An example of a 999 service sending a validation request to a 111 service
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 an Encounter resource as the focus of the event message.
Event Life Cycle
The MessageHeader resource contains the messageEventType extension which represents the action the event message represents at a resource level, The messageEventType extension shall contain values as per the table below:
| Value | Description |
|---|---|
| new | The new value must be used when the Validation request is being shared for the first time. |
| update | The update value must be used when the Validation request and supporting resources have previously been shared, but have been updated and the updated resources are being shared. |
Examples
New
Update
<Bundle xmlns="http://hl7.org/fhir">
<id value="e6492db3-3788-4519-bebd-2bdf7d7547b7"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/EMS-Bundle-1"/>
</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="2021-02-19T15:00:33+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-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><!-- Is it a Referral or should say Validation????? -->
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
<code value="referral-1"/>
<display value="Referral"/>
</event>
<timestamp value="2021-02-19T11:00:00+00:00"/>
<source><!-- 999 service -->
<name value="999 Call centre"/>
<contact>
<system value="phone"/>
<value value="0191 1231234"/>
</contact>
<endpoint value="urn:nhs:addressing:asid:300000000161"/>
</source>
<responsible><!-- 111 service -->
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="111 Service"/>
</responsible>
<focus><!-- Encounter -->
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2d920d4a-1434-445d-a8a0-8ol6688768de"/>
<resource>
<Task>
<id value="2d920d4a-1434-445d-a8a0-8ol6688768de"/>
<!-- <meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Task-1"/>
May need to publish a custom task resource for UEC
</meta> -->
<status value="requested"/>
<intent value="order"/>
<priority value="routine"/>
<code>
<text value="Validation"/> <!-- Potentially make it a code system, current profile does not support this -->
</code>
<description value="Referred for validation"/>
<for>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</for>
<context>
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</context>
<executionPeriod>
<start value="2021-02-19T11:15:00+00:00"/>
</executionPeriod>
<authoredOn value="2021-02-19T11:15:00+00:00"/>
<lastModified value="2021-02-19T11:30:00+00:00"/>
<requester> <!-- 999 service that is sending the Task -->
<agent>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
</agent>
</requester>
<performerType>
<coding>
<system value="http://hl7.org/fhir/task-performer-type"/>
<code value="requester"/>
</coding>
</performerType>
<owner> <!-- 111 service that is receiving the Task -->
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ssf7op"/>
</owner>
<restriction>
<period>
<end value="2021-02-19T11:45:00+00:00"/>
</period>
</restriction>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6687fb37-87a2-77d8-968f-b123429299k8"/>
<resource>
<ReferralRequest>
<id value="6687fb37-87a2-77d8-968f-b123429299k8"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1"/>
</meta>
<status value="active"/>
<intent value="plan"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<occurrencePeriod>
<end value="2021-02-19T11:25:00+00:00"/>
</occurrencePeriod>
<authoredOn value="2021-02-19T11:25:00+00:00"/>
<description value="In the past 2 years has had 6 instances of r) sided Otitis media."/>
<supportingInfo>
<reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
</supportingInfo>
</ReferralRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
<resource>
<Parameters>
<id value="e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
<parameter>
<name value="SG"/>
<valueString value="SG1000:Abdominal or Flank Injury, Blunt"/>
</parameter>
<parameter>
<name value="SD"/>
<valueString value="SD4033:AMB new/worsening breathlessness"/>
</parameter>
</Parameters>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
<resource>
<Patient>
<id value="9589fb37-87a2-48d8-968f-b371429208a8"/>
<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="3478526985"/>
