The FHIR profiles used for the Newborn Hearing Event Message Bundle

Event Message Content

The Newborn Hearing event message represents a record of a Newborn Hearing test in relation to a patient. Either creation, an update or deletion of the record.

All “Newborn Hearing” event messages that are published to the NEMS MUST be created inline with guidance and requirements specified on this page and on the Generic Event Message Requirements page. Where requirements on this page contradict the requirements on the Generic Event Message Requirements page, then the requirements on this page take precedence.

Bundle Structure

The event message will contain a mandatory MessageHeader resource as the first element within the event message bundle as per FHIR messaging requirements. The MessageHeader resource references a Encounter resource as the focus of the event message. The test procedures, results and comment are linked to this encounter focus resource within the event message.

The diagram below shows the referencing between FHIR resources within the event message bundle:


Newborn Hearing Bundle
Procedure and Outcome Concept

Event Life Cycle

The MessageHeader resource contains the messageEventType extension which represents the action the event message represents at a resource level, for example the Newborn Hearing results being shared are new or have been updated, or the Newborn Hearing results have been deleted. The messageEventType extension shall contain a values as per the table below:

Value Description
new The new value must be used when the Newborn Hearing is being shared for the first time, or is being shared because of an update to the information.
update A value of update will not be used for this type of event due to the way the Newborn Hearing is recorded and managed within the current National Screening Service, a value of new shall be used instead.
delete The delete value must be used when the Newborn Hearing record has been deleted and the record no longer exists.

Identifying Information

To support the event life cycle outlined above the following requirements MUST be followed:

  • For new and update type event messages, all procedures, results and other information MUST be included within each of the event messages.

  • The information included in the Newborn Hearing event message should be treated as atomic and stored under the identifier included within focus CareConnect-Encounter-1 resource. Where a new type event message is received with the same identifier the previous information should be overwritten with the information in the later event message as identified by the MessageHeader.meta.lastUpdated element within the event message.

  • In a delete type event message the event message should be populated with the payload of the original new (or update) message where possible, to allow for additional validation of the information being removed. Where this is not possible the event message SHALL including, as a minimum, the MessageHeader resource and the focus CareConnect-Encounter-1 resource. It is important that the CareConnect-Encounter-1 resource includes the relevant identifier element, as included in new (or update) event messages so the subscriber can identify the Newborn Hearing that the delete relates to.

Message Sequencing

As the Newborn Hearing may change in the source system, this would be represented by multiple new, new (update) and delete type event messages being published. To allow a subscribers to perform message sequencing, the event MUST include the meta.lastUpdated element within the MessageHeader resource allowing the consumer to identify the latest and most up to date information.

Onward Delivery

The delivery of the Newborn Hearing event messages to subscribers via MESH will use the following WorkflowID within the MESH control file. This WorkflowID will need to be added to the receiving MESH mailbox configuration before event messages can be received.

MESH WorkflowID NEWBORNHEARING_1

Resource Population Requirements and Guidance

The following requirements and resource population guidance must be followed in addition to the requirements and guidance outlined in the Generic Requirements page.

Resource Mapping Overview

Element Name FHIR resource element Description
Date/Time CareConnect-Encounter-1.period.start The date the screening test took place
Location CareConnect-Location-1.identifier The location that is recorded as to where the newborn hearing screening examination took place
Performing Professional CareConnect-Practitioner-1.name The name of the Healthcare Professional responsible for the person
SDS Job Role Name CareConnect-PractitionerRole-1.codeableConcept The professional role that the Healthcare Professional has in relation to the person (e.g. Nursery Nurse, Health Visitor, School Nurse etc.)
Hearing Test Result CareConnect-Procedure-1.outcome The outcome of the individual screening test performed
CareConnect-Procedure-1.Procedure.outcome.coding(snomedCT)    
Summary Outcome CareConnect-Observation-1.valueCodeableConcept Overall outcome of the newborn hearing screening
Comments CareConnect-Communication-1.Communication.category.coding.system Supporting text may be given covering regarding the screening test, outcome and actions taken.

