GP Connect - Update Record (ITK3)

Part of the GP Connect product family

Pharmacy First service - Example 2

Scenario

Referral type Walk-in to community pharmacy
Age group / Biological sex 24 years, female
Role in pharmacy Pharmacist
Consultation type Face to face
Consent The patient consents to the service.
Clinical summary Patient has had frequent urination and burning sensation when passing urine. No discharge, patient has pain in lower abdomen. Patient reports they are not pregnant.
Relevant history / Information requested Not taken Nitrofurantoin in past 3 months
Observations
  • Temperature: 36.7°C
Medication Nitrofurantoin 100mg modified-release capsules (A A H Pharmaceuticals Ltd)
Take twice per day, for 3 days.
Information and advice given If symptoms do not improve within 2 days, please call 111 for further advice.

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="pharmacy-first-service--example-2" />
<meta>
<lastUpdated value="2023-10-11T10:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/bundle" />
<value value="minor-illness-common-conditions-service--example-2" />
</identifier>
<type value="message" />
<entry>
<fullUrl value="urn:uuid:8da58274-2c2a-4444-be8a-fbccbbb5ceb8" />
<resource>
<MessageHeader>
<id value="8da58274-2c2a-4444-be8a-fbccbbb5ceb8" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2">
<extension url="BusAckRequested">
<valueBoolean value="true" />
</extension>
<extension url="InfAckRequested">
<valueBoolean value="true" />
</extension>
<extension url="RecipientType">
<valueCoding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1" />
<code value="FI" />
<display value="For Information" />
</valueCoding>
</extension>
<extension url="MessageDefinition">
<valueReference>
<reference value="https://fhir.nhs.uk/MessageDefinition" />
</valueReference>
</extension>
<extension url="SenderReference">
<valueString value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</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:87838bcd-7493-435f-8d08-249c0214c71f" />
</sender>
<timestamp value="2023-08-08T09:20:05.6038279+01:00" />
<source>
<endpoint value="SENDER_MESH_MAILBOX_ID" />
</source>
<focus>
<reference value="urn:uuid:08b38b8d-b0dd-46d4-b96c-f328608fcc21" />
</focus>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:87838bcd-7493-435f-8d08-249c0214c71f" />
<resource>
<Organization>
<id value="87838bcd-7493-435f-8d08-249c0214c71f" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1" />
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="FQW30" />
</identifier>
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:08b38b8d-b0dd-46d4-b96c-f328608fcc21" />
<resource>
<Bundle>
<id value="08b38b8d-b0dd-46d4-b96c-f328608fcc21" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/bundle" />
<value value="08b38b8d-b0dd-46d4-b96c-f328608fcc21" />
</identifier>
<type value="document" />
<entry>
<fullUrl value="urn:uuid:b7b85403-8891-4888-948b-52c0d0d61216" />
<resource>
<Composition>
<id value="b7b85403-8891-4888-948b-52c0d0d61216" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Composition-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/composition" />
<value value="b7b85403-8891-4888-948b-52c0d0d61216" />
</identifier>
<status value="final" />
<type>
<coding>
<system value="http://snomed.info/sct" />
<code value="2129921000000100" />
<display value="Community Pharmacy Pharmacy First Service" />
</coding>
<text value="Community Pharmacy Pharmacy First Service" />
</type>
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<encounter>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</encounter>
<date value="2023-08-08" />
<author>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</author>
<title value="The Dispensers - Community Pharmacy Pharmacy First Service" />
<section>
<entry>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</entry>
<entry>
<reference value="urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c" />
</entry>
<entry>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</entry>
<entry>
<reference value="urn:uuid:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18" />
</entry>
<entry>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</entry>
<entry>
<reference value="urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e" />
</entry>
<entry>
<reference value="urn:uuid:304e7eb3-055b-41b1-80b1-41b2437025e7" />
</entry>
<entry>
<reference value="urn:uuid:a02f061c-5ae1-4acb-b599-3c2ce4cb7545" />
</entry>
<entry>
<reference value="urn:uuid:3343dda4-b7a8-433c-bc80-be5724d00ce2" />
</entry>
<entry>
<reference value="urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef" />
</entry>
<entry>
<reference value="urn:uuid:7ad82a2d-79b7-421c-aa67-c0ff5fac80a1" />
</entry>
<entry>
<reference value="urn:uuid:21516e85-4933-4450-aa68-18a28f071800" />
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
<resource>
<Encounter>
<id value="f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1" />
</meta>
<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1" />
<code value="1" />
</coding>
<text value="Discharged from Consultant's care (last attendance)" />
