GP Connect - Update Record (ITK3)

Part of the GP Connect product family

Contraception service - Example 2

Scenario

Referral type 111 Online
Age group / Biological sex 38 years, female
Role in pharmacy Pharmacist
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary The patient chose the pharmacy to access the contraception service for subsequent supply of their oral contraception, using 111 online service.
Relevant history / information requested None
Observations
  • Blood pressure: 142 / 90
  • Height: 5' 2"
  • Weight: 72kg
  • BMI: 29.2
Smoking or pregnancy status
  • Smoking: Yes
  • Pregnant: No
Medication prescribed No supply made.
Information and advice given Blood pressure high so supply is not made. Referred to GP appointment within 7 days.

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-2" />
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="contraception-service--example-2" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:f0cf6707-e5f3-419e-8279-0d5ae9e798f0" />
        <resource>
            <MessageHeader>
                <id value="f0cf6707-e5f3-419e-8279-0d5ae9e798f0" />
                <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:29c89f25-d174-438e-9052-11fe247200fe" />
                    </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:7b309904-c0df-49f4-88b0-3543fffd0e76" />
                </sender>
                <timestamp value="2023-08-08T09:17:43.7955207+01:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:511cf6fd-6c0c-4974-a583-7937d7864418" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:7b309904-c0df-49f4-88b0-3543fffd0e76" />
        <resource>
            <Organization>
                <id value="7b309904-c0df-49f4-88b0-3543fffd0e76" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="FQW30" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:511cf6fd-6c0c-4974-a583-7937d7864418" />
        <resource>
            <Bundle>
                <id value="511cf6fd-6c0c-4974-a583-7937d7864418" />
                <meta>
                    <lastUpdated value="2023-08-08T09:17:43.80489+01:00" />
                </meta>
                <identifier>
                    <system value="https://fhir.provider.example/identifier/bundle" />
                    <value value="511cf6fd-6c0c-4974-a583-7937d7864418" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:1a3de819-11de-4f8d-a483-2a5fd5f4e78c" />
                    <resource>
                        <Composition>
                            <id value="1a3de819-11de-4f8d-a483-2a5fd5f4e78c" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="1a3de819-11de-4f8d-a483-2a5fd5f4e78c" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </encounter>
                            <date value="2023-08-08" />
                            <author>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </author>
                            <title value="The Dispensers - Community Pharmacy Contraception Service" />
                            <section>
                                <entry>
                                    <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:e62edd6d-8eae-48fe-8c24-d1b4dd54bc83" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:8fa4c9c2-399b-4c6d-a805-bb0c3e1993af" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:9f3bc9c5-9f17-4a26-a41f-1d6fcba17785" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:af2776b5-2d7b-44a5-bee6-eb57d8da00b0" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:8a290b98-ab0b-45c6-bb3f-3db136d3dad6" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:65fb215e-cbe6-42dc-b855-c24865a2e5e0" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:a5409c58-700b-45d8-bbfa-90fa8f23455c" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:132336ac-7320-41f9-a3ac-13fa03c3a235" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:745f268e-5ed4-4d55-9b7c-595d11063061" />
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                    <resource>
                        <Encounter>
                            <id value="29c89f25-d174-438e-9052-11fe247200fe" />
                            <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="29c89f25-d174-438e-9052-11fe247200fe" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <participant>
                                <individual>
                                    <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                                </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:795bf23b-0608-4249-aedc-0ea9270dbe24" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24" />
                    <resource>
                        <Organization>
                            <id value="795bf23b-0608-4249-aedc-0ea9270dbe24" />
                            <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:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                    <resource>
                        <Practitioner>
                            <id value="d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/staff" />
                                <value value="d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </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:e62edd6d-8eae-48fe-8c24-d1b4dd54bc83" />
                    <resource>
                        <PractitionerRole>
                            <id value="e62edd6d-8eae-48fe-8c24-d1b4dd54bc83" />
