<Bundle xmlns="http://hl7.org/fhir">
    <id value="79120f41-a431-4f08-bcc5-1e67006fcae0" />
    <meta>
        <versionId value="1.0.0" />
        <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
        <profile value="https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage" />
    </meta>
    <type value="message" />
    <timestamp value="2021-10-11T12:15:10+00:00" />
    <entry>
        <fullUrl value="urn:uuid:c89a8895-56fe-41de-b20b-fab6efa99c99" />
        <resource>
            <MessageHeader>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.nhs.uk/StructureDefinition/BARSMessageHeader-servicerequest-request" />
                </meta>
                <extension url="https://fhir.nhs.uk/StructureDefinition/CDSSExtension">
                    <extension url="RequesterCDSSsoftware">
                        <valueString value="Pathways" />
                    </extension>
                    <extension url="RequesterCDSSversion">
                        <valueString value="30.2.0" />
                    </extension>
                </extension>
                <eventCoding>
                    <system value="https://fhir.nhs.uk/CodeSystem/message-events-bars" />
                    <code value="servicerequest-request" />
                </eventCoding>
                <destination>
                    <endpoint value="https://fhir.nhs.uk/Id/dos-service-id|111111111" />
                    <!--        Sender to populate with the system (of the DoS used) and Service Identity value        -->
                    <receiver>
                        <!--        Organization        -->
                        <reference value="urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
                    </receiver>
                </destination>
                <sender>
                    <!--        Organization        -->
                    <reference value="urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679" />
                </sender>
                <source>
                    <name value="Emergency service" />
                    <software value="Anon Patient Manager" />
                    <version value="2.1.45" />
                    <contact>
                        <system value="phone" />
                        <value value="+44 (0113) 123 4567" />
                    </contact>
                    <endpoint value="https://fhir.nhs.uk/Id/dos-service-id|2222222222" />
                    <!--        The Sender must populate the 'NHSD-Target-Identifier' header value a Receiver needs to populate in order to send a response to them via the BaRS API e.g. 'system value(URL):Service-TargetIdentifer'       -->
                </source>
                <reason>
                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/message-reason-bars" />
                        <code value="new" />
                    </coding>
                </reason>
                <focus>
                    <!--      ServiceRequest      -->
                    <reference value="urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c" />
                </focus>
                <definition value="https://fhir.nhs.uk/MessageDefinition/bars-message-servicerequest-request-referral" />
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        <resource>
            <Encounter>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" />
                </meta>
                <identifier>
                    <system value="https://sender.url/Id/case-number" />
                    <!--  Set by the sender who is passing the business case number value  -->
                    <value value="sender1234" />
                </identifier>
                <status value="finished" />
                <class>
                    <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
                    <code value="EMER" />
                    <display value="emergency" />
                </class>
                <subject>
                    <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
                </subject>
                <episodeOfCare>
                    <!--      Resource reference to an EpisodeOfCare Journey ID      -->
                    <reference value="EpisodeOfCare/d877b820-e72b-44d1-a627-195f54bfc606" />
                </episodeOfCare>
                <period>
                    <start value="2021-02-19T07:15:00+10:00" />
                </period>
            </Encounter>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:38e9c018-adbb-4579-9cd8-45f4f890b93b" />
        <resource>
            <CarePlan>
                <meta>
                    <lastUpdated value="2021-11-26T15:15:15.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" />
                </meta>
                <status value="completed" />
                <intent value="plan" />
                <subject>
                    <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
                </subject>
                <encounter>
                    <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
                </encounter>
                <supportingInfo>
                    <reference value="urn:uuid:e53b2595-7875-4687-80e9-23a0c8cb8ea0" />
                    <display value="Person expectations and wishes" />
                </supportingInfo>
                <supportingInfo>
                    <reference value="urn:uuid:ea37a499-245c-40e9-b0fa-df4383c4d413" />
                    <display value="Safeguarding Concerns Flag" />
                </supportingInfo>
                <supportingInfo>
                    <reference value="urn:uuid:75f0e2c7-79db-4518-8a03-edcf096fccbb" />
                    <display value="Additional Information Sources" />
                </supportingInfo>
                <activity>
                    <outcomeCodeableConcept>
                        <coding>
                            <system value="https://fhir.nhs.uk/CodeSystem/pathways-sd-codes" />
                            <code value="4389" />
                            <display value="ED post tonsillectomy bleeding" />
                        </coding>
                        <text value="Pathways Assessment SD Code" />
                    </outcomeCodeableConcept>
                    <outcomeCodeableConcept>
                        <coding>
                            <system value="https://fhir.nhs.uk/CodeSystem/pathways-dx-codes" />
                            <code value="DX02" />
                            <display value="The individual needs to attend an emergency treatment centre within 1 hour." />
                        </coding>
                        <text value="Pathways Assessment DX Code" />
                    </outcomeCodeableConcept>
                    <outcomeCodeableConcept>
                        <coding>
                            <system value="https://fhir.nhs.uk/CodeSystem/pathways-pathway-codes" />
                            <code value="PA21" />
                            <display value="Chest and Upper Back Pain" />
                        </coding>
                        <text value="Presenting Complaint - selected Pathway or Template" />
                    </outcomeCodeableConcept>
                    <outcomeCodeableConcept>
                        <coding>
                            <system value="https://fhir.nhs.uk/CodeSystem/pathways-sg-codes" />