</valueCodeableConcept>
</extension>
<identifier>
<system value="https://fhir.provider.example/identifier/encounter" />
<value value="f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</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:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<participant>
<type>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1" />
<code value="REC" />
</coding>
<text value="recorder" />
</type>
<individual>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</individual>
</participant>
<period>
<start value="2023-08-08" />
</period>
<reason>
<coding>
<system value="http://snomed.info/sct" />
<code value="1577041000000109" />
<display value="Community Pharmacy Pharmacy First Service" />
</coding>
<text value="Community Pharmacy Pharmacy First Service" />
</reason>
<serviceProvider>
<reference value="urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c" />
</serviceProvider>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c" />
<resource>
<Organization>
<id value="a6c219ef-67a9-4ab8-b287-79f052f0a90c" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1" />
</meta>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code" />
<value value="A(*)" />
</identifier>
<name value="The Dispensers" />
</Organization>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
<resource>
<Practitioner>
<id value="b6c487fb-22da-4aae-a29e-f24858d84d62" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/staff" />
<value value="b6c487fb-22da-4aae-a29e-f24858d84d62" />
</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:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18" />
<resource>
<PractitionerRole>
<id value="adbfa2d1-07c5-4b5b-b788-0c66c8e8df18" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1" />
</meta>
<practitioner>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</practitioner>
<organization>
<reference value="urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c" />
</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:77bce268-18e7-4060-a781-9e7e6ba086bd" />
<resource>
<Patient>
<id value="77bce268-18e7-4060-a781-9e7e6ba086bd" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1" />
</meta>
<identifier>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1" />
<code value="01" />
<display value="Number present and verified" />
</coding>
<text value="Number present and verified" />
</valueCodeableConcept>
</extension>
<system value="https://fhir.nhs.uk/Id/nhs-number" />
<value value="4857773456" />
</identifier>
<identifier>
<system value="https://fhir.provider.example/identifier/patient" />
<value value="77bce268-18e7-4060-a781-9e7e6ba086bd" />
</identifier>
<name>
<use value="official" />
<family value="TURNER" />
<given value="Paige" />
</name>
<gender value="male" />
<birthDate value="1999-08-08" />
<address>
<postalCode value="REA DME" />
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e" />
<resource>
<Observation>
<id value="708bd946-776d-4941-ab08-bec117e1b66e" />
<meta>
<lastUpdated value="2023-08-08T09:12:14.2711908+01:00" />
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/observation" />
<value value="708bd946-776d-4941-ab08-bec117e1b66e" />
</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:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<effectiveDateTime value="2023-08-08" />
<issued value="2023-08-08T09:20:05.6372208+01:00" />
<performer>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</performer>
<valueQuantity>
<value value="36.7" />
<unit value="degree Celsius" />
<system value="http://unitsofmeasure.org" />
<code value="Cel" />
</valueQuantity>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a02f061c-5ae1-4acb-b599-3c2ce4cb7545" />
<resource>
<MedicationDispense>
<id value="a02f061c-5ae1-4acb-b599-3c2ce4cb7545" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationDispense-1" />
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/medication-dispense" />
<value value="a02f061c-5ae1-4acb-b599-3c2ce4cb7545" />
</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="44225811000001106" />
<display value="Nitrofurantoin 100mg modified-release capsules (A A H Pharmaceuticals Ltd)" />
</coding>
<text value="Nitrofurantoin 100mg modified-release capsules (A A H Pharmaceuticals Ltd)" />
</medicationCodeableConcept>
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<performer>
<actor>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</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="6" />
<unit value="Capsule" />
<system value="http://snomed.info/sct" />
<code value="428641000" />
</quantity>
<daysSupply>
<value value="3" />
<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="Take twice per day, for 3 days." />
<patientInstruction value="Take twice per day, for 3 days." />
<timing>
<repeat>
<frequency value="2" />
<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:3343dda4-b7a8-433c-bc80-be5724d00ce2" />
<resource>
<Condition>
<id value="3343dda4-b7a8-433c-bc80-be5724d00ce2" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1" />
