<Bundle xmlns="http://hl7.org/fhir">
<id value="7cd3f180" />
<type value="message" />
<timestamp value="2023-03-14T13:00:00+00:00" />
<entry>
<fullUrl value="urn:MSG-01" />
<resource>
<MessageHeader>
<id value="MSG-01" />
<eventCoding>
<system value="https://fhir.nhs.wales/CodeSystem/message-event" />
<code value="medicationlist-discharge" />
<display value="Medication list on discharge" />
</eventCoding>
<sender>
<reference value="urn:ORG-02" />
<display />
</sender>
<source>
<name value="ACME Clinical Systems" />
<software value="ACME ePMA" />
<version value="3.5.68" />
<endpoint value="urn:nhs-wales-tba" />
</source>
<focus>
<reference value="urn:LIST-01" />
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:ORG-02" />
<resource>
<Organization>
<id value="ORG-02" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" />
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="7A3" />
</identifier>
<active value="true" />
<name value="Swansea Bay University Local Health Board" />
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:LIST-01" />
<resource>
<List>
<id value="LIST-01" />
<status value="current" />
<mode value="snapshot" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="933361000000108" />
<display value="Medications and medical devices" />
</coding>
</code>
<subject>
<reference value="urn:PAT-01" />
<display value="JAMES, Harold (NHS: 3795624165)" />
</subject>
<encounter>
<reference value="urn:ENC-01" />
<display value="Emergency Inpatient Admission" />
</encounter>
<date value="2023-03-14T13:00:00+00:00" />
<source>
<reference value="urn:PRAC-01" />
<display value="Dr Sally Foster(GMC: 9830222)" />
</source>
<entry>
<item>
<reference value="urn:MED-01" />
<display value="Bendroflumethazide 2.5mg tablets - 1 tablet every morning" />
</item>
</entry>
<entry>
<item>
<reference value="urn:MED-02" />
<display value="Nifedipress MR 20mg tablet 1 tablet twice a day" />
</item>
</entry>
<entry>
<item>
<reference value="urn:MED-03" />
<display value="Ibuprofen 400mg oral, three times a day - STOPPED due to GI bleed" />
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:PAT-01" />
<resource>
<Patient>
<id value="PAT-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Patient" />
</meta>
<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="3795624165" />
</identifier>
<identifier>
<system value="https://fhir.sbuhb.nhs.wales/Id/pas-identifier" />
<value value="E100054" />
</identifier>
<name>
<family value="Harold" />
<given value="James" />
<prefix value="Mr" />
</name>
<telecom>
<system value="phone" />
<value value="01446231234" />
</telecom>
<gender value="male" />
<birthDate value="1965-10-10" />
<address>
<line value="36 Ely Street" />
<line value="Bettws" />
<city value="Carmarthenshire" />
<district value="Carmarthen" />
<postalCode value="SA31 4EL" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:PRAC-01" />
<resource>
<Practitioner>
<id value="PRAC-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Practitioner" />
</meta>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmc-number" />
<value value="9830222" />
</identifier>
<name>
<family value="Foster" />
<given value="Sally" />
<prefix value="Dr" />
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:ENC-01" />
<resource>
<Encounter>
<id value="ENC-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Encounter" />
</meta>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-AdmissionMethod">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-AdmissionMethodWales" />
<code value="22" />
<display value="Emergency Admission: GP: after a request for immediate admission has been made direct to a hospital provider (i.e. not through a Bed Bureau) by a General Practitioner or deputy" />
</coding>
</valueCodeableConcept>
</extension>
<extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-DischargeMethod">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethod" />
<code value="1" />
<display value="Patient discharged on clinical advice or with clinical consent" />
</coding>
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://fhir.sbuhb.nhs.wales/Id/visit-number" />
<value value="6f40cebe" />
</identifier>
<status value="finished" />
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
<code value="IMP" />
<display value="inpatient encounter" />
</class>
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="185212007" />
<display value="Seen in hospital ward" />
</coding>
</type>
<subject>
<reference value="urn:PAT-01" />
<display value="JAMES, Harold (NHS: 3795624165)" />
</subject>
<participant>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
<code value="ATND" />
<display value="attender" />
</coding>
</type>
<individual>
<reference value="urn:PRAC-01" />
<display value="Dr Sally Foster(GMC: 9830222)" />
</individual>
</participant>
<period>
<start value="2023-03-10T13:00:00+00:00" />
<end value="2023-03-14T13:00:00+00:00" />
</period>
<reasonCode>
<coding>
<system value="http://snomed.info/sct" />
<code value="7922000" />
<display value="General treatment" />
</coding>
</reasonCode>
<hospitalization>