Bundle

The Bundle resource included as part of the event message SHALL conform to the Bundle constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 1..1 (delete)
Element Cardinality Additional Guidance
type 1..1 Fixed value: message

Event-MessageHeader-1

The Event-MessageHeader-1 resource included as part of the event message SHALL conform to the Event-MessageHeader-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 1..1 (delete)
Element Cardinality new Cardinality delete Additional Guidance
extension(routingDemographics) 1..1 1..1 The extension MUST contain the details of the patient who is the focus of this event message.
extension(routingDemographics)
.extension(nhsNumber)
1..1 1..1 The extension MUST contain the patient’s NHS Number identifier and is used by the NEMS for routing event messages to subscribers.
extension(routingDemographics)
.extension(name)
1..1 0..1 The extension MUST contain the human name element containing the patient’s official given and family names as recognised by PDS, and match the NHS number in the routingDemographics extension.
extension(routingDemographics)
.extension(birthDateTime)
1..1 0..1 The extension MUST contain the patient’s Date Of Birth which matches the NHS number in the routingDemographics extension.
meta.lastUpdated 1..1 1..1 Message Sequencing - A FHIR instant (time stamp with sub-second accuracy) which represents the point in time that the change occurred which should be used for ordering messages for processing.
extension(eventMessageType) 1..1 1..1 See the “Event Life Cycle” section above.
event 1..1 1..1 Fixed Value: ​newborn-hearing-1 (Newborn Hearing)
focus 1..1 1..1 The focus element will reference the CareConnect-Encounter-1 resource which contains information relating to the event message.

CareConnect-Encounter-1

The CareConnect-Encounter-1 resource included as part of the event message SHALL conform to the CareConnect-Encounter-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 1..1 (delete)
Element Cardinality new Cardinality delete Additional Guidance
identifier 1..1 1..1 A publisher defined unique identifier for the Newborn Hearing which will be maintained across different event messages to allow subscribers to identify the information within subsequent new (i.e. updated) or delete event messages.
Encounter.type.coding(childHealthEncounterType) 1..1 0..1 Encounter.type.coding(childHealthEncounterType) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-ChildHealthEncounterType-1
Encounter.reason.coding(snomedCT) 0..1 0..1 Encounter.reason.coding(snomedCT) SHOULD use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-AdmissionReason-1
serviceProvider 1..1 0..1 This will reference the Organisation resource hosting the Encounter
location 0..1 0..1 This will reference the Encounter’s Location
subject 1..1 0..1 This will reference the patient resource representing the subject of this event
period.start 1..1 0..1 Date/Time

CareConnect-Organization-1

The CareConnect-Organization-1 resource included as part of the event message SHALL conform to the CareConnect-Organization-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
identifier.system 1..1 Fixed value: https://fhir.nhs.uk/Id/ods-organization-code
identifier.value 1..1 Organisation’s ODS Organization Code
name 1..1 Organisation’s Name

CareConnect-Patient-1

The CareConnect-Patient-1 resource included as part of the event message SHALL conform to the CareConnect-Patient-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
identifier 1..1 Patient NHS Number SHALL be included within the nhsNumber identifier slice
name (official) 1..1 Patients name as registered on PDS, included within the resource as the official name element slice
birthDate 1..1 The patient birth date shall be included in the patient resource

CareConnect-Location-1

The CareConnect-Location-1 resource included as part of the event message SHALL conform to the CareConnect-Location-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1 (new) 0..1 (delete)

CareConnect-Practitioner-1

The CareConnect-Practitioner-1 resource included as part of the event message SHALL conform to the CareConnect-Practitioner-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1 (new) 0..1 (delete)

CareConnect-PractitionerRole-1

The CareConnect-PractitionerRole-1 resource included as part of the event message SHALL conform to the CareConnect-PractitionerRole-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
organization 1..1 This will reference the Organization resource responsible for the event
practitioner 1..1 This will reference the Practitioner resource responsible for the event
PractitionerRole.code(careProfessionalType) 1..1 PractitionerRole.code(careProfessionalType) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-ProfessionalType-1

CareConnect-HealthcareService-1

The CareConnect-HealthcareService-1 resource included as part of the event message SHALL conform to the CareConnect-HealthcareService-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
providedBy 1..1 This will reference the ‘sender’ organization of the event message.
type 1..1 This will represent the type of service responsible for the event message. This will have a fixed value from the ValueSet CareConnect-CareSettingType-1
specialty 1..1 HealthcareService.specialty SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-Specialty-1

