GP Connect - Update Record (ITK3)

Part of the GP Connect product family

Blood pressure check service - Example 1

Scenario

Referral type Walk-in to community pharmacy
Age group / Biological sex 40 years, male
Role in pharmacy Pharmacy technician
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary Patient is above 40 and has walked in the pharmacy for health check. A pharmacy technician approaches the patient to have a blood pressure check subject to eligibility - patient eligible.
Relevant history / information requested Patient has family history of hypertension.
Observations
  • Blood pressure - 125 / 84
  • Pulse - 78 Regular
Smoking or pregnancy status
  • Smoking: Yes
  • Pregnant: Not applicable
Medication prescribed None
Information and advice given Advice given on healthy behaviours and recommended further blood pressure check within 5 years.

FHIR example

The following FHIR Message would be present as the .DAT file which is sent by the MESH client (or in the body of the HTTP response when downloading a message from the MESH API).

XML

<Bundle xmlns="http://hl7.org/fhir">
    <id value="blood-pressure-check-service--example-1" />
    <meta>
        <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1" />
    </meta>
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="blood-pressure-check-service--example-1" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:adcdf4b6-4c9d-4347-9dca-1264e1f51a4b" />
        <resource>
            <MessageHeader>
                <id value="adcdf4b6-4c9d-4347-9dca-1264e1f51a4b" />
                <meta>
                    <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2" />
                </meta>
                <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2">
                    <extension url="BusAckRequested">
                        <valueBoolean value="true" />
                    </extension>
                    <extension url="InfAckRequested">
                        <valueBoolean value="true" />
                    </extension>
                    <extension url="RecipientType">
                        <valueCoding>
                            <system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1" />
                            <code value="FI" />
                            <display value="For Information" />
                        </valueCoding>
                    </extension>
                    <extension url="MessageDefinition">
                        <valueReference>
                            <reference value="https://fhir.nhs.uk/MessageDefinition" />
                        </valueReference>
                    </extension>
                    <extension url="SenderReference">
                        <valueString value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                    </extension>
                    <extension url="LocalExtension">
                        <valueString value="None" />
                    </extension>
                </extension>
                <event>
                    <system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2" />
                    <code value="ITK014M" />
                    <display value="ITK Update Record" />
                </event>
                <sender>
                    <reference value="urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002" />
                </sender>
                <timestamp value="2023-08-08T09:12:14.2593592+01:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002" />
        <resource>
            <Organization>
                <id value="41abf8ce-2d2e-11ee-be56-0242ac120002" />
                <meta>
                    <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1" />
                </meta>
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="FQW30" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3" />
        <resource>
            <Bundle>
                <id value="2eefc87f-8a16-45a1-a666-1753237608a3" />
                <meta>
                    <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1" />
                </meta>
                <identifier>
                    <system value="https://fhir.provider.example/identifier/bundle" />
                    <value value="2eefc87f-8a16-45a1-a666-1753237608a3" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:28182303-be8d-429f-a593-4bd1b4952fc5" />
                    <resource>
                        <Composition>
                            <id value="28182303-be8d-429f-a593-4bd1b4952fc5" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="28182303-be8d-429f-a593-4bd1b4952fc5" />
                            </identifier>
                            <status value="final" />
                            <type>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1659111000000107" />
                                    <display value="Community Pharmacy Blood Pressure Check Service" />
                                </coding>
                                <text value="Community Pharmacy Blood Pressure Check Service" />
                            </type>
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </encounter>
                            <date value="2023-08-08" />
                            <author>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </author>
                            <title value="The Dispensers - Community Pharmacist Blood Pressure Check Service" />
                            <section>
                                <entry>
                                    <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90" />
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                    <resource>
                        <Encounter>
                            <id value="e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/encounter" />
                                <value value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </identifier>
                            <status value="finished" />
                            <type>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="307778003" />
                                    <display value="Seen in primary care establishment" />
                                </coding>
                                <text value="Seen in primary care establishment" />
                            </type>
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <participant>
                                <type>
                                    <coding>
                                        <system value="https://fhir.nhs.uk/STU3/ValueSet/GPConnect-ParticipantType-1" />
                                        <code value="REC" />
                                    </coding>
                                    <text value="recorder" />
                                </type>
                                <individual>
                                    <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                                </individual>
