The FHIR profiles used for the NIPE Outcome Event Message Bundle
Event Message Content
The NIPE Outcome event message represents a record of a New Born Physical Examination outcome in relation to a patient. Either creation, an update or deletion of the record.
All “NIPE Outcome” 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:
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 NIPE Outcome being shared is new or has been updated, or the NIPE Outcome has 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 NIPE Outcome 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 NIPE tests are 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 NIPE Outcome 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
newandupdatetype event messages, all procedures, results and other information MUST be included within each of the event messages. -
The information included in the
NIPE Outcomeevent message should be treated as atomic and stored under theidentifierincluded within focusCareConnect-Encounter-1resource. Where anewtype event message is received with the sameidentifierthe previous information should be overwritten with the information in the later event message as identified by theMessageHeader.meta.lastUpdatedelement within the event message. -
In a
deletetype 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, theMessageHeaderresource and the focusCareConnect-Encounter-1resource. It is important that theCareConnect-Encounter-1resource includes the relevantidentifierelement, as included in new (or update) event messages so the subscriber can identify theNIPE Outcomewhich the delete relates to.
Message Sequencing
As the NIPE Outcome 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 NIPE Outcome 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 | NIPEOUTCOME_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 start date of the encounter in which the examination took place |
| Location | CareConnect-Location-1.identifier (ODS Site Code) | The location recorded as to where the NIPE took place |
| Performing Professional | CareConnect-Practitioner-1.name | Name of the Healthcare Professional performing the examination |
| SDS Job Role Name | CareConnect-PractitionerRole-1.code (SDS Job Role Name) | The professional role that the Healthcare Professional has in relation to the person (e.g. Nursery Nurse, Health Visitor, School Nurse etc.) |
| Outcome Status Hips | CareConnect-Procedure-1.outcome | Whether or not a problem was detected or suspected with hips |
| Outcome Status Eyes | CareConnect-Procedure-1.outcome | Whether or not a problem was detected or suspected with eyes |
| Outcome Status Testes | CareConnect-Procedure-1.outcome | Whether or not a problem was detected or suspected with the testes |
| Outcome Status Heart | CareConnect-Procedure-1.outcome | Whether or not a problem was detected or suspected with the heart |
| Eligible for BCG | CareConnect-Observation-1.valueCodeableConcept | Whether the patient is eligible for the BCG vaccine |
| Comment | 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: nipe-outcome-1 NIPE outcome |
| 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 NIPE Outcome 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 | The start date of the encounter in which the examination took place |
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-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-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 | 1..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 |
| PractitionerRole.code(SDS Job Role Name) | 0..1 | Practitioner SDS Job Role Name |
| PractitionerRole.code(keyWorkerStatus) | 0..1 | If Practitioner is a key worker, PractitionerRole.codekeyWorkerStatus SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/DCH-KeyWorkerStatus-1 |
| PractitionerRole.specialty | 1..1 | PractitionerRole.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 | 3..4 (new) | 0..4 (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 (Physical Examination, Hips)
| Element | Cardinality | Additional Guidance |
|---|---|---|
| Procedure.code.coding.system | 1..1 | Fixed Value: http://snomed.info/sct |
| Procedure.code.coding.code | 1..1 | Fixed Value: 985531000000102 |
| Procedure.code.coding.display | 1..1 | Fixed Value: Newborn and Infant Physical Examination Screening Programme, hip examination |
| Procedure.outcome.coding(snomedCT) | 1..1 | Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/NIPE-Outcome-1 |
CareConnect-Procedure-1 (Physical Examination, Eyes)
| Element | Cardinality | Additional Guidance |
|---|---|---|
| Procedure.code.coding.system | 1..1 | Fixed Value: http://snomed.info/sct |
