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KevinMayfield/EOLC QuestionnaireResponse with referenced profiles

Last active March 9, 2019 12:53
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EOLC QuestionnaireResponse with referenced profiles
<Bundle xmlns="http://hl7.org/fhir">
<id value="53426798-d3ec-4a20-9483-6a643f75b08a"/>
<meta>
<lastUpdated value="2019-03-09T12:52:55.554+00:00"/>
</meta>
<type value="searchset"/>
<total value="15"/>
<link>
<relation value="self"/>
<url value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/QuestionnaireResponse?_count=50&amp;_include=*&amp;questionnaire=https%3A%2F%2Ffhir.nhs.uk%2FSTU3%2FQuestionnaire%2FCareConnect-EOLC-1"/>
</link>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/QuestionnaireResponse/6"/>
<resource>
<QuestionnaireResponse xmlns="http://hl7.org/fhir">
<id value="6"/>
<meta>
<lastUpdated value="2019-03-05T09:16:29.385+00:00"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/QuestionnaireResponse/Identifier"/>
<value value="yas0"/>
</identifier>
<questionnaire>
<reference value="https://fhir.nhs.uk/STU3/Questionnaire/CareConnect-EOLC-1"/>
</questionnaire>
<status value="completed"/>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<authored value="2018-07-31T23:00:00+00:00"/>
<author>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</author>
<item>
<linkId value="ATP"/>
<text value="Advanced Treatment Preferences"/>
<item>
<linkId value="ATP001.1"/>
<text value="Clinical Problems and Advised Interventions"/>
<item>
<linkId value="ATP001.1.1"/>
<text value="ATP Problems"/>
<answer>
<valueReference>
<reference value="Condition/93"/>
<display value="Dyspnea"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="ATP001.1.2"/>
<text value="Treatment Level"/>
<answer>
<valueReference>
<reference value="CarePlan/1"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="ATP001.2"/>
<text value="Anticipatory medicines/just in case box issued"/>
<answer>
<valueReference>
<reference value="Procedure/44"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="ATP001.3"/>
<text value="Advance Decision to Refuse Treatment"/>
<answer>
<valueReference>
<reference value="Flag/3"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="ATP001.4"/>
<text value="ReSPECT Care"/>
<item>
<linkId value="ATP001.4.1"/>
<text value="ReSPECT Patient Care Priority - Scale"/>
<answer>
<valueInteger value="50"/>
</answer>
</item>
<item>
<linkId value="ATP001.4.2"/>
<text value="ReSPECT Patient Care Priority - Textual"/>
<answer>
<valueString value="Patient is to be treated and made as comfortable as possible."/>
</answer>
</item>
</item>
<item>
<linkId value="ATP001.5"/>
<text value="Date of change in list of advance treatment preferences"/>
<answer>
<valueDateTime value="2018-08-01T00:00:00+00:00"/>
</answer>
</item>
<item>
<linkId value="ATP001.6"/>
<text value="Professional recording these changes to this list of Problems and Interventions"/>
<answer>
<valueReference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="CON"/>
<text value="Consent"/>
<answer>
<valueReference>
<reference value="Consent/1"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="CPR"/>
<text value="CPR Status"/>
<item>
<linkId value="CPR001.1"/>
<text value="CPR Status"/>
<answer>
<valueReference>
<reference value="Flag/1"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="CPR001.2"/>
<text value="Reason for CPR status"/>
<answer>
<valueString value="The outcome of the CPR would not be of overall benefit to the patient"/>
</answer>
</item>
<item>
<linkId value="CPR001.3"/>
<text value="CPR Status Mental Capacity"/>
<answer>
<valueString value="This person has the mental capacity to participate in making these recommendations. They have been fully involved in the decision making process."/>
</answer>
</item>
<item>
<linkId value="CPR001.6"/>
<item>
<linkId value="CPR001.6.1"/>
<text value="Coded entry for people involved in the discussion"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="713656002"/>
<display value="Discussion about cardiopulmonary resuscitation with family member (situation)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="CPR001.6.2"/>
<text value="Text entry for people involved in the discussion"/>
<answer>
<valueString value="Supporting information not provided."/>
</answer>
</item>
</item>
<item>
<linkId value="CPR001.7"/>
<item>
<linkId value="CPR001.7.1"/>
<text value="Coded entry for people aware of the decision"/>
<answer>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="975291000000108"/>
<display value="Family member informed of cardiopulmonary resuscitation clinical decision (situation)"/>
</valueCoding>
</answer>
</item>
<item>
<linkId value="CPR001.7.2"/>
<text value="Textual version of that person or group of people"/>
<answer>
<valueString value="Uncle Bob has been made aware of the decision"/>
</answer>
</item>
</item>
<item>
<linkId value="CPR001.8"/>
