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A newer version of this specification is available (v1.1.1-public-beta).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.

Minor illness / Common conditions service - Example 1

Scenario

Referral type Walk-in to community pharmacy
Age group / Biological sex 46 years, male
Role in pharmacy Pharmacist
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary Patient has had localised redness in skin and complains that had an insect bite on the site. Site is tender and swollen.
Relevant history / Information requested Not allergic to penicillin.
Observations
  • Temperature: 37.4°C
  • Blood pressure: 118 / 73
  • Pulse: 82
Smoking or pregnancy status
  • Smoking: No
  • Pregnant: Not applicable
Medication prescribed Flucloxacillin 500mg capsules (A A H Pharmaceuticals Ltd)
Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)
Information and advice given Keep the site clean. If the symptoms do not improve, contact 111.

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="minor-illness-common-conditions-service--example-1" />
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="minor-illness-common-conditions-service--example-1" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:108805b4-32df-464d-a0a6-11c37afd74f2" />
        <resource>
            <MessageHeader>
                <id value="108805b4-32df-464d-a0a6-11c37afd74f2" />
                <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:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                    </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:a4e4fb3d-cc1f-42af-b864-949febf79937" />
                </sender>
                <timestamp value="2023-08-08T09:19:16.9316747+01:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:aa7f9697-1a1e-41ee-9c62-cbaa68b35189" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:a4e4fb3d-cc1f-42af-b864-949febf79937" />
        <resource>
            <Organization>
                <id value="a4e4fb3d-cc1f-42af-b864-949febf79937" />
                <identifier>
                    <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                    <value value="FQW30" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:aa7f9697-1a1e-41ee-9c62-cbaa68b35189" />
        <resource>
            <Bundle>
                <id value="aa7f9697-1a1e-41ee-9c62-cbaa68b35189" />
                <meta>
                    <lastUpdated value="2023-08-08T09:19:16.9432701+01:00" />
                </meta>
                <identifier>
                    <system value="https://fhir.provider.example/identifier/bundle" />
                    <value value="aa7f9697-1a1e-41ee-9c62-cbaa68b35189" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:bcfaf661-8353-4043-a41a-4e31af16465e" />
                    <resource>
                        <Composition>
                            <id value="bcfaf661-8353-4043-a41a-4e31af16465e" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="bcfaf661-8353-4043-a41a-4e31af16465e" />
                            </identifier>
                            <status value="final" />
                            <type>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1577041000000109" />
                                    <display value="Community Pharmacist Consultation Service for minor illness" />
                                </coding>
                                <text value="Community Pharmacist Consultation Service for minor illness" />
                            </type>
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </encounter>
                            <date value="2023-08-08" />
                            <author>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </author>
                            <title value="The Dispensers - Community Pharmacist Consultation Service for minor illness" />
                            <section>
                                <entry>
                                    <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:135dab31-d216-4882-b976-08d748c03b14" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc" />
                                </entry>
                                <entry>
                                    <reference value="urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25" />
                                </entry>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                    <resource>
                        <Encounter>
                            <id value="1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            <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="1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </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:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <participant>
                                <individual>
                                    <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                                </individual>
                            </participant>
                            <period>
                                <start value="2023-08-08" />
                            </period>
                            <reason>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1577041000000109" />
                                    <display value="Community Pharmacist Consultation Service for minor illness" />
                                </coding>
                                <text value="Community Pharmacist Consultation Service for minor illness" />
                            </reason>
                            <serviceProvider>
                                <reference value="urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32" />
                    <resource>
                        <Organization>
                            <id value="938afe97-b2e2-4c25-a466-cd4e87a1ab32" />
                            <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:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                    <resource>
                        <Practitioner>
                            <id value="7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/staff" />
                                <value value="7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </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:135dab31-d216-4882-b976-08d748c03b14" />
                    <resource>
                        <PractitionerRole>
                            <id value="135dab31-d216-4882-b976-08d748c03b14" />
                            <practitioner>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </practitioner>
                            <organization>
                                <reference value="urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32" />
                            </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:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                    <resource>
