GP Connect - Update Record (ITK3)

Part of the GP Connect product family
A newer version of this specification is available (v1.1.1-public-beta).
An issue was identified with the FHIR package supplied with this version of the specification, which has been rectified.
Please click here to view the patched v1.1.1-public-beta specification with the updated FHIR package.

Contraception service - Example 1

Scenario

Referral type Walk-in to pharmacy
Age group / Biological sex 35 years, female
Role in pharmacy Pharmacist
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary The patient has been using oral contraception and it works well. Walked in the pharmacy for ongoing supply.
Relevant history / information requested None
Observations
  • Blood pressure: 120 / 78
  • Height: 5' 4"
  • Weight: 64kg
  • BMI: 24
Smoking or pregnancy status
  • Smoking: No
  • Pregnant: No
Medication prescribed Rigevidon tablets (Gedeon Richter (UK) Ltd)
12 months supply
Information and advice given None

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="contraception-service--example-1" />
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="contraception-service--example-1" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:8bb8867d-44e4-4ddb-9e4d-3e3c4b4631ba" />
        <resource>
            <MessageHeader>
                <id value="8bb8867d-44e4-4ddb-9e4d-3e3c4b4631ba" />
                <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:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                    </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:2d0d1754-b061-45be-bc50-074b11242704" />
                </sender>
                <timestamp value="2023-08-08T09:16:40.9481718+01:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:c8aced86-ef94-4bc9-a467-62b1d5359de3" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:2d0d1754-b061-45be-bc50-074b11242704" />
        <resource>
            <Organization>
                <id value="2d0d1754-b061-45be-bc50-074b11242704" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="FQW30" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:c8aced86-ef94-4bc9-a467-62b1d5359de3" />
        <resource>
            <Bundle>
                <id value="c8aced86-ef94-4bc9-a467-62b1d5359de3" />
                <meta>
                    <lastUpdated value="2023-08-08T09:16:40.9594936+01:00" />
                </meta>
                <identifier>
                    <system value="https://fhir.provider.example/identifier/bundle" />
                    <value value="c8aced86-ef94-4bc9-a467-62b1d5359de3" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:8077f86b-3e8c-41df-90d2-a73c54cb460a" />
                    <resource>
                        <Composition>
                            <id value="8077f86b-3e8c-41df-90d2-a73c54cb460a" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="8077f86b-3e8c-41df-90d2-a73c54cb460a" />
                            </identifier>
                            <status value="final" />
                            <type>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1659121000000101" />
                                    <display value="Community Pharmacy Contraception Service" />
                                </coding>
                                <text value="Community Pharmacy Contraception Service" />
                            </type>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </encounter>
                            <date value="2023-08-08" />
                            <author>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </author>
                            <title value="The Dispensers - Community Pharmacy Contraception Service" />
                            <section>
                                <entry>
                                    <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:aaeba6df-72b8-4723-8525-db2c557cc9c0" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:71d0ddac-874c-40f6-9f3e-113f1659ce24" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:8b581579-a6c5-4378-9dee-6d4b4567d2b3" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:551fb3b3-a594-4213-a5a2-4cc4e32630a5" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:376ace66-7d86-4b67-a1d4-5a27c0e5f1e4" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:cdd6e748-70ea-4be6-8d23-cf84fb66fbcb" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:9e1bbf34-0efb-482b-81ca-b4b54b5323a2" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:dbf22ebe-4fb0-4bf7-949f-1da86e56f367" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:32d0f223-2049-4ccc-8082-6606420df62c" />
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                    <resource>
                        <Encounter>
                            <id value="59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            <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="59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </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:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <participant>
                                <individual>
                                    <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                                </individual>
                            </participant>
                            <period>
                                <start value="2023-08-08" />
                            </period>
                            <reason>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1659121000000101" />
                                    <display value="Community Pharmacy Contraception Service" />
                                </coding>
                                <text value="Community Pharmacy Contraception Service" />
                            </reason>
