<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" />
        <!-- The MessageDefinition that this Bundle conforms against -->
      </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/v2-0131" />
              <code value="C" />
              <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'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" />
            </coding>
          </asNeededCodeableConcept>
          <site>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="123851003" />
              <display value="Mouth region structure" />
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          </site>
          <route>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="26643006" />
              <display value="Oral" />
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          </route>
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            <coding>
              <system value="http://snomed.info/sct" />
              <code value="421984009" />
              <display value="Until finished" />
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          </method>
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            <doseQuantity>
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              <system value="http://unitsofmeasure.org" />
              <code value="mg" />
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      <AllergyIntolerance>
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        </meta>
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          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" />
            <code value="active" />
            <display value="Active" />
          </coding>
        </clinicalStatus>
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          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification" />
            <code value="confirmed" />
            <display value="Confirmed" />
          </coding>
        </verificationStatus>
        <type value="allergy" />
        <category value="medication" />
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          <coding>
            <system value="http://snomed.info/sct" />
            <code value="372687004" />
            <display value="Amoxicillin" />
          </coding>
        </code>
        <patient>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </patient>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
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        <recordedDate value="2021-10-10T13:00:00+00:00" />
        <recorder>
          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
        </recorder>
        <asserter>
          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
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        <reaction>
          <manifestation>
            <coding>
              <system value="http://snomed.info/sct" />
              <code value="247472004" />
              <display value="Urticarial rash" />
            </coding>
          </manifestation>
          <severity value="mild" />
        </reaction>
      </AllergyIntolerance>
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    <fullUrl value="urn:uuid:ea37a499-245c-40e9-b0fa-df4383c4d413" />
    <resource>
      <Flag>
        <meta>
          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="http://hl7.org/fhir/StructureDefinition/Flag" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag" />
        </meta>
        <status value="active" />
        <category>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
            <code value="SG" />
            <display value="Safeguarding Concern" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/safeguarding-codes-bars" />
            <code value="836881000000105" />
            <display value="Child is cause for safeguarding concern (finding)" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
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      </Flag>
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    <fullUrl value="urn:uuid:3fe61915-32d2-4d41-953a-1d4ff56030e0" />
    <resource>
      <Flag>
        <meta>
          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="http://hl7.org/fhir/StructureDefinition/Flag" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag" />
        </meta>
        <status value="active" />
        <category>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
            <code value="RA" />
            <display value="Reasonable Adjustment" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/reasonable-adjustment-codes-bars" />
            <code value="adjustforneedlephobia" />
            <display value="Adjust for needle phobia" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
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        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
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      </Flag>
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  <entry>
    <fullUrl value="urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc" />
    <resource>
      <Flag>
        <meta>
          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="http://hl7.org/fhir/StructureDefinition/Flag" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Flag" />
        </meta>
        <status value="active" />
        <category>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
            <code value="RS" />
            <display value="Rejected Services" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="718941000000104" />
            <display value="Patient choice" />
          </coding>
          <text value="Patient Choice in Service Selection" />
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        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <period>
          <start value="2018-11-10T19:57:26.961Z" />
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      </Flag>
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    <fullUrl value="urn:uuid:65508934-c9e6-46d2-a393-af096b502daf" />
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      <QuestionnaireResponse>
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          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" />
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        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason">
          <valueCodeableConcept>
            <text value="Rejected Services - Patient Choice in Service Selection" />
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          <reference value="urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc" />
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          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
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        <source>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
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          <linkId value="RejectedServices" />
          <text value="Rejected Services" />
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            <linkId value="Service1" />
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              <linkId value="ServiceId" />
              <answer>
                <valueString value="200000359" />
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            <item>
              <linkId value="ServiceName" />
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                <valueString value="Test DoS Service" />
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            <item>
              <linkId value="RejectionReason" />
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                <valueCoding>
                  <system value="https://fhir.nhs.uk/CodeSystem/dos-rejected-reasons-bars" />
                  <code value="26" />
                  <display value="Rejected for patient choice" />
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            <item>
              <linkId value="RejectionComment" />
              <answer>
                <valueString value="Same reason, Patient refused service due to parking" />
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          </item>
          <item>
            <linkId value="Service2" />
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              <linkId value="ServiceId" />
              <answer>
                <valueString value="200000360" />
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            <item>
              <linkId value="ServiceName" />
              <answer>
                <valueString value="2nd Test DoS Service" />
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            </item>
            <item>
              <linkId value="RejectionReason" />
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                <valueCoding>
                  <system value="https://fhir.nhs.uk/CodeSystem/dos-rejected-reasons-bars" />
                  <code value="26" />
                  <display value="Rejected for patient choice" />
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            <item>
              <linkId value="RejectionComment" />
              <answer>
                <valueString value="Same reason, Patient refused service due to parking" />
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      <Observation>
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          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/household-composition-bars" />
            <code value="LivesAlone" />
            <display value="Lives Alone" />
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        </code>
        <encounter>
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          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
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  <entry>
    <fullUrl value="urn:uuid:660f804e-9003-4623-b6c0-9f0faae50433" />
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      <Observation>
        <meta>
          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-LivingArrangement" />
            <code value="N" />
            <display value="Nursing Home" />
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        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
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          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
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  <entry>
    <fullUrl value="urn:uuid:e53b2595-7875-4687-80e9-23a0c8cb8ea0" />
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      <Observation>
        <meta>
          <lastUpdated value="2021-10-11T15:23:30.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
        </meta>
        <status value="final" />
        <code>
          <text value="Expectations and wishes" />
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        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
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        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
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          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
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      <QuestionnaireResponse>
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        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason">
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            <text value="Additional Information Sources" />
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            <linkId value="Source1" />
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                <valueString value="Healthcare Gateway MIG" />
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              <linkId value="SourceURL" />
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                <valueUri value="http://www.healthcaregateway.co.uk/mig/" />
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              <linkId value="SourceName" />
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                <valueString value="Graphnet" />
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              <linkId value="SourceURL" />
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                <valueUri value="http://www.graphnet.co.uk/" />
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            <linkId value="Source3" />
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              <linkId value="SourceName" />
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                <valueString value="Local SPN" />
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              <linkId value="SPNTitle" />
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                <valueString value="Abusive patient" />
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              <linkId value="SPNDetail" />
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                <valueString value="On one encounter with the patient they were verbally abusive to attending staff. Patient should not be seen alone" />
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                <valueDateTime value="2022-05-10T19:45:28.654Z" />
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      <Consent>
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            <system value="http://terminology.hl7.org/CodeSystem/consentscope" />
            <code value="patient-privacy" />
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            <system value="https://fhir.nhs.uk/CodeSystem/consent-categories-bars" />
            <code value="DRC" />
            <display value="Direct Care" />
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            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
            <code value="IMPLIED" />
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