                        <Patient>
                            <id value="45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            <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="45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <family value="PACKET" />
                                <given value="Chris" />
                            </name>
                            <gender value="male" />
                            <birthDate value="1977-08-08" />
                            <address>
                                <postalCode value="P0T 4T0" />
                            </address>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70" />
                    <resource>
                        <Observation>
                            <id value="f939f898-16df-4a04-a38f-42eba3e2ae70" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="f939f898-16df-4a04-a38f-42eba3e2ae70" />
                            </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="703421000" />
                                    <display value="Temperature" />
                                </coding>
                                <text value="Temperature" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:19:16.9641256+01:00" />
                            <performer>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </performer>
                            <valueQuantity>
                                <value value="37.4" />
                                <unit value="degree Celsius" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="Cel" />
                            </valueQuantity>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a" />
                    <resource>
                        <Observation>
                            <id value="cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a" />
                            </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:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:19:16.9655424+01:00" />
                            <performer>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </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="118" />
                                    <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="73" />
                                    <unit value="millimeter of mercury" />
                                    <system value="http://unitsofmeasure.org" />
                                    <code value="mm[Hg]" />
                                </valueQuantity>
                            </component>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195" />
                    <resource>
                        <Observation>
                            <id value="a49ead6d-cb6a-437e-b216-5529f2d5f195" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/observation" />
                                <value value="a49ead6d-cb6a-437e-b216-5529f2d5f195" />
                            </identifier>
                            <status value="final" />
                            <category>
                                <coding>
                                    <system value="http://terminology.hl7.org/CodeSystem/observation-category" />
                                    <code value="vital-signs" />
                                    <display value="Vital Signs" />
                                </coding>
                                <text value="Vital Signs" />
                            </category>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="364075005" />
                                    <display value="Heart rate" />
                                </coding>
                                <text value="Heart rate" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:19:16.9660351+01:00" />
                            <performer>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </performer>
                            <valueQuantity>
                                <value value="82" />
                                <unit value="per minute" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="{beats}/min" />
                            </valueQuantity>
                            <bodySite>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="368209003" />
                                    <display value="Right upper arm structure" />
                                </coding>
                                <text value="Right upper arm structure" />
                            </bodySite>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05" />
                    <resource>
                        <Observation>
                            <id value="6e371772-8a9b-4bfc-b3f4-eed3e15dcf05" />
                            <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="6e371772-8a9b-4bfc-b3f4-eed3e15dcf05" />
                            </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:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <effectiveDateTime value="2023-08-08" />
                            <issued value="2023-08-08T09:19:16.9661457+01:00" />
                            <performer>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </performer>
                        </Observation>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9" />
                    <resource>
                        <MedicationDispense>
                            <id value="c1a0cc27-c003-45fe-9042-7a36a93003c9" />
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/medication-dispense" />
                                <value value="c1a0cc27-c003-45fe-9042-7a36a93003c9" />
                            </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="289411000001107" />
                                    <display value="Flucloxacillin 500mg capsules (A A H Pharmaceuticals Ltd)" />
                                </coding>
                                <text value="Flucloxacillin 500mg capsules (A A H Pharmaceuticals Ltd)" />
                            </medicationCodeableConcept>
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <performer>
                                <actor>
                                    <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                                </actor>
                            </performer>
                            <type>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1" />
                                    <code value="patient-group-direction" />
                                    <display value="Patient group direction" />
                                </coding>
                                <text value="Patient group direction" />
                            </type>
                            <quantity>
                                <value value="20" />
                                <unit value="Capsule" />
                                <system value="http://snomed.info/sct" />