                            <practitioner>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                    <resource>
                        <Patient>
                            <id value="db14b872-d792-44f0-aaf0-e161adade2af" />
                            <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="db14b872-d792-44f0-aaf0-e161adade2af" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <family value="Oakey" />
                                <given value="Carrie" />
                            </name>
                            <gender value="female" />
                            <birthDate value="1985-08-08" />
                            <address>
                                <postalCode value="SNG 2ME" />
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:8fa4c9c2-399b-4c6d-a805-bb0c3e1993af" />
                    <resource>
                        <Observation>
                            <id value="8fa4c9c2-399b-4c6d-a805-bb0c3e1993af" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="8fa4c9c2-399b-4c6d-a805-bb0c3e1993af" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8246181+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                            <bodySite>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="368209003" />
                                    <display value="Right upper arm structure" />
                                </coding>
                                <text value="Right upper arm structure" />
                            </bodySite>
                            <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="142" />
                                    <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="90" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:9f3bc9c5-9f17-4a26-a41f-1d6fcba17785" />
                    <resource>
                        <Observation>
                            <id value="9f3bc9c5-9f17-4a26-a41f-1d6fcba17785" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="9f3bc9c5-9f17-4a26-a41f-1d6fcba17785" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8264542+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                            <valueQuantity>
                                <value value="157.48" />
                                <unit value="Centimeter" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="cm" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:af2776b5-2d7b-44a5-bee6-eb57d8da00b0" />
                    <resource>
                        <Observation>
                            <id value="af2776b5-2d7b-44a5-bee6-eb57d8da00b0" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="af2776b5-2d7b-44a5-bee6-eb57d8da00b0" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8265585+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                            <valueQuantity>
                                <value value="72" />
                                <unit value="kilogram" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="kg" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:8a290b98-ab0b-45c6-bb3f-3db136d3dad6" />
                    <resource>
                        <Observation>
                            <id value="8a290b98-ab0b-45c6-bb3f-3db136d3dad6" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="8a290b98-ab0b-45c6-bb3f-3db136d3dad6" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8265697+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                            <valueQuantity>
                                <value value="29.2" />
                                <unit value="kilogram per square meter" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="kg/m2" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:65fb215e-cbe6-42dc-b855-c24865a2e5e0" />
                    <resource>
                        <Observation>
                            <id value="65fb215e-cbe6-42dc-b855-c24865a2e5e0" />
                            <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="65fb215e-cbe6-42dc-b855-c24865a2e5e0" />
                            </identifier>
                            <status value="final" />
                            <category>
                                <coding>
                                    <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                                    <code value="social-history" />
                                    <display value="Social History" />
                                </coding>
                                <text value="Social History" />
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="228378005" />
                                    <display value="Smokes drugs in cigarette form" />
                                </coding>
                                <text value="Smokes drugs in cigarette form" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8266646+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:a5409c58-700b-45d8-bbfa-90fa8f23455c" />
                    <resource>
                        <Observation>
                            <id value="a5409c58-700b-45d8-bbfa-90fa8f23455c" />
                            <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="a5409c58-700b-45d8-bbfa-90fa8f23455c" />
                            </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:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:17:43.8266758+01:00" />