<text value="Professionals Involved In Decision"/>
<answer>
<valueReference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="CPR001.10"/>
<text value="Professional Endorsing Status"/>
<answer>
<valueReference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="DIS"/>
<text value="Disabilities"/>
<item>
<linkId value="DIS001.1"/>
<text value="Patient Disabilities"/>
<answer>
<valueReference>
<reference value="Condition/94"/>
<display value="Asthma"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="DIS001.2"/>
<text value="Professional recording these changes to Disabilities"/>
<answer>
<valueReference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="DOC"/>
<text value="Other Documents"/>
<item>
<linkId value="DOC001.1"/>
<text value="Document Name"/>
<answer>
<valueString value="Lasting power of attorney offical document"/>
</answer>
</item>
<item>
<linkId value="DOC001.2"/>
<text value="Document Location"/>
<answer>
<valueString value="Top left drawer in cabinet located in dining room. Documents are inside blue folder."/>
</answer>
</item>
<item>
<linkId value="DOC001.3"/>
<text value="Document Source"/>
<answer>
<valueString value="Document drawn up at A B Solictors, Newcastle"/>
</answer>
</item>
</item>
<item>
<linkId value="EOL"/>
<text value="EOL Register"/>
<answer>
<valueReference>
<reference value="Flag/2"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="FUN"/>
<text value="Functional Status"/>
<answer>
<valueReference>
<reference value="Observation/10765"/>
<display value="Karnofsky Performance Status score (observable entity)"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="LPA"/>
<text value="Lasting Power of Attorney"/>
<item>
<linkId value="LPA001.1"/>
<text value="Lasting Power of Attorney For Health and Welfare"/>
<answer>
<valueReference>
<reference value="Flag/4"/>
</valueReference>
</answer>
</item>
<item>
<linkId value="LPA001.2"/>
<text value="Persons Appointed"/>
<answer>
<valueReference>
<reference value="RelatedPerson/71"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="PREF"/>
<text value="Preferences"/>
<item>
<linkId value="PRE001.1"/>
<text value="Preferred Place Of Death"/>
<item>
<linkId value="PRE001.1.3"/>
<text value="Preferred Place Of Death (Text)"/>
<answer>
<valueString value="At home with family"/>
</answer>
</item>
</item>
<item>
<linkId value="PRE001.2"/>
<text value="Preferences and Wishes"/>
<answer>
<valueString value="To be made comfortable and looking out onto garden"/>
</answer>
</item>
<item>
<linkId value="PRE001.3"/>
<text value="Domestic Access and Information"/>
<answer>
<valueString value="A key safe is provided to allow access to the property. Carer and related contact has code."/>
</answer>
</item>
<item>
<linkId value="PRE001.4"/>
<text value="Preferences Date Recorded"/>
<answer>
<valueDateTime value="2019-02-11T00:00:00+00:00"/>
</answer>
</item>
<item>
<linkId value="PRE001.5"/>
<text value="Preferences Author"/>
<answer>
<valueReference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</valueReference>
</answer>
</item>
</item>
<item>
<linkId value="PRO"/>
<text value="Prognosis"/>
<answer>
<valueReference>
<reference value="ClinicalImpression/1"/>
</valueReference>
</answer>
</item>
</QuestionnaireResponse>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Patient/1180"/>
<resource>
<Patient xmlns="http://hl7.org/fhir">
<id value="1180"/>
<meta>
<lastUpdated value="2019-03-05T11:37:07.929+00:00"/>
<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="9658220142"/>
</identifier>
<active value="true"/>
<name>
<use value="official"/>
<family value="KEWN"/>
<given value="Emilie"/>
<prefix value="MS"/>
</name>
<gender value="female"/>
<birthDate value="1999-10-03"/>
<address>
<use value="home"/>
<type value="physical"/>
</address>
<maritalStatus>
<coding>
<system value="http://hl7.org/fhir/v3/MaritalStatus"/>
<code value="S"/>
<display value="Never Married"/>
</coding>
</maritalStatus>
<generalPractitioner>
<reference value="Practitioner/203511"/>
<display value="Miss Nichole Gilbert"/>
</generalPractitioner>
<managingOrganization>
<reference value="Organization/200242"/>
<display value="HSCIC test Practice"/>
</managingOrganization>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Practitioner/202214"/>
<resource>
<Practitioner xmlns="http://hl7.org/fhir">
<id value="202214"/>
<meta>
<lastUpdated value="2018-09-19T09:31:07.846+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/sds-user-id"/>
<value value="C4012900"/>
</identifier>
<active value="true"/>
<name>
<family value="Rodger"/>
<given value="K"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Condition/93"/>
<resource>
<Condition xmlns="http://hl7.org/fhir">
<id value="93"/>
<meta>
<lastUpdated value="2019-02-27T14:01:19.145+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Condition/Identifier"/>
<value value="crm1"/>
</identifier>
