<Bundle xmlns="http://hl7.org/fhir">
  <id value="86e3371d-1c15-4862-9552-d9560f8292ba" />
  <meta>
    <versionId value="1.1.0" />
    <lastUpdated value="2021-11-26T15:00:00.8185338+00:00" />
    <profile value="https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage" />
  </meta>
  <type value="message" />
  <timestamp value="2021-11-26T15:00:00+00:00" />
  <entry>
    <fullUrl value="urn:uuid:1cbdfb97-5859-48a4-8301-d54eab818d68" />
    <resource>
      <MessageHeader>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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="AMPDS" />
          </extension>
          <extension url="RequesterCDSSversion">
            <valueString value="2.2.0" />
          </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-validation" />
      </MessageHeader>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:236bb75d-90ef-461f-b71e-fde7f899802c" />
    <resource>
      <ServiceRequest>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+00:00" />
          <profile value="https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-validation" />
        </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="validation" />
            <!--    Important for driving workflow, determining the type of referral being requested    -->
            <display value="For Validation" />
          </coding>
          <coding>
            <!--       Use case category      -->
            <system value="https://fhir.nhs.uk/CodeSystem/usecases-categories-bars" />
            <code value="a4t1" />
            <display value="999 to CAS Validation" />
          </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="2021-11-26T15:00:00+00:00" />
          <end value="2021-11-26T15:20:00+00:00" />
          <!--    'end' used a breach time for ambulance despatch    -->
        </occurrencePeriod>
        <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>
          <!--     Location     -->
          <reference value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2ad1" />
        </locationReference>
      </ServiceRequest>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d482d092-6efc-4eef-b4a0-730718b1fbfd" />
    <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="Consulting psychologists and/or psychology services" />
      </HealthcareService>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
    <resource>
      <Encounter>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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="triaged" />
        <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="2021-11-26T15:00:00+00:00" />
        </period>
      </Encounter>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:68d3c42e-f76e-4f66-9498-d96e1040c81c" />
    <resource>
      <CarePlan>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
        <period>
          <start value="2021-11-26T15:00:00+00:00" />
        </period>
        <activity>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/ampds-dispatch-codes" />
              <code value="10A01" />
              <display value="Chest Pain 12 - 34 yrs with Normal Breathing" />
            </coding>
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <coding>
              <system value="https://fhir.nhs.uk/CodeSystem/arp-priority-codes" />
              <code value="C4" />
              <display value="Cat4 Less Urgent" />
            </coding>
          </outcomeCodeableConcept>
          <!--  Assessment  -->
          <outcomeCodeableConcept>
            <text value="CONSULTATION SUMMARY: Age 19 years, Patient concious, Patient breathing, Chest Pain, Patient alert, Patient breathing normally, No nausea, No vomiting, No history of MI, No history of angina, No medications taken in the last 12 hours" />
          </outcomeCodeableConcept>
          <outcomeCodeableConcept>
            <text value="Pre-Triage Sieve, Patient breathing, Patient conscious, NOT noisy breathing, No NOC - Proceed to Triage" />
          </outcomeCodeableConcept>
        </activity>
      </CarePlan>
    </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="Mr Jack Jones" />
          <family value="Jones" />
          <given value="Jack" />
          <prefix value="Mr" />
        </name>
        <gender value="male" />
        <birthDate value="2002-05-04" />
        <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>
          <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="jackjones@hotmail.co.uk" />
            <use value="home" />
            <rank value="1" />
          </telecom>
        </contact>
        <contact>
          <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="John" />
          </name>
          <telecom>
            <system value="phone" />
            <value value="0789 1234567" />
            <rank value="3" />
          </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: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="The New Surgery" />
      </Organization>
    </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: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="Craig" />
        </name>
        <telecom>
          <system value="phone" />
          <value value="0205663859" />
          <use value="work" />
        </telecom>
      </Practitioner>
    </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:d5ffd0cd-ec7e-48a1-84f1-91f4c0eb8fc5" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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>
    <fullUrl value="urn:uuid:10397afd-479c-42ea-9d5d-e4024481e0f8" />
    <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="Receiver Organization" />
      </Organization>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:07939a0c-2854-46ff-9282-ad906bc93679" />
    <resource>
      <Organization>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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-bd53-1869d84b2ad1" />
    <resource>
      <Location>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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" />
        <address>
          <line value="20 The Headrow" />
          <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="2021-11-26T15:00:00.8185338+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="2021-11-26T15:00:00.8185338+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="2021-11-26T15:00:00.8185338+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="2021-11-26T15:00:00+00:00" />
      </Observation>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:5b94d980-b9b6-42ce-8ca3-56676af6c0a7" />
    <resource>
      <Flag>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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="S" />
            <display value="The Scene is safe" />
          </coding>
        </code>
        <subject>
          <reference value="urn:uuid:2ec99e82-a0af-4b70-bd53-1869d84b2ad1" />
        </subject>
        <encounter>
          <reference value="urn:uuid:8c63d621-4d86-4f57-8699-e8e22d49935d" />
        </encounter>
      </Flag>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:1e91008e-96d0-438b-873c-c6d2c007fc29" />
    <resource>
      <Consent>
        <meta>
          <lastUpdated value="2021-11-26T15:00:00.8185338+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="2021-11-26" />
        <policyRule>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
            <code value="IMPLIED" />
          </coding>
        </policyRule>
      </Consent>
    </resource>
  </entry>
</Bundle>