CareConnect-Procedure-1

The CareConnect-Procedure-1 resource included as part of the event message SHALL conform to the CareConnect-Procedure-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..6 Required (new) 0..6 Required (delete)
Element Cardinality Additional Guidance
subject 1..1 This will reference the patient resource representing the subject of this event

For each of the Procedure resources representing a Test Outcome:

CareConnect-Procedure-1 (AABR Hearing Test)

Resource Cardinality 0..2 Required Two occurrences of this resource are required, one for each ear
Element Cardinality Additional Guidance
Procedure.code.coding.system 1..1 Fixed Value: http://snomed.info/sct
Procedure.code.coding.code 1..1 Fixed Value: 413083006
Procedure.code.coding.display 1..1 Fixed Value: Automated auditory brainstem response test
Procedure.outcome.coding(snomedCT) 1..1 Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-AABRHearingTest-Outcome-1

CareConnect-Procedure-1 (AOAE Hearing Test)

Resource Cardinality 0..4 Required Up to four occurrences of this resource are required, with two for each test performed (one for each ear)
Element Cardinality Additional Guidance
Procedure.code.coding.system 1..1 Fixed Value: http://snomed.info/sct
Procedure.code.coding.code 1..1 Fixed Value: 446077009
Procedure.code.coding.display 1..1 Fixed Value: Automated otoacoustic emission test
Procedure.outcome.coding(snomedCT) 1..1 Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-AOAEHearingTest-Outcome-1

CareConnect-Observation-1 (Hearing Screening Summary Outome)

The CareConnect-Observation-1 resource included as part of the event message SHALL conform to the CareConnect-Observation-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 1..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
subject 1..1 The Hearing Screening Summary Outome observation will reference the patient resource.
Observation.valueCodeableConcept 1..1 Observation.valueCodeableConcept SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-HearingScreeningOutcome-1

CareConnect-Communication-1

The CareConnect-Communication-1 resource included as part of the event message SHALL conform to the CareConnect-Communication-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality 0..1 (new) 0..1 (delete)
Element Cardinality Additional Guidance
status 1..1 Fixed value: completed
sender 1..1 This will reference the sending organization of the event message.
subject 1..1 This will reference the patient resource representing the patient who is the subject of this event.
Communication.category.coding.system 1..1 Fixed Value: https://fhir.nhs.uk/STU3/CodeSystem/DCH-ProfessionalCommentType-1
Communication.category.coding.code 1..1 Fixed Value: 008
Communication.category.coding.display 1..1 Fixed Value: Newborn Hearing Screening

