Virtually Healthcare HL7 FHIR Implementation Guide
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Virtually Healthcare HL7 FHIR Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/Virtually-Healthcare-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

: Bundle `Document` - Referral Letter - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="FHIRDocumentEOLCCarePlanBundle"/>
  <identifier>
    <system value="urn:oid:2.16.724.4.8.10.200.10"/>
    <value value="1d7155e8-b5b8-4406-adda-01a474d5ff6c"/>
  </identifier>
  <type value="document"/>
  <timestamp value="2024-10-13T10:33:00+00:00"/>
  <entry>
    <fullUrl value="urn:uuid:30551ce1-5a28-4356-b684-1e639094ad4d"/>
    <resource>
      <Composition>
        <id value="Composition-ReferralLetter-JackDawkins"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Composition_Composition-ReferralLetter-JackDawkins"> </a><p class="res-header-id"><b>Generated Narrative: Composition Composition-ReferralLetter-JackDawkins</b></p><a name="Composition-ReferralLetter-JackDawkins"> </a><a name="hcComposition-ReferralLetter-JackDawkins"> </a><a name="Composition-ReferralLetter-JackDawkins-en-GB"> </a><p><b>status</b>: Final</p><p><b>type</b>: <span title="Codes:{http://snomed.info/sct 25611000000107}">Referral letter</span></p><p><b>date</b>: 2024-10-13 10:33:00+0000</p><p><b>author</b>: <a href="https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.1.0&amp;canonical=https://example.nhs.uk/Device/TransformationService">Example NHS Trust Transformation Service</a></p><p><b>title</b>: Composition Referral Letter Jack Dawkins</p></div>
        </text>
        <status value="final"/>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="25611000000107"/>
            <display value="Referral letter"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9912003888"/>
          </identifier>
          <display value="Jack DAWKINS"/>
        </subject>
        <date value="2024-10-13T10:33:00+00:00"/>
        <author>
          <reference
                     value="https://example.nhs.uk/Device/TransformationService"/>
          <display value="Example NHS Trust Transformation Service"/>
        </author>
        <title value="Composition Referral Letter Jack Dawkins"/>
        <section>
          <title value="Problems"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="11450-4"/>
              <display value="Problem list - Reported"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Dyspnoea</li></ul></div>
          </text>
          <entry>
            <reference value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
          </entry>
        </section>
        <section>
          <title value="Medication Summary"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="10160-0"/>
              <display value="History of Medication use Narrative"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Aspirin</li></ul></div>
          </text>
        </section>
        <section>
          <title value="Allergies and Intolerances"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="48765-2"/>
              <display value="Allergies and adverse reactions Document"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><ul><li>Nil</li></ul></div>
          </text>
        </section>
        <section>
          <title value="Advance Directives"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="42348-3"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>
          </text>
        </section>
        <section>
          <title value="Alerts"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="104605-1"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>
          </text>
        </section>
        <section>
          <title value="Individual Requirements (PRSB)"/>
          <code>
            <coding>
              <system value="http://snomed.info/sct"/>
              <code value="1078911000000106"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>
          </text>
        </section>
        <section>
          <title value="Results"/>
          <code>
            <coding>
              <system value="http://loinc.org"/>
              <code value="18776-5"/>
            </coding>
          </code>
          <text>
            <status value="generated"/>
            <div xmlns="http://www.w3.org/1999/xhtml"><table><thead><tr><th></th><th></th></tr></thead><tbody></tbody></table></div>
          </text>
        </section>
      </Composition>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:d6faafcf-db64-4c11-9da8-25f36774c1bd"/>
    <resource>
      <Patient>