                            </participant>
                            <period>
                                <start value="2023-08-08" />
                            </period>
                            <reason>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1659111000000107" />
                                    <display value="Community Pharmacy Blood Pressure Check Service" />
                                </coding>
                                <text value="Community Pharmacy Blood Pressure Check Service" />
                            </reason>
                            <serviceProvider>
                                <reference value="urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7" />
                    <resource>
                        <Organization>
                            <id value="d850c18b-5143-4ae6-bf5f-96f102e7d3d7" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                                <value value="A(*)" />
                            </identifier>
                            <name value="The Dispensers" />
                        </Organization>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                    <resource>
                        <Practitioner>
                            <id value="5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/staff" />
                                <value value="5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </identifier>
                            <name>
                                <family value="Spencer" />
                                <given value="Di" />
                                <prefix value="Miss" />
                            </name>
                        </Practitioner>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766" />
                    <resource>
                        <PractitionerRole>
                            <id value="38c4c13a-6dbc-4a86-b2d8-e89709589766" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" />
                            </meta>
                            <practitioner>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7" />
                            </organization>
                            <code>
                                <coding>
                                    <system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1" />
                                    <code value="R5220" />
                                    <display value="Pharmacy Technician" />
                                </coding>
                                <text value="Pharmacy Technician" />
                            </code>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                    <resource>
                        <Patient>
                            <id value="0192624d-34ff-419a-9814-4705fadb5c56" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
                            </meta>
                            <identifier>
                                <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1">
                                    <valueCodeableConcept>
                                        <coding>
                                            <system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
                                            <code value="01" />
                                            <display value="Number present and verified" />
                                        </coding>
                                        <text value="Number present and verified" />
                                    </valueCodeableConcept>
                                </extension>
                                <system value="https://fhir.nhs.uk/Id/nhs-number" />
                                <value value="4857773456" />
                            </identifier>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/patient" />
                                <value value="0192624d-34ff-419a-9814-4705fadb5c56" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <family value="LERONE" />
                                <given value="Toby" />
                            </name>
                            <gender value="male" />
                            <birthDate value="1983-08-08" />
                            <address>
                                <postalCode value="T0 BLR" />
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b" />
                    <resource>
                        <Observation>
                            <id value="ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b" />
                            </identifier>
                            <status value="final" />
                            <category>
                                <coding>
                                    <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                                    <code value="vital-signs" />
                                    <display value="Vital Signs" />
                                </coding>
                                <text value="Vital Signs" />
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="75367002" />
                                    <display value="Blood pressure" />
                                </coding>
                                <text value="Blood pressure" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:12:14.3021913+01:00" />
                            <performer>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </performer>
                            <bodySite>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="40983000" />
                                    <display value="Structure of upper extremity between shoulder and elbow" />
                                </coding>
                                <text value="Structure of upper extremity between shoulder and elbow" />
                            </bodySite>
                            <component>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="72313002" />
                                        <display value="Systolic arterial pressure" />
                                    </coding>
                                    <text value="Systolic arterial pressure" />
                                </code>
                                <valueQuantity>
                                    <value value="125" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                            <component>
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="1091811000000102" />
                                        <display value="Diastolic arterial pressure" />
                                    </coding>
                                    <text value="Diastolic arterial pressure" />
                                </code>
                                <valueQuantity>
                                    <value value="84" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f" />
