GP Connect - Update Record (ITK3)

Part of the GP Connect product family

Blood pressure check service - Example 2

Scenario

Referral type GP
Age group / Biological sex 52 years, female
Role in pharmacy Pharmacist
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary The patient is to be monitored regularly for the blood pressure so has referred to the pharmacy for ambulatory blood pressure service.
Relevant history / information requested None
Observations
  • Blood pressure: Average reading 158 / 102
Smoking or pregnancy status
  • Smoking: No
  • Pregnant: No
Medication prescribed None
Information and advice given Stage 2 hypertension - referred the patient for GP appointment within 7 days. Advice given on healthy behaviours.

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-2" />
    <meta>
        <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1" />
    </meta>
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="blood-pressure-check-service--example-2" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:16bc5fe1-b149-42f2-98ea-88f24c42bcce" />
        <resource>
            <MessageHeader>
                <id value="16bc5fe1-b149-42f2-98ea-88f24c42bcce" />
                <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:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                    </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:ac8977ff-22fc-4427-88d4-a0b87340717e" />
                </sender>
                <timestamp value="2023-08-08T09:13:18.3678494+01:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:b38b90b6-72a5-41b9-b977-d7092e57f106" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:ac8977ff-22fc-4427-88d4-a0b87340717e" />
        <resource>
            <Organization>
                <id value="ac8977ff-22fc-4427-88d4-a0b87340717e" />
                <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:b38b90b6-72a5-41b9-b977-d7092e57f106" />
        <resource>
            <Bundle>
                <id value="b38b90b6-72a5-41b9-b977-d7092e57f106" />
                <meta>
                    <lastUpdated value="2023-08-08T09:13:18.3793688+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="b38b90b6-72a5-41b9-b977-d7092e57f106" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:2ce03e14-aafb-4f62-bf8a-cffe836cc530" />
                    <resource>
                        <Composition>
                            <id value="2ce03e14-aafb-4f62-bf8a-cffe836cc530" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Composition-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="2ce03e14-aafb-4f62-bf8a-cffe836cc530" />
                            </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:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </encounter>
                            <date value="2023-08-08" />
                            <author>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </author>
                            <title value="The Dispensers - Community Pharmacist Blood Pressure Check Service" />
                            <section>
                                <entry>
                                    <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:75c5672f-b2d6-435f-80c8-a4864258162b" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:e7c459a8-2f3f-4968-aa37-937e0a0b88dd" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:bff68759-0cff-43ea-9f71-641873e2fc80" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:0843a500-9f0c-4043-bfd8-b03ca0e95735" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:cb8e1553-4bf1-474c-ab42-f70219b1545a" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:3ecca922-9841-43b6-8389-edc4936228dd" />
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                    <resource>
                        <Encounter>
                            <id value="e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
                            </meta>
                            <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1">
                                <valueCodeableConcept>
                                    <coding>
                                        <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1" />
                                        <code value="1" />
                                    </coding>
                                    <text value="Discharged from Consultant&#39;s care (last attendance)" />
                                </valueCodeableConcept>
                            </extension>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/encounter" />
                                <value value="e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </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:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <participant>
                                <type>
                                    <coding>
                                        <system value="https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1" />
                                        <code value="REC" />
                                    </coding>
                                    <text value="recorder" />
                                </type>
                                <individual>
                                    <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                                </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:62db03c2-148b-4872-8d8b-2ea19871c00d" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d" />
                    <resource>
                        <Organization>
                            <id value="62db03c2-148b-4872-8d8b-2ea19871c00d" />
                            <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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                    <resource>
                        <Practitioner>
                            <id value="c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            <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="c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </identifier>
                            <identifier>
                                <system value="https://fhir.hl7.org.uk/Id/gphc-number" />
                                <value value="NNNNNNN" />
                            </identifier>
                            <name>
                                <family value="Kai-Shun" />
                                <given value="Medi" />
                                <prefix value="Dr" />
                            </name>
                        </Practitioner>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:75c5672f-b2d6-435f-80c8-a4864258162b" />
                    <resource>
                        <PractitionerRole>
                            <id value="75c5672f-b2d6-435f-80c8-a4864258162b" />
                            <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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d" />
                            </organization>
                            <code>
                                <coding>
                                    <system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1" />
                                    <code value="R1290" />
                                    <display value="Pharmacist" />
                                </coding>
                                <text value="Pharmacist" />
                            </code>
                        </PractitionerRole>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                    <resource>