                                <code value="428641000" />
                            </quantity>
                            <daysSupply>
                                <value value="5" />
                                <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="Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)" />
                                <patientInstruction value="Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)" />
                                <timing>
                                    <repeat>
                                        <frequency value="4" />
                                        <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>
                            </dosageInstruction>
                        </MedicationDispense>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf" />
                    <resource>
                        <Condition>
                            <id value="1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf" />
                            <meta>
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="presenting-complaints-or-issues" />
                                    <display value="Presenting complaints or issues" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/condition" />
                                <value value="1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf" />
                            </identifier>
                            <clinicalStatus value="active" />
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="276433004" />
                                    <display value="Insect bite - wound" />
                                </coding>
                                <text value="Insect bite - wound" />
                            </code>
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <assertedDate value="2023-08-08" />
                            <asserter>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </asserter>
                        </Condition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc" />
                    <resource>
                        <ClinicalImpression>
                            <id value="7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc" />
                            <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="7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </assessor>
                            <summary value="Patient has had localised redness in skin and complains that had an insect bite on the site. Site is tender and swollen." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:9b4cead7-8367-45ab-a6db-9b15cdfe8683" />
                    <resource>
                        <ClinicalImpression>
                            <id value="9b4cead7-8367-45ab-a6db-9b15cdfe8683" />
                            <meta>
                                <tag>
                                    <system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
                                    <code value="history" />
                                    <display value="History" />
                                </tag>
                            </meta>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/clinical-impression" />
                                <value value="9b4cead7-8367-45ab-a6db-9b15cdfe8683" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </assessor>
                            <summary value="Not allergic to penicillin." />
                        </ClinicalImpression>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25" />
                    <resource>
                        <ClinicalImpression>
                            <id value="9b4cead7-8367-45ab-a6db-9b15cdfe8683" />
                            <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="f55997bb-ff2c-43a4-b38e-7f8f68f43a25" />
                            </identifier>
                            <status value="completed" />
                            <subject>
                                <reference value="urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf" />
                            </context>
                            <date value="2023-08-08" />
                            <assessor>
                                <reference value="urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea" />
                            </assessor>
                            <summary value="Keep the site clean. If the symptoms do not improve, contact 111." />
                        </ClinicalImpression>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]minor-illness-common-conditions-service--example-1
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]minor-illness-common-conditions-service--example-1
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:108805b4-32df-464d-a0a6-11c37afd74f2
Bundle.entry[0].resource[0].id[0]108805b4-32df-464d-a0a6-11c37afd74f2
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:1cd20c60-4407-4e7d-8572-82db1b125eaf
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:a4e4fb3d-cc1f-42af-b864-949febf79937
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:19:16.9316747+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:aa7f9697-1a1e-41ee-9c62-cbaa68b35189
Bundle.entry[1].fullUrl[0]urn:uuid:a4e4fb3d-cc1f-42af-b864-949febf79937
Bundle.entry[1].resource[0].id[0]a4e4fb3d-cc1f-42af-b864-949febf79937
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:aa7f9697-1a1e-41ee-9c62-cbaa68b35189
Bundle.entry[2].resource[0].id[0]aa7f9697-1a1e-41ee-9c62-cbaa68b35189
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:19:16.9432701+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]aa7f9697-1a1e-41ee-9c62-cbaa68b35189
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:bcfaf661-8353-4043-a41a-4e31af16465e
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]bcfaf661-8353-4043-a41a-4e31af16465e
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]bcfaf661-8353-4043-a41a-4e31af16465e
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]1577041000000109
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].display[0]Community Pharmacist Consultation Service for minor illness
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].text[0]Community Pharmacist Consultation Service for minor illness
Bundle.entry[2].resource[0].entry[0].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[0].resource[0].title[0]The Dispensers - Community Pharmacist Consultation Service for minor illness
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:135dab31-d216-4882-b976-08d748c03b14
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[10].reference[0]urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[11].reference[0]urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[12].reference[0]urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[13].reference[0]urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]1cd20c60-4407-4e7d-8572-82db1b125eaf