                            <serviceProvider>
                                <reference value="urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38" />
                    <resource>
                        <Organization>
                            <id value="34b98a4b-da91-40af-8d85-1a98340d5a38" />
                            <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:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                    <resource>
                        <Practitioner>
                            <id value="40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/staff" />
                                <value value="40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </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:aaeba6df-72b8-4723-8525-db2c557cc9c0" />
                    <resource>
                        <PractitionerRole>
                            <id value="aaeba6df-72b8-4723-8525-db2c557cc9c0" />
                            <practitioner>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38" />
                            </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:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                    <resource>
                        <Patient>
                            <id value="3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            <identifier>
                                <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1">
                                    <valueCodeableConcept>
                                        <coding>
                                            <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
                                            <code value="01" />
                                            <display value="Number present and verified" />
                                        </coding>
                                        <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="3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <family value="MOWERS" />
                                <given value="Lorna" />
                            </name>
                            <gender value="female" />
                            <birthDate value="1971-08-08" />
                            <address>
                                <postalCode value="LWN 1" />
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:71d0ddac-874c-40f6-9f3e-113f1659ce24" />
                    <resource>
                        <Observation>
                            <id value="71d0ddac-874c-40f6-9f3e-113f1659ce24" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="71d0ddac-874c-40f6-9f3e-113f1659ce24" />
                            </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="Average blood pressure" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.9843158+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </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="120" />
                                    <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="78" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:8b581579-a6c5-4378-9dee-6d4b4567d2b3" />
                    <resource>
                        <Observation>
                            <id value="8b581579-a6c5-4378-9dee-6d4b4567d2b3" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="8b581579-a6c5-4378-9dee-6d4b4567d2b3" />
                            </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="50373000" />
                                    <display value="Body height measure" />
                                </coding>
                                <text value="Body height measure" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.9866285+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </performer>
                            <valueQuantity>
                                <value value="162.56" />
                                <unit value="centimeter" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="cm" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:551fb3b3-a594-4213-a5a2-4cc4e32630a5" />
                    <resource>
                        <Observation>
                            <id value="551fb3b3-a594-4213-a5a2-4cc4e32630a5" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="551fb3b3-a594-4213-a5a2-4cc4e32630a5" />
                            </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="27113001" />
                                    <display value="Body weight" />
                                </coding>
                                <text value="Body weight" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.98672+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </performer>
                            <valueQuantity>
                                <value value="64" />
                                <unit value="kilogram" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="kg" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:376ace66-7d86-4b67-a1d4-5a27c0e5f1e4" />
                    <resource>
                        <Observation>
                            <id value="376ace66-7d86-4b67-a1d4-5a27c0e5f1e4" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="376ace66-7d86-4b67-a1d4-5a27c0e5f1e4" />
                            </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="60621009" />
                                    <display value="Body mass index" />
                                </coding>
                                <text value="Body mass index" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.9867255+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </performer>
                            <valueQuantity>
                                <value value="24" />