                        <Patient>
                            <id value="c33b855b-4824-4876-9509-ed34de2109b4" />
                            <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="c33b855b-4824-4876-9509-ed34de2109b4" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <family value="TEAK" />
                                <given value="Anne" />
                            </name>
                            <gender value="female" />
                            <birthDate value="1971-08-08" />
                            <address>
                                <postalCode value="0LD TMR" />
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:e7c459a8-2f3f-4968-aa37-937e0a0b88dd" />
                    <resource>
                        <Observation>
                            <id value="e7c459a8-2f3f-4968-aa37-937e0a0b88dd" />
                            <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="e7c459a8-2f3f-4968-aa37-937e0a0b88dd" />
                            </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="723232008" />
                                    <display value="Average blood pressure" />
                                </coding>
                                <text value="Average blood pressure" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:13:18.4165296+01:00" />
                            <performer>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </performer>
                            <bodySite>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="368208006" />
                                    <display value="Left upper arm structure" />
                                </coding>
                                <text value="Left upper arm structure" />
                            </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="158" />
                                    <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="102" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:bff68759-0cff-43ea-9f71-641873e2fc80" />
                    <resource>
                        <Observation>
                            <id value="bff68759-0cff-43ea-9f71-641873e2fc80" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <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="bff68759-0cff-43ea-9f71-641873e2fc80" />
                            </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="8392000" />
                                    <display value="Non-smoker" />
                                </coding>
                                <text value="Non-smoker" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:13:18.419689+01:00" />
                            <performer>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:0843a500-9f0c-4043-bfd8-b03ca0e95735" />
                    <resource>
                        <Observation>
                            <id value="0843a500-9f0c-4043-bfd8-b03ca0e95735" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="pregnancy-status" />
                                    <display value="Pregnancy status" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="0843a500-9f0c-4043-bfd8-b03ca0e95735" />
                            </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="60001007" />
                                    <display value="Not pregnant" />
                                </coding>
                                <text value="Not pregnant" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:13:18.419708+01:00" />
                            <performer>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:cb8e1553-4bf1-474c-ab42-f70219b1545a" />
                    <resource>
                        <ClinicalImpression>
                            <id value="cb8e1553-4bf1-474c-ab42-f70219b1545a" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <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="cb8e1553-4bf1-474c-ab42-f70219b1545a" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </assessor>
                            <summary value="The patient is to be monitored regularly for the blood pressure so has referred to the pharmacy for ambulatory blood pressure service." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:3ecca922-9841-43b6-8389-edc4936228dd" />
                    <resource>
                        <ClinicalImpression>
                            <id value="3ecca922-9841-43b6-8389-edc4936228dd" />
                            <meta>
                                <lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
                                <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="3ecca922-9841-43b6-8389-edc4936228dd" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8" />
                            </assessor>
                            <summary value="Stage 2 hypertension - referred the patient for GP appointment within 7 days. Advice given on healthy behaviours." />
                        </ClinicalImpression>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]blood-pressure-check-service--example-2
Bundle.meta[0].lastUpdated[0]2023-08-08T09:12:14.271+01:00
Bundle.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]blood-pressure-check-service--example-2
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:16bc5fe1-b149-42f2-98ea-88f24c42bcce
Bundle.entry[0].resource[0].id[0]16bc5fe1-b149-42f2-98ea-88f24c42bcce
Bundle.entry[0].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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:e9a3673b-12d2-4001-826f-626e30d5f71e
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:ac8977ff-22fc-4427-88d4-a0b87340717e
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:13:18.367+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:b38b90b6-72a5-41b9-b977-d7092e57f106
Bundle.entry[1].fullUrl[0]urn:uuid:ac8977ff-22fc-4427-88d4-a0b87340717e
Bundle.entry[1].resource[0].id[0]ac8977ff-22fc-4427-88d4-a0b87340717e
Bundle.entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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:b38b90b6-72a5-41b9-b977-d7092e57f106
Bundle.entry[2].resource[0].id[0]b38b90b6-72a5-41b9-b977-d7092e57f106
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:13:18.379+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]b38b90b6-72a5-41b9-b977-d7092e57f106
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:2ce03e14-aafb-4f62-bf8a-cffe836cc530
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]2ce03e14-aafb-4f62-bf8a-cffe836cc530
Bundle.entry[2].resource[0].entry[0].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+01:00
Bundle.entry[2].resource[0].entry[0].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Composition-1
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]2ce03e14-aafb-4f62-bf8a-cffe836cc530
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:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
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:e9a3673b-12d2-4001-826f-626e30d5f71e
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:75c5672f-b2d6-435f-80c8-a4864258162b
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:e7c459a8-2f3f-4968-aa37-937e0a0b88dd
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:bff68759-0cff-43ea-9f71-641873e2fc80
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:0843a500-9f0c-4043-bfd8-b03ca0e95735
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:cb8e1553-4bf1-474c-ab42-f70219b1545a
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:3ecca922-9841-43b6-8389-edc4936228dd
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]e9a3673b-12d2-4001-826f-626e30d5f71e