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]1cd20c60-4407-4e7d-8572-82db1b125eaf
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:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
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]1577041000000109
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].coding[0].display[0]Community Pharmacist Consultation Service for minor illness
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].text[0]Community Pharmacist Consultation Service for minor illness
Bundle.entry[2].resource[0].entry[1].resource[0].serviceProvider[0].reference[0]urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]938afe97-b2e2-4c25-a466-cd4e87a1ab32
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:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]7e0325f4-8340-42cc-b2d8-997f703d0bea
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]7e0325f4-8340-42cc-b2d8-997f703d0bea
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:135dab31-d216-4882-b976-08d748c03b14
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]135dab31-d216-4882-b976-08d748c03b14
Bundle.entry[2].resource[0].entry[4].resource[0].practitioner[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32
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:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]45b79f14-8a6d-48e9-9ec7-642dd7592e92
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]45b79f14-8a6d-48e9-9ec7-642dd7592e92
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]PACKET
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Chris
Bundle.entry[2].resource[0].entry[5].resource[0].gender[0]male
Bundle.entry[2].resource[0].entry[5].resource[0].birthDate[0]1977-08-08
Bundle.entry[2].resource[0].entry[5].resource[0].address[0].postalCode[0]P0T 4T0
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]f939f898-16df-4a04-a38f-42eba3e2ae70
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]f939f898-16df-4a04-a38f-42eba3e2ae70
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]703421000
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].coding[0].display[0]Temperature
Bundle.entry[2].resource[0].entry[6].resource[0].code[0].text[0]Temperature
Bundle.entry[2].resource[0].entry[6].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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]2023-08-08T09:19:16.9641256+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[6].resource[0].value[0].value[0]37.4
Bundle.entry[2].resource[0].entry[6].resource[0].value[0].unit[0]degree Celsius
Bundle.entry[2].resource[0].entry[6].resource[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[6].resource[0].value[0].code[0]Cel
Bundle.entry[2].resource[0].entry[7].fullUrl[0]urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a
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]cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a
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]75367002
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].coding[0].display[0]Blood pressure
Bundle.entry[2].resource[0].entry[7].resource[0].code[0].text[0]Average blood pressure
Bundle.entry[2].resource[0].entry[7].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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]2023-08-08T09:19:16.9655424+01:00
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].code[0]368208006
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].coding[0].display[0]Left upper arm structure
Bundle.entry[2].resource[0].entry[7].resource[0].bodySite[0].text[0]Left upper arm structure
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].code[0].coding[0].code[0]72313002
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].code[0].coding[0].display[0]Systolic arterial pressure
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].code[0].text[0]Systolic arterial pressure
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].value[0].value[0]118
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].value[0].unit[0]millimeter of mercury
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[7].resource[0].component[0].value[0].code[0]mm[Hg]
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].code[0].coding[0].code[0]1091811000000102
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].code[0].coding[0].display[0]Diastolic arterial pressure
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].code[0].text[0]Diastolic arterial pressure
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].value[0].value[0]73
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].value[0].unit[0]millimeter of mercury
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].value[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[7].resource[0].component[1].value[0].code[0]mm[Hg]
Bundle.entry[2].resource[0].entry[8].fullUrl[0]urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]a49ead6d-cb6a-437e-b216-5529f2d5f195
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]a49ead6d-cb6a-437e-b216-5529f2d5f195
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]364075005
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].display[0]Heart rate
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].text[0]Heart rate
Bundle.entry[2].resource[0].entry[8].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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]2023-08-08T09:19:16.9660351+01:00
Bundle.entry[2].resource[0].entry[8].resource[0].performer[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].value[0]82
Bundle.entry[2].resource[0].entry[8].resource[0].value[0].unit[0]per minute
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]{beats}/min
Bundle.entry[2].resource[0].entry[8].resource[0].bodySite[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[8].resource[0].bodySite[0].coding[0].code[0]368209003
Bundle.entry[2].resource[0].entry[8].resource[0].bodySite[0].coding[0].display[0]Right upper arm structure
Bundle.entry[2].resource[0].entry[8].resource[0].bodySite[0].text[0]Right upper arm structure
Bundle.entry[2].resource[0].entry[9].fullUrl[0]urn:uuid:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]6e371772-8a9b-4bfc-b3f4-eed3e15dcf05
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].code[0]social-context
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].display[0]Social context
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]6e371772-8a9b-4bfc-b3f4-eed3e15dcf05
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]social-history
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].coding[0].display[0]Social History
Bundle.entry[2].resource[0].entry[9].resource[0].category[0].text[0]Social History
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]8392000
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].coding[0].display[0]Non-smoker
Bundle.entry[2].resource[0].entry[9].resource[0].code[0].text[0]Non-smoker
