansea Bay University Local Health Board" />
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79" />
<resource>
<Practitioner>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="9630333" />
</identifier>
<identifier>
<system value="https://fhir.nhs.wales/Id/nadex-identifier" />
<value value="DH000567" />
</identifier>
<name>
<text value="PATEL Dhiren, Dr" />
<family value="Patel" />
<given value="Dhiren" />
<prefix value="Dr" />
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0" />
<resource>
<PractitionerRole>
<practitioner>
<reference value="urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79" />
<display value="PATEL Dhiren, Dr (GMC:9630333)" />
</practitioner>
<organization>
<reference value="urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a" />
<display value="Swansea Bay University Local Health Board" />
</organization>
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="768839008" />
<display value="Consultant" />
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
</Bundle>
{
"resourceType": "Bundle",
"id": "Example-DataStandardsWales-Bundle-CareDocumentSubmit-CDR",
"identifier": {
"system": "https://fhir.sbuhb.nhs.wales/Id/example-bundle-identifier",
"value": "3d1ca4a0-3d63-11f1-a707-dd757aa080e0"
},
"type": "message",
"timestamp": "2026-04-03T13:37:15+00:00",
"entry": [
{
"fullUrl": "urn:uuid:471b63b0-3d63-11f1-a707-dd757aa080e0",
"resource": {
"resourceType": "MessageHeader",
"eventCoding": {
"system": "https://fhir.nhs.wales/CodeSystem/DataStandardsWales-MessageEvent",
"code": "care-document-submit",
"display": "Care document submit"
},
"enterer": {
"reference": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"type": "PractitionerRole",
"display": "PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant"
},
"source": {
"name": "ABMU Myrddin (New)",
"endpoint": "urn:oid:2.16.840.1.113883.2.1.8.1.5.108"
},
"responsible": {
"reference": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"type": "Organization",
"display": "Swansea Bay University Local Health Board"
},
"reason": {
"text": "Document Created"
},
"focus": [
{
"reference": "urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67",
"type": "DocumentReference",
"display": "Clinic Note - Dermatology Clinic Attendance 2026-04-02T13:17:14+00:00"
},
{
"reference": "urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6",
"type": "Encounter",
"display": "Clinic Attendance 2026-04-02T13:17:14+00:00"
},
{
"reference": "urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4",
"type": "Patient",
"display": "Mrs. Alice Jones"
},
{
"reference": "urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea",
"type": "Location",
"display": "Ward E (Neath Port Talbot Hospital)"
},
{
"reference": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"type": "Organization",
"display": "Swansea Bay University Local Health Board"
},
{
"reference": "urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79",
"type": "Practitioner",
"display": "PATEL Dhiren, Dr (GMC:9630333)"
},
{
"reference": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"type": "PractitionerRole",
"display": "PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant"
}
],
"definition": "https://fhir.nhs.wales/MessageDefinition/DataStandardsWales-CareDocumentSubmit"
}
},
{
"fullUrl": "urn:uuid:c58877a4-3b18-4147-bf07-35580ad85a67",
"resource": {
"resourceType": "DocumentReference",
"meta": {
"source": "urn:oid:2.16.840.1.113883.2.1.8.1.5.108",
"tag": [
{
"system": "seqno",
"display": "1"
},
{
"system": "docattr_documenttypecode",
"display": "CLINICATT"
},
{
"system": "docattr_documentsubtype",
"display": "Face to face"
},
{
"system": "repositorycode",
"display": "NDR"
}
]
},
"extension": [
{
"url": "https://fhir.nhs.wales/StructureDefinition/Extension-DataStandardsWales-DocumentDigitalStatus",
"valueCode": "born-digital-document"
},
{
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.version",
"valueString": "1"
},
{
"extension": [
{
"url": "mode",
"valueCodeableConcept": {
"coding": [
{
"system": "https://hl7.org/fhir/valueset-composition-attestation-mode.html",
"code": "professional",
"display": "Professional"
}
]
}
},
{
"url": "time",
"valueDateTime": "2026-04-03T13:37:15+00:00"
},
{
"url": "party",
"valueReference": {
"reference": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"type": "PractitionerRole",
"display": "PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant"