</identifier>
<name>
<use value="official"/>
<text value="Mrs Julie Jones"/>
<family value="Jones"/>
<given value="Julie"/>
<prefix value="Mrs"/>
</name>
<telecom>
<system value="phone"/>
<value value="01138698975"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1959-05-04"/>
<address>
<use value="home"/>
<type value="both"/>
<text value="22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU"/>
<line value="22 Brightside Crescent"/>
<city value="Overtown"/>
<district value="West Yorkshire"/>
<postalCode value="LS10 4YU"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
<resource>
<Encounter>
<id value="6687fb37-87a2-77d8-968f-b123429203c0"/> <!-- Case reference number -->
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
</meta>
<status value="in-progress"/>
<statusHistory>
<status value="arrived"/> <!-- The call is received by 999 -->
<period>
<start value="2021-02-19T11:15:00+00:00"/>
<end value="2021-02-19T11:35:00+00:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="triaged"/> <!-- The call is triaged by 999 -->
<period>
<start value="2021-02-19T11:35:00+10:00"/>
<end value="2021-02-19T11:45:00+10:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="in-progress"/> <!-- The call is allocated a Category 3 or 4, passed to 111 -->
<period>
<start value="2021-02-19T11:45:00+10:00"/>
<end value="2021-02-19T12:15:00+10:00"/>
</period>
</statusHistory>
<period>
<start value="2021-02-19T07:15:00+10:00"/>
</period>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<participant>
<period>
<start value="2021-01-17T16:00:00+10:00"/>
<end value="2021-01-17T16:30:00+10:00"/>
</period>
<type>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="CALLBCK"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<display value="Jack Grayson"/>
</individual>
</participant>
<location>
<location>
<reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
</location>
<status value="completed"/>
<period>
<start value="2021-02-19T11:05:00+10:00"/>
</period>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4659fb37-87a2-48d8-968f-c536798708b6"/>
<resource>
<Flag>
<id value="4659fb37-87a2-48d8-968f-c536798708b6"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<status value="active"/>
<code>
<coding>
<system value="http://hl7.org/fhir/ValueSet/flag-code"/>
<code value="409002"/>
<display value="Food allergy diet"/>
</coding>
<text value="Patient has a food allergy diet."/>
</code>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2224hj89-43a6-48g8-624f-b371429209o9"/>
<resource>
<List>
<id value="2224hj89-43a6-48g8-624f-b371429209o9"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1"/>
</meta>
<identifier>
<system value="urn:uuid:a9fcea7c-fcdf-4d17-a5e0-f26dda030b59"/>
<value value="23974652"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<encounter>
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</encounter>
<date value="2021-02-19T12:00:00+00:00"/>
<entry>
<date value="2021-02-19T12:01:00+00:00"/>
<item>
<reference value="urn:uuid:5876fb37-87a2-77d8-968f-b123429204v1"/>
</item>
</entry>
<entry>
<date value="2021-02-19T12:01:00+00:00"/>
<item>
<reference value="urn:uuid:9276fb37-87a2-77d8-968f-b123429205u7"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5876fb37-87a2-77d8-968f-b123429204v1"/>
<resource>
<Questionnaire>
<id value="5876fb37-87a2-77d8-968f-b123429204v1"/>
<status value="active"/>
<date value="2021-02-19T12:01:00+00:00"/>
<code>
<system value="http://example.org/system/code/lifelines/nl"/>
<code value="VL 1-1, 18-65_1.2.2"/>
<display value="Lifelines Questionnaire 1 part 1"/>
</code>
<item>
<linkId value="1"/>
<text value="Do you have allergies?"/>
<type value="boolean"/>
</item>
<item>
<linkId value="2"/>
<text value="General questions"/>
<type value="group"/>
<item>
<linkId value="2.1"/>
<text value="What is your gender?"/>
<type value="string"/>
</item>
<item>
<linkId value="2.2"/>
<text value="What is your date of birth?"/>
<type value="date"/>
</item>
<item>
<linkId value="2.3"/>
<text value="What is your country of birth?"/>
<type value="string"/>
</item>
<item>
<linkId value="2.4"/>
<text value="What is your marital status?"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="3"/>
<text value="Intoxications"/>
<type value="group"/>
<item>