Examples

New Update Delete
<Bundle xmlns="http://hl7.org/fhir"> <id value="d6996c07-f14d-4975-afa6-1de4a4bbd2d0"/> <meta> <profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/> </meta> <type value="message"/> <!--Message Header--> <entry> <fullUrl value="urn:uuid:85c8a1c5-a8a1-41c9-bb99-20956fa66218"/> <resource> <MessageHeader> <id value="85c8a1c5-a8a1-41c9-bb99-20956fa66218"/> <meta> <lastUpdated value="2017-11-01T15:00:33+00:00"/> <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/> </meta> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1"> <extension url="nhsNumber"> <valueIdentifier> <system value="https://fhir.nhs.uk/Id/nhs-number"/> <value value="9912003888"/> </valueIdentifier> </extension> <extension url="name"> <valueHumanName> <use value="official"/> <family value="DAWKINS"/> <given value="Jack"/> </valueHumanName> </extension> <extension url="birthDateTime"> <valueDateTime value="2017-10-02T12:00:00+00:00"/> </extension> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/> <code value="new"/> <display value="New event message"/> </coding> </valueCodeableConcept> </extension> <event> <system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/> <code value="newborn-hearing-1"/> <display value="Newborn Hearing"/> </event> <destination> <endpoint value="urn:nhs:addressing:asid:477121000325"/> </destination> <timestamp value="2017-11-01T15:00:00+00:00"/> <source> <name value="SILVERDALE FAMILY PRACTICE"/> <contact> <system value="phone"/> <value value="0191 1231234"/> </contact> <endpoint value="urn:nhs:addressing:asid:300000000161"/> </source> <responsible> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </responsible> <focus> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </focus> </MessageHeader> </resource> </entry> <!--Responsible Org (MessageHeader.responsible)--> <entry> <fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <resource> <Organization> <id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code"/> <value value="A83627"/> </identifier> <name value="SILVERDALE FAMILY PRACTICE"/> <address> <line value="FRONT STREET"/> <line value="SOUTH HETTON"/> <city value="DURHAM"/> <district value="COUNTY DURHAM"/> <postalCode value="DH6 2TH"/> </address> </Organization> </resource> </entry> <!--Healthcare service used e.g GP, trust, etc..--> <entry> <fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/> <resource> <HealthcareService> <id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/STU3/CodeSystem/EMS-HealthcareServiceType-1"/> <value value="PDS"/> </identifier> <providedBy> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </providedBy> <type> <coding> <system value="http://snomed.info/sct"/> <code value="310008001"/> <display value="Audiological screening service"/> </coding> </type> <specialty> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/> <code value="254"/> <display value="PAEDIATRIC AUDIOLOGICAL MEDICINE"/> </coding> </specialty> <location> <reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> </location> <telecom> <system value="phone"/> <value value="0191 1231234"/> </telecom> </HealthcareService> </resource> </entry> <!--Child Details (Jack Dawkins)--> <entry> <fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> <resource> <Patient> <id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/> </meta> <identifier> <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/> <code value="01"/> <display value="Number present and verified"/> </coding> </valueCodeableConcept> </extension> <system value="https://fhir.nhs.uk/Id/nhs-number"/> <value value="9912003888"/> </identifier> <name> <use value="official"/> <family value="DAWKINS"/> <given value="Jack"/> </name> <gender value="male"/> <birthDate value="2013-10-12"> <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime"> <valueDateTime value="2017-10-02T12:00:00+00:00"/> </extension> </birthDate> <address> <use value="home"/> <line value="4 Sandmoor Drive"/> <city value="DURHAM"/> <postalCode value="DH1 2TF"/> </address> </Patient> </resource> </entry> <!--Encounter details--> <entry> <fullUrl value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> <resource> <Encounter> <id value="12779557-9033-4213-876f-69a670cdf35d"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/> </meta> <identifier> <system value="https://supplierABC/identifiers"/> <value value="abc1111"/> </identifier> <status value="finished"/> <type> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/> <code value="007"/> <display value="Newborn Hearing Screening"/> </coding> </type> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> <display value="DAWKINS, Jack"/> </subject> <participant> <type> <coding> <system value="http://hl7.org/fhir/v3/ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <individual> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> <display value="EMMANUEL, Gladys"/> </individual> </participant> <period> <start value="2017-10-31"/> </period> <location> <location> <reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <display value="SILVERDALE FAMILY PRACTICE"/> </location> </location> <serviceProvider> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </serviceProvider> </Encounter> </resource> </entry> <!