                                <unit value="kilogram per square meter" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="kg/m2" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:cdd6e748-70ea-4be6-8d23-cf84fb66fbcb" />
                    <resource>
                        <Observation>
                            <id value="cdd6e748-70ea-4be6-8d23-cf84fb66fbcb" />
                            <meta>
                                <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="cdd6e748-70ea-4be6-8d23-cf84fb66fbcb" />
                            </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:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.9868281+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:9e1bbf34-0efb-482b-81ca-b4b54b5323a2" />
                    <resource>
                        <Observation>
                            <id value="9e1bbf34-0efb-482b-81ca-b4b54b5323a2" />
                            <meta>
                                <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="9e1bbf34-0efb-482b-81ca-b4b54b5323a2" />
                            </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:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:16:40.9868328+01:00" />
                            <performer>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:dbf22ebe-4fb0-4bf7-949f-1da86e56f367" />
                    <resource>
                        <MedicationDispense>
                            <id value="dbf22ebe-4fb0-4bf7-949f-1da86e56f367" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/medication-dispense" />
                                <value value="dbf22ebe-4fb0-4bf7-949f-1da86e56f367" />
                            </identifier>
                            <status value="completed" />
                            <category>
                                <coding>
                                    <system value="http://hl7.org/fhir/medication-dispense-category" />
                                    <code value="community" />
                                    <display value="Community" />
                                </coding>
                                <text value="Community" />
                            </category>
                            <medicationCodeableConcept>
                                <coding>
                                    <system value="https://dmd.nhs.uk" />
                                    <code value="17346711000001106" />
                                    <display value="Rigevidon tablets (Gedeon Richter (UK) Ltd)" />
                                </coding>
                                <text value="Rigevidon tablets (Gedeon Richter (UK) Ltd)" />
                            </medicationCodeableConcept>
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <performer>
                                <actor>
                                    <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                                </actor>
                            </performer>
                            <type>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1" />
                                    <code value="prescription-dispensing" />
                                    <display value="Prescription dispensing" />
                                </coding>
                                <text value="Prescription dispensing" />
                            </type>
                            <quantity>
                                <value value="252" />
                                <unit value="Tablet" />
                                <system value="http://snomed.info/sct" />
                                <code value="428673006" />
                            </quantity>
                            <daysSupply>
                                <value value="252" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </daysSupply>
                            <whenPrepared value="2023-08-08" />
                            <whenHandedOver value="2023-08-08" />
                            <dosageInstruction>
                                <text value="One tablet is to be taken daily for 21 consecutive days starting day 1 of menstrual cycle. Do not take the tablets between day 22 to day 28." />
                                <patientInstruction value="One tablet is to be taken daily for 21 consecutive days starting day 1 of menstrual cycle. Do not take the tablets between day 22 to day 28." />
                                <timing>
                                    <repeat>
                                        <frequency value="1" />
                                        <period value="1" />
                                        <periodUnit value="d" />
                                    </repeat>
                                </timing>
                                <route>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="26643006" />
                                        <display value="Oral route" />
                                    </coding>
                                    <text value="Oral route" />
                                </route>
                                <maxDosePerPeriod>
                                    <numerator>
                                        <value value="21" />
                                        <unit value="Tablet" />
                                        <system value="http://snomed.info/sct" />
                                        <code value="428673006" />
                                    </numerator>
                                    <denominator>
                                        <value value="28" />
                                        <unit value="day" />
                                        <system value="http://unitsofmeasure.org" />
                                        <code value="d" />