<linkId value="3.1"/>
<text value="Do you smoke?"/>
<type value="boolean"/>
</item>
<item>
<linkId value="3.2"/>
<text value="Do you drink alchohol?"/>
<type value="boolean"/>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9276fb37-87a2-77d8-968f-b123429205u7"/>
<resource>
<QuestionnaireResponse>
<id value="9276fb37-87a2-77d8-968f-b123429205u7"/>
<status value="completed"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<authored value="2021-02-19T12:01:00+00:00"/>
<item>
<linkId value="1"/>
<item>
<!-- Seperate answer -->
<linkId value="1.1"/>
<text value="Do you have allergies?"/>
<answer>
<valueString value="I am allergic to house dust"/>
</answer>
</item>
</item>
<item>
<!-- Answers to general questions -->
<linkId value="2"/>
<text value="General questions"/>
<item>
<linkId value="2.1"/>
<text value="What is your gender?"/>
<answer>
<valueString value="Male"/>
</answer>
</item>
<item>
<linkId value="2.2"/>
<text value="What is your date of birth?"/>
<answer>
<valueDate value="1960-03-13"/>
</answer>
</item>
<item>
<linkId value="2.3"/>
<text value="What is your country of birth?"/>
<answer>
<valueString value="The Netherlands"/>
</answer>
</item>
<item>
<linkId value="2.4"/>
<text value="What is your marital status?"/>
<answer>
<valueString value="married"/>
</answer>
</item>
</item>
<item>
<!-- Answers to intoxications -->
<linkId value="3"/>
<text value="Intoxications"/>
<item>
<linkId value="3.1"/>
<text value="Do you smoke?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="3.2"/>
<text value="Do you drink alchohol?"/>
<answer>
<valueString value="No, but I used to drink"/>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e49fff88-80f1-11e8-adc0-fa7ae01bbghg"/>
<resource>
<Observation>
<id value="e49fff88-80f1-11e8-adc0-fa7ae01bbghg"/>
<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="271594007"/>
<display value="Syncope (disorder)"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<effectiveDateTime value="2021-02-19T11:35:00+00:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<resource>
<RelatedPerson>
<id value="gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"/>
</meta>
<patient>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</patient>
<relationship>
<coding>
<system value="http://hl7.org/fhir/v2/0131"/>
<code value="U"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Grayson"/>
<given value="Jack"/>
</name>
<telecom>
<system value="phone"/>
<value value="07956 7789876"/>
<use value="mobile"/>
</telecom>
<gender value="male"/>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4a033a38-7b6e-42e3-9017-a4375759fd56"/>
<resource>
<Practitioner>
<id value="4a033a38-7b6e-42e3-9017-a4375759fd56"/>
<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="PT2489"/>
</identifier>
<name>
<family value="BLAKE"/>
<given value="Marcy"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b923aa53-2376-4015-a07d-afe8bf2310eb"/>
<resource>
<PractitionerRole>
<id value="b923aa53-2376-4015-a07d-afe8bf2310eb"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:4a033a38-7b6e-42e3-9017-a4375759fd56"/>
</practitioner>
<organization>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
</organization>
<code><!-- If populated then use SDS code -->
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1690"/>
<display value="Call Operator"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ggb4hj"/><!-- 999 Org -->
<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="LD9"/>
</identifier>
<name value="999 Service"/>
<address>
<line value="999 NORTH ROAD"/>
<city value="LEEDS"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="LS1 8AB"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ssf7op"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ssf7op"/><!-- 111 Org -->
<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="LD8"/>
</identifier>
<name value="111 Service"/>
<address>
<line value="111 NORTH ROAD"/>
<city value="LEEDS"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="LS1 6HH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
<resource>
<Location><!-- How to add UPRN? -->
<id value="e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
</meta>
<name value="On the corner of Sports direct off Briggate"/>
</Location>
</resource>
</entry>
