Virtually Healthcare - IHE Patient Care Coordination (PCC)
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Virtually Healthcare - IHE Patient Care Coordination (PCC) - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Bundle `Message` - Patient Referral - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "PatientReferralMessage",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:uuid:1d7155e8-b5b8-4406-adda-01a474d5ff6c"
  },
  "type" : "message",
  "timestamp" : "2024-10-13T10:33:00+00:00",
  "entry" : [
    {
      "fullUrl" : "urn:uuid:24f9b774-ecde-4adc-85c9-9f56eaacf67a",
      "resource" : {
        "resourceType" : "MessageHeader",
        "id" : "MessageHeaderPatientReferral",
        "meta" : {
          "lastUpdated" : "2025-01-29T10:39:26+00:00"
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_MessageHeaderPatientReferral\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader MessageHeaderPatientReferral</b></p><a name=\"MessageHeaderPatientReferral\"> </a><a name=\"hcMessageHeaderPatientReferral\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2025-01-29 10:39:26+0000</p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0003.html#v2-0003-I12\">eventType I12</a>: REF/RRI - Patient referral</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.virtually.healthcare/Endpoint/MESH\">https://fhir.virtually.healthcare/Endpoint/MESH</a></td><td>London Islington High St (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/FFX11)</td></tr></table><p><b>sender</b>: Archway Practice (Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/F83004)</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Software</b></td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td>VH Enterprise Service Bus</td><td><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu3.currentbuild@0.0.19-pre-release&amp;canonical=https://fhir.virtually.healthcare/Endpoint/ESB\">https://fhir.virtually.healthcare/Endpoint/ESB</a></td></tr></table><p><b>focus</b>: <a href=\"Bundle-PatientReferralMessage.html#urn-uuid-f3533ea0-9588-4f25-ace7-969d80823b20\">Bundle: identifier = UUID:1d7155e8-b5b8-4406-adda-01a474d5ff6c; type = message; timestamp = 2024-10-13 10:33:00+0000</a></p></div>"
        },
        "eventCoding" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
          "code" : "I12"
        },
        "destination" : [
          {
            "endpoint" : "https://fhir.virtually.healthcare/Endpoint/MESH",
            "receiver" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "FFX11"
              },
              "display" : "London Islington High St"
            }
          }
        ],
        "sender" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
            "value" : "F83004"
          },
          "display" : "Archway Practice"
        },
        "source" : {
          "software" : "VH Enterprise Service Bus",
          "endpoint" : "https://fhir.virtually.healthcare/Endpoint/ESB"
        },
        "focus" : [
          {
            "reference" : "urn:uuid:f3533ea0-9588-4f25-ace7-969d80823b20",
            "type" : "ServiceRequest"
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:f3533ea0-9588-4f25-ace7-969d80823b20",
      "resource" : {
        "resourceType" : "ServiceRequest",
        "id" : "f3533ea0-9588-4f25-ace7-969d80823b20",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_f3533ea0-9588-4f25-ace7-969d80823b20\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest f3533ea0-9588-4f25-ace7-969d80823b20</b></p><a name=\"f3533ea0-9588-4f25-ace7-969d80823b20\"> </a><a name=\"hcf3533ea0-9588-4f25-ace7-969d80823b20\"> </a><p><b>identifier</b>: Placer Identifier/urn:uuid:f3533ea0-9588-4f25-ace7-969d80823b20</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 3457005}\">Patient Referral</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 425315000}\">Cardiac assessment</span></p><p><b>subject</b>: Identifier: <code>https://fhir.nhs.uk/Id/nhs-number</code>/9912003888</p><p><b>performer</b>: Identifier: <code>https://fhir.nhs.uk/Id/ods-organization-code</code>/FFX11</p></div>"
        },
        "identifier" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "PLAC"
                }
              ]
            },
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:f3533ea0-9588-4f25-ace7-969d80823b20",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "F83004"
              }
            }
          }
        ],
        "status" : "active",
        "intent" : "order",
        "category" : [
          {
            "coding" : [
              {
                "system" : "http://snomed.info/sct",
                "code" : "3457005",
                "display" : "Patient Referral"
              }
            ]
          }
        ],
        "priority" : "routine",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "425315000",
              "display" : "Cardiac assessment"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9912003888"
          }
        },
        "performer" : [
          {
            "identifier" : {
              "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
              "value" : "FFX11"
            }
