GP Connect - Emergency Supply of Medications (ITK3)

Part of the GP Connect product family
Note: This specification was originally titled "Digital Medicines (DigiMeds)" and maintained by the PODAC Programme.

Example 1

WARNING: The example provided below, while formatted as valid FHIR, relies on outdated curated profiles that do not align with current profiles and values. This discrepancy will cause validation errors when using built-in FHIR validation tools.

Although libraries like HAPI or Firely can successfully serialize this FHIR data, their underlying validation mechanisms will identify these inconsistencies. Consequently, the receiver of this data will be required to implement an additional mapping layer after serialization to ensure compatibility.

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="4619db9d-1647-46a4-b8ea-ae5d21378eb8" />
    <identifier>
        <system value="https://fhir.provider.example/identifier/bundle" />
        <value value="4619db9d-1647-46a4-b8ea-ae5d21378eb8" />
    </identifier>
    <type value="message" />
    <entry>
        <fullUrl value="urn:uuid:5eb3c5d8-deba-4533-a4cd-84a00b84de14" />
        <resource>
            <MessageHeader>
                <id value="5eb3c5d8-deba-4533-a4cd-84a00b84de14" />
                <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="FA" />
                            <display value="For Action" />
                        </valueCoding>
                    </extension>
                    <extension url="MessageDefinition">
                        <valueReference>
                            <reference value="https://fhir.nhs.uk/STU3/MessageDefinition/ITK-DM-EmergencySupply-MessageDefinition-1" />
                        </valueReference>
                    </extension>
                    <extension url="SenderReference">
                        <valueString value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                    </extension>
                    <extension url="LocalExtension">
                        <valueString value="None" />
                    </extension>
                </extension>
                <event>
                    <system value="https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2" />
                    <code value="ITK010D" />
                    <display value="ITK Digital Medicine Emergency Supply Document" />
                </event>
                <sender>
                    <reference value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                </sender>
                <timestamp value="2024-12-23T17:21:57.421714+00:00" />
                <source>
                    <endpoint value="SENDER_MESH_MAILBOX_ID" />
                </source>
                <focus>
                    <reference value="urn:uuid:dcbe2bb9-df64-48bf-9702-a36a1a044506" />
                </focus>
            </MessageHeader>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
        <resource>
            <Organization>
                <id value="e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                <meta>
                    <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="FA000" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
        <resource>
            <Organization>
                <id value="734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
                <meta>
                    <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="GP123456" />
                </identifier>
            </Organization>
        </resource>
    </entry>
    <entry>
        <fullUrl value="urn:uuid:dcbe2bb9-df64-48bf-9702-a36a1a044506" />
        <resource>
            <Bundle>
                <id value="dcbe2bb9-df64-48bf-9702-a36a1a044506" />
                <meta>
                    <lastUpdated value="2024-12-23T17:21:57.4376044+00:00" />
                    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1" />
                </meta>
                <identifier>
                    <system value="https://fhir.provider.example/identifier/bundle" />
                    <value value="dcbe2bb9-df64-48bf-9702-a36a1a044506" />
                </identifier>
                <type value="document" />
                <entry>
                    <fullUrl value="urn:uuid:9695e60d-3b4d-4272-a8fa-dda91a472757" />
                    <resource>
                        <Composition>
                            <id value="9695e60d-3b4d-4272-a8fa-dda91a472757" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-EmergencySupply-Composition-1" />
                            </meta>
                            <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareSettingType-1">
                                <valueCodeableConcept>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="310080006" />
                                        <display value="Pharmacy service" />
                                    </coding>
                                </valueCodeableConcept>
                            </extension>
                            <identifier>
                                <system value="https://fhir.provider.example/identifier/composition" />
                                <value value="9695e60d-3b4d-4272-a8fa-dda91a472757" />
                            </identifier>
                            <status value="final" />
                            <type>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="1218611000000102" />
                                    <display value="Urgent supply of prescription items by community pharmacy" />
                                </coding>
                                <text value="Urgent supply of prescription items by community pharmacy" />
                            </type>
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            </encounter>
                            <date value="2024-12-23" />
                            <author>
                                <reference value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                            </author>
                            <title value="Overtown Pharmacy 118 Emergency Medication Supply Record" />
                            <custodian>
                                <reference value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                            </custodian>
                            <section>
                                <title value="Allergies and Adverse Reactions" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="886921000000105" />
                                        <display value="Allergies and adverse reactions" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Causative agent</th><td>No known drug allergy</td></tr></tbody></table></div>
                                </text>
                                <entry>
                                    <reference value="urn:uuid:265412e4-88a9-4554-80b0-624d050c7a75" />
                                </entry>
                            </section>
                            <section>
                                <title value="Contact with professionals" />
                                <code>
                                    <coding>
                                        <system value="https://fhir.nhs.uk/CodeSystem/SectionCode" />
                                        <code value="contacts-with-professionals" />
                                        <display value="Contacts with professionals" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Date and time of contact</th><td>9-May-2018 10:00</td></tr><tr><th>Service</th><td>Community Pharmacist Consultation Service</td></tr><tr><th>Organisation</th><td><p>Name: Overtown Pharmacy</p><p>Address: 1 High Street, Overtown, Leeds</p><p>Postcode: LS1 9AM</p><p>Telephone: 01134875516</p><p>Email: overtonpharmacy118@mymail.com</p></td></tr><tr><th>Clinician</th><td><p>Name: Mr Eric Smith</p><p>Role: Pharmacist</p><p>Registration No: 2145879</p></td></tr><tr><th>Person collecting the medication</th><td>Patient</td></tr><tr><th>Reason for service</th><td>Emergency supply of medication. Patient had not ordered their prescription.</td></tr></tbody></table></div>
                                </text>
                                <entry>
                                    <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                                </entry>
                            </section>
                            <section>
                                <title value="Legal information" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="886961000000102" />
                                        <display value="Legal information" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Consent for treatment record</th><td>Patient's consent for treatment has been attained.</td></tr><tr><th>Consent relating to child</th><td>Not Applicable</td></tr></tbody></table></div>