--AABR - Right Ear--> <entry> <fullUrl value="urn:uuid:e49ff5ba-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ff5ba-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="413083006"/> <display value="Automated auditory brainstem response test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:00:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085451000000103"/> <display value="Automated auditory brainstem response test right ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AABR - Left Ear--> <entry> <fullUrl value="urn:uuid:e49ff830-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ff830-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="413083006"/> <display value="Automated auditory brainstem response test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:00:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085431000000105"/> <display value="Automated auditory brainstem response test left ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AOAE - Right Ear--> <entry> <fullUrl value="urn:uuid:e49ffbd2-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ffbd2-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="446077009"/> <display value="Automated otoacoustic emission test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:15:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085501000000100"/> <display value="Automated oto-acoustic emission test right ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AOAE - Left Ear--> <entry> <fullUrl value="urn:uuid:e49ffe16-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ffe16-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="446077009"/> <display value="Automated otoacoustic emission test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:15:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085491000000106"/> <display value="Automated oto-acoustic emission test left ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--Newborn Hearing Summary--> <entry> <fullUrl value="urn:uuid:e49fff88-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Observation> <id value="e49fff88-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="276771000000107"/> <display value="Newborn hearing screening programme outcome (situation)"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <effectiveDateTime value="2017-10-31T09:30:00+00:00"/> <performer> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="276781000000109"/> <display value="Newborn hearing screening programme completed, clear response no follow-up required"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!--Practitioner--> <entry> <fullUrl value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> <resource> <Practitioner> <id value="285e33ce-918f-406b-b971-f253fe53160e"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/> <value value="PT2468"/> </identifier> <name> <family value="EMMANUEL"/> <given value="Gladys"/> <prefix value="Dr."/> </name> </Practitioner> </resource> </entry> <!--Practitioner Role--> <entry> <fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/> <resource> <PractitionerRole> <id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/> </meta> <practitioner> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </practitioner> <organization> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> </organization> <code> <coding> <system value="https://hl7.org/fhir/STU3/v3/NullFlavor"/> <code value="UNC"/> <display value="un-encoded"/> </coding> <text value="Specialist Registrar"/> </code> <code> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ProfessionalType-1"/> <code value="160"/> <display value="General Medical Practitioner"/> </coding> </code> </PractitionerRole> </resource> </entry> <!--Location where event took place--> <entry> <fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <resource> <Location> <id value="e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-site-code"/> <value value="A83627"/> </identifier> <name value="SILVERDALE FAMILY PRACTICE"/> </Location> </resource> </entry> </Bundle>
<Bundle xmlns="http://hl7.org/fhir"> <id value="bac37451-05aa-458a-ac71-d72ecf6f2176"/> <meta> <profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/> </meta> <type value="message"/> <!--Message Header--> <entry> <fullUrl value="urn:uuid:523d6560-a698-433c-8e92-9866dd81727c"/> <resource> <MessageHeader> <id value="523d6560-a698-433c-8e92-9866dd81727c"/> <meta> <lastUpdated value="2017-11-02T10:00:33+00:00"/> <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/> </meta> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1"> <extension url="nhsNumber"> <valueIdentifier> <system value="https://fhir.nhs.uk/Id/nhs-number"/> <value value="9912003888"/> </valueIdentifier> </extension> <extension url="name"> <valueHumanName> <use value="official"/> <family value="DAWKINS"/> <given value="Jack"/> </valueHumanName> </extension> <extension url="birthDateTime"> <valueDateTime value="2017-10-02T12:00:00+00:00"/> </extension> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/> <code value="new"/> <display value="New event message"/> </coding> </valueCodeableConcept> </extension> <event> <system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/> <code value="newborn-hearing-1"/> <display value="Newborn Hearing"/> </event> <destination> <endpoint value="urn:nhs:addressing:asid:477121000325"/> </destination> <timestamp value="2017-11-01T09:00:00+00:00"/> <source> <name value="SILVERDALE FAMILY PRACTICE"/> <contact> <system value="phone"/> <value value="0191 1231234"/> </contact> <endpoint value="urn:nhs:addressing:asid:300000000161"/> </source> <responsible> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </responsible> <focus> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </focus> </MessageHeader> </resource> </entry> <!