                    <resource>
                        <Observation>
                            <id value="9df8c399-f1ff-400d-8913-c6eeddc5c88f" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="9df8c399-f1ff-400d-8913-c6eeddc5c88f" />
                            </identifier>
                            <status value="final" />
                            <category>
                                <coding>
                                    <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                                    <code value="vital-signs" />
                                    <display value="Vital Signs" />
                                </coding>
                                <text value="Vital Signs" />
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="364075005" />
                                    <display value="Heart rate" />
                                </coding>
                                <text value="Heart rate" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:12:14.3057014+01:00" />
                            <performer>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </performer>
                            <valueQuantity>
                                <value value="78" />
                                <unit value="per minute" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="{beats}/min" />
                            </valueQuantity>
                            <bodySite>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="368209003" />
                                    <display value="Right upper arm structure" />
                                </coding>
                                <text value="Right upper arm structure" />
                            </bodySite>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2" />
                    <resource>
                        <Observation>
                            <id value="8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="social-context" />
                                    <display value="Social context" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2" />
                            </identifier>
                            <status value="final" />
                            <category>
                                <coding>
                                    <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                                    <code value="social-history" />
                                    <display value="Social History" />
                                </coding>
                                <text value="Social History" />
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="228378005" />
                                    <display value="Smokes drugs in cigarette form" />
                                </coding>
                                <text value="Smokes drugs in cigarette form" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:12:14.305972+01:00" />
                            <performer>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72" />
                    <resource>
                        <ClinicalImpression>
                            <id value="f133f155-acc1-4817-9903-dc4ab5636c72" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="clinical-summary" />
                                    <display value="Clinical summary" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/clinical-impression" />
                                <value value="f133f155-acc1-4817-9903-dc4ab5636c72" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </assessor>
                            <summary value="Patient is above 40 and has walked in the Pharmacy for health check. A pharmacy technician approaches the patient to have a bp check subject to eligibility - Patient eligible." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5" />
                    <resource>
                        <ClinicalImpression>
                            <id value="4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="history" />
                                    <display value="History" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/clinical-impression" />
                                <value value="4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </assessor>
                            <summary value="Patient has family history of hypertension." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90" />
                    <resource>
                        <ClinicalImpression>
                            <id value="c3e2954a-8e6a-4e30-8c09-c710ec022c90" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="information-and-advice-given" />
                                    <display value="Information and advice given" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/clinical-impression" />
                                <value value="c3e2954a-8e6a-4e30-8c09-c710ec022c90" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6" />
                            </assessor>
                            <summary value="Advice given on healthy behaviours and recommended further blood pressure check within 5 years." />
                        </ClinicalImpression>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]blood-pressure-check-service--example-1
Bundle.meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]blood-pressure-check-service--example-1
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:adcdf4b6-4c9d-4347-9dca-1264e1f51a4b
Bundle.entry[0].resource[0].id[0]adcdf4b6-4c9d-4347-9dca-1264e1f51a4b
Bundle.entry[0].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2
Bundle.entry[0].resource[0].extension[0].extension[0].url[0]BusAckRequested
Bundle.entry[0].resource[0].extension[0].extension[0].value[0]True
Bundle.entry[0].resource[0].extension[0].extension[1].url[0]InfAckRequested
Bundle.entry[0].resource[0].extension[0].extension[1].value[0]True
Bundle.entry[0].resource[0].extension[0].extension[2].url[0]RecipientType
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].code[0]FI
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].display[0]For Information
Bundle.entry[0].resource[0].extension[0].extension[3].url[0]MessageDefinition
Bundle.entry[0].resource[0].extension[0].extension[3].value[0].reference[0]https://fhir.nhs.uk/MessageDefinition
Bundle.entry[0].resource[0].extension[0].extension[4].url[0]SenderReference
Bundle.entry[0].resource[0].extension[0].extension[4].value[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[0].resource[0].extension[0].extension[5].url[0]LocalExtension
Bundle.entry[0].resource[0].extension[0].extension[5].value[0]None
Bundle.entry[0].resource[0].extension[0].url[0]https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2
Bundle.entry[0].resource[0].event[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2
Bundle.entry[0].resource[0].event[0].code[0]ITK014M
Bundle.entry[0].resource[0].event[0].display[0]ITK Update Record
