<Bundle xmlns="http://hl7.org/fhir">
  <id value="86e3371d-1c15-4862-9552-d9560f8292ba" />
  <meta>
    <versionId value="1.0.0-beta" />
    <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
    <profile value="https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage" />
  </meta>
  <type value="message" />
  <timestamp value="2023-12-26T15:00:00+00:00" />
  <entry>
    <!-- 0  -->
    <fullUrl value="urn:uuid:1cbdfb97-5859-48a4-8301-d54eab818d68" />
    <resource>
      <MessageHeader>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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:10397afd-479c-42ea-9d5d-e4024481e0f8" />
          </receiver>
        </destination>
        <sender>
          <!--      Organization      -->
          <reference value="urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679" />
        </sender>
        <source>
          <name value="Emergency service" />
          <software value="Patient Manager" />
          <version value="1.7" />
          <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>
    <!-- 1  -->
    <fullUrl value="urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c" />
    <resource>
      <ServiceRequest>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-referral" />
        </meta>
        <basedOn>
          <!--      Always CarePlan     -->
          <reference value="urn:uuid:68d3c42e-f76e-4f66-9498-d96e1040c81c" />
        </basedOn>
        <status value="active" />
        <!--     used to drive workflow e.g. cancel/remove     -->
        <intent value="plan" />
        <!--      required and always set to '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="a6t1" />
            <display value="CAD to CAD Out of Area Referral" />
          </coding>
        </category>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <authoredOn value="2023-12-26T11:30:00+00:00" />
        <requester>
          <!--      Sending Practitioner      -->
          <reference value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
        </requester>
        <performer>
          <!--      Receiving/performing Organization/HealthcareService      -->
          <reference value="urn:uuid:d482d092-6efc-4eef-b4a0-730718b1fbfd" />
        </performer>
        <locationReference>
          <!--    Incident Location      -->
          <reference value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22" />
        </locationReference>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <!-- 2  -->
    <fullUrl value="urn:uuid:d482d092-6efc-4eef-b4a0-730718b1fbfd" />
    <resource>
      <HealthcareService>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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="Ambulance Service Trust A" />
      </HealthcareService>
    </resource>
  </entry>
  <entry>
    <!--  3 -->
    <fullUrl value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
    <resource>
      <Encounter>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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" />
        <statusHistory>
          <status value="planned" />
          <period>
            <start value="2023-12-26T15:00:01+00:00" />
          </period>
        </statusHistory>
        <statusHistory>
          <status value="arrived" />
          <period>
            <start value="2023-12-26T15:00:02+00:00" />
          </period>
        </statusHistory>
        <statusHistory>
          <status value="in-progress" />
          <period>
            <start value="2023-12-26T15:00:03+00:00" />
          </period>
        </statusHistory>
        <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="2023-12-26T15:00:00+00:00" />
        </period>
        <location>
          <!--    Incident Location      -->
          <location>
            <reference value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22" />
          </location>
          <status value="active" />
          <period>
            <start value="2023-12-26T15:00:00+00:00" />
          </period>
        </location>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <!-- 4  -->
    <fullUrl value="urn:uuid:68d3c42e-f76e-4f66-9498-d96e1040c81c" />
    <resource>
      <CarePlan>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" />
        </meta>
        <status value="active" />
        <intent value="plan" />
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <encounter>
          <!--      Encounter      -->
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <period>
          <start value="2023-12-26T15:00:00+00:00" />
        </period>
        <author>
          <!-- Practitioner Reference if clinical -->
          <reference value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
        </author>
        <activity>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/pathways-sd-codes" />
              <code value="SD4033" />
              <display value="AMB new/worsening breathlessness" />
            </coding>
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/pathways-sg-codes" />
              <code value="SG1137" />
              <display value="Palpitations" />
            </coding>
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/pathways-dx-codes" />
              <code value="Dx0122" />
              <display value="Emergency Ambulance Response (Category 3)" />
            </coding>
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/arp-priority-codes" />
              <code value="C3" />
              <display value="Cat3 Urgent" />
            </coding>
          </outcomeCodeableConcept>
          <!--   Pathways assessment   -->
          <outcomeCodeableConcept>