<dischargeDisposition>
<coding>
<system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestinationWales" />
<code value="19" />
<display value="Own home" />
</coding>
</dischargeDisposition>
</hospitalization>
<location>
<location>
<reference value="urn:LOC-01" />
<display value="Ward E" />
</location>
</location>
<serviceProvider>
<reference value="urn:ORG-01" />
<display value="Neath Port Talbot Hospital" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:LOC-01" />
<resource>
<Location>
<id value="LOC-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Location" />
</meta>
<identifier>
<system value="https://fhir.sbuhb.nhs.wales/Id/pas-location-identifier" />
<value value="60138" />
</identifier>
<name value="Ward E" />
<managingOrganization>
<reference value="urn:ORG-01" />
<display value="Neath Port Talbot Hospital" />
</managingOrganization>
</Location>
</resource>
</entry>
<entry>
<fullUrl value="urn:ORG-01" />
<resource>
<Organization>
<id value="ORG-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Organization" />
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="7A3CJ" />
</identifier>
<active value="true" />
<name value="Neath Port Talbot Hospital" />
<partOf>
<reference value="urn:ORG-02" />
<display value="Swansea Bay University Local Health Board" />
</partOf>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:MED-01" />
<resource>
<MedicationStatement>
<id value="MED-01" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationStatement" />
</meta>
<status value="active" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
<code value="discharge" />
<display value="Discharge" />
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="317919004" />
<display value="Bendroflumethiazide 2.5mg tablets" />
</coding>
<text value="Bendroflumethiazide 2.5mg tablets" />
</medicationCodeableConcept>
<subject>
<reference value="urn:PAT-01" />
<display value="JAMES, Harold (NHS: 3795624165)" />
</subject>
<context>
<reference value="urn:ENC-01" />
<display value="Emergency Inpatient Admission" />
</context>
<dateAsserted value="2023-03-14T13:00:00+00:00" />
<informationSource>
<reference value="urn:PRAC-01" />
<display value="Dr Sally Foster(GMC: 9830222)" />
</informationSource>
<dosage>
<timing>
<repeat>
<frequency value="1" />
<period value="1" />
<periodUnit value="d" />
<when value="MORN" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:MED-02" />
<resource>
<MedicationStatement>
<id value="urn:MED-02" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationStatement" />
</meta>
<status value="active" />
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
<code value="discharge" />
<display value="Discharge" />
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="619111000001101" />
<display value="Nifedipress MR 20 tablets" />
</coding>
<text value="Nifedipress MR 20 tablets" />
</medicationCodeableConcept>
<subject>
<reference value="urn:PAT-01" />
<display value="JAMES, Harold (NHS: 3795624165)" />
</subject>
<context>
<reference value="urn:ENC-01" />
<display value="Emergency Inpatient Admission" />
</context>
<dateAsserted value="2023-03-14T13:00:00+00:00" />
<informationSource>
<reference value="urn:PRAC-01" />
<display value="Dr Sally Foster(GMC: 9830222)" />
</informationSource>
<dosage>
<timing>
<repeat>
<frequency value="2" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="1" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:MED-03" />
<resource>
<MedicationStatement>
<id value="MED-03" />
<meta>
<profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-MedicationStatement" />
</meta>
<status value="stopped" />
<statusReason>
<coding>
<system value="http://snomed.info/sct" />
<code value="74474003" />
<display value="Gastrointestinal hemorrhage" />
</coding>
</statusReason>
<category>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/medication-statement-category" />
<code value="discharge" />
<display value="Discharge" />
</coding>
</category>
<medicationCodeableConcept>
<coding>
<system value="https://dmd.nhs.uk" />
<code value="38268001" />
<display value="Ibuprofen" />
</coding>
<text value="Ibuprofen" />
</medicationCodeableConcept>
<subject>
<reference value="urn:PAT-01" />
<display value="JAMES, Harold (NHS: 3795624165)" />
</subject>
<context>
<reference value="urn:ENC-01" />
<display value="Emergency Inpatient Admission" />
</context>
<dateAsserted value="2023-03-14T13:00:00+00:00" />
<informationSource>
<reference value="urn:PRAC-01" />
<display value="Dr Sally Foster(GMC: 9830222)" />
</informationSource>
<dosage>
<timing>
<repeat>
<frequency value="2" />
<frequencyMax value="3" />
<period value="1" />
<periodUnit value="d" />
</repeat>
</timing>
<asNeededBoolean value="true" />
<route>
<coding>
<system value="http://snomed.info/sct" />
<code value="26643006" />
<display value="Oral" />
</coding>
</route>
<doseAndRate>
<doseQuantity>
<value value="2" />
<unit value="tablet" />
<system value="http://snomed.info/sct" />
<code value="428673006" />
</doseQuantity>
</doseAndRate>
</dosage>
</MedicationStatement>
</resource>
</entry>
</Bundle>