| Procedure.code.coding.code | 1..1 | Fixed Value: 988361000000105 |
| Procedure.code.coding.display | 1..1 | Fixed Value: Newborn and Infant Physical Examination Screening Programme, eye examination |
| Procedure.outcome.coding(snomedCT) | 1..1 | Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/NIPE-Outcome-1 |
CareConnect-Procedure-1 (Physical Examination, Testes)
| Element | Cardinality | Additional Guidance |
|---|---|---|
| Procedure.code.coding.system | 1..1 | Fixed Value: http://snomed.info/sct |
| Procedure.code.coding.code | 1..1 | Fixed Value: 988371000000103 |
| Procedure.code.coding.display | 1..1 | Fixed Value: Newborn and Infant Physical Examination Screening Programme, testis examination |
| Procedure.outcome.coding(snomedCT) | 1..1 | Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/NIPE-Outcome-1 |
CareConnect-Procedure-1 (Physical Examination, Heart)
| Element | Cardinality | Additional Guidance | |
|---|---|---|---|
| Procedure.code.coding.system | 1..1 | Fixed Value: http://snomed.info/sct | |
| Procedure.code.coding.code | 1..1 | Fixed Value: 988351000000107 | |
| Procedure.code.coding.display | 1..1 | Fixed Value: Newborn and Infant Physical Examination Screening Programme, heart examination | |
| Procedure.outcome.coding(snomedCT) | 1..1 | Procedure.outcome.coding(snomedCT) SHALL use a value from https://fhir.nhs.uk/STU3/ValueSet/NIPE-Outcome-1 |
CareConnect-Observation-1
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 | 0..1 (new) | 0..1 (delete) |
| Element | Cardinality | Additional Guidance |
|---|---|---|
| subject | 1..1 | This will reference the patient resource representing the subject of this event |
| code.coding.code | 1..1 | Fixed Value: “bcg-eligibility” |
| code.coding.display | 1..1 | Fixed Value: “Eligibility for BCG” |
| valueCodeableConcept | 1..1 | Indication of if a child is eligible for BCG |
| valueCodeableConcept.coding.code | 1..1 | Where the child is eligible for BCG the message MUST include the code value: “eligible-for-bcg” Where the child is NOT eligible for BCG the message MUST include the code value: “not-eligible-for-bcg” |
| valueCodeableConcept.coding.display | 1..1 | Where the child is eligible for BCG the message MUST include the value: “Eligible for BCG” Where the child is NOT eligible for BCG the message MUST include the value: “Not eligible for BCG” |
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 | 009 OR 010 |
| Communication.category.coding.display | 1..1 | ‘Newborn and Infant Physical Examination (72 hours)’ OR ‘Newborn and Infant Physical Examination (6-8 Weeks)’ |
Examples
New
Update
Delete
<Bundle xmlns="http://hl7.org/fhir">
<id value="06c3a440-4883-11e8-842f-0ed5f89f718b"/>
<meta>
<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
</meta>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:9d2e2cd9-ffe1-49c7-be43-f36e30564d3f"/>
<resource>
<MessageHeader>
<id value="9d2e2cd9-ffe1-49c7-be43-f36e30564d3f"/>
<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="nipe-outcome-1"/>
<display value="NIPE outcome"/>
</event>
<timestamp value="2017-11-01T15:00:00+00:00"/>
<source>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<contact>
<system value="phone"/>
<value value="0191 1231234"/>
</contact>
<endpoint value="urn:nhs:addressing:asid:300000000161"/>
</source>
<responsible>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
</responsible>
<focus>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</focus>
</MessageHeader>
</resource>
</entry>
<!--Responsible for message content-->
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<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="RX3EP"/>
</identifier>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<address>
<line value="NORTH ROAD"/>
<city value="DURHAM"/>
<district value="COUNTY DURHAM"/>
<postalCode value="DH1 5TW"/>
</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:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="UNIVERSITY HOSPITAL OF DURHAM "/>
</providedBy>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="714088003"/>
<display value="Midwifery Service"/>
</coding>
</type>
<specialty>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/>
<code value="420"/>
<display value="PAEDIATRICS"/>
</coding>
</specialty>
<location>
<reference value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
</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>
<!--Examination Hips-->
<entry>
<fullUrl value="urn:uuid:c55d58e2-9fcd-4f12-ad8c-21b1eb0afbf6"/>
<resource>
<Procedure>
<id value="c55d58e2-9fcd-4f12-ad8c-21b1eb0afbf6"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="985531000000102"/>