Bundle.entry[2].resource[0].entry[9].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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]2023-08-08T09:19:16.9661457+01:00
Bundle.entry[2].resource[0].entry[9].resource[0].performer[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[10].fullUrl[0]urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]c1a0cc27-c003-45fe-9042-7a36a93003c9
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/medication-dispense
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].value[0]c1a0cc27-c003-45fe-9042-7a36a93003c9
Bundle.entry[2].resource[0].entry[10].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-dispense-category
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].code[0]community
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].coding[0].display[0]Community
Bundle.entry[2].resource[0].entry[10].resource[0].category[0].text[0]Community
Bundle.entry[2].resource[0].entry[10].resource[0].medication[0].coding[0].system[0]https://dmd.nhs.uk
Bundle.entry[2].resource[0].entry[10].resource[0].medication[0].coding[0].code[0]289411000001107
Bundle.entry[2].resource[0].entry[10].resource[0].medication[0].coding[0].display[0]Flucloxacillin 500mg capsules (A A H Pharmaceuticals Ltd)
Bundle.entry[2].resource[0].entry[10].resource[0].medication[0].text[0]Flucloxacillin 500mg capsules (A A H Pharmaceuticals Ltd)
Bundle.entry[2].resource[0].entry[10].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
Bundle.entry[2].resource[0].entry[10].resource[0].performer[0].actor[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[10].resource[0].type[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1
Bundle.entry[2].resource[0].entry[10].resource[0].type[0].coding[0].code[0]patient-group-direction
Bundle.entry[2].resource[0].entry[10].resource[0].type[0].coding[0].display[0]Patient group direction
Bundle.entry[2].resource[0].entry[10].resource[0].type[0].text[0]Patient group direction
Bundle.entry[2].resource[0].entry[10].resource[0].quantity[0].value[0]20
Bundle.entry[2].resource[0].entry[10].resource[0].quantity[0].unit[0]Capsule
Bundle.entry[2].resource[0].entry[10].resource[0].quantity[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[10].resource[0].quantity[0].code[0]428641000
Bundle.entry[2].resource[0].entry[10].resource[0].daysSupply[0].value[0]5
Bundle.entry[2].resource[0].entry[10].resource[0].daysSupply[0].unit[0]day
Bundle.entry[2].resource[0].entry[10].resource[0].daysSupply[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[10].resource[0].daysSupply[0].code[0]d
Bundle.entry[2].resource[0].entry[10].resource[0].whenPrepared[0]2023-08-08
Bundle.entry[2].resource[0].entry[10].resource[0].whenHandedOver[0]2023-08-08
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].text[0]Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].patientInstruction[0]Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]4
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].route[0].coding[0].display[0]Oral route
Bundle.entry[2].resource[0].entry[10].resource[0].dosageInstruction[0].route[0].text[0]Oral route
Bundle.entry[2].resource[0].entry[11].fullUrl[0]urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf
Bundle.entry[2].resource[0].entry[11].resource[0].id[0]1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf
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]presenting-complaints-or-issues
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].display[0]Presenting complaints or issues
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/condition
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].value[0]1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf
Bundle.entry[2].resource[0].entry[11].resource[0].clinicalStatus[0]active
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]276433004
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].coding[0].display[0]Insect bite - wound
Bundle.entry[2].resource[0].entry[11].resource[0].code[0].text[0]Insect bite - wound
Bundle.entry[2].resource[0].entry[11].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[11].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
Bundle.entry[2].resource[0].entry[11].resource[0].assertedDate[0]2023-08-08
Bundle.entry[2].resource[0].entry[11].resource[0].asserter[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[12].fullUrl[0]urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc
Bundle.entry[2].resource[0].entry[12].resource[0].id[0]7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc
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]7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc
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:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[12].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[12].resource[0].summary[0]Patient has had localised redness in skin and complains that had an insect bite on the site. Site is tender and swollen.
Bundle.entry[2].resource[0].entry[13].fullUrl[0]urn:uuid:9b4cead7-8367-45ab-a6db-9b15cdfe8683
Bundle.entry[2].resource[0].entry[13].resource[0].id[0]9b4cead7-8367-45ab-a6db-9b15cdfe8683
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]history
Bundle.entry[2].resource[0].entry[13].resource[0].meta[0].tag[0].display[0]History
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]9b4cead7-8367-45ab-a6db-9b15cdfe8683
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:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[13].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
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:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[13].resource[0].summary[0]Not allergic to penicillin.
Bundle.entry[2].resource[0].entry[14].fullUrl[0]urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25
Bundle.entry[2].resource[0].entry[14].resource[0].id[0]9b4cead7-8367-45ab-a6db-9b15cdfe8683
Bundle.entry[2].resource[0].entry[14].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[14].resource[0].meta[0].tag[0].code[0]information-and-advice-given
Bundle.entry[2].resource[0].entry[14].resource[0].meta[0].tag[0].display[0]Information and advice given
Bundle.entry[2].resource[0].entry[14].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[14].resource[0].identifier[0].value[0]f55997bb-ff2c-43a4-b38e-7f8f68f43a25
Bundle.entry[2].resource[0].entry[14].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[14].resource[0].subject[0].reference[0]urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92
Bundle.entry[2].resource[0].entry[14].resource[0].context[0].reference[0]urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf
Bundle.entry[2].resource[0].entry[14].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[14].resource[0].assessor[0].reference[0]urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea
Bundle.entry[2].resource[0].entry[14].resource[0].summary[0]Keep the site clean. If the symptoms do not improve, contact 111.
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