            <text value="CONSULTATION SUMMARY /n PRINTED ON 26/12/2023 15:10:18 CASE ID: e093dd1d-d377-4819-8c52-504b93de49da NHS PATHWAYS R32.2.0_Nightly (Alpha) /n PATIENT: Julie Jones TELEPHONE: AGE GROUP: Adult GENDER: Female PARTY: 3 POSTCODE: LS10 4YU NOTES: /n SKILLSET: 999 Call Handler CALL HANDLER USER ID: user1@nhs.net PATHWAY: PW1030 - Palpitations SYMPTOM GROUP: SG1137 - Palpitations SYMPTOM DISCRIMINATOR: SD4033 - AMB new/worsening breathlessness DISPOSITION: Dx0122 - Emergency Ambulance Response (Category 3) SELECTED CARE SERVICE: No care service selected /n CONSULTATION SUMMARY: Conscious Illness - Palpitations Warm to touch New/worsening breathlessness Breathing worsening in last hour No indication scene unsafe PATHWAYS ASSESSMENT: Cardiac arrest not identified at this point. The individual was conscious at the time of the assessment. The call was not from a health professional. It was not appropriate to speak to the patient. There was no blood loss. An illness or health problem was the main problem. - Palpitations The individual was not fighting for breath. The main reason for the assessment was not an allergic reaction, a heart attack, chest/upper back pain, probable stroke, recent fit/seizure or suicide attempt. The main reason for assessment was not new confusion, declared diabetic hypo/hyperglycaemia, successful resuscitation or ICD shock. The skin on the torso felt normal, warm or hot. Pathway Selected: PW1030, Palpitations The individual did not have an implanted cardioverter defibrillator. The individual was 35 years of age or more. There had been no crushing chest, upper back or abdominal pain, or chest pain spreading to the arm, neck or jaw in the previous 24 hours. There had been no episodes of inability to raise both arms, speech difficulty or unilateral facial weakness in the last week. There had been no episode of unilateral leg weakness in the last week. There had been no exposure to extremes of temperature in the previous 24 hours. There was new or worsening breathlessness since the onset of the problem. The breathing had worsened in the previous hour. There was no further information to help with dispatch. The individual did not have someone to stay with them. There was no safeguarding concern. The scene was safe. Pre-arrival instructions were considered appropriate. ADVICE GIVEN: Sit upright. Use prescribed inhalers, nebulisers or oxygen according to the instructions. Sit upright. Use prescribed inhalers, nebulisers or oxygen according to the instructions. If you can, ask for someone to meet and direct the vehicle. Shut any dogs away. If you do need to contact somebody do so now, then try and keep the line free as we may need to call you back. If there are any new symptoms, or their condition gets worse, changes or you have any other concerns call 999. Drinking caffeine or alcohol, or smoking and taking decongestants can all make the problem worse. Breathlessness or pain in the chest that is getting worse - CALL 999 Pain in the upper abdomen or upper back - CALL 999" />
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <text value="Pre-Triage Sieve, Patient breathing, Patient conscious, NOT noisy breathing, No NOC - Proceed to Triage" />
          </outcomeCodeableConcept>
          <!-- Reference to a Task Resource if included.  -->
          <reference>
            <reference value="urn:uuid:d0f8ec8e-0602-4d02-af8a-7b3cb72be5c0" />
          </reference>
        </activity>
      </CarePlan>
    </resource>
  </entry>
  <entry>
    <!-- 5  -->
    <fullUrl value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
    <resource>
      <Patient>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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" />
          <line value="Overtown" />
          <line value="Leeds" />
          <line value="West Yorkshire" />
          <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>
    <!--  6 -->
    <fullUrl value="urn:uuid:c8c21609-cb27-4958-8eb2-37c76f3def85" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2023-12-26T15:23:30.8185338+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>
    <!-- 7  -->
    <fullUrl value="urn:uuid:1e744e34-6bbb-4aa9-8b20-fa3bb91f9d8f" />
    <resource>
      <PractitionerRole>
        <meta>
          <lastUpdated value="2023-12-26T15:23:30.8185338+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>
    <!--  8 -->
    <fullUrl value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
    <resource>
      <Practitioner>
        <meta>
          <lastUpdated value="2023-12-26T15:23:30.8185338+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="Alex" />
        </name>
        <telecom>
          <system value="phone" />
          <value value="0205663333" />
          <use value="work" />
        </telecom>
      </Practitioner>
    </resource>
  </entry>
  <entry>
    <!-- 9  -->
    <fullUrl value="urn:uuid:b5e27389-3ca5-4cbc-9173-73f0c74915d9" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
        </meta>
        <name value="Practitioner Org" />
      </Organization>
    </resource>
  </entry>
  <entry>
    <!-- 10  -->
    <fullUrl value="urn:uuid:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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>
    <!--  11 -->
    <fullUrl value="urn:uuid:10397afd-479c-42ea-9d5d-e4024481e0f8" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
        </meta>
        <name value="Receiver Organization" />
      </Organization>
    </resource>
  </entry>
  <entry>
    <!-- 12  -->
    <fullUrl value="urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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>
    <!--    Incident location     -->
    <fullUrl value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22" />
    <resource>
      <Location>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/BARSLocation-incident-location" />
        </meta>
        <extension url="https://fhir.nhs.uk/StructureDefinition/LocationExtension">
          <extension url="UPRN">
            <valueString value="0008755622" />
          </extension>
          <extension url="eastings">
            <valueString value="0.368598" />
          </extension>
          <extension url="northings">