                            <performer>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:132336ac-7320-41f9-a3ac-13fa03c3a235" />
                    <resource>
                        <ClinicalImpression>
                            <id value="132336ac-7320-41f9-a3ac-13fa03c3a235" />
                            <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="132336ac-7320-41f9-a3ac-13fa03c3a235" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </assessor>
                            <summary value="Blood pressure high so supply is not made. Referred to GP appointment within 7 days." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:745f268e-5ed4-4d55-9b7c-595d11063061" />
                    <resource>
                        <ClinicalImpression>
                            <id value="745f268e-5ed4-4d55-9b7c-595d11063061" />
                            <meta>
                                <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="745f268e-5ed4-4d55-9b7c-595d11063061" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:29c89f25-d174-438e-9052-11fe247200fe" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18" />
                            </assessor>
                            <summary value="Blood pressure high so supply is not made. Referred to GP appointment within 7 days." />
                        </ClinicalImpression>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]contraception-service--example-2
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]contraception-service--example-2
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:f0cf6707-e5f3-419e-8279-0d5ae9e798f0
Bundle.entry[0].resource[0].id[0]f0cf6707-e5f3-419e-8279-0d5ae9e798f0
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:29c89f25-d174-438e-9052-11fe247200fe
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:7b309904-c0df-49f4-88b0-3543fffd0e76
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:17:43.7955207+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:511cf6fd-6c0c-4974-a583-7937d7864418
Bundle.entry[1].fullUrl[0]urn:uuid:7b309904-c0df-49f4-88b0-3543fffd0e76
Bundle.entry[1].resource[0].id[0]7b309904-c0df-49f4-88b0-3543fffd0e76
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:511cf6fd-6c0c-4974-a583-7937d7864418
Bundle.entry[2].resource[0].id[0]511cf6fd-6c0c-4974-a583-7937d7864418
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:17:43.80489+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]511cf6fd-6c0c-4974-a583-7937d7864418
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:1a3de819-11de-4f8d-a483-2a5fd5f4e78c
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]1a3de819-11de-4f8d-a483-2a5fd5f4e78c
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]1a3de819-11de-4f8d-a483-2a5fd5f4e78c
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
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:29c89f25-d174-438e-9052-11fe247200fe
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:e62edd6d-8eae-48fe-8c24-d1b4dd54bc83
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:8fa4c9c2-399b-4c6d-a805-bb0c3e1993af
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:9f3bc9c5-9f17-4a26-a41f-1d6fcba17785
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:af2776b5-2d7b-44a5-bee6-eb57d8da00b0
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:8a290b98-ab0b-45c6-bb3f-3db136d3dad6
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:65fb215e-cbe6-42dc-b855-c24865a2e5e0
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[10].reference[0]urn:uuid:a5409c58-700b-45d8-bbfa-90fa8f23455c
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[11].reference[0]urn:uuid:132336ac-7320-41f9-a3ac-13fa03c3a235
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[12].reference[0]urn:uuid:745f268e-5ed4-4d55-9b7c-595d11063061
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]29c89f25-d174-438e-9052-11fe247200fe
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]29c89f25-d174-438e-9052-11fe247200fe
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
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:795bf23b-0608-4249-aedc-0ea9270dbe24
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]795bf23b-0608-4249-aedc-0ea9270dbe24
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:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
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]d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
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:e62edd6d-8eae-48fe-8c24-d1b4dd54bc83
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]e62edd6d-8eae-48fe-8c24-d1b4dd54bc83
Bundle.entry[2].resource[0].entry[4].resource[0].practitioner[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:795bf23b-0608-4249-aedc-0ea9270dbe24
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]db14b872-d792-44f0-aaf0-e161adade2af
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]db14b872-d792-44f0-aaf0-e161adade2af
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]Oakey
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Carrie
Bundle.entry[2].resource[0].entry[5].resource[0].gender[0]female
Bundle.entry[2].resource[0].entry[5].resource[0].birthDate[0]1985-08-08
Bundle.entry[2].resource[0].entry[5].resource[0].address[0].postalCode[0]SNG 2ME
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:8fa4c9c2-399b-4c6d-a805-bb0c3e1993af