                                    </denominator>
                                </maxDosePerPeriod>
                            </dosageInstruction>
                        </MedicationDispense>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:32d0f223-2049-4ccc-8082-6606420df62c" />
                    <resource>
                        <ClinicalImpression>
                            <id value="32d0f223-2049-4ccc-8082-6606420df62c" />
                            <meta>
                                <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="32d0f223-2049-4ccc-8082-6606420df62c" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b" />
                            </assessor>
                            <summary value="The patient has been using oral contraception and it works well. Walked in the pharmacy for ongoing supply." />
                        </ClinicalImpression>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]contraception-service--example-1
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]contraception-service--example-1
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:8bb8867d-44e4-4ddb-9e4d-3e3c4b4631ba
Bundle.entry[0].resource[0].id[0]8bb8867d-44e4-4ddb-9e4d-3e3c4b4631ba
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:59efe993-edfb-4b57-984b-e6dc556d9b6a
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:2d0d1754-b061-45be-bc50-074b11242704
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:16:40.9481718+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:c8aced86-ef94-4bc9-a467-62b1d5359de3
Bundle.entry[1].fullUrl[0]urn:uuid:2d0d1754-b061-45be-bc50-074b11242704
Bundle.entry[1].resource[0].id[0]2d0d1754-b061-45be-bc50-074b11242704
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:c8aced86-ef94-4bc9-a467-62b1d5359de3
Bundle.entry[2].resource[0].id[0]c8aced86-ef94-4bc9-a467-62b1d5359de3
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:16:40.9594936+01:00
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.entry[2].resource[0].identifier[0].value[0]c8aced86-ef94-4bc9-a467-62b1d5359de3
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:8077f86b-3e8c-41df-90d2-a73c54cb460a
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]8077f86b-3e8c-41df-90d2-a73c54cb460a
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]8077f86b-3e8c-41df-90d2-a73c54cb460a
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]1659121000000101
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].display[0]Community Pharmacy Contraception Service
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].text[0]Community Pharmacy Contraception Service
Bundle.entry[2].resource[0].entry[0].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
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:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[0].resource[0].title[0]The Dispensers - Community Pharmacy Contraception Service
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:aaeba6df-72b8-4723-8525-db2c557cc9c0
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:71d0ddac-874c-40f6-9f3e-113f1659ce24
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:8b581579-a6c5-4378-9dee-6d4b4567d2b3
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:551fb3b3-a594-4213-a5a2-4cc4e32630a5
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:376ace66-7d86-4b67-a1d4-5a27c0e5f1e4
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:cdd6e748-70ea-4be6-8d23-cf84fb66fbcb
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[10].reference[0]urn:uuid:9e1bbf34-0efb-482b-81ca-b4b54b5323a2
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[11].reference[0]urn:uuid:dbf22ebe-4fb0-4bf7-949f-1da86e56f367
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[12].reference[0]urn:uuid:32d0f223-2049-4ccc-8082-6606420df62c
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]59efe993-edfb-4b57-984b-e6dc556d9b6a
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]59efe993-edfb-4b57-984b-e6dc556d9b6a
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:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
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]1659121000000101
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].coding[0].display[0]Community Pharmacy Contraception Service
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].text[0]Community Pharmacy Contraception Service
Bundle.entry[2].resource[0].entry[1].resource[0].serviceProvider[0].reference[0]urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]34b98a4b-da91-40af-8d85-1a98340d5a38
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:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]40471edc-4514-4a84-8ca0-abfa5c76604b
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]40471edc-4514-4a84-8ca0-abfa5c76604b
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:aaeba6df-72b8-4723-8525-db2c557cc9c0
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]aaeba6df-72b8-4723-8525-db2c557cc9c0
Bundle.entry[2].resource[0].entry[4].resource[0].practitioner[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:34b98a4b-da91-40af-8d85-1a98340d5a38
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:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]3ec409f6-6dd3-4c7e-b492-180b73f2c808
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.hl7.org.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]3ec409f6-6dd3-4c7e-b492-180b73f2c808
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]MOWERS
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Lorna
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]LWN 1
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:71d0ddac-874c-40f6-9f3e-113f1659ce24
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]71d0ddac-874c-40f6-9f3e-113f1659ce24