<display value="Newborn and Infant Physical Examination Screening Programme, hip examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="985891000000104"/>
<display value="Newborn and Infant Physical Examination Screening Programme, hip examination done, right abnormality suspected with risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Eyes-->
<entry>
<fullUrl value="urn:uuid:8230198b-5fe3-48e2-935b-c2c3d929fe69"/>
<resource>
<Procedure>
<id value="8230198b-5fe3-48e2-935b-c2c3d929fe69"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988361000000105"/>
<display value="Newborn and Infant Physical Examination Screening Programme, eye examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="989071000000108"/>
<display value="Newborn and Infant Physical Examination Screening Programme, eye examination done, no abnormality and no risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Testes-->
<entry>
<fullUrl value="urn:uuid:48a23756-7314-4898-9892-fc5b561c8093"/>
<resource>
<Procedure>
<id value="48a23756-7314-4898-9892-fc5b561c8093"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988371000000103"/>
<display value="Newborn and Infant Physical Examination Screening Programme, testis examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988931000000101"/>
<display value="Newborn and Infant Physical Examination Screening Programme, testis examination done, no abnormality"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Heart-->
<entry>
<fullUrl value="urn:uuid:d42360ec-22d8-4ba2-b176-d0cc899f1c1d"/>
<resource>
<Procedure>
<id value="d42360ec-22d8-4ba2-b176-d0cc899f1c1d"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988351000000107"/>
<display value="Newborn and Infant Physical Examination Screening Programme, heart examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988511000000100"/>
<display value="Newborn and Infant Physical Examination Screening Programme, heart examination done, no abnormality and no risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--NIPE Encounter details-->
<entry>
<fullUrl value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<resource>
<Encounter>
<id value="1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<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="006"/>
<display value="Newborn Infant Physical Examination"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
<display value="DAWKINS, Jack"/>
</subject>
<period>
<start value="2018-01-29"/>
</period>
<location>
<location>
<reference value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
</location>
</location>
<serviceProvider>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<!--Practitioner-->
<entry>
<fullUrl value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
<resource>
<Practitioner>
<id value="9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
<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="PT2469"/>
</identifier>
<name>
<family value="Bashir"/>
<given value="Julian"/>
<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>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
<value value="PT2468"/>
</identifier>
<practitioner>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</practitioner>
<organization>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
</organization>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ProfessionalType-1"/>
<code value="160"/>
<display value="General Medical Practitioner"/>
</coding>
</code>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-KeyWorkerStatus-1"/>
<code value="keyWorker"/>
<display value="Is a Key Worker"/>
</coding>
</code>
<specialty>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/>
<code value="290"/>
<display value="COMMUNITY PAEDIATRICS"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<!--Location where event took place (Maternity Site)-->
<entry>
<fullUrl value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
<resource>
<Location>
<id value="02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
<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="RX3EP"/>
</identifier>
</Location>
</resource>
</entry>
<!--BCG Eligibility Status-->
<entry>
<fullUrl value="urn:uuid:3b229a9e-9dca-11eb-a8b3-0242ac130003"/>
<resource>
<Observation>
<id value="3b229a9e-9dca-11eb-a8b3-0242ac130003"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
</meta>
<status value="final"/>
<code>
<coding>
<code value="bcg-eligibility"/>
<display value="Eligibility for BCG"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performer>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</performer>
<valueCodeableConcept>