<clinicalStatus value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="267036007"/>
<display value="Dyspnea"/>
</coding>
<text value="Breathlessness"/>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<onsetDateTime value="2018-07-31T23:00:00+00:00"/>
<asserter>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/CarePlan/1"/>
<resource>
<CarePlan xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<lastUpdated value="2018-11-02T17:04:34.569+00:00"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/CarePlan/Identifier"/>
<value value="blm1"/>
</identifier>
<status value="active"/>
<intent value="plan"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="736373009"/>
<display value="End of life care plan"/>
</coding>
<text value="End of life care plan"/>
</category>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<period>
<start value="2018-07-31T23:00:00+00:00"/>
</period>
<author>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</author>
<activity>
<detail>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="702779007"/>
<display value="Emergency health care plan agreed"/>
</coding>
<text value="Emergency health care plan agreed"/>
</code>
<status value="not-started"/>
<description value="[18 Sept 2018] This plan is known to the Harrogate Palliative Care Team. If advice needed Monday-Friday 0830-1700 contact the team on 01423 553464. Outside these hours contact Saint Michael's Hospice (Harrogate) on 01423 872 658. [21 Nov 2018] At risk of hypercalcaemia (Corr Ca+ 3.01 on 20th Nov) - symptoms were increased confusion and drowsiness."/>
</detail>
</activity>
<activity>
<detail>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="445141005"/>
<display value="Nebuliser therapy using mask"/>
</coding>
<text value="Nebuliser therapy using mask"/>
</code>
<status value="not-started"/>
<description value="Nebulizer can be used to make patient more comfortable"/>
</detail>
</activity>
<activity>
<detail>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="735324008"/>
<display value="Treatment escalation plan"/>
</coding>
<text value="Treatment escalation plan"/>
</code>
<status value="not-started"/>
<description value="Wants to avoid hospital admission if possible, but would want to consider options as need arises."/>
</detail>
</activity>
</CarePlan>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Procedure/44"/>
<resource>
<Procedure xmlns="http://hl7.org/fhir">
<id value="44"/>
<meta>
<lastUpdated value="2019-03-08T14:07:07.834+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Procedure-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Procedure/Identifier"/>
<value value="adrt"/>
</identifier>
<status value="completed"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="376201000000102"/>
<display value="Issue of palliative care anticipatory medication box (procedure)"/>
</coding>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
</Procedure>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Flag/3"/>
<resource>
<Flag xmlns="http://hl7.org/fhir">
<id value="3"/>
<meta>
<lastUpdated value="2019-02-27T14:01:19.507+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Flag/Identifier"/>
<value value="adrt"/>
</identifier>
<status value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="816301000000100"/>
<display value="Has ADRT (advance decision to refuse treatment) (Mental Capacity Act 2005)"/>
</coding>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<author>
<reference value="Organization/200243"/>
<display value="MID YORKSHIRE HOSPITALS NHS TRUST"/>
</author>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Consent/1"/>
<resource>
<Consent xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<lastUpdated value="2019-02-27T14:01:18.637+00:00"/>
</meta>
<identifier>
<system value="https://fhir.tpp.co.uk/Consent/Identifier"/>
<value value="consent1"/>
</identifier>
<status value="active"/>
<patient>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</patient>
<dateTime value="2018-08-19T23:00:00+00:00"/>
<actor>
<role>
<coding>
<system value="http://hl7.org/fhir/v3/ParticipationType"/>
<code value="PROV"/>
<display value="Healthcare Provider"/>
</coding>
</role>
<reference>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</reference>
</actor>
<policy>
<authority value="http://fhir.nhs.uk/Policy/EOLC"/>
</policy>
<purpose>
<system value="http://snomed.info/sct"/>
<code value="882981000000105"/>
<display value="Consent given by legitimate patient representative for sharing end of life care coordination record (finding)"/>
</purpose>
</Consent>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Flag/1"/>
<resource>
<Flag xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<lastUpdated value="2018-11-30T16:05:53.189+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Flag/Identifier"/>
<value value="unusmy8"/>
</identifier>
<status value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="450476008"/>