Bundle.entry[0].resource[0].sender[0].reference[0]urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:12:14.2593592+01:00
Bundle.entry[0].resource[0].source[0].endpoint[0]SENDER_MESH_MAILBOX_ID
Bundle.entry[0].resource[0].focus[0].reference[0]urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3
Bundle.entry[1].fullUrl[0]urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002
Bundle.entry[1].resource[0].id[0]41abf8ce-2d2e-11ee-be56-0242ac120002
Bundle.entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[1].resource[0].identifier[0].value[0]FQW30
Bundle.entry[2].fullUrl[0]urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3
Bundle.entry[2].resource[0].id[0]2eefc87f-8a16-45a1-a666-1753237608a3
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.entry[2].resource[0].identifier[0].value[0]2eefc87f-8a16-45a1-a666-1753237608a3
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:28182303-be8d-429f-a593-4bd1b4952fc5
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]28182303-be8d-429f-a593-4bd1b4952fc5
Bundle.entry[2].resource[0].entry[0].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/composition
Bundle.entry[2].resource[0].entry[0].resource[0].identifier[0].value[0]28182303-be8d-429f-a593-4bd1b4952fc5
Bundle.entry[2].resource[0].entry[0].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].code[0]1659111000000107
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].display[0]Community Pharmacy Blood Pressure Check Service
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].text[0]Community Pharmacy Blood Pressure Check Service
Bundle.entry[2].resource[0].entry[0].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[0].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[0].resource[0].author[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[0].resource[0].title[0]The Dispensers - Community Pharmacist Blood Pressure Check Service
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[10].reference[0]urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[1].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1
Bundle.entry[2].resource[0].entry[1].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/encounter
Bundle.entry[2].resource[0].entry[1].resource[0].identifier[0].value[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[1].resource[0].status[0]finished
Bundle.entry[2].resource[0].entry[1].resource[0].type[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[1].resource[0].type[0].coding[0].code[0]307778003
Bundle.entry[2].resource[0].entry[1].resource[0].type[0].coding[0].display[0]Seen in primary care establishment
Bundle.entry[2].resource[0].entry[1].resource[0].type[0].text[0]Seen in primary care establishment
Bundle.entry[2].resource[0].entry[1].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].system[0]https://fhir.nhs.uk/STU3/ValueSet/GPConnect-ParticipantType-1
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].code[0]REC
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].text[0]recorder
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[1].resource[0].period[0].start[0]2023-08-08
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].coding[0].code[0]1659111000000107
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].coding[0].display[0]Community Pharmacy Blood Pressure Check Service
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].text[0]Community Pharmacy Blood Pressure Check Service
Bundle.entry[2].resource[0].entry[1].resource[0].serviceProvider[0].reference[0]urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]d850c18b-5143-4ae6-bf5f-96f102e7d3d7
Bundle.entry[2].resource[0].entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1
Bundle.entry[2].resource[0].entry[2].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[2].resource[0].entry[2].resource[0].identifier[0].value[0]A(*)
Bundle.entry[2].resource[0].entry[2].resource[0].name[0]The Dispensers
Bundle.entry[2].resource[0].entry[3].fullUrl[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[3].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[3].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/staff
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[0].value[0]5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].family[0]Spencer
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].given[0]Di
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].prefix[0]Miss
Bundle.entry[2].resource[0].entry[4].fullUrl[0]urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]38c4c13a-6dbc-4a86-b2d8-e89709589766
Bundle.entry[2].resource[0].entry[4].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[4].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1
Bundle.entry[2].resource[0].entry[4].resource[0].practitioner[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].coding[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].coding[0].code[0]R5220
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].coding[0].display[0]Pharmacy Technician
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].text[0]Pharmacy Technician
Bundle.entry[2].resource[0].entry[5].fullUrl[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[5].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[5].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].url[0]https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].text[0]Number present and verified
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].value[0]4857773456
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[1].system[0]https://fhir.provider.example/identifier/patient
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[1].value[0]0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].use[0]official
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].family[0]LERONE
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Toby
Bundle.entry[2].resource[0].entry[5].resource[0].gender[0]male
Bundle.entry[2].resource[0].entry[5].resource[0].birthDate[0]1983-08-08
Bundle.entry[2].resource[0].entry[5].resource[0].address[0].postalCode[0]T0 BLR
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b
Bundle.entry[2].resource[0].entry[6].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
Bundle.entry[2].resource[0].entry[6].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[6].resource[0].identifier[0].value[0]ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b
Bundle.entry[2].resource[0].entry[6].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[6].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[6].resource[0].category[0].coding[0].code[0]vital-signs
Bundle.entry[2].resource[0].entry[6].resource[0].category[0].coding[0].display[0]Vital Signs
Bundle.entry[2].resource[0].entry[6].resource[0].category[0].text[0]Vital Signs
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].coding[0].code[0]75367002
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].coding[0].display[0]Blood pressure
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].text[0]Blood pressure
