<Bundle xmlns="http://hl7.org/fhir"> <id value="6e7b1dbb-77d2-4ddd-ae0d-e4862a306c1c" /> <meta> <lastUpdated value="2020-09-20T10:22:00+00:00" /> </meta> <identifier> <system value="https://tools.ietf.org/html/rfc4122" /> <value value="537e38e6-a3fc-4833-90c4-37dca1e930fc" /> </identifier> <type value="message" /> <entry> <fullUrl value="urn:uuid:a50c58ea-543f-4530-99fa-ceb7b9dbbef5" /> <resource> <MessageHeader> <id value="a50c58ea-543f-4530-99fa-ceb7b9dbbef5" /> <eventCoding> <system value="https://fhir.nhs.uk/CodeSystem/message-event" /> <code value="appointment" /> <display value="Appointment" /> </eventCoding> <!-- assume the appointment goes to NHSE (is this the same as GPS?) --> <destination> <name value="Executive Agency - NHS ENGLAND - X26" /> <endpoint value="${NhsMeshMailboxId}" /> <receiver> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="X26" /> </identifier> </receiver> </destination> <!-- sent from Grail --> <sender> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code" /> <value value="8KG14" /> </identifier> </sender> <source> <endpoint value="${GrailMeshMailboxId}" /> </source> <!-- focus on appointment --> <focus> <reference value="urn:uuid:b3ce263f-aafc-41fb-a1bc-ba28e6ccf9cd" /> </focus> </MessageHeader> </resource> </entry> <entry> <fullUrl value="urn:uuid:b3ce263f-aafc-41fb-a1bc-ba28e6ccf9cd" /> <resource> <Appointment> <id value="urn:uuid:b3ce263f-aafc-41fb-a1bc-ba28e6ccf9cd" /> <!-- standard HL7 extension for any replacement of previous appointment --> <!-- provided as an example of how to reference a previous appointement being replaced --> <extension url="http://hl7.org/fhir/StructureDefinition/replaces"> <valueCanonical value="/Appointment/3e1426c2-2d0d-4f0a-91b3-4627dfe08647" /> </extension> <!-- DataItem:Channel --> <extension url="https://fhir.nhs.uk/England/StructureDefinition/Extension-channel"> <valueCoding> <system value="https://grail.com/CodeSystem/channel" /> <code value="ONLINE" /> <display value="Online" /> </valueCoding> </extension> <!-- DataItem:BloodNotCollectedReason --> <extension url="https://fhir.nhs.uk/England/StructureDefinition/Extension-AbortedReason"> <valueCoding> <system value="https://grail.com/CodeSystem/BloodNotCollectedReason" /> <code value="FAILED_ATTEMPT" /> <display value="Failed attempt" /> </valueCoding> </extension> <!-- DataItem:AppointmentID --> <identifier> <system value="https://grail.com/identifiers/appointment" /> <value value="d13279c0-38ea-4b82-9962-bb8e6d17ccf1" /> </identifier> <!-- DataItem:EventType --> <!-- FHIR LIST: proposed | pending | booked | arrived | fulfilled | cancelled | noshow | entered- in-error | checked-in | waitlist --> <!-- Mapping: BOOKED=booked | CANCELLED=cancelled | COMPLETE=fulfilled | NO_SHOW=noshow --> <!-- ABORTED - see Extension-AbortedReason --> <!-- Note on ABORTED: If ABORTED, the status will be "fulfilled", but the Extension-AbortedReason will be present --> <status value="cancelled" /> <!-- cancelationReason - needs a codeSystem --> <!-- this code system can hold the fact that the patient cancelled (code=pat), or an indication on what platformthe patient cancelled (code=pat-cpp) it also supports the fact that the provider cancelled (code=prov) If we want more detailed reasons for cancellation (e.g. patient cancelled due to lack of transport), then we would need an extension --> <cancelationReason> <coding> <system value="https://grail.com/CodeSystem/appointment-cancellation-reason" /> <code value="CANT_FIND_A_SUITABLE_LOCATION" /> <display value="Can't find a suitable location" /> </coding> </cancelationReason> <!-- this is boilerplate --> <serviceType> <coding> <system value="http://snomed.info/sct" /> <code value="82078001" /> <display value="Collection of blood specimen for laboratory" /> </coding> </serviceType> <!-- this is the AppointmentAccessibility list (true/false) --> <supportingInformation> <reference value="urn:uuid:efc85c67-50cb-4950-92c3-5d0d75f9a155" /> </supportingInformation> <!-- this is the CommunicationAccessibility list (1 string & 2 booleans) --> <supportingInformation> <reference value="urn:uuid:6a9f09f9-7863-44ac-9375-81eba9ac077f" /> </supportingInformation> <!-- this is the NotificationPreferences --> <supportingInformation> <reference value="urn:uuid:494e3468-027b-4139-9dbc-cb6c37d6eb9b" /> </supportingInformation> <!-- DataItem:Tube1 & Tube2 identifiers --> <supportingInformation> <identifier> <system value="https://grail.com/identifiers/specimen" /> <value value="NHS9123123" /> </identifier> </supportingInformation> <supportingInformation> <identifier> <system value="https://grail.com/identifiers/specimen" /> <value value="NHS8456456" /> </identifier> </supportingInformation> <!