</Bundle>
<Bundle xmlns="http://hl7.org/fhir">
<id value="e6492db3-3788-4519-bebd-2bdf7d7547b7"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/EMS-Bundle-1"/>
</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="2021-02-19T15:00:33+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/>
<code value="update"/>
<display value="Update event message"/>
</coding>
</valueCodeableConcept>
</extension>
<event><!-- Is it a Referral or should say Validation????? -->
<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
<code value="referral-1"/>
<display value="Referral"/>
</event>
<timestamp value="2021-02-19T11:00:00+00:00"/>
<source><!-- 999 service -->
<name value="999 Call centre"/>
<contact>
<system value="phone"/>
<value value="0191 1231234"/>
</contact>
<endpoint value="urn:nhs:addressing:asid:300000000161"/>
</source>
<responsible><!-- 111 service -->
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ebc6ea"/>
<display value="111 Service"/>
</responsible>
<focus><!-- Encounter -->
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2d920d4a-1434-445d-a8a0-8ol6688768de"/>
<resource>
<Task>
<id value="2d920d4a-1434-445d-a8a0-8ol6688768de"/>
<!-- <meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Task-1"/>
May need to publish a custom task resource for UEC
</meta> -->
<status value="requested"/>
<intent value="order"/>
<priority value="routine"/>
<code>
<text value="Validation"/> <!-- Potentially make it a code system, current profile does not support this -->
</code>
<description value="Referred for validation"/>
<for>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</for>
<context>
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</context>
<executionPeriod>
<start value="2021-02-19T11:15:00+00:00"/>
</executionPeriod>
<authoredOn value="2021-02-19T11:15:00+00:00"/>
<lastModified value="2021-02-19T11:30:00+00:00"/>
<requester> <!-- 999 service that is sending the Task -->
<agent>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
</agent>
</requester>
<performerType>
<coding>
<system value="http://hl7.org/fhir/task-performer-type"/>
<code value="requester"/>
</coding>
</performerType>
<owner> <!-- 111 service that is receiving the Task -->
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ssf7op"/>
</owner>
<restriction>
<period>
<end value="2021-02-19T11:45:00+00:00"/>
</period>
</restriction>
</Task>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6687fb37-87a2-77d8-968f-b123429299k8"/>
<resource>
<ReferralRequest>
<id value="6687fb37-87a2-77d8-968f-b123429299k8"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-ReferralRequest-1"/>
</meta>
<status value="active"/>
<intent value="plan"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<occurrencePeriod>
<end value="2021-02-19T11:25:00+00:00"/>
</occurrencePeriod>
<authoredOn value="2021-02-19T11:25:00+00:00"/>
<description value="In the past 2 years has had 6 instances of r) sided Otitis media."/>
<supportingInfo>
<reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
</supportingInfo>
</ReferralRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
<resource>
<Parameters>
<id value="e3177167-40fc-4f1a-80f2-a2f17f18ssc3"/>
<parameter>
<name value="SG"/>
<valueString value="SG1000:Abdominal or Flank Injury, Blunt"/>
</parameter>
<parameter>
<name value="SD"/>
<valueString value="SD4033:AMB new/worsening breathlessness"/>
</parameter>
</Parameters>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
<resource>
<Patient>
<id value="9589fb37-87a2-48d8-968f-b371429208a8"/>
<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="3478526985"/>
</identifier>
<name>
<use value="official"/>
<text value="Mrs Julie Jones"/>
<family value="Jones"/>
<given value="Julie"/>
<prefix value="Mrs"/>
</name>
<telecom>
<system value="phone"/>
<value value="01138698975"/>
<use value="home"/>
</telecom>
<gender value="female"/>
<birthDate value="1959-05-04"/>
<address>
<use value="home"/>
<type value="both"/>
<text value="22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU"/>
<line value="22 Brightside Crescent"/>
<city value="Overtown"/>
<district value="West Yorkshire"/>
<postalCode value="LS10 4YU"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
<resource>
<Encounter>