<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="3343dda4-b7a8-433c-bc80-be5724d00ce2" />
</identifier>
<clinicalStatus value="active" />
<code>
<coding>
<system value="http://snomed.info/sct" />
<code value="68566005" />
<display value="Urinary tract infectious disease" />
</coding>
<text value="Urinary tract infectious disease" />
</code>
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<assertedDate value="2023-08-08" />
<asserter>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</asserter>
</Condition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef" />
<resource>
<ClinicalImpression>
<id value="a6a3ff21-a2dd-4368-b1f1-c361f18675ef" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="clinical-summary" />
<display value="Clinical summary" />
</tag>
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/clinical-impression" />
<value value="a6a3ff21-a2dd-4368-b1f1-c361f18675ef" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<date value="2023-08-08" />
<assessor>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</assessor>
<summary value="Female patient has had frequent urination and burning sensation when passing urine. No discharge, patient has pain in lower abdomen. Patient reports they are not pregnant." />
</ClinicalImpression>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:7ad82a2d-79b7-421c-aa67-c0ff5fac80a1" />
<resource>
<ClinicalImpression>
<id value="7ad82a2d-79b7-421c-aa67-c0ff5fac80a1" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="history" />
<display value="History" />
</tag>
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/clinical-impression" />
<value value="7ad82a2d-79b7-421c-aa67-c0ff5fac80a1" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<date value="2023-08-08" />
<assessor>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</assessor>
<summary value="Not taken Nitrofurantoin in past 3 months" />
</ClinicalImpression>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:21516e85-4933-4450-aa68-18a28f071800" />
<resource>
<ClinicalImpression>
<id value="21516e85-4933-4450-aa68-18a28f071800" />
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1" />
<tag>
<system value="https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings" />
<code value="information-and-advice-given" />
<display value="Information and advice given" />
</tag>
</meta>
<identifier>
<system value="https://fhir.provider.example/identifier/clinical-impression" />
<value value="21516e85-4933-4450-aa68-18a28f071800" />
</identifier>
<status value="completed" />
<subject>
<reference value="urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd" />
</subject>
<context>
<reference value="urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f" />
</context>
<date value="2023-08-08" />
<assessor>
<reference value="urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62" />
</assessor>
<summary value="If symptoms do not improve within 2 days, please call 111 for further advice." />
</ClinicalImpression>
</resource>
</entry>
</Bundle>
</resource>
</entry>
</Bundle>

Table

Bundle.id[0]pharmacy-first-service--example-2
Bundle.meta[0].lastUpdated[0]2023-10-11T10:12:14.2711908+01:00
Bundle.meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]minor-illness-common-conditions-service--example-2
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:8da58274-2c2a-4444-be8a-fbccbbb5ceb8
Bundle.entry[0].resource[0].id[0]8da58274-2c2a-4444-be8a-fbccbbb5ceb8
Bundle.entry[0].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[0].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2
Bundle.entry[0].resource[0].extension[0].extension[0].url[0]BusAckRequested
Bundle.entry[0].resource[0].extension[0].extension[0].value[0]True
Bundle.entry[0].resource[0].extension[0].extension[1].url[0]InfAckRequested
Bundle.entry[0].resource[0].extension[0].extension[1].value[0]True
Bundle.entry[0].resource[0].extension[0].extension[2].url[0]RecipientType
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].code[0]FI
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].display[0]For Information
Bundle.entry[0].resource[0].extension[0].extension[3].url[0]MessageDefinition
Bundle.entry[0].resource[0].extension[0].extension[3].value[0].reference[0]https://fhir.nhs.uk/MessageDefinition
Bundle.entry[0].resource[0].extension[0].extension[4].url[0]SenderReference
Bundle.entry[0].resource[0].extension[0].extension[4].value[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
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:87838bcd-7493-435f-8d08-249c0214c71f
Bundle.entry[0].resource[0].timestamp[0]2023-08-08T09:20:05.6038279+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:08b38b8d-b0dd-46d4-b96c-f328608fcc21
Bundle.entry[1].fullUrl[0]urn:uuid:87838bcd-7493-435f-8d08-249c0214c71f
Bundle.entry[1].resource[0].id[0]87838bcd-7493-435f-8d08-249c0214c71f
Bundle.entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[1].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1
Bundle.entry[1].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[1].resource[0].identifier[0].value[0]FQW30
Bundle.entry[2].fullUrl[0]urn:uuid:08b38b8d-b0dd-46d4-b96c-f328608fcc21