--Responsible Org (MessageHeader.responsible)--> <entry> <fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <resource> <Organization> <id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code"/> <value value="A83627"/> </identifier> <name value="SILVERDALE FAMILY PRACTICE"/> <address> <line value="FRONT STREET"/> <line value="SOUTH HETTON"/> <city value="DURHAM"/> <district value="COUNTY DURHAM"/> <postalCode value="DH6 2TH"/> </address> </Organization> </resource> </entry> <!--Healthcare service used e.g GP, trust, etc..--> <entry> <fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/> <resource> <HealthcareService> <id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/STU3/CodeSystem/EMS-HealthcareServiceType-1"/> <value value="PDS"/> </identifier> <providedBy> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </providedBy> <type> <coding> <system value="http://snomed.info/sct"/> <code value="310008001"/> <display value="Audiological screening service"/> </coding> </type> <specialty> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/> <code value="254"/> <display value="PAEDIATRIC AUDIOLOGICAL MEDICINE"/> </coding> </specialty> <location> <reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> </location> <telecom> <system value="phone"/> <value value="0191 1231234"/> </telecom> </HealthcareService> </resource> </entry> <!--Child Details (Jack Dawkins)--> <entry> <fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> <resource> <Patient> <id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/> </meta> <identifier> <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1"> <valueCodeableConcept> <coding> <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/> <code value="01"/> <display value="Number present and verified"/> </coding> </valueCodeableConcept> </extension> <system value="https://fhir.nhs.uk/Id/nhs-number"/> <value value="9912003888"/> </identifier> <name> <use value="official"/> <family value="DAWKINS"/> <given value="Jack"/> </name> <gender value="male"/> <birthDate value="2013-10-12"> <extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime"> <valueDateTime value="2017-10-02T12:00:00+00:00"/> </extension> </birthDate> <address> <use value="home"/> <line value="4 Sandmoor Drive"/> <city value="DURHAM"/> <postalCode value="DH1 2TF"/> </address> </Patient> </resource> </entry> <!--Encounter details--> <entry> <fullUrl value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> <resource> <Encounter> <id value="12779557-9033-4213-876f-69a670cdf35d"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/> </meta> <identifier> <system value="https://supplierABC/identifiers"/> <value value="abc1111"/> </identifier> <status value="finished"/> <type> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/> <code value="007"/> <display value="Newborn Hearing Screening"/> </coding> </type> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> <display value="DAWKINS, Jack"/> </subject> <participant> <type> <coding> <system value="http://hl7.org/fhir/v3/ParticipationType"/> <code value="PPRF"/> <display value="primary performer"/> </coding> </type> <individual> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> <display value="EMMANUEL, Gladys"/> </individual> </participant> <period> <start value="2017-10-31"/> </period> <location> <location> <reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <display value="SILVERDALE FAMILY PRACTICE"/> </location> </location> <serviceProvider> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </serviceProvider> </Encounter> </resource> </entry> <!--AABR - Right Ear--> <entry> <fullUrl value="urn:uuid:e49ff5ba-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ff5ba-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="413083006"/> <display value="Automated auditory brainstem response test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:00:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085451000000103"/> <display value="Automated auditory brainstem response test right ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AABR - Left Ear--> <entry> <fullUrl value="urn:uuid:e49ff830-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ff830-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="413083006"/> <display value="Automated auditory brainstem response test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:00:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085431000000105"/> <display value="Automated auditory brainstem response test left ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AOAE - Right Ear--> <entry> <fullUrl value="urn:uuid:e49ffbd2-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ffbd2-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="446077009"/> <display value="Automated otoacoustic emission test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:15:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085501000000100"/> <display value="Automated oto-acoustic emission test right ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--AOAE - Left Ear--> <entry> <fullUrl value="urn:uuid:e49ffe16-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Procedure> <id value="e49ffe16-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/> </meta> <status value="completed"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="446077009"/> <display value="Automated otoacoustic emission test"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <performedDateTime value="2017-10-31T09:15:00+00:00"/> <performer> <actor> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </actor> </performer> <outcome> <coding> <system value="http://snomed.info/sct"/> <code value="1085491000000106"/> <display value="Automated oto-acoustic emission test left ear clear response"/> </coding> </outcome> </Procedure> </resource> </entry> <!