<coding>
<code value="eligible-for-bcg"/>
<display value="Eligible for BCG"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>
<Bundle xmlns="http://hl7.org/fhir">
<id value="bf0a4e3e-bab1-4955-8410-282868241128"/>
<meta>
<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
</meta>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:5d87d039-e0e7-43e6-9839-76edeeeefb99"/>
<resource>
<MessageHeader>
<id value="5d87d039-e0e7-43e6-9839-76edeeeefb99"/>
<meta>
<lastUpdated value="2017-11-01T16:02:05+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="nipe-outcome-1"/>
<display value="NIPE outcome"/>
</event>
<timestamp value="2017-11-01T16:02:04+58:00"/>
<source>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<contact>
<system value="phone"/>
<value value="0191 1231234"/>
</contact>
<endpoint value="urn:nhs:addressing:asid:300000000161"/>
</source>
<responsible>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
</responsible>
<focus>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</focus>
</MessageHeader>
</resource>
</entry>
<!--Responsible for message content-->
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<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="RX3EP"/>
</identifier>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<address>
<line value="NORTH ROAD"/>
<city value="DURHAM"/>
<district value="COUNTY DURHAM"/>
<postalCode value="DH1 5TW"/>
</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:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="UNIVERSITY HOSPITAL OF DURHAM "/>
</providedBy>
<type>
<coding>
<system value="http://snomed.info/sct"/>
<code value="714088003"/>
<display value="Midwifery Service"/>
</coding>
</type>
<specialty>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/>
<code value="420"/>
<display value="PAEDIATRICS"/>
</coding>
</specialty>
<location>
<reference value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
</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>
<!--Examination Hips-->
<entry>
<fullUrl value="urn:uuid:c55d58e2-9fcd-4f12-ad8c-21b1eb0afbf6"/>
<resource>
<Procedure>
<id value="c55d58e2-9fcd-4f12-ad8c-21b1eb0afbf6"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="985531000000102"/>
<display value="Newborn and Infant Physical Examination Screening Programme, hip examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="985891000000104"/>
<display value="Newborn and Infant Physical Examination Screening Programme, hip examination done, right abnormality suspected with risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Eyes-->
<entry>
<fullUrl value="urn:uuid:8230198b-5fe3-48e2-935b-c2c3d929fe69"/>
<resource>
<Procedure>
<id value="8230198b-5fe3-48e2-935b-c2c3d929fe69"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988361000000105"/>
<display value="Newborn and Infant Physical Examination Screening Programme, eye examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="989071000000108"/>
<display value="Newborn and Infant Physical Examination Screening Programme, eye examination done, no abnormality and no risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Testes-->
<entry>
<fullUrl value="urn:uuid:48a23756-7314-4898-9892-fc5b561c8093"/>
<resource>
<Procedure>
<id value="48a23756-7314-4898-9892-fc5b561c8093"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988371000000103"/>
<display value="Newborn and Infant Physical Examination Screening Programme, testis examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988931000000101"/>
<display value="Newborn and Infant Physical Examination Screening Programme, testis examination done, no abnormality"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--Examination Heart-->
<entry>
<fullUrl value="urn:uuid:d42360ec-22d8-4ba2-b176-d0cc899f1c1d"/>
<resource>
<Procedure>
<id value="d42360ec-22d8-4ba2-b176-d0cc899f1c1d"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://tools.ietf.org/html/rfc4122"/>
<value value="8154d55f-2966-4f0c-947a-41aee802cf2c"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988351000000107"/>
<display value="Newborn and Infant Physical Examination Screening Programme, heart examination"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performedDateTime value="2018-02-01"/>
<performer>
<actor>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</actor>
</performer>
<outcome>
<coding>
<system value="http://snomed.info/sct"/>
<code value="988511000000100"/>
<display value="Newborn and Infant Physical Examination Screening Programme, heart examination done, no abnormality and no risk factor"/>
</coding>
</outcome>
</Procedure>
</resource>
</entry>
<!--NIPE Encounter details-->