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]71d0ddac-874c-40f6-9f3e-113f1659ce24
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]Average blood pressure
Bundle.entry[2].resource[0].entry[6].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
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]2023-08-08T09:16:40.9843158+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
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]120
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]78
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:8b581579-a6c5-4378-9dee-6d4b4567d2b3
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]8b581579-a6c5-4378-9dee-6d4b4567d2b3
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]8b581579-a6c5-4378-9dee-6d4b4567d2b3
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]50373000
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].display[0]Body height measure
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].text[0]Body height measure
Bundle.entry[2].resource[0].entry[7].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
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]2023-08-08T09:16:40.9866285+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].value[0]162.56
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].unit[0]centimeter
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]cm
Bundle.entry[2].resource[0].entry[8].fullUrl[0]urn:uuid:551fb3b3-a594-4213-a5a2-4cc4e32630a5
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]551fb3b3-a594-4213-a5a2-4cc4e32630a5
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]551fb3b3-a594-4213-a5a2-4cc4e32630a5
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]vital-signs
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].coding[0].display[0]Vital Signs
Bundle.entry[2].resource[0].entry[8].resource[0].category[0].text[0]Vital Signs
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]27113001
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].display[0]Body weight
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].text[0]Body weight
Bundle.entry[2].resource[0].entry[8].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
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]2023-08-08T09:16:40.98672+01:00
Bundle.entry[2].resource[0].entry[8].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].value[0]64
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].unit[0]kilogram
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].code[0]kg
Bundle.entry[2].resource[0].entry[9].fullUrl[0]urn:uuid:376ace66-7d86-4b67-a1d4-5a27c0e5f1e4
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]376ace66-7d86-4b67-a1d4-5a27c0e5f1e4
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].value[0]376ace66-7d86-4b67-a1d4-5a27c0e5f1e4
Bundle.entry[2].resource[0].entry[9].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].coding[0].code[0]vital-signs
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].coding[0].display[0]Vital Signs
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].text[0]Vital Signs
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].coding[0].code[0]60621009
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].coding[0].display[0]Body mass index
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].text[0]Body mass index
Bundle.entry[2].resource[0].entry[9].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[9].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[9].resource[0].issued[0]2023-08-08T09:16:40.9867255+01:00
Bundle.entry[2].resource[0].entry[9].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[9].resource[0].value[0].value[0]24
Bundle.entry[2].resource[0].entry[9].resource[0].value[0].unit[0]kilogram per square meter
Bundle.entry[2].resource[0].entry[9].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[9].resource[0].value[0].code[0]kg/m2
Bundle.entry[2].resource[0].entry[10].fullUrl[0]urn:uuid:cdd6e748-70ea-4be6-8d23-cf84fb66fbcb
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]cdd6e748-70ea-4be6-8d23-cf84fb66fbcb
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]social-context
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].display[0]Social context
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].value[0]cdd6e748-70ea-4be6-8d23-cf84fb66fbcb
Bundle.entry[2].resource[0].entry[10].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].code[0]social-history
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].text[0]Social History
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].coding[0].code[0]8392000
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].coding[0].display[0]Non-smoker
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].text[0]Non-smoker
Bundle.entry[2].resource[0].entry[10].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[10].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[10].resource[0].issued[0]2023-08-08T09:16:40.9868281+01:00
Bundle.entry[2].resource[0].entry[10].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[11].fullUrl[0]urn:uuid:9e1bbf34-0efb-482b-81ca-b4b54b5323a2
Bundle.entry[2].resource[0].entry[11].resource[0].id[0]9e1bbf34-0efb-482b-81ca-b4b54b5323a2
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]pregnancy-status
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].display[0]Pregnancy status
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].value[0]9e1bbf34-0efb-482b-81ca-b4b54b5323a2
Bundle.entry[2].resource[0].entry[11].resource[0].status[0]final
Bundle.entry[2].resource[0].entry[11].resource[0].category[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/observation-category
Bundle.entry[2].resource[0].entry[11].resource[0].category[0].coding[0].code[0]social-history
Bundle.entry[2].resource[0].entry[11].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[2].resource[0].entry[11].resource[0].category[0].text[0]Social History