Bundle.entry[2].resource[0].entry[6].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[6].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[6].resource[0].issued[0]2023-08-08T09:12:14.3021913+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].coding[0].code[0]40983000
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].coding[0].display[0]Structure of upper extremity between shoulder and elbow
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].text[0]Structure of upper extremity between shoulder and elbow
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].code[0].coding[0].code[0]72313002
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].code[0].coding[0].display[0]Systolic arterial pressure
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].code[0].text[0]Systolic arterial pressure
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].value[0].value[0]125
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].value[0].unit[0]millimeter of mercury
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[6].resource[0].component[0].value[0].code[0]mm[Hg]
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].code[0].coding[0].code[0]1091811000000102
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].code[0].coding[0].display[0]Diastolic arterial pressure
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].code[0].text[0]Diastolic arterial pressure
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].value[0].value[0]84
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].value[0].unit[0]millimeter of mercury
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[6].resource[0].component[1].value[0].code[0]mm[Hg]
Bundle.entry[2].resource[0].entry[7].fullUrl[0]urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]9df8c399-f1ff-400d-8913-c6eeddc5c88f
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
Bundle.entry[2].resource[0].entry[7].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[7].resource[0].identifier[0].value[0]9df8c399-f1ff-400d-8913-c6eeddc5c88f
Bundle.entry[2].resource[0].entry[7].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].code[0]vital-signs
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].display[0]Vital Signs
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].text[0]Vital Signs
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].code[0]364075005
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].display[0]Heart rate
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].text[0]Heart rate
Bundle.entry[2].resource[0].entry[7].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[7].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[7].resource[0].issued[0]2023-08-08T09:12:14.3057014+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].value[0]78
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].unit[0]per minute
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].code[0]{beats}/min
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].code[0]368209003
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].display[0]Right upper arm structure
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].text[0]Right upper arm structure
Bundle.entry[2].resource[0].entry[8].fullUrl[0]urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].code[0]social-context
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].display[0]Social context
Bundle.entry[2].resource[0].entry[8].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[8].resource[0].identifier[0].value[0]8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2
Bundle.entry[2].resource[0].entry[8].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].coding[0].code[0]social-history
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].text[0]Social History
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].code[0]228378005
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].display[0]Smokes drugs in cigarette form
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].text[0]Smokes drugs in cigarette form
Bundle.entry[2].resource[0].entry[8].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[8].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[8].resource[0].issued[0]2023-08-08T09:12:14.305972+01:00
Bundle.entry[2].resource[0].entry[8].resource[0].performer[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[9].fullUrl[0]urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]f133f155-acc1-4817-9903-dc4ab5636c72
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].code[0]clinical-summary
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].display[0]Clinical summary
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].value[0]f133f155-acc1-4817-9903-dc4ab5636c72
Bundle.entry[2].resource[0].entry[9].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[9].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[9].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[9].resource[0].assessor[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[9].resource[0].summary[0]Patient is above 40 and has walked in the Pharmacy for health check. A pharmacy technician approaches the patient to have a bp check subject to eligibility - Patient eligible.
Bundle.entry[2].resource[0].entry[10].fullUrl[0]urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].code[0]history
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].display[0]History
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].value[0]4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5
Bundle.entry[2].resource[0].entry[10].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[10].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[10].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[10].resource[0].assessor[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[10].resource[0].summary[0]Patient has family history of hypertension.
Bundle.entry[2].resource[0].entry[11].fullUrl[0]urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90
Bundle.entry[2].resource[0].entry[11].resource[0].id[0]c3e2954a-8e6a-4e30-8c09-c710ec022c90
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].code[0]information-and-advice-given
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].display[0]Information and advice given
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].value[0]c3e2954a-8e6a-4e30-8c09-c710ec022c90
Bundle.entry[2].resource[0].entry[11].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[11].resource[0].subject[0].reference[0]urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56
Bundle.entry[2].resource[0].entry[11].resource[0].context[0].reference[0]urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6
Bundle.entry[2].resource[0].entry[11].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[11].resource[0].assessor[0].reference[0]urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6
Bundle.entry[2].resource[0].entry[11].resource[0].summary[0]Advice given on healthy behaviours and recommended further blood pressure check within 5 years.
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