<entry>
<fullUrl value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<resource>
<Encounter>
<id value="1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<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="006"/>
<display value="Newborn Infant Physical Examination"/>
</coding>
</type>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
<display value="DAWKINS, Jack"/>
</subject>
<period>
<start value="2018-01-28"/>
</period>
<location>
<location>
<reference value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
</location>
</location>
<serviceProvider>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
</serviceProvider>
</Encounter>
</resource>
</entry>
<!--Practitioner-->
<entry>
<fullUrl value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
<resource>
<Practitioner>
<id value="9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
<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="PT2469"/>
</identifier>
<name>
<family value="Bashir"/>
<given value="Julian"/>
<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>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
<value value="PT2468"/>
</identifier>
<practitioner>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</practitioner>
<organization>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
</organization>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ProfessionalType-1"/>
<code value="160"/>
<display value="General Medical Practitioner"/>
</coding>
</code>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-KeyWorkerStatus-1"/>
<code value="keyWorker"/>
<display value="Is a Key Worker"/>
</coding>
</code>
<specialty>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-Specialty-1"/>
<code value="290"/>
<display value="COMMUNITY PAEDIATRICS"/>
</coding>
</specialty>
</PractitionerRole>
</resource>
</entry>
<!--Location where event took place (Maternity Site)-->
<entry>
<fullUrl value="urn:uuid:02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
<resource>
<Location>
<id value="02692f55-56cf-4dda-8ef5-e9ec13f6bd99"/>
<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="RX3EP"/>
</identifier>
</Location>
</resource>
</entry>
<!--BCG Eligibility Status-->
<entry>
<fullUrl value="urn:uuid:3b229a9e-9dca-11eb-a8b3-0242ac130003"/>
<resource>
<Observation>
<id value="3b229a9e-9dca-11eb-a8b3-0242ac130003"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
</meta>
<status value="final"/>
<code>
<coding>
<code value="bcg-eligibility"/>
<display value="Eligibility for BCG"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
</subject>
<context>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</context>
<performer>
<reference value="urn:uuid:9a53ead6-ffbb-4914-b877-5026f947cfaa"/>
</performer>
<valueCodeableConcept>
<coding>
<code value="not-eligible-for-bcg"/>
<display value="Not eligible for BCG"/>
</coding>
</valueCodeableConcept>
</Observation>
</resource>
</entry>
</Bundle>
<Bundle xmlns="http://hl7.org/fhir">
<id value="9d978fac-c12a-4169-b01c-b2ff7fe14e83"/>
<meta>
<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
</meta>
<type value="message"/>
<entry>
<fullUrl value="urn:uuid:b021dc92-d6f7-4c7d-ad8a-df4174fda1ee"/>
<resource>
<MessageHeader>
<id value="b021dc92-d6f7-4c7d-ad8a-df4174fda1ee"/>
<meta>
<lastUpdated value="2017-11-02T09:11:01+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="nipe-outcome-1"/>
<display value="NIPE outcome"/>
</event>
<timestamp value="2017-11-02T09:11:01+00:00"/>
<source>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<contact>
<system value="phone"/>
<value value="0191 1231234"/>
</contact>
<endpoint value="urn:nhs:addressing:asid:300000000161"/>
</source>
<responsible>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
</responsible>
<focus>
<reference value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
</focus>
</MessageHeader>
</resource>
</entry>
<!--Responsible for message content-->
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<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="RX3EP"/>
</identifier>
<name value="UNIVERSITY HOSPITAL OF NORTH DURHAM"/>
<address>
<line value="NORTH ROAD"/>
<city value="DURHAM"/>
<district value="COUNTY DURHAM"/>
<postalCode value="DH1 5TW"/>
</address>
</Organization>
</resource>
</entry>
<!--NIPE Encounter details-->
<entry>
<fullUrl value="urn:uuid:1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<resource>
<Encounter>
<id value="1bcb0151-4ddf-4084-9c06-e8a31fdcf25b"/>
<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="006"/>
<display value="Newborn Infant Physical Examination"/>
</coding>
</type>
</Encounter>
</resource>
</entry>
</Bundle>