            <valueString value="0.409257" />
          </extension>
          <extension url="accuracy">
            <valueString value="80" />
          </extension>
        </extension>
        <type>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/location-types-bars" />
            <code value="ILOC" />
            <display value="Incident Location" />
          </coding>
        </type>
        <address>
          <line value="Ladybridge Hall" />
          <line value="399 Chorley New Road" />
          <line value="Markland Hill" />
          <line value="Bolton" />
          <line value="Greater Manchester" />
          <city value="Bolton" />
          <district value="Greater Manchester" />
          <postalCode value="BL1 5DD" />
          <country value="UK" />
        </address>
        <position>
          <longitude value="53.578960" />
          <latitude value="-2.4757443" />
        </position>
      </Location>
    </resource>
  </entry>
  <entry>
    <!--     Location      -->
    <fullUrl value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2ad1" />
    <resource>
      <Location>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" />
        </meta>
        <extension url="https://fhir.nhs.uk/StructureDefinition/LocationExtension">
          <extension url="UPRN">
            <valueString value="0008755622" />
          </extension>
          <extension url="eastings">
            <valueString value="0.33424" />
          </extension>
          <extension url="northings">
            <valueString value="0.55634" />
          </extension>
        </extension>
        <name value="Briggate corner" />
        <type>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/location-types-bars" />
            <code value="CLOC" />
            <display value="Caller Location" />
          </coding>
        </type>
        <address>
          <line value="20 The Headrow" />
          <line value="Leeds" />
          <city value="Leeds" />
          <postalCode value="LS1 6PT" />
          <country value="UK" />
        </address>
        <position>
          <longitude value="53.79957987629337" />
          <latitude value="-1.5417544014466307" />
        </position>
      </Location>
    </resource>
  </entry>
  <entry>
    <!--      Practitioner taking the request details      -->
    <fullUrl value="urn:uuid:7d948662-bade-450e-b6c5-9bb6ee39cb56" />
    <resource>
      <Practitioner>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+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="2023-12-26T15:00:00.8185338+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>
          <!--      If populated then use SDS 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:c584542a-a1c6-4b77-a3e8-4a5b0b9cea09" />
    <resource>
      <Observation>
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation" />
        </meta>
        <status value="final" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="271594007" />
            <display value="Syncope (disorder)" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <effectiveDateTime value="2023-12-26T15:00:00+00:00" />
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d0f8ec8e-0602-4d02-af8a-7b3cb72be5c0" />
    <resource>
      <Task xmlns="http://hl7.org/fhir">
        <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be5c0" />
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Task" />
        </meta>
        <status value="requested" />
        <intent value="plan" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="715537001" />
            <display value="Transportation by ambulance" />
          </coding>
        </code>
        <description value="Patient requires transport by ambulance" />
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <authoredOn value="2023-12-26T15:00:00.8185338+00:00" />
        <restriction>
          <period>
            <start value="2023-12-26T15:00:00+00:00" />
            <end value="2023-12-26T19:00:00+00:00" />
          </period>
        </restriction>
      </Task>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c8e8b4" />
    <resource>
      <Condition xmlns="http://hl7.org/fhir">
        <id value="4b816945-a51b-47c4-9efd-4d7f94c8e8b4" />
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" />
        </meta>
        <clinicalStatus>
          <coding>
            <code value="active" />
          </coding>
        </clinicalStatus>
        <category>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="33962009" />
            <display value="Presenting complaint" />
          </coding>
        </category>
        <code>
          <text value="Choking" />
        </code>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
      </Condition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c86666" />
    <resource>
      <!-- NOC Questionaire -->
      <Questionnaire xmlns="http://hl7.org/fhir">
        <id value="81599e54-c713-4f3e-bca9-90225657f18d" />
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire" />
        </meta>
        <identifier>
          <value value="bf28a7e8-ae92-4e86-8c0f-ac3144f81bf6" />
        </identifier>
        <version value="0.1" />
        <name value="NOC" />
        <title value="Nature of Call Questionnaire" />
        <status value="active" />
        <experimental value="false" />
        <date value="2023-12-26T15:00:00+00:00" />
        <publisher value="NHSE - BaRS" />
        <description value="NOC Questionnaire for CAD-to-CAD" />
        <item>
          <linkId value="0" />
          <text value="What is the nature of call?" />
          <type value="choice" />
          <required value="true" />
          <answerOption>
            <valueCoding>
              <code value="CHOM" />
              <display value="Choking" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="DAHM" />
              <display value="Dangerous Haemorrhage" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="DROM" />