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "Patient-OctaviaCHISLETT-9449305552",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-OctaviaCHISLETT-9449305552\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-OctaviaCHISLETT-9449305552</b></p><a name=\"Patient-OctaviaCHISLETT-9449305552\"> </a><a name=\"hcPatient-OctaviaCHISLETT-9449305552\"> </a><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Octavia CHISLETT (official) Female, DoB: 2008-09-20 ( Medical record number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td colspan=\"3\">true</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>National Health Plan Identifier/9449305552\u00a0(use:\u00a0official,\u00a0)</li><li>Medical record number/633</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">1 RAVENSFIELD GARDENS EPSOM KT19 0ST (home)</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient contact\">Contact:</td><td colspan=\"3\"><ul><li>Bob DAWKINS (Official)</li><li>ph: 077021231231(Mobile)</li></ul></td></tr></table></div>"
        },
        "identifier" : [
          {
            "use" : "official",
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "NH"
                }
              ]
            },
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "https://devmtx-restapis-stable.meditech.com:443/identifier/MRN",
            "value" : "A12356565",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "RBS"
              }
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
                  "code" : "MR"
                }
              ]
            },
            "system" : "http://open.epic.com/FHIR/StructureDefinition/patient-fhir-id",
            "value" : "633",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "R0A"
              }
            }
          }
        ],
        "active" : true,
        "name" : [
          {
            "use" : "official",
            "family" : "CHISLETT",
            "given" : [
              "Octavia"
            ]
          }
        ],
        "gender" : "female",
        "birthDate" : "2008-09-20",
        "address" : [
          {
            "use" : "home",
            "type" : "both",
            "line" : [
              "1 RAVENSFIELD GARDENS"
            ],
            "city" : "EPSOM",
            "district" : "SURREY",
            "postalCode" : "KT19 0ST"
          }
        ],
        "contact" : [
          {
            "name" : {
              "use" : "official",
              "family" : "DAWKINS",
              "given" : [
                "Bob"
              ]
            },
            "telecom" : [
              {
                "system" : "phone",
                "value" : "077021231231",
                "use" : "mobile"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "Condition-Dyspnoea",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_Condition-Dyspnoea\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition Condition-Dyspnoea</b></p><a name=\"Condition-Dyspnoea\"> </a><a name=\"hcCondition-Dyspnoea\"> </a><p><b>identifier</b>: <a href=\"http://terminology.hl7.org/5.0.0/NamingSystem-uri.html\" title=\"As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt \r\n\r\nThis oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid: \r\n\r\nNote that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.\r\n\r\nThis OID may also be used in CD.codeSystem.\">URI</a>/urn:uuid:71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0</p><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>verificationStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-ver-status confirmed}\">Confirmed</span></p><p><b>severity</b>: <span title=\"Codes:{http://snomed.info/sct 24484000}\">Severe</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 267036007}\">Dyspnoea</span></p><p><b>subject</b>: Octavia CHISLETT (Identifier: <code>https://fhir.nhs.uk/Id/nhs-number</code>/9449305552)</p><p><b>onset</b>: 2018-08-20</p><p><b>asserter</b>: Dr Milan Koya (Identifier: <code>https://fhir.hl7.org.uk/Id/gmp-number</code>/G3298457)</p></div>"
        },
        "identifier" : [
          {
            "system" : "urn:ietf:rfc:3986",
            "value" : "urn:uuid:71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0",
            "assigner" : {
              "identifier" : {
                "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
                "value" : "F83004"
              }
            }
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed"
            }
          ]
        },
        "severity" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "24484000",
              "display" : "Severe"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "267036007",
              "display" : "Dyspnoea"
            }
          ]
        },
        "subject" : {
          "identifier" : {
            "system" : "https://fhir.nhs.uk/Id/nhs-number",
            "value" : "9449305552"
          },
          "display" : "Octavia CHISLETT"
        },
        "onsetDateTime" : "2018-08-20",
        "asserter" : {
          "identifier" : {
            "system" : "https://fhir.hl7.org.uk/Id/gmp-number",
            "value" : "G3298457"
          },
          "display" : "Dr Milan Koya"
        }
      }
    }
  ]
}