                            <code value="1010" />
                            <display value="Allergic Reaction" />
                        </coding>
                        <text value="Pathways Assessment SG Code - Chief Complaint" />
                    </outcomeCodeableConcept>
                    <outcomeCodeableConcept>
                        <text value="PATHWAYS ASSESSMENT:/n        An injury or health problem was the reason for the contact./n        Heavy bleeding had not occurred in the previous 2 hours./n        An illness or health problem was the main problem. - bleeding for 15 minutes/n        The individual was not fighting for breath./n        The main reason for the assessment was not an allergic reaction, heart attack, chest/upper back pain, probable/n        stroke, recent fit/seizure or suicide attempt./n        The main reason for contact was not new confusion, declared diabetic hypo/hyperglycaemia, or ICD shock./n        The skin on the torso felt normal, warm or hot./n        Pathway Selected: PW818, Nosebleeds without Injury/n        The individual was not feeling faint or dizzy./n        The nose was continuing to bleed./n        There was no nasal foreign body./n        Constant pressure for at least 10 minutes had not been applied./n        There was no spontaneous bruising, abnormal bleeding or frequent nosebleeds within the previous 2 weeks./n        The individual did not use anticoagulant medication or have a bleeding/clotting disorder." />
                    </outcomeCodeableConcept>
                </activity>
            </CarePlan>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c" />
        <resource>
            <ServiceRequest>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-referral" />
                </meta>
                <basedOn>
                    <!--       Always CarePlan       -->
                    <reference value="urn:uuid:38e9c018-adbb-4579-9cd8-45f4f890b93b" />
                </basedOn>
                <!--       used to drive workflow e.g. cancel/remove       -->
                <status value="active" />
                <!--        required and always set to 'plan'       -->
                <intent value="plan" />
                <category>
                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/message-category-servicerequest" />
                        <code value="referral" />
                        <!--     Important for driving workflow, determining the type of referral being requested     -->
                        <display value="Transfer of Care" />
                    </coding>
                    <coding>
                        <!--        Use case category       -->
                        <system value="https://fhir.nhs.uk/CodeSystem/usecases-categories-bars" />
                        <code value="a1t1" />
                        <display value="111 to ED" />
                    </coding>
                </category>
                <subject>
                    <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
                </subject>
                <encounter>
                    <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
                </encounter>
                <occurrencePeriod>
                    <start value="2021-10-13T16:20:27+07:00" />
                </occurrencePeriod>
                <authoredOn value="2021-10-11T15:23:30+00:00" />
                <requester>
                    <!--       Sending Practitioner        -->
                    <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
                </requester>
                <performer>
                    <!--        Receiving/performing Organization/HealthcareService        -->
                    <reference value="urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
                </performer>
                <supportingInfo>
                    <reference value="urn:uuid:65508934-c9e6-46d2-a393-af096b502daf" />
                    <display value="Rejected Services - Patient Choice in Service Selection - Details" />
                </supportingInfo>
                <supportingInfo>
                    <reference value="urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc" />
                    <display value="Rejected Services - Patient Choice in Service Selection - Flag" />
                </supportingInfo>
                <!--        Booking linked to the referral        -->
                <supportingInfo>
                    <reference value="Appointment/3cac9cde-a262-42b3-bcf1-215ab79c3e37" />
                    <display value="Booking" />
                </supportingInfo>
                <patientInstruction value="ADVICE GIVEN: If there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, call us back." />
            </ServiceRequest>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:49073ea7-2d55-433f-9bce-9d3e798cfe40" />
        <resource>
            <HealthcareService>
                <meta>
                    <lastUpdated value="2021-11-26T15:00:00.8185338+00:00" />
                    <profile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-HealthcareService" />
                </meta>
                <identifier>
                    <system value="http://fhir.nhs.uk/Id/dos-service-id" />
                    <value value="111111111" />
                </identifier>
                <active value="true" />
                <providedBy>
                    <reference value="urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
                </providedBy>
                <name value="Emergency Department - Adult" />
            </HealthcareService>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        <resource>
            <Patient>
                <meta>
                    <lastUpdated value="2021-11-26T15:00:00.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" />
                </meta>
                <!--       added EthnicCategory extension       -->
                <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="A" />
                            <display value="British, Mixed British" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <!--       added Religion extension       -->
                <extension url="http://hl7.org/fhir/StructureDefinition/patient-religion">
                    <valueCodeableConcept>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/v3-ReligiousAffiliation" />
                            <code value="1041" />
                            <display value="Roman Catholic Church" />
                        </coding>
                    </valueCodeableConcept>
                </extension>
                <identifier>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus">
                        <valueCodeableConcept>
                            <coding>
                                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" />
                                <code value="number-present-and-verified" />
                                <display value="Number present and verified" />
                            </coding>
                        </valueCodeableConcept>
                    </extension>
                    <system value="https://fhir.nhs.uk/Id/nhs-number" />
                    <value value="3478526985" />