              <display value="Drowning" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="FINM" />
              <display value="Fitting now" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="HANM" />
              <display value="Hanging" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="HI1M" />
              <display value="HCP /IFT C1" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="INBM" />
              <display value="Ineffective Breathing" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="MATM" />
              <display value="Major Trauma" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="MACM" />
              <display value="Maternity Complications" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="MEUM" />
              <display value="Medical (unconscious)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="SARM" />
              <display value="Severe Allergic Reaction" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="TRUM" />
              <display value="Trauma (unconcious)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="ANAP" />
              <display value="Anaphylaxis (potential)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="AP1P" />
              <display value="Arrest/ Peri Arrest (Cat1)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="ALTP" />
              <display value="Asthma (life threatening)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="CHOP" />
              <display value="Choking" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="DROP" />
              <display value="Drowning" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="FINP" />
              <display value="Fitting Now" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="HANP" />
              <display value="Hanging" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="HI1P" />
              <display value="HCP/IFT C1" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="OBEP" />
              <display value="Obstetric Emergency" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="5SHP" />
              <display value="Under 5 Severe Haemorrhage" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="16UP" />
              <display value="Under 16 unconscious" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <code value="UNPP" />
              <display value="Unconscious pregnant &gt; 20 weeks " />
            </valueCoding>
          </answerOption>
        </item>
      </Questionnaire>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c81234" />
    <resource>
      <!-- NOC Questionaire Responses -->
      <QuestionnaireResponse xmlns="http://hl7.org/fhir">
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" />
        </meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason">
          <valueCodeableConcept>
            <text value="Nature of Call Questionnaire" />
          </valueCodeableConcept>
        </extension>
        <questionnaire value="https://fhir.nhs.uk/Questionnaire/NOC" />
        <status value="completed" />
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <authored value="2023-12-26T15:00:00+00:00" />
        <author>
          <reference value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
        </author>
        <source>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </source>
        <item>
          <linkId value="0" />
          <text value="What is the nature of call??" />
          <answer>
            <valueCoding>
              <code value="CHOM" />
              <display value="Choking" />
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c84444" />
    <resource>
      <!-- PTS Questionaire -->
      <Questionnaire xmlns="http://hl7.org/fhir">
        <id value="9749ae76-28f7-4b8a-863f-aba64d19d678" />
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire" />
        </meta>
        <identifier>
          <value value="76b4622b-2b8b-4f24-aee5-2631c7695594" />
        </identifier>
        <version value="0.1" />
        <name value="PTS" />
        <title value="Pre Triage Sieve Questionnaire" />
        <status value="active" />
        <experimental value="false" />
        <date value="2023-12-26T15:00:00+00:00" />
        <publisher value="NHSE - BaRS" />
        <description value="PTS Questionnaire for CAD-to-CAD" />
        <item>
          <linkId value="0" />
          <text value="Is the patient breathing?" />
          <type value="choice" />
          <required value="true" />
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="78064003" />
              <display value="Breathing (observable entity)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="1023001" />
              <display value="Not Breathing (finding)" />
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="1" />
          <text value="Is the patient awake (conscious)?" />
          <type value="choice" />
          <enableWhen>
            <question value="0" />
            <operator value="=" />
            <answerCoding>
              <code value="78064003" />
              <display value="Breathing (observable entity)" />
            </answerCoding>
          </enableWhen>
          <required value="false" />
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="428913001" />
              <display value="No loss of consciousness (situation)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="419045004" />
              <display value="Loss of consciousness (finding)" />
            </valueCoding>
          </answerOption>
        </item>
        <item>
          <linkId value="2" />
          <text value="Is their breathing noisy?" />
          <type value="choice" />
          <enableWhen>
            <question value="0" />
            <operator value="=" />
            <answerCoding>
              <code value="78064003" />
              <display value="Breathing (observable entity)" />
            </answerCoding>
          </enableWhen>