Bundle.entry[2].resource[0].id[0]08b38b8d-b0dd-46d4-b96c-f328608fcc21
Bundle.entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.entry[2].resource[0].identifier[0].value[0]08b38b8d-b0dd-46d4-b96c-f328608fcc21
Bundle.entry[2].resource[0].type[0]document
Bundle.entry[2].resource[0].entry[0].fullUrl[0]urn:uuid:b7b85403-8891-4888-948b-52c0d0d61216
Bundle.entry[2].resource[0].entry[0].resource[0].id[0]b7b85403-8891-4888-948b-52c0d0d61216
Bundle.entry[2].resource[0].entry[0].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[0].resource[0].meta[0].profile[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Composition-1
Bundle.entry[2].resource[0].entry[0].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/composition
Bundle.entry[2].resource[0].entry[0].resource[0].identifier[0].value[0]b7b85403-8891-4888-948b-52c0d0d61216
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]2129921000000100
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].coding[0].display[0]Community Pharmacy Pharmacy First Service
Bundle.entry[2].resource[0].entry[0].resource[0].type[0].text[0]Community Pharmacy Pharmacy First Service
Bundle.entry[2].resource[0].entry[0].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
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:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[0].resource[0].title[0]The Dispensers - Community Pharmacy Pharmacy First Service
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[1].reference[0]urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[2].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[3].reference[0]urn:uuid:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[4].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[5].reference[0]urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[6].reference[0]urn:uuid:304e7eb3-055b-41b1-80b1-41b2437025e7
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[7].reference[0]urn:uuid:a02f061c-5ae1-4acb-b599-3c2ce4cb7545
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[8].reference[0]urn:uuid:3343dda4-b7a8-433c-bc80-be5724d00ce2
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[9].reference[0]urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[10].reference[0]urn:uuid:7ad82a2d-79b7-421c-aa67-c0ff5fac80a1
Bundle.entry[2].resource[0].entry[0].resource[0].section[0].entry[11].reference[0]urn:uuid:21516e85-4933-4450-aa68-18a28f071800
Bundle.entry[2].resource[0].entry[1].fullUrl[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[1].resource[0].id[0]f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[1].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[1].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1
Bundle.entry[2].resource[0].entry[1].resource[0].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]f8e7f842-0dee-400b-ae89-6f405cc64b0f
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:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].code[0]REC
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].type[0].text[0]recorder
Bundle.entry[2].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
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 Pharmacy Pharmacy First Service
Bundle.entry[2].resource[0].entry[1].resource[0].reason[0].text[0]Community Pharmacy Pharmacy First Service
Bundle.entry[2].resource[0].entry[1].resource[0].serviceProvider[0].reference[0]urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c
Bundle.entry[2].resource[0].entry[2].fullUrl[0]urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c
Bundle.entry[2].resource[0].entry[2].resource[0].id[0]a6c219ef-67a9-4ab8-b287-79f052f0a90c
Bundle.entry[2].resource[0].entry[2].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1
Bundle.entry[2].resource[0].entry[2].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[2].resource[0].entry[2].resource[0].identifier[0].value[0]A(*)
Bundle.entry[2].resource[0].entry[2].resource[0].name[0]The Dispensers
Bundle.entry[2].resource[0].entry[3].fullUrl[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[3].resource[0].id[0]b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[3].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[3].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/staff
Bundle.entry[2].resource[0].entry[3].resource[0].identifier[0].value[0]b6c487fb-22da-4aae-a29e-f24858d84d62
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:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18
Bundle.entry[2].resource[0].entry[4].resource[0].id[0]adbfa2d1-07c5-4b5b-b788-0c66c8e8df18
Bundle.entry[2].resource[0].entry[4].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[4].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1
Bundle.entry[2].resource[0].entry[4].resource[0].practitioner[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[4].resource[0].organization[0].reference[0]urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c