                </identifier>
                <name>
                    <use value="official" />
                    <text value="Mrs Julie Jones" />
                    <family value="Jones" />
                    <given value="Julie" />
                    <prefix value="Mrs" />
                </name>
                <gender value="female" />
                <birthDate value="1959-05-04" />
                <address>
                    <use value="home" />
                    <type value="both" />
                    <text value="22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU" />
                    <line value="22 Brightside Crescent" />
                    <city value="Overtown" />
                    <district value="West Yorkshire" />
                    <postalCode value="LS10 4YU" />
                </address>
                <contact>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank">
                        <valuePositiveInt value="1" />
                    </extension>
                    <relationship>
                        <coding>
                            <!--        patient       -->
                            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
                            <code value="ONESELF" />
                            <display value="self" />
                        </coding>
                    </relationship>
                    <telecom>
                        <system value="phone" />
                        <value value="01138698975" />
                        <use value="home" />
                        <rank value="2" />
                    </telecom>
                    <telecom>
                        <system value="phone" />
                        <value value="07736312544" />
                        <use value="mobile" />
                        <rank value="1" />
                    </telecom>
                    <telecom>
                        <system value="email" />
                        <value value="jjones@hotmail.co.uk" />
                        <use value="home" />
                        <rank value="3" />
                    </telecom>
                </contact>
                <contact>
                    <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank">
                        <valuePositiveInt value="2" />
                    </extension>
                    <relationship>
                        <coding>
                            <!--        Emergency contact person       -->
                            <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" />
                            <code value="ECON" />
                            <display value="emergency contact" />
                        </coding>
                    </relationship>
                    <name>
                        <family value="Grayson" />
                        <given value="Jack" />
                    </name>
                    <telecom>
                        <system value="phone" />
                        <value value="0789 1234567" />
                        <use value="mobile" />
                        <rank value="1" />
                    </telecom>
                    <gender value="male" />
                </contact>
                <communication>
                    <language>
                        <coding>
                            <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage" />
                            <code value="en" />
                            <display value="English" />
                        </coding>
                    </language>
                    <preferred value="true" />
                </communication>
                <generalPractitioner>
                    <reference value="urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85" />
                </generalPractitioner>
            </Patient>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:1e744e34-6bbb-4aa9-8b20-fa3bb91f9d8f" />
        <resource>
            <PractitionerRole>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                </meta>
                <practitioner>
                    <reference value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85" />
                </organization>
                <specialty>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="408443003" />
                        <display value="General medical practice" />
                    </coding>
                </specialty>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9" />
        <resource>
            <Organization>
                <meta>
                    <lastUpdated value="2021-11-26T15:00:00.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <name value="Practitioner Org" />
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85" />
        <resource>
            <Organization>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/id/ods-organization-code" />
                    <value value="G82080" />
                </identifier>
                <name value="Patient&#39;s Surgery" />
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
        <resource>
            <Practitioner>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="G823658" />
                </identifier>
                <name>
                    <family value="Smith" />
                    <given value="John" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="0205663859" />
                    <use value="work" />
                </telecom>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
        <resource>
            <Organization>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/id/ods-organization-code" />
                    <value value="RYE" />
                </identifier>
                <name value="Receiving/performing Organization" />
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679" />
        <resource>
            <Organization>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/id/ods-organization-code" />
                    <value value="RND" />
                </identifier>
                <name value="Sender Organization" />
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
        <resource>
            <Practitioner>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" />
                    <value value="PT2489" />
                </identifier>
                <name>
                    <family value="BLAKE" />
                    <given value="Marcy" />
                </name>
                <telecom>
                    <system value="phone" />
                    <value value="0205568263" />
                    <use value="work" />
                </telecom>
            </Practitioner>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:b923aa53-2376-4015-a07d-afe8bf2310eb" />
        <resource>
            <PractitionerRole>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" />
                </meta>
                <practitioner>
                    <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
                </practitioner>
                <organization>
                    <reference value="urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9" />
                </organization>
                <code>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="224608005" />