          <required value="false" />
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="248573009" />
              <display value="Noisy respiration (finding)" />
            </valueCoding>
          </answerOption>
          <answerOption>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="48348007" />
              <display value="Normal breath sounds (finding)" />
            </valueCoding>
          </answerOption>
        </item>
      </Questionnaire>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:4b816945-a51b-47c4-9efd-4d7f94c82222" />
    <resource>
      <!-- PTS Questionaire Responses -->
      <QuestionnaireResponse xmlns="http://hl7.org/fhir">
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" />
        </meta>
        <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason">
          <valueCodeableConcept>
            <text value="Pre Triage Sieve Questionnaire" />
          </valueCodeableConcept>
        </extension>
        <questionnaire value="https://fhir.nhs.uk/Questionnaire/PTS" />
        <status value="completed" />
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <authored value="2023-12-26T15:00:00+00:00" />
        <author>
          <reference value="urn:uuid:07dec093-be12-42f4-ade5-0d582d255ef1" />
        </author>
        <source>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </source>
        <item>
          <linkId value="0" />
          <text value="Is the patient breathing?" />
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="78064003" />
              <display value="Breathing (observable entity)" />
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="1" />
          <text value="Is the patient awake (conscious)?" />
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="428913001" />
              <display value="No loss of consciousness (situation)" />
            </valueCoding>
          </answer>
        </item>
        <item>
          <linkId value="2" />
          <text value="Is the patient breathing?" />
          <answer>
            <valueCoding>
              <system value="http://snomed.info/sct" />
              <code value="248573009" />
              <display value="Noisy respiration (finding)" />
            </valueCoding>
          </answer>
        </item>
      </QuestionnaireResponse>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:5b94d980-b9b6-42ce-8ca3-56676af6c0a7" />
    <!-- Scene Safety Flag -->
    <resource>
      <Flag xmlns="http://hl7.org/fhir">
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="http://hl7.org/fhir/StructureDefinition/Flag" />
          <profile value="https://fhir.nhs.uk/StructureDefinition/BARSFlag-scene-safety" />
        </meta>
        <status value="active" />
        <category>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" />
            <code value="SS" />
            <display value="Scene Safety" />
          </coding>
        </category>
        <code>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/scene-safety-codes-bars" />
            <code value="U" />
            <display value="The Scene is unsafe" />
          </coding>
          <text value="Intoxicated patient" />
        </code>
        <subject>
          <reference value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2a22" />
        </subject>
        <period>
          <start value="2023-12-26T15:00:00+00:00" />
        </period>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
      </Flag>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e91008e-96d0-438b-873c-c6d2c007f123" />
    <resource>
      <!-- Crew Notes -->
      <Communication xmlns="http://hl7.org/fhir">
        <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be523" />
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Communication" />
        </meta>
        <status value="completed" />
        <topic>
          <text value="Crew Note or Call Log Entry" />
        </topic>
        <sent value="2023-12-26T15:00:00.8185338+00:00" />
        <payload>
          <contentString value="Reports of a knife on scene" />
        </payload>
      </Communication>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d0f8ec8e-0602-4d02-af8a-7b3cb72be566" />
    <resource>
      <Procedure xmlns="http://hl7.org/fhir">
        <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be566" />
        <meta>
          <lastUpdated value="2023-06-26T11:30:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Procedure" />
        </meta>
        <status value="in-progress" />
        <code>
          <coding>
            <system value="http://snomed.info/sct" />
            <code value="89666000" />
            <display value="Cardiopulmonary resuscitation (procedure)" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </subject>
        <performedPeriod>
          <start value="2023-12-26T15:01:00+00:00" />
        </performedPeriod>
      </Procedure>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e91008e-96d0-438b-873c-c6d2c007fc29" />
    <resource>
      <Consent xmlns="http://hl7.org/fhir">
        <meta>
          <lastUpdated value="2023-12-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Consent" />
        </meta>
        <status value="active" />
        <scope>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/consentscope" />
            <code value="patient-privacy" />
          </coding>
        </scope>
        <category>
          <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/consent-categories-bars" />
            <code value="DRC" />
            <display value="Direct Care" />
          </coding>
        </category>
        <patient>
          <reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8" />
        </patient>
        <dateTime value="2023-12-26" />
        <policyRule>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
            <code value="IMPLIED" />
          </coding>
        </policyRule>
      </Consent>
    </resource>
  </entry>
</Bundle>