        <id value="Patient-JackDawkins-9912003888"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Patient_Patient-JackDawkins-9912003888"> </a><p class="res-header-id"><b>Generated Narrative: Patient Patient-JackDawkins-9912003888</b></p><a name="Patient-JackDawkins-9912003888"> </a><a name="hcPatient-JackDawkins-9912003888"> </a><a name="Patient-JackDawkins-9912003888-en-GB"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Jack DAWKINS (official) Male, DoB: 1937-10-02 ( 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/9912003888 (use: official, )</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">Leodis LA19 5YN (home)</td></tr><tr><td style="background-color: #f3f5da" title="Patient contact">Contact:</td><td colspan="3"><ul><li>Bob DAWKINS (Official)</li><li>077021231231(Mobile)</li></ul></td></tr></table></div>
        </text>
        <identifier>
          <use value="official"/>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="NH"/>
            </coding>
          </type>
          <system value="https://fhir.nhs.uk/Id/nhs-number"/>
          <value value="9912003888"/>
          <assigner>
            <identifier>
              <value value="X24"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://hospitalpas.example.nhs.uk/Id/MRN"/>
          <value value="A12356565"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="RW1"/>
            </identifier>
          </assigner>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system value="https://gpsupplier.example.nhs.uk/Id/MRN"/>
          <value value="633"/>
          <assigner>
            <identifier>
              <system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
              <value value="YHMS"/>
            </identifier>
          </assigner>
        </identifier>
        <active value="true"/>
        <name>
          <use value="official"/>
          <family value="DAWKINS"/>
          <given value="Jack"/>
        </name>
        <gender value="male"/>
        <birthDate value="1937-10-02"/>
        <address>
          <use value="home"/>
          <type value="both"/>
          <city value="Leodis"/>
          <postalCode value="LA19 5YN"/>
        </address>
        <contact>
          <name>
            <use value="official"/>
            <family value="DAWKINS"/>
            <given value="Bob"/>
          </name>
          <telecom>
            <value value="077021231231"/>
            <use value="mobile"/>
          </telecom>
        </contact>
      </Patient>
    </resource>
  </entry>
  <entry>
    <fullUrl value="urn:uuid:c64139e7-f02d-409c-bf34-75e8bf23bc80"/>
    <resource>
      <Condition>
        <id value="Condition-Dyspnoea-9912003888"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Condition_Condition-Dyspnoea-9912003888"> </a><p class="res-header-id"><b>Generated Narrative: Condition Condition-Dyspnoea-9912003888</b></p><a name="Condition-Dyspnoea-9912003888"> </a><a name="hcCondition-Dyspnoea-9912003888"> </a><a name="Condition-Dyspnoea-9912003888-en-GB"> </a><p><b>identifier</b>: <code>https://tools.ietf.org/html/rfc4122</code>/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>: Jack DAWKINS (Identifier: <code>https://fhir.nhs.uk/Id/nhs-number</code>/9912003888)</p><p><b>onset</b>: 2018-08-20</p><p><b>asserter</b>: Dr Samuel Darwin (Identifier: <code>https://fhir.hl7.org.uk/Id/gmc-number</code>/C3456789)</p></div>
        </text>
        <identifier>
          <system value="https://tools.ietf.org/html/rfc4122"/>
          <value value="71fae5af-0b9e-4b9e-b6af-3d1bb4e223a0"/>
        </identifier>
        <clinicalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-clinical"/>
            <code value="active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/>
            <code value="confirmed"/>
          </coding>
        </verificationStatus>
        <severity>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="24484000"/>
            <display value="Severe"/>
          </coding>
        </severity>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="267036007"/>
            <display value="Dyspnoea"/>
          </coding>
        </code>
        <subject>
          <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number"/>
            <value value="9912003888"/>
          </identifier>
          <display value="Jack DAWKINS"/>
        </subject>
        <onsetDateTime value="2018-08-20"/>
        <asserter>
          <identifier>
            <system value="https://fhir.hl7.org.uk/Id/gmc-number"/>
            <value value="C3456789"/>
          </identifier>
          <display value="Dr Samuel Darwin"/>
        </asserter>
      </Condition>
    </resource>
  </entry>
</Bundle>