UK Core Implementation Guide STU3 Sequence

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This version of the UK Core is for C&TA Sprint 7 Review.
This version is not suitable for implementation. Other versions are available on the UK Core Version History Guide
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A summary of changes is available on the STU3 Sequence Change Log

An example to illustrate a bundled allergy list

Table View

Bundle.id[0]	UKCore-Bundle-AllergyList-Example
Bundle.type[0]	collection
Bundle.entry[0].fullUrl[0]	urn:uuid:d043d2b6-5782-4536-88b6-e537973a09fb
Bundle.entry[0].resource[0].id[0]	UKCore-Allergy-List-Example
Bundle.entry[0].resource[0].status[0]	current
Bundle.entry[0].resource[0].mode[0]	snapshot
Bundle.entry[0].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[0].resource[0].code[0].coding[0].code[0]	886921000000105
Bundle.entry[0].resource[0].code[0].coding[0].display[0]	Allergies and adverse reactions
Bundle.entry[0].resource[0].subject[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Bundle.entry[0].resource[0].date[0]	2019-12-10T13:00:00+00:00
Bundle.entry[0].resource[0].entry[0].item[0].reference[0]	urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4
Bundle.entry[1].fullUrl[0]	urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4
Bundle.entry[1].resource[0].id[0]	efae5859-28df-4e7d-be91-6df56d8215e4
Bundle.entry[1].resource[0].clinicalStatus[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical
Bundle.entry[1].resource[0].clinicalStatus[0].coding[0].code[0]	active
Bundle.entry[1].resource[0].clinicalStatus[0].coding[0].display[0]	Active
Bundle.entry[1].resource[0].verificationStatus[0].coding[0].system[0]	http://terminology.hl7.org/CodeSystem/allergyintolerance-verification
Bundle.entry[1].resource[0].verificationStatus[0].coding[0].code[0]	confirmed
Bundle.entry[1].resource[0].verificationStatus[0].coding[0].display[0]	Confirmed
Bundle.entry[1].resource[0].code[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].code[0].coding[0].code[0]	372687004
Bundle.entry[1].resource[0].code[0].coding[0].display[0]	Amoxicillin
Bundle.entry[1].resource[0].patient[0].reference[0]	Patient/UKCore-Patient-RichardSmith-Example
Bundle.entry[1].resource[0].encounter[0].reference[0]	Encounter/UKCore-Encounter-InpatientEncounter-Example
Bundle.entry[1].resource[0].recordedDate[0]	2019-12-10T13:00:00+00:00
Bundle.entry[1].resource[0].recorder[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
Bundle.entry[1].resource[0].asserter[0].reference[0]	Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example
Bundle.entry[1].resource[0].reaction[0].manifestation[0].coding[0].system[0]	http://snomed.info/sct
Bundle.entry[1].resource[0].reaction[0].manifestation[0].coding[0].code[0]	247472004
Bundle.entry[1].resource[0].reaction[0].manifestation[0].coding[0].display[0]	Urticarial rash
Bundle.entry[1].resource[0].reaction[0].severity[0]	mild

XML View

<Bundle xmlns="http://hl7.org/fhir">
    <id value="UKCore-Bundle-AllergyList-Example" />
    <type value="collection" />
    <entry>
        <fullUrl value="urn:uuid:d043d2b6-5782-4536-88b6-e537973a09fb" />
        <resource>
            <List>
                <id value="UKCore-Allergy-List-Example" />
                <status value="current" />
                <mode value="snapshot" />
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="886921000000105" />
                        <display value="Allergies and adverse reactions" />
                    </coding>
                </code>
                <subject>
                    <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
                </subject>
                <date value="2019-12-10T13:00:00+00:00" />
                <entry>
                    <item>
                        <reference value="urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4" />
                    </item>
                </entry>
            </List>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4" />
        <resource>
            <AllergyIntolerance>
                <id value="efae5859-28df-4e7d-be91-6df56d8215e4" />
                <clinicalStatus>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" />
                        <code value="active" />
                        <display value="Active" />
                    </coding>
                </clinicalStatus>
                <verificationStatus>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" />
                        <code value="confirmed" />
                        <display value="Confirmed" />
                    </coding>
                </verificationStatus>
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="372687004" />
                        <display value="Amoxicillin" />
                    </coding>
                </code>
                <patient>
                    <reference value="Patient/UKCore-Patient-RichardSmith-Example" />
                </patient>
                <encounter>
                    <reference value="Encounter/UKCore-Encounter-InpatientEncounter-Example" />
                </encounter>
                <recordedDate value="2019-12-10T13:00:00+00:00" />
                <recorder>
                    <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
                </recorder>
                <asserter>
                    <reference value="Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example" />
                </asserter>
                <reaction>
                    <manifestation>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="247472004" />
                            <display value="Urticarial rash" />
                        </coding>
                    </manifestation>
                    <severity value="mild" />
                </reaction>
            </AllergyIntolerance>
        </resource>
    </entry>
</Bundle>

JSON View

{
    "resourceType": "Bundle",
    "id": "UKCore-Bundle-AllergyList-Example",
    "type": "collection",
    "entry":  [
        {
            "fullUrl": "urn:uuid:d043d2b6-5782-4536-88b6-e537973a09fb",
            "resource": {
                "resourceType": "List",
                "id": "UKCore-Allergy-List-Example",
                "status": "current",
                "mode": "snapshot",
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "886921000000105",
                            "display": "Allergies and adverse reactions"
                        }
                    ]
                },
                "subject": {
                    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
                },
                "date": "2019-12-10T13:00:00+00:00",
                "entry":  [
                    {
                        "item": {
                            "reference": "urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4"
                        }
                    }
                ]
            }
        },
        {
            "fullUrl": "urn:uuid:efae5859-28df-4e7d-be91-6df56d8215e4",
            "resource": {
                "resourceType": "AllergyIntolerance",
                "id": "efae5859-28df-4e7d-be91-6df56d8215e4",
                "clinicalStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
                            "code": "active",
                            "display": "Active"
                        }
                    ]
                },
                "verificationStatus": {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
                            "code": "confirmed",
                            "display": "Confirmed"
                        }
                    ]
                },
                "code": {
                    "coding":  [
                        {
                            "system": "http://snomed.info/sct",
                            "code": "372687004",
                            "display": "Amoxicillin"
                        }
                    ]
                },
                "patient": {
                    "reference": "Patient/UKCore-Patient-RichardSmith-Example"
                },
                "encounter": {
                    "reference": "Encounter/UKCore-Encounter-InpatientEncounter-Example"
                },
                "recordedDate": "2019-12-10T13:00:00+00:00",
                "recorder": {
                    "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
                },
                "asserter": {
                    "reference": "Practitioner/UKCore-Practitioner-ConsultantSandraGose-Example"
                },
                "reaction":  [
                    {
                        "manifestation":  [
                            {
                                "coding":  [
                                    {
                                        "system": "http://snomed.info/sct",
                                        "code": "247472004",
                                        "display": "Urticarial rash"
                                    }
                                ]
                            }
                        ],
                        "severity": "mild"
                    }
                ]
            }
        }
    ]
}