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:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[5].resource[0].id[0]77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[5].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[5].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].url[0]https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].system[0]https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].code[0]01
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].coding[0].display[0]Number present and verified
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].extension[0].value[0].text[0]Number present and verified
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/nhs-number
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[0].value[0]4857773456
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[1].system[0]https://fhir.provider.example/identifier/patient
Bundle.entry[2].resource[0].entry[5].resource[0].identifier[1].value[0]77bce268-18e7-4060-a781-9e7e6ba086bd
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]TURNER
Bundle.entry[2].resource[0].entry[5].resource[0].name[0].given[0]Paige
Bundle.entry[2].resource[0].entry[5].resource[0].gender[0]male
Bundle.entry[2].resource[0].entry[5].resource[0].birthDate[0]1999-08-08
Bundle.entry[2].resource[0].entry[5].resource[0].address[0].postalCode[0]REA DME
Bundle.entry[2].resource[0].entry[6].fullUrl[0]urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e
Bundle.entry[2].resource[0].entry[6].resource[0].id[0]708bd946-776d-4941-ab08-bec117e1b66e
Bundle.entry[2].resource[0].entry[6].resource[0].meta[0].lastUpdated[0]2023-08-08T09:12:14.2711908+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
Bundle.entry[2].resource[0].entry[6].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/observation
Bundle.entry[2].resource[0].entry[6].resource[0].identifier[0].value[0]708bd946-776d-4941-ab08-bec117e1b66e
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:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[6].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
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]2023-08-08T09:20:05.6372208+01:00
Bundle.entry[2].resource[0].entry[6].resource[0].performer[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[6].resource[0].value[0].value[0]36.7
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:a02f061c-5ae1-4acb-b599-3c2ce4cb7545
Bundle.entry[2].resource[0].entry[7].resource[0].id[0]a02f061c-5ae1-4acb-b599-3c2ce4cb7545
Bundle.entry[2].resource[0].entry[7].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationDispense-1
Bundle.entry[2].resource[0].entry[7].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/medication-dispense
Bundle.entry[2].resource[0].entry[7].resource[0].identifier[0].value[0]a02f061c-5ae1-4acb-b599-3c2ce4cb7545
Bundle.entry[2].resource[0].entry[7].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].system[0]http://hl7.org/fhir/medication-dispense-category
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].code[0]community
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].coding[0].display[0]Community
Bundle.entry[2].resource[0].entry[7].resource[0].category[0].text[0]Community
Bundle.entry[2].resource[0].entry[7].resource[0].medication[0].coding[0].system[0]https://dmd.nhs.uk
Bundle.entry[2].resource[0].entry[7].resource[0].medication[0].coding[0].code[0]44225811000001106
Bundle.entry[2].resource[0].entry[7].resource[0].medication[0].coding[0].display[0]Nitrofurantoin 100mg modified-release capsules (A A H Pharmaceuticals Ltd)
Bundle.entry[2].resource[0].entry[7].resource[0].medication[0].text[0]Nitrofurantoin 100mg modified-release capsules (A A H Pharmaceuticals Ltd)
Bundle.entry[2].resource[0].entry[7].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[7].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[7].resource[0].performer[0].actor[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[7].resource[0].type[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1
Bundle.entry[2].resource[0].entry[7].resource[0].type[0].coding[0].code[0]patient-group-direction
Bundle.entry[2].resource[0].entry[7].resource[0].type[0].coding[0].display[0]Patient group direction
Bundle.entry[2].resource[0].entry[7].resource[0].type[0].text[0]Patient group direction
Bundle.entry[2].resource[0].entry[7].resource[0].quantity[0].value[0]6
Bundle.entry[2].resource[0].entry[7].resource[0].quantity[0].unit[0]Capsule
Bundle.entry[2].resource[0].entry[7].resource[0].quantity[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].quantity[0].code[0]428641000
Bundle.entry[2].resource[0].entry[7].resource[0].daysSupply[0].value[0]3
Bundle.entry[2].resource[0].entry[7].resource[0].daysSupply[0].unit[0]day
Bundle.entry[2].resource[0].entry[7].resource[0].daysSupply[0].system[0]http://unitsofmeasure.org
Bundle.entry[2].resource[0].entry[7].resource[0].daysSupply[0].code[0]d
Bundle.entry[2].resource[0].entry[7].resource[0].whenPrepared[0]2023-08-08
Bundle.entry[2].resource[0].entry[7].resource[0].whenHandedOver[0]2023-08-08
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].text[0]Take twice per day, for 3 days.
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].patientInstruction[0]Take twice per day, for 3 days.