<id value="6687fb37-87a2-77d8-968f-b123429203c0"/> <!-- Case reference number -->
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
</meta>
<status value="in-progress"/>
<statusHistory>
<status value="arrived"/> <!-- The call is received by 999 -->
<period>
<start value="2021-02-19T11:15:00+00:00"/>
<end value="2021-02-19T11:35:00+00:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="triaged"/> <!-- The call is triaged by 999 -->
<period>
<start value="2021-02-19T11:35:00+10:00"/>
<end value="2021-02-19T11:45:00+10:00"/>
</period>
</statusHistory>
<statusHistory>
<status value="in-progress"/> <!-- The call is allocated a Category 3 or 4, passed to 111 -->
<period>
<start value="2021-02-19T11:45:00+10:00"/>
<end value="2021-02-19T12:15:00+10:00"/>
</period>
</statusHistory>
<period>
<start value="2021-02-19T07:15:00+10:00"/>
</period>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<participant>
<period>
<start value="2021-01-17T16:00:00+10:00"/>
<end value="2021-01-17T16:30:00+10:00"/>
</period>
<type>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="CALLBCK"/>
</coding>
</type>
<individual>
<reference value="urn:uuid:gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<display value="Jack Grayson"/>
</individual>
</participant>
<location>
<location>
<reference value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
</location>
<status value="completed"/>
<period>
<start value="2021-02-19T11:05:00+10:00"/>
</period>
</location>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4659fb37-87a2-48d8-968f-c536798708b6"/>
<resource>
<Flag>
<id value="4659fb37-87a2-48d8-968f-c536798708b6"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<status value="active"/>
<code>
<coding>
<system value="http://hl7.org/fhir/ValueSet/flag-code"/>
<code value="409002"/>
<display value="Food allergy diet"/>
</coding>
<text value="Patient has a food allergy diet."/>
</code>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:2224hj89-43a6-48g8-624f-b371429209o9"/>
<resource>
<List>
<id value="2224hj89-43a6-48g8-624f-b371429209o9"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-List-1"/>
</meta>
<identifier>
<system value="urn:uuid:a9fcea7c-fcdf-4d17-a5e0-f26dda030b59"/>
<value value="23974652"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<encounter>
<reference value="urn:uuid:6687fb37-87a2-77d8-968f-b123429203c0"/>
</encounter>
<date value="2021-02-19T12:00:00+00:00"/>
<entry>
<date value="2021-02-19T12:01:00+00:00"/>
<item>
<reference value="urn:uuid:5876fb37-87a2-77d8-968f-b123429204v1"/>
</item>
</entry>
<entry>
<date value="2021-02-19T12:01:00+00:00"/>
<item>
<reference value="urn:uuid:9276fb37-87a2-77d8-968f-b123429205u7"/>
</item>
</entry>
</List>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5876fb37-87a2-77d8-968f-b123429204v1"/>
<resource>
<Questionnaire>
<id value="5876fb37-87a2-77d8-968f-b123429204v1"/>
<status value="active"/>
<date value="2021-02-19T12:01:00+00:00"/>
<code>
<system value="http://example.org/system/code/lifelines/nl"/>
<code value="VL 1-1, 18-65_1.2.2"/>
<display value="Lifelines Questionnaire 1 part 1"/>
</code>
<item>
<linkId value="1"/>
<text value="Do you have allergies?"/>
<type value="boolean"/>
</item>
<item>
<linkId value="2"/>
<text value="General questions"/>
<type value="group"/>
<item>
<linkId value="2.1"/>
<text value="What is your gender?"/>
<type value="string"/>
</item>
<item>
<linkId value="2.2"/>
<text value="What is your date of birth?"/>
<type value="date"/>
</item>
<item>
<linkId value="2.3"/>
<text value="What is your country of birth?"/>
<type value="string"/>
</item>
<item>
<linkId value="2.4"/>
<text value="What is your marital status?"/>
<type value="string"/>
</item>
</item>
<item>
<linkId value="3"/>
<text value="Intoxications"/>
<type value="group"/>
<item>
<linkId value="3.1"/>
<text value="Do you smoke?"/>
<type value="boolean"/>
</item>
<item>
<linkId value="3.2"/>
<text value="Do you drink alchohol?"/>
<type value="boolean"/>
</item>
</item>
</Questionnaire>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:9276fb37-87a2-77d8-968f-b123429205u7"/>
<resource>
<QuestionnaireResponse>
<id value="9276fb37-87a2-77d8-968f-b123429205u7"/>
<status value="completed"/>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<authored value="2021-02-19T12:01:00+00:00"/>