--Newborn Hearing Summary--> <entry> <fullUrl value="urn:uuid:e49fff88-80f1-11e8-adc0-fa7ae01bbebc"/> <resource> <Observation> <id value="e49fff88-80f1-11e8-adc0-fa7ae01bbebc"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/> </meta> <status value="final"/> <code> <coding> <system value="http://snomed.info/sct"/> <code value="276771000000107"/> <display value="Newborn hearing screening programme outcome (situation)"/> </coding> </code> <subject> <reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/> </subject> <context> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </context> <effectiveDateTime value="2017-10-31T09:30:00+00:00"/> <performer> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </performer> <valueCodeableConcept> <coding> <system value="http://snomed.info/sct"/> <code value="276781000000109"/> <display value="Newborn hearing screening programme completed, clear response no follow-up required"/> </coding> </valueCodeableConcept> </Observation> </resource> </entry> <!--Practitioner--> <entry> <fullUrl value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> <resource> <Practitioner> <id value="285e33ce-918f-406b-b971-f253fe53160e"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/> <value value="PT2468"/> </identifier> <name> <family value="EMMANUEL"/> <given value="Gladys"/> <prefix value="Dr."/> </name> </Practitioner> </resource> </entry> <!--Practitioner Role--> <entry> <fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/> <resource> <PractitionerRole> <id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/> </meta> <practitioner> <reference value="urn:uuid:285e33ce-918f-406b-b971-f253fe53160e"/> </practitioner> <organization> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> </organization> <code> <coding> <system value="https://hl7.org/fhir/STU3/v3/NullFlavor"/> <code value="UNC"/> <display value="un-encoded"/> </coding> <text value="Specialist Registrar"/> </code> <code> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ProfessionalType-1"/> <code value="160"/> <display value="General Medical Practitioner"/> </coding> </code> </PractitionerRole> </resource> </entry> <!--Location where event took place--> <entry> <fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <resource> <Location> <id value="e3177167-40fc-4f1a-80f2-a2f17f18fde7"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-site-code"/> <value value="A83627"/> </identifier> <name value="SILVERDALE FAMILY PRACTICE"/> </Location> </resource> </entry> </Bundle>
<Bundle xmlns="http://hl7.org/fhir"> <id value="957fd026-7ea9-4c04-9e75-3e17184ae04b"/> <meta> <profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/> </meta> <type value="message"/> <!--Message Header--> <entry> <fullUrl value="urn:uuid:d3cb9fe0-893b-4d6a-a1de-e1cd4c5bd1e5"/> <resource> <MessageHeader> <id value="d3cb9fe0-893b-4d6a-a1de-e1cd4c5bd1e5"/> <meta> <lastUpdated value="2017-11-03T14:00:33+00:00"/> <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/> </meta> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1"> <extension url="nhsNumber"> <valueIdentifier> <system value="https://fhir.nhs.uk/Id/nhs-number"/> <value value="9912003888"/> </valueIdentifier> </extension> <extension url="name"> <valueHumanName> <use value="official"/> <family value="DAWKINS"/> <given value="Jack"/> </valueHumanName> </extension> <extension url="birthDateTime"> <valueDateTime value="2017-10-02T12:00:00+00:00"/> </extension> </extension> <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1"> <valueCodeableConcept> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/> <code value="delete"/> <display value="Delete event message"/> </coding> </valueCodeableConcept> </extension> <event> <system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/> <code value="newborn-hearing-1"/> <display value="Newborn Hearing"/> </event> <destination> <endpoint value="urn:nhs:addressing:asid:477121000325"/> </destination> <timestamp value="2017-11-03T14:00:00+00:00"/> <source> <name value="SILVERDALE FAMILY PRACTICE"/> <contact> <system value="phone"/> <value value="0191 1231234"/> </contact> <endpoint value="urn:nhs:addressing:asid:300000000161"/> </source> <responsible> <reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <display value="SILVERDALE FAMILY PRACTICE"/> </responsible> <focus> <reference value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> </focus> </MessageHeader> </resource> </entry> <!--Responsible Org (MessageHeader.responsible)--> <entry> <fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <resource> <Organization> <id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/> </meta> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code"/> <value value="A83627"/> </identifier> <name value="SILVERDALE FAMILY PRACTICE"/> <address> <line value="FRONT STREET"/> <line value="SOUTH HETTON"/> <city value="DURHAM"/> <district value="COUNTY DURHAM"/> <postalCode value="DH6 2TH"/> </address> </Organization> </resource> </entry> <!--Encounter details--> <entry> <fullUrl value="urn:uuid:12779557-9033-4213-876f-69a670cdf35d"/> <resource> <Encounter> <id value="12779557-9033-4213-876f-69a670cdf35d"/> <meta> <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/> </meta> <identifier> <system value="https://supplierABC/identifiers"/> <value value="abc1111"/> </identifier> <status value="entered-in-error"/> <type> <coding> <system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/> <code value="007"/> <display value="Newborn Hearing Screening"/> </coding> </type> </Encounter> </resource> </entry> </Bundle>
Tags: fhir