}
}
],
"url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-DocumentReference.attester"
}
],
"identifier": [
{
"system": "https://fhir.nhs.wales/Id/wcrs-document-identifier",
"value": "aaf82a9f-c156-44df-91a3-a17501e5cd18"
},
{
"system": "https://fhir.nhs.wales/Id/wcrs-supersession-set-identifier",
"value": "872acb32-fa72-4834-b6c5-a02b0ed6f012"
}
],
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "766841000000106",
"display": "Consultation with patient"
}
]
},
"category": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "823651000000106",
"display": "Clinical note"
}
]
}
],
"subject": {
"reference": "urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4",
"display": "Mrs. Alice Jones"
},
"date": "2026-04-03T13:37:15+00:00",
"author": [
{
"reference": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"type": "PractitionerRole",
"display": "PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant"
}
],
"custodian": {
"reference": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"display": "Swansea Bay University Local Health Board"
},
"description": "Clinic Note",
"securityLabel": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
"code": "N",
"display": "Normal"
}
]
}
],
"content": [
{
"attachment": {
"contentType": "application/pdf",
"data": "U2FtcGxlIERvY3VtZW50",
"url": "https://www.example.com/documentref9876"
}
}
],
"context": {
"encounter": [
{
"reference": "urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6",
"display": "Clinic Attendance 2026-04-02T13:17:14+00:00"
}
],
"practiceSetting": {
"coding": [
{
"system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-PracticeSettingCode",
"code": "330",
"display": "Dermatology"
}
]
}
}
}
},
{
"fullUrl": "urn:uuid:385afcbd-75b2-484d-8613-55d7af6b06a6",
"resource": {
"resourceType": "Encounter",
"status": "unknown",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "UNK",
"display": "Unknown"
},
"subject": {
"reference": "urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4",
"display": "Mrs. Alice Jones"
},
"participant": [
{
"type": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "ATND",
"display": "attender"
}
]
}
],
"individual": {
"reference": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"type": "PractitionerRole",
"display": "PATEL Dhiren, Dr (GMC:9630333), SBUHB Consultant"
}
}
],
"period": {
"start": "2026-04-02T13:09:37+00:00"
},
"location": [
{
"location": {
"reference": "urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea",
"display": "Ward E (Neath Port Talbot Hospital)"
}
}
],
"serviceProvider": {
"reference": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"display": "Swansea Bay University Local Health Board"
}
}
},
{
"fullUrl": "urn:uuid:8d0fe3e6-c549-4da9-ad5a-874060a420e4",
"resource": {
"resourceType": "Patient",
"name": [
{
"use": "official",
"family": "Jones",
"given": [
"Alice"
]
}
],
"gender": "female",
"birthDate": "1980-09-13",
"address": [
{
"line": [
"14 Western Way",
"BARRY"
],
"postalCode": "CF62 9AZ"
}
]
}
},
{
"fullUrl": "urn:uuid:9b37760f-fe46-4426-81ad-7ebeb18071ea",
"resource": {
"resourceType": "Location",
"identifier": [
{
"system": "https://fhir.sbuhb.nhs.wales/Id/pas-location-identifier",
"value": "60138-example"
}
],
"name": "Ward E (Neath Port Talbot Hospital)"
}
},
{
"fullUrl": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"resource": {
"resourceType": "Organization",
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "7A3"
}
],
"name": "Swansea Bay University Local Health Board"
}
},
{
"fullUrl": "urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79",
"resource": {
"resourceType": "Practitioner",
"identifier": [
{
"system": "https://fhir.hl7.org.uk/Id/gmc-number",
"value": "9630333"
},
{
"system": "https://fhir.nhs.wales/Id/nadex-identifier",
"value": "DH000567"
}
],
"name": [
{
"text": "PATEL Dhiren, Dr",
"family": "Patel",
"given": [
"Dhiren"
],
"prefix": [
"Dr"
]
}
]
}
},
{
"fullUrl": "urn:uuid:a049e510-3d63-11f1-a707-dd757aa080e0",
"resource": {
"resourceType": "PractitionerRole",
"practitioner": {
"reference": "urn:uuid:a435c1df-e80a-4f3e-b352-a6b0843a4e79",
"display": "PATEL Dhiren, Dr (GMC:9630333)"
},
"organization": {
"reference": "urn:uuid:b44506ea-9042-4c3c-8cf2-65c0847e7d5a",
"display": "Swansea Bay University Local Health Board"
},
"code": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "768839008",
"display": "Consultant"
}
]
}
]
}
}
]
}