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]8fa4c9c2-399b-4c6d-a805-bb0c3e1993af
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]8fa4c9c2-399b-4c6d-a805-bb0c3e1993af
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8246181+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
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]368209003
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].coding[0].display[0]Right upper arm structure
Bundle.entry[2].resource[0].entry[6].resource[0].bodySite[0].text[0]Right 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]142
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]90
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:9f3bc9c5-9f17-4a26-a41f-1d6fcba17785
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]9f3bc9c5-9f17-4a26-a41f-1d6fcba17785
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]9f3bc9c5-9f17-4a26-a41f-1d6fcba17785
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8264542+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[7].resource[0].value[0].value[0]157.48
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:af2776b5-2d7b-44a5-bee6-eb57d8da00b0
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]af2776b5-2d7b-44a5-bee6-eb57d8da00b0
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]af2776b5-2d7b-44a5-bee6-eb57d8da00b0
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8265585+01:00
Bundle.entry[2].resource[0].entry[8].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].value[0]72
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:8a290b98-ab0b-45c6-bb3f-3db136d3dad6
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]8a290b98-ab0b-45c6-bb3f-3db136d3dad6
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]8a290b98-ab0b-45c6-bb3f-3db136d3dad6
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8265697+01:00
Bundle.entry[2].resource[0].entry[9].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[9].resource[0].value[0].value[0]29.2
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:65fb215e-cbe6-42dc-b855-c24865a2e5e0
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]65fb215e-cbe6-42dc-b855-c24865a2e5e0
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]65fb215e-cbe6-42dc-b855-c24865a2e5e0
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]228378005
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].coding[0].display[0]Smokes drugs in cigarette form
Bundle.entry[2].resource[0].entry[10].resource[0].code[0].text[0]Smokes drugs in cigarette form
Bundle.entry[2].resource[0].entry[10].resource[0].subject[0].reference[0]urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8266646+01:00
Bundle.entry[2].resource[0].entry[10].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[11].fullUrl[0]urn:uuid:a5409c58-700b-45d8-bbfa-90fa8f23455c
Bundle.entry[2].resource[0].entry[11].resource[0].id[0]a5409c58-700b-45d8-bbfa-90fa8f23455c
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]a5409c58-700b-45d8-bbfa-90fa8f23455c
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[11].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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]2023-08-08T09:17:43.8266758+01:00
Bundle.entry[2].resource[0].entry[11].resource[0].performer[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[12].fullUrl[0]urn:uuid:132336ac-7320-41f9-a3ac-13fa03c3a235
Bundle.entry[2].resource[0].entry[12].resource[0].id[0]132336ac-7320-41f9-a3ac-13fa03c3a235
Bundle.entry[2].resource[0].entry[12].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[12].resource[0].meta[0].tag[0].code[0]clinical-summary
Bundle.entry[2].resource[0].entry[12].resource[0].meta[0].tag[0].display[0]Clinical summary
Bundle.entry[2].resource[0].entry[12].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[12].resource[0].identifier[0].value[0]132336ac-7320-41f9-a3ac-13fa03c3a235
Bundle.entry[2].resource[0].entry[12].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[12].resource[0].subject[0].reference[0]urn:uuid:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[12].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
Bundle.entry[2].resource[0].entry[12].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[12].resource[0].assessor[0].reference[0]urn:uuid:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[12].resource[0].summary[0]Blood pressure high so supply is not made. Referred to GP appointment within 7 days.
Bundle.entry[2].resource[0].entry[13].fullUrl[0]urn:uuid:745f268e-5ed4-4d55-9b7c-595d11063061
Bundle.entry[2].resource[0].entry[13].resource[0].id[0]745f268e-5ed4-4d55-9b7c-595d11063061
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]information-and-advice-given
Bundle.entry[2].resource[0].entry[13].resource[0].meta[0].tag[0].display[0]Information and advice given
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]745f268e-5ed4-4d55-9b7c-595d11063061
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:db14b872-d792-44f0-aaf0-e161adade2af
Bundle.entry[2].resource[0].entry[13].resource[0].context[0].reference[0]urn:uuid:29c89f25-d174-438e-9052-11fe247200fe
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:d690b1da-dcc8-4f56-b2a2-c4fdf2f98f18
Bundle.entry[2].resource[0].entry[13].resource[0].summary[0]Blood pressure high so supply is not made. Referred to GP appointment within 7 days.
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