<display value="Not for attempted cardiopulmonary resuscitation"/>
</coding>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<period>
<start value="2018-07-31T23:00:00+00:00"/>
</period>
<author>
<reference value="Organization/200243"/>
<display value="MID YORKSHIRE HOSPITALS NHS TRUST"/>
</author>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Condition/94"/>
<resource>
<Condition xmlns="http://hl7.org/fhir">
<id value="94"/>
<meta>
<lastUpdated value="2018-11-02T17:04:35.025+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Condition/Identifier"/>
<value value="akm2"/>
</identifier>
<clinicalStatus value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="195967001"/>
<display value="Asthma"/>
</coding>
<text value="Asthma"/>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<onsetDateTime value="2002-03-11T00:00:00+00:00"/>
<asserter>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Flag/2"/>
<resource>
<Flag xmlns="http://hl7.org/fhir">
<id value="2"/>
<meta>
<lastUpdated value="2018-11-30T16:05:53.284+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Flag/Identifier"/>
<value value="unusmy9"/>
</identifier>
<status value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="526631000000108"/>
<display value="On end of life care register (finding)"/>
</coding>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<period>
<start value="2018-07-31T23:00:00+00:00"/>
</period>
<author>
<reference value="Organization/200243"/>
<display value="MID YORKSHIRE HOSPITALS NHS TRUST"/>
</author>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Observation/10765"/>
<resource>
<Observation xmlns="http://hl7.org/fhir">
<id value="10765"/>
<meta>
<lastUpdated value="2019-03-09T12:52:22.059+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="38e8e6ed-eb91-4af8-afa4-ff8fdb7be93c"/>
</identifier>
<status value="final"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="761869008"/>
<display value="Karnofsky Performance Status score (observable entity)"/>
</coding>
<text value="Performance Status score"/>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<effectiveDateTime value="2018-07-31T23:00:00+00:00"/>
<performer>
<reference value="Practitioner/202214"/>
<display value="Dr K Rodger"/>
</performer>
<valueQuantity>
<value value="90.00"/>
<unit value="score"/>
<system value="http://unitsofmeasure.org"/>
<code value="score"/>
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/Flag/4"/>
<resource>
<Flag xmlns="http://hl7.org/fhir">
<id value="4"/>
<meta>
<lastUpdated value="2019-02-27T14:01:19.604+00:00"/>
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Flag-1"/>
</meta>
<identifier>
<system value="https://fhir.midyorks.nhs.uk/Flag/Identifier"/>
<value value="lpa"/>
</identifier>
<status value="active"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="816361000000101"/>
<display value="Has appointed person with personal welfare lasting power of attorney (Mental Capacity Act 2005)"/>
</coding>
</code>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<author>
<reference value="Organization/200243"/>
<display value="MID YORKSHIRE HOSPITALS NHS TRUST"/>
</author>
</Flag>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/RelatedPerson/71"/>
<resource>
<RelatedPerson xmlns="http://hl7.org/fhir">
<id value="71"/>
<meta>
<lastUpdated value="2019-02-27T14:09:55.917+00:00"/>
</meta>
<identifier>
<system value="https://fhir.tpp.co.uk/NOK/Identifier"/>
<value value="person1"/>
</identifier>
<patient>
<reference value="Patient/1180"/>
</patient>
<relationship>
<coding>
<system value="http://hl7.org/fhir/v3/RoleCode"/>
<code value="HPOWATT"/>
<display value="healthcare power of attorney"/>
</coding>
</relationship>
<name>
<use value="official"/>
<family value="Kewn"/>
<given value="E"/>
<prefix value="Mr"/>
</name>
</RelatedPerson>
</resource>
</entry>
<entry>
<fullUrl value="https://data.developer-test.nhs.uk/ccri-fhir/STU3/ClinicalImpression/1"/>
<resource>
<ClinicalImpression xmlns="http://hl7.org/fhir">
<id value="1"/>
<meta>
<lastUpdated value="2018-12-03T13:06:05.837+00:00"/>
</meta>
<identifier>
<system value="https://fhir.westriding.nhs.uk/ClinicalImpressionf/Identifier"/>
<value value="akm1"/>
</identifier>
<status value="completed"/>
<description value="Limited life expectancy of approximately one year"/>
<subject>
<reference value="Patient/1180"/>
<display value="MS Emilie KEWN"/>
</subject>
<date value="2018-08-19T23:00:00+00:00"/>
<assessor>
<reference value="Practitioner/202214"/>
</assessor>
<prognosisCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="845701000000104"/>
<display value="Gold standards framework prognostic indicator stage A (blue) - year plus prognosis (finding)"/>
</coding>
<text value="Limited life expectancy of approximately one year"/>
</prognosisCodeableConcept>
</ClinicalImpression>
</resource>
</entry>
</Bundle>
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