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].timing[0].repeat[0].frequency[0]2
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].timing[0].repeat[0].period[0]1
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].timing[0].repeat[0].periodUnit[0]d
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].route[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].route[0].coding[0].code[0]26643006
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].route[0].coding[0].display[0]Oral route
Bundle.entry[2].resource[0].entry[7].resource[0].dosageInstruction[0].route[0].text[0]Oral route
Bundle.entry[2].resource[0].entry[8].fullUrl[0]urn:uuid:3343dda4-b7a8-433c-bc80-be5724d00ce2
Bundle.entry[2].resource[0].entry[8].resource[0].id[0]3343dda4-b7a8-433c-bc80-be5724d00ce2
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Condition-1
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].code[0]presenting-complaints-or-issues
Bundle.entry[2].resource[0].entry[8].resource[0].meta[0].tag[0].display[0]Presenting complaints or issues
Bundle.entry[2].resource[0].entry[8].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/condition
Bundle.entry[2].resource[0].entry[8].resource[0].identifier[0].value[0]3343dda4-b7a8-433c-bc80-be5724d00ce2
Bundle.entry[2].resource[0].entry[8].resource[0].clinicalStatus[0]active
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]68566005
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].coding[0].display[0]Urinary tract infectious disease
Bundle.entry[2].resource[0].entry[8].resource[0].code[0].text[0]Urinary tract infectious disease
Bundle.entry[2].resource[0].entry[8].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[8].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[8].resource[0].assertedDate[0]2023-08-08
Bundle.entry[2].resource[0].entry[8].resource[0].asserter[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[9].fullUrl[0]urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef
Bundle.entry[2].resource[0].entry[9].resource[0].id[0]a6a3ff21-a2dd-4368-b1f1-c361f18675ef
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].code[0]clinical-summary
Bundle.entry[2].resource[0].entry[9].resource[0].meta[0].tag[0].display[0]Clinical summary
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[9].resource[0].identifier[0].value[0]a6a3ff21-a2dd-4368-b1f1-c361f18675ef
Bundle.entry[2].resource[0].entry[9].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[9].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[9].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[9].resource[0].assessor[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[9].resource[0].summary[0]Female patient has had frequent urination and burning sensation when passing urine. No discharge, patient has pain in lower abdomen. Patient reports they are not pregnant.
Bundle.entry[2].resource[0].entry[10].fullUrl[0]urn:uuid:7ad82a2d-79b7-421c-aa67-c0ff5fac80a1
Bundle.entry[2].resource[0].entry[10].resource[0].id[0]7ad82a2d-79b7-421c-aa67-c0ff5fac80a1
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].code[0]history
Bundle.entry[2].resource[0].entry[10].resource[0].meta[0].tag[0].display[0]History
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[10].resource[0].identifier[0].value[0]7ad82a2d-79b7-421c-aa67-c0ff5fac80a1
Bundle.entry[2].resource[0].entry[10].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[10].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[10].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[10].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[10].resource[0].assessor[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[10].resource[0].summary[0]Not taken Nitrofurantoin in past 3 months
Bundle.entry[2].resource[0].entry[11].fullUrl[0]urn:uuid:21516e85-4933-4450-aa68-18a28f071800
Bundle.entry[2].resource[0].entry[11].resource[0].id[0]21516e85-4933-4450-aa68-18a28f071800
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ClinicalImpression-1
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].system[0]https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].code[0]information-and-advice-given
Bundle.entry[2].resource[0].entry[11].resource[0].meta[0].tag[0].display[0]Information and advice given
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/clinical-impression
Bundle.entry[2].resource[0].entry[11].resource[0].identifier[0].value[0]21516e85-4933-4450-aa68-18a28f071800
Bundle.entry[2].resource[0].entry[11].resource[0].status[0]completed
Bundle.entry[2].resource[0].entry[11].resource[0].subject[0].reference[0]urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd
Bundle.entry[2].resource[0].entry[11].resource[0].context[0].reference[0]urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f
Bundle.entry[2].resource[0].entry[11].resource[0].date[0]2023-08-08
Bundle.entry[2].resource[0].entry[11].resource[0].assessor[0].reference[0]urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62
Bundle.entry[2].resource[0].entry[11].resource[0].summary[0]If symptoms do not improve within 2 days, please call 111 for further advice.
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