Bundle.entry[2].resource[0].entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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].extension[0].url[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1
Bundle.entry[2].resource[0].entry[1].resource[0].extension[0].value[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1
Bundle.entry[2].resource[0].entry[1].resource[0].extension[0].value[0].coding[0].code[0]1
Bundle.entry[2].resource[0].entry[1].resource[0].extension[0].value[0].text[0]Discharged from Consultant's care (last attendance)
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]e9a3673b-12d2-4001-826f-626e30d5f71e
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:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
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:62db03c2-148b-4872-8d8b-2ea19871c00d
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]62db03c2-148b-4872-8d8b-2ea19871c00d
Bundle.entry[2].resource[0].entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[3].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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]c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[1].system[0]https://fhir.hl7.org.uk/Id/gphc-number
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[1].value[0]NNNNNNN
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].family[0]Kai-Shun
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].given[0]Medi
Bundle.entry[2].resource[0].entry[3].resource[0].name[0].prefix[0]Dr
Bundle.entry[2].resource[0].entry[4].fullUrl[0]urn:uuid:75c5672f-b2d6-435f-80c8-a4864258162b
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]75c5672f-b2d6-435f-80c8-a4864258162b
Bundle.entry[2].resource[0].entry[4].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:62db03c2-148b-4872-8d8b-2ea19871c00d
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]R1290
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].coding[0].display[0]Pharmacist
Bundle.entry[2].resource[0].entry[4].resource[0].code[0].text[0]Pharmacist
Bundle.entry[2].resource[0].entry[5].fullUrl[0]urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[5].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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]c33b855b-4824-4876-9509-ed34de2109b4
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]TEAK
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Anne
Bundle.entry[2].resource[0].entry[5].resource[0].gender[0]female
Bundle.entry[2].resource[0].entry[5].resource[0].birthDate[0]1971-08-08
Bundle.entry[2].resource[0].entry[5].resource[0].address[0].postalCode[0]0LD TMR
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:e7c459a8-2f3f-4968-aa37-937e0a0b88dd
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]e7c459a8-2f3f-4968-aa37-937e0a0b88dd
Bundle.entry[2].resource[0].entry[6].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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]e7c459a8-2f3f-4968-aa37-937e0a0b88dd
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]723232008
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].coding[0].display[0]Average blood pressure
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].text[0]Average blood pressure
Bundle.entry[2].resource[0].entry[6].resource[0].subject[0].reference[0]urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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]2023-08-08T09:13:18.416+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
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]368208006
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].coding[0].display[0]Left upper arm structure
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].text[0]Left upper arm structure
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]158
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]102
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:bff68759-0cff-43ea-9f71-641873e2fc80
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]bff68759-0cff-43ea-9f71-641873e2fc80
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+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].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].tag[0].code[0]social-context
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].tag[0].display[0]Social context
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]bff68759-0cff-43ea-9f71-641873e2fc80
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]social-history
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].text[0]Social History
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]8392000
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].display[0]Non-smoker
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].text[0]Non-smoker
Bundle.entry[2].resource[0].entry[7].resource[0].subject[0].reference[0]urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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]2023-08-08T09:13:18.419+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].reference[0]urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[8].fullUrl[0]urn:uuid:0843a500-9f0c-4043-bfd8-b03ca0e95735
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]0843a500-9f0c-4043-bfd8-b03ca0e95735
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+01:00
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]pregnancy-status
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].display[0]Pregnancy status
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]0843a500-9f0c-4043-bfd8-b03ca0e95735
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]60001007
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].display[0]Not pregnant
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].text[0]Not pregnant
Bundle.entry[2].resource[0].entry[8].resource[0].subject[0].reference[0]urn:uuid:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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]2023-08-08T09:13:18.419+01:00
Bundle.entry[2].resource[0].entry[8].resource[0].performer[0].reference[0]urn:uuid:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[9].fullUrl[0]urn:uuid:cb8e1553-4bf1-474c-ab42-f70219b1545a
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]cb8e1553-4bf1-474c-ab42-f70219b1545a
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+01:00
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]cb8e1553-4bf1-474c-ab42-f70219b1545a
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:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[9].resource[0].summary[0]The patient is to be monitored regularly for the blood pressure so has referred to the pharmacy for ambulatory blood pressure service.
Bundle.entry[2].resource[0].entry[10].fullUrl[0]urn:uuid:3ecca922-9841-43b6-8389-edc4936228dd
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]3ecca922-9841-43b6-8389-edc4936228dd
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.271+01:00
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]information-and-advice-given
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].display[0]Information and advice given
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]3ecca922-9841-43b6-8389-edc4936228dd
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:c33b855b-4824-4876-9509-ed34de2109b4
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:e9a3673b-12d2-4001-826f-626e30d5f71e
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:c11ba114-d1bf-461c-a5ee-10e82df9dcc8
Bundle.entry[2].resource[0].entry[10].resource[0].summary[0]Stage 2 hypertension - referred the patient for GP appointment within 7 days. Advice given on healthy behaviours.
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