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].coding[0].code[0]60001007
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].coding[0].display[0]Not pregnant
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].text[0]Not pregnant
Bundle.entry[2].resource[0].entry[11].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[11].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[11].resource[0].effective[0]2023-08-08
Bundle.entry[2].resource[0].entry[11].resource[0].issued[0]2023-08-08T09:16:40.9868328+01:00
Bundle.entry[2].resource[0].entry[11].resource[0].performer[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[12].fullUrl[0]urn:uuid:dbf22ebe-4fb0-4bf7-949f-1da86e56f367
Bundle.entry[2].resource[0].entry[12].resource[0].id[0]dbf22ebe-4fb0-4bf7-949f-1da86e56f367
Bundle.entry[2].resource[0].entry[12].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/medication-dispense
Bundle.entry[2].resource[0].entry[12].resource[0].identifier[0].value[0]dbf22ebe-4fb0-4bf7-949f-1da86e56f367
Bundle.entry[2].resource[0].entry[12].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[12].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-dispense-category
Bundle.entry[2].resource[0].entry[12].resource[0].category[0].coding[0].code[0]community
Bundle.entry[2].resource[0].entry[12].resource[0].category[0].coding[0].display[0]Community
Bundle.entry[2].resource[0].entry[12].resource[0].category[0].text[0]Community
Bundle.entry[2].resource[0].entry[12].resource[0].medication[0].coding[0].system[0]https://dmd.nhs.uk
Bundle.entry[2].resource[0].entry[12].resource[0].medication[0].coding[0].code[0]17346711000001106
Bundle.entry[2].resource[0].entry[12].resource[0].medication[0].coding[0].display[0]Rigevidon tablets (Gedeon Richter (UK) Ltd)
Bundle.entry[2].resource[0].entry[12].resource[0].medication[0].text[0]Rigevidon tablets (Gedeon Richter (UK) Ltd)
Bundle.entry[2].resource[0].entry[12].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[12].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[12].resource[0].performer[0].actor[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[12].resource[0].type[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1
Bundle.entry[2].resource[0].entry[12].resource[0].type[0].coding[0].code[0]prescription-dispensing
Bundle.entry[2].resource[0].entry[12].resource[0].type[0].coding[0].display[0]Prescription dispensing
Bundle.entry[2].resource[0].entry[12].resource[0].type[0].text[0]Prescription dispensing
Bundle.entry[2].resource[0].entry[12].resource[0].quantity[0].value[0]252
Bundle.entry[2].resource[0].entry[12].resource[0].quantity[0].unit[0]Tablet
Bundle.entry[2].resource[0].entry[12].resource[0].quantity[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[12].resource[0].quantity[0].code[0]428673006
Bundle.entry[2].resource[0].entry[12].resource[0].daysSupply[0].value[0]252
Bundle.entry[2].resource[0].entry[12].resource[0].daysSupply[0].unit[0]day
Bundle.entry[2].resource[0].entry[12].resource[0].daysSupply[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[12].resource[0].daysSupply[0].code[0]d
Bundle.entry[2].resource[0].entry[12].resource[0].whenPrepared[0]2023-08-08
Bundle.entry[2].resource[0].entry[12].resource[0].whenHandedOver[0]2023-08-08
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].text[0]One tablet is to be taken daily for 21 consecutive days starting day 1 of menstrual cycle. Do not take the tablets between day 22 to day 28.
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].patientInstruction[0]One tablet is to be taken daily for 21 consecutive days starting day 1 of menstrual cycle. Do not take the tablets between day 22 to day 28.
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]1
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].route[0].coding[0].display[0]Oral route
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].route[0].text[0]Oral route
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].numerator[0].value[0]21
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].numerator[0].unit[0]Tablet
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].numerator[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].numerator[0].code[0]428673006
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].denominator[0].value[0]28
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].denominator[0].unit[0]day
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].denominator[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[12].resource[0].dosageInstruction[0].maxDosePerPeriod[0].denominator[0].code[0]d
Bundle.entry[2].resource[0].entry[13].fullUrl[0]urn:uuid:32d0f223-2049-4ccc-8082-6606420df62c
Bundle.entry[2].resource[0].entry[13].resource[0].id[0]32d0f223-2049-4ccc-8082-6606420df62c
Bundle.entry[2].resource[0].entry[13].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[13].resource[0].meta[0].tag[0].code[0]clinical-summary
Bundle.entry[2].resource[0].entry[13].resource[0].meta[0].tag[0].display[0]Clinical summary
Bundle.entry[2].resource[0].entry[13].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[13].resource[0].identifier[0].value[0]32d0f223-2049-4ccc-8082-6606420df62c
Bundle.entry[2].resource[0].entry[13].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[13].resource[0].subject[0].reference[0]urn:uuid:3ec409f6-6dd3-4c7e-b492-180b73f2c808
Bundle.entry[2].resource[0].entry[13].resource[0].context[0].reference[0]urn:uuid:59efe993-edfb-4b57-984b-e6dc556d9b6a
Bundle.entry[2].resource[0].entry[13].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[13].resource[0].assessor[0].reference[0]urn:uuid:40471edc-4514-4a84-8ca0-abfa5c76604b
Bundle.entry[2].resource[0].entry[13].resource[0].summary[0]The patient has been using oral contraception and it works well. Walked in the pharmacy for ongoing supply.
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