-- DataItem:AppointmentDateTime --> <start value="2022-03-11T10:46:00+00:00" /> <end value="2022-03-11T11:00:00+00:00" /> <!-- patient - links to patient in Bundle, as I assumed the phone numbers & email related to the Patient --> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="SBJ" /> <display value="Subject" /> </coding> </type> <actor> <reference value="urn:uuid:f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <type value="Patient" /> </actor> <status value="accepted" /> </participant> <!-- the clinic a HealthcareService --> <!-- DataItem:ClinicID --> <participant> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> <code value="LOC" /> <display value="Location" /> </coding> </type> <actor> <type value="Location" /> <identifier> <system value="https://grail.com/identifiers/clinicid" /> <value value="D7E-G2H" /> </identifier> </actor> <status value="accepted" /> </participant> </Appointment> </resource> </entry> <entry> <fullUrl value="urn:uuid:efc85c67-50cb-4950-92c3-5d0d75f9a155" /> <resource> <QuestionnaireResponse> <id value="efc85c67-50cb-4950-92c3-5d0d75f9a155" /> <questionnaire value="Questionnaire/AppointmentAccessibility" /> <status value="completed" /> <subject> <reference value="urn:uuid:f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <display value="NHS-AB12-CD34" /> </subject> <item> <linkId value="1" /> <text value="Accessible toilet required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="2" /> <text value="Braille translation required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="3" /> <text value="Disabled parking required for appointment?" /> <answer> <valueBoolean value="true" /> </answer> </item> <item> <linkId value="4" /> <text value="Induction loop required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="5" /> <text value="Sign language required for appointment?" /> <answer> <valueBoolean value="true" /> </answer> </item> <item> <linkId value="6" /> <text value="Step free access required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="7" /> <text value="Text relay required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="8" /> <text value="Wheelchair required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="urn:uuid:6a9f09f9-7863-44ac-9375-81eba9ac077f" /> <resource> <QuestionnaireResponse> <id value="6a9f09f9-7863-44ac-9375-81eba9ac077f" /> <questionnaire value="Questionnaire/CommunicationAccessibility" /> <status value="completed" /> <subject> <reference value="urn:uuid:f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <display value="NHS-AB12-CD34" /> </subject> <item> <linkId value="1" /> <text value="Interpreter required for appointment?" /> <answer> <valueString value="Turkish" /> </answer> </item> <item> <linkId value="2" /> <text value="Sign language translation required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> <item> <linkId value="3" /> <text value="Braille required for appointment?" /> <answer> <valueBoolean value="false" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="urn:uuid:494e3468-027b-4139-9dbc-cb6c37d6eb9b" /> <resource> <QuestionnaireResponse> <id value="494e3468-027b-4139-9dbc-cb6c37d6eb9b" /> <questionnaire value="Questionnaire/NotificationPreference" /> <status value="completed" /> <subject> <reference value="urn:uuid:f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <display value="NHS-AB12-CD34" /> </subject> <item> <linkId value="1" /> <text value="canSMS" /> <answer> <valueString value="true" /> </answer> </item> <item> <linkId value="2" /> <text value="canEmail" /> <answer> <valueBoolean value="false" /> </answer> </item> </QuestionnaireResponse> </resource> </entry> <entry> <fullUrl value="urn:uuid:f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <resource> <Patient> <id value="f265c669-ca44-4c69-826d-d4fe34ad1f44" /> <!-- DataItem:ParticipantID --> <identifier> <system value="https://grail.com/identifiers/participant" /> <value value="NHS-AB12-CD34" /> </identifier> <!-- DataItem:PhoneNumber --> <telecom> <system value="phone" /> <value value="+44123456789" /> <rank value="1" /> </telecom> <telecom> <system value="phone" /> <value value="+44987654321" /> <rank value="2" /> </telecom> <!-- DataItem:Email --> <telecom> <system value="email" /> <value value="me@myemail.com" /> </telecom> </Patient> </resource> </entry> </Bundle>