<item>
<linkId value="1"/>
<item>
<!-- Seperate answer -->
<linkId value="1.1"/>
<text value="Do you have allergies?"/>
<answer>
<valueString value="I am allergic to house dust"/>
</answer>
</item>
</item>
<item>
<!-- Answers to general questions -->
<linkId value="2"/>
<text value="General questions"/>
<item>
<linkId value="2.1"/>
<text value="What is your gender?"/>
<answer>
<valueString value="Male"/>
</answer>
</item>
<item>
<linkId value="2.2"/>
<text value="What is your date of birth?"/>
<answer>
<valueDate value="1960-03-13"/>
</answer>
</item>
<item>
<linkId value="2.3"/>
<text value="What is your country of birth?"/>
<answer>
<valueString value="The Netherlands"/>
</answer>
</item>
<item>
<linkId value="2.4"/>
<text value="What is your marital status?"/>
<answer>
<valueString value="married"/>
</answer>
</item>
</item>
<item>
<!-- Answers to intoxications -->
<linkId value="3"/>
<text value="Intoxications"/>
<item>
<linkId value="3.1"/>
<text value="Do you smoke?"/>
<answer>
<valueString value="No"/>
</answer>
</item>
<item>
<linkId value="3.2"/>
<text value="Do you drink alchohol?"/>
<answer>
<valueString value="No, but I used to drink"/>
</answer>
</item>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e49fff88-80f1-11e8-adc0-fa7ae01bbghg"/>
<resource>
<Observation>
<id value="e49fff88-80f1-11e8-adc0-fa7ae01bbghg"/>
<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="271594007"/>
<display value="Syncope (disorder)"/>
</coding>
</code>
<subject>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</subject>
<effectiveDateTime value="2021-02-19T11:35:00+00:00"/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<resource>
<RelatedPerson>
<id value="gdgdg-65j5h-3ggg4-6jggf-778oik-i667y"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-RelatedPerson-1"/>
</meta>
<patient>
<reference value="urn:uuid:9589fb37-87a2-48d8-968f-b371429208a8"/>
</patient>
<relationship>
<coding>
<system value="http://hl7.org/fhir/v2/0131"/>
<code value="U"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Grayson"/>
<given value="Jack"/>
</name>
<telecom>
<system value="phone"/>
<value value="07956 7789876"/>
<use value="mobile"/>
</telecom>
<gender value="male"/>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:4a033a38-7b6e-42e3-9017-a4375759fd56"/>
<resource>
<Practitioner>
<id value="4a033a38-7b6e-42e3-9017-a4375759fd56"/>
<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="PT2489"/>
</identifier>
<name>
<family value="BLAKE"/>
<given value="Marcy"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b923aa53-2376-4015-a07d-afe8bf2310eb"/>
<resource>
<PractitionerRole>
<id value="b923aa53-2376-4015-a07d-afe8bf2310eb"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
</meta>
<practitioner>
<reference value="urn:uuid:4a033a38-7b6e-42e3-9017-a4375759fd56"/>
</practitioner>
<organization>
<reference value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
</organization>
<code><!-- If populated then use SDS code -->
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1690"/>
<display value="Call Operator"/>
</coding>
</code>
</PractitionerRole>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ggb4hj"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ggb4hj"/><!-- 999 Org -->
<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="LD9"/>
</identifier>
<name value="999 Service"/>
<address>
<line value="999 NORTH ROAD"/>
<city value="LEEDS"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="LS1 8AB"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:33a33b58-648a-4453-b981-e21ea9ssf7op"/>
<resource>
<Organization>
<id value="33a33b58-648a-4453-b981-e21ea9ssf7op"/><!-- 111 Org -->
<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="LD8"/>
</identifier>
<name value="111 Service"/>
<address>
<line value="111 NORTH ROAD"/>
<city value="LEEDS"/>
<district value="WEST YORKSHIRE"/>
<postalCode value="LS1 6HH"/>
</address>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
<resource>
<Location><!-- How to add UPRN? -->
<id value="e3177167-40fc-4f1a-80f2-a2f17f18ddd5"/>
<meta>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
</meta>
<name value="On the corner of Sports direct off Briggate"/>
</Location>
</resource>
</entry>
</Bundle>