                        <display value="Administrative healthcare staff" />
                    </coding>
                </code>
                <specialty>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="408443003" />
                        <display value="General medical practice" />
                    </coding>
                </specialty>
            </PractitionerRole>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:30b7b6e3-93f0-4061-b90e-71f43d5fb06d" />
        <resource>
            <MedicationStatement>
                <meta>
                    <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
                    <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationStatement" />
                </meta>
                <status value="active" />
                <category>
                    <coding>
                        <system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
                        <code value="outpatient" />
                        <display value="Outpatient" />
                    </coding>
                </category>
                <medicationCodeableConcept>
                    <coding>
                        <system value="https://dmd.nhs.uk/" />
                        <code value="8280711000001102" />
                        <display value="Aspirin 50mg/5ml oral solution" />
                    </coding>
                </medicationCodeableConcept>
                <subject>
                    <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
                </subject>
                <context>
                    <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
                </context>
                <effectiveDateTime value="2021-09-23" />
                <dateAsserted value="2021-10-22" />
                <reasonCode>
                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="65363002" />
                        <display value="Otitis media (disorder)" />
                    </coding>
                </reasonCode>
                <dosage>
                    <text value="2 capsules 4 times a day." />
                    <timing>
                        <repeat>
                            <frequency value="4" />
                            <period value="1" />
                            <periodUnit value="d" />
                        </repeat>
                    </timing>
                    <asNeededCodeableConcept>
                        <coding>
                            <system value="http://snomed.info/sct" />
                            <code value="16001004" />
                            <display value="Otalgia" />
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                        <coding>
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                            <system value="http://snomed.info/sct" />
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                            <system value="http://snomed.info/sct" />
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                        <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" />
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                        <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" />
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                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="372687004" />
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                    <manifestation>
                        <coding>
                            <system value="http://snomed.info/sct" />
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            <Flag>
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                <status value="active" />
                <category>
                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
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                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/safeguarding-codes-bars" />
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            <Flag>
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                <status value="active" />
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                        <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
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                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/reasonable-adjustment-codes-bars" />
                        <code value="adjustforneedlephobia" />
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                <status value="active" />
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                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
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                    <coding>
                        <system value="http://snomed.info/sct" />
                        <code value="718941000000104" />
                        <display value="Patient choice" />
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                    <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
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                    <start value="2018-11-10T19:57:26.961Z" />
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            <QuestionnaireResponse>
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                        <linkId value="Service1" />
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                            <linkId value="ServiceId" />
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                                <valueString value="200000359" />
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                            <linkId value="ServiceName" />
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                                <valueString value="Test DoS Service" />
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                            <linkId value="RejectionComment" />
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                                <valueString value="Same reason, Patient refused service due to parking" />
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                        <linkId value="Service2" />
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                            <linkId value="ServiceId" />
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                                <valueString value="200000360" />
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                            <linkId value="ServiceName" />
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                                <valueString value="2nd Test DoS Service" />
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                            <linkId value="RejectionComment" />
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                                <valueString value="Same reason, Patient refused service due to parking" />
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                    <coding>
                        <system value="https://fhir.nhs.uk/CodeSystem/household-composition-bars" />
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                                <valueString value="Abusive patient" />
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