                                </text>
                            </section>
                            <section>
                                <title value="GP Practice" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="886711000000101" />
                                        <display value="GP practice" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>GP name</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>GP practice identifier</th><td><p>ODS Organization Code:GP123456</p></td></tr><tr><th>GP practice details</th><td><p>Name: MGP Medical Centre</p><p>Address:</p><p>Address Line: 1 MGP House, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 7PA</p></td></tr></tbody></table></div>
                                </text>
                                <entry>
                                    <reference value="urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
                                </entry>
                            </section>
                            <section>
                                <title value="History" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="717121000000105" />
                                        <display value="History" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Relevant past medical, surgical and mental health history</th><td><p>Patient has Type 2 diabetes and hypertension.</p></td></tr></tbody></table></div>
                                </text>
                            </section>
                            <section>
                                <title value="Information and Advice given" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="1052951000000105" />
                                        <display value="Information and advice given" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Information and advice given</th><td><p>Patient advised that he should consider discussing with his GP whether he can be set up for electronic repeat dispensing if his medication regime is stable.</p></td></tr></tbody></table></div>
                                </text>
                            </section>
                            <section>
                                <title value="Medications and medical devices" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="933361000000108" />
                                        <display value="Medications and medical devices" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Medication</th><td>Humulin M3 100units/ml suspension for injection 3ml cartridges (CST Pharma Ltd)</td></tr><tr><th>Dose directions</th><td>As needed</td></tr><tr><th>Quantity Supplied</th><td>2 cartridge</td></tr><tr><th>Days Supply</th><td>14 days</td></tr><tr><th>Medication</th><td>BD Viva hypodermic insulin needles for pre-filled / reusable pen injectors screw on 5mm/31gauge (Becton, Dickinson UK Ltd)</td></tr><tr><th>Dose directions</th><td>As needed</td></tr><tr><th>Quantity Supplied</th><td>90 needle</td></tr><tr><th>Days Supply</th><td>14 days</td></tr></tbody></table></div>
                                </text>
                                <entry>
                                    <reference value="urn:uuid:079d6416-e1a8-41fa-b203-458cab1d082d" />
                                </entry>
                            </section>
                            <section>
                                <title value="Patient Demographics" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="886731000000109" />
                                        <display value="Patient demographics" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Patient</th><td><p>Prefix: Mr</p><p>Given Name: William</p><p>Family Name: Smith</p></td></tr><tr><th>Date of birth</th><td>4 February 1956</td></tr><tr><th>Gender</th><td>Male</td></tr><tr><th>NHS number</th><td>2378954317</td></tr><tr><th>Patient address</th><td><p>Address Line: 14, Sunny Mews, Overtown,</p><p>City: Leeds</p><p>Post Code: LS17 4NK</p></td></tr><tr><th>Patient telephone number</th><td><p>Home: 01135540935</p><p>Mobile: 07823123456</p></td></tr><tr><th>Relevant contacts</th><td>Name: June Smith <p>Relationship: Next of kin</p><p>Contact details: Tel. 01132789365</p></td></tr></tbody></table></div>
                                </text>
                                <entry>
                                    <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                </entry>
                            </section>
                            <section>
                                <title value="Plan and requested actions" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="887201000000105" />
                                        <display value="Plan and requested actions" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Plan and requested actions</th><td>GP to review medications and speak to Patient regarding electronic repeat dispensing</td></tr></tbody></table></div>
                                </text>
                            </section>
                            <section>
                                <title value="Referral details" />
                                <code>
                                    <coding>
                                        <system value="http://snomed.info/sct" />
                                        <code value="886721000000107" />
                                        <display value="Referral details" />
                                    </coding>
                                </code>
                                <text>
                                    <status value="generated" />
                                    <div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Referral details</th><td>NHS 111</td></tr></tbody></table></div>
                                </text>
                            </section>
                        </Composition>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                    <resource>
                        <Encounter>
                            <id value="7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1" />
                            </meta>
                            <status value="finished" />
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William (Mr)" />
                            </subject>
                            <participant>
                                <type>
                                    <coding>
                                        <system value="http://hl7.org/fhir/v3/ParticipationType" />
                                        <code value="PPRF" />
                                        <display value="primary performer" />
                                    </coding>
                                </type>
                                <individual>
                                    <reference value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                                    <display value="SMITH, Eric (Mr)" />
                                </individual>
                            </participant>
                            <period>
                                <start value="2024-12-23" />
                            </period>
                            <serviceProvider>
                                <reference value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                                <display value="Overtown Pharmacy" />
                            </serviceProvider>
                        </Encounter>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                    <resource>
                        <Organization>
                            <id value="e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                                <value value="FA000" />
                            </identifier>
                            <name value="Overtown Pharmacy" />
                            <telecom>
                                <system value="phone" />
                                <value value="01134875516" />
                            </telecom>
                            <address>
                                <line value="1 High Street" />
                                <line value="Overtown" />
                                <city value="Leeds" />
                                <postalCode value="LS1 9AM" />
                            </address>
                        </Organization>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
                    <resource>
                        <Organization>
                            <id value="734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                                <value value="GP123456" />
                            </identifier>
                            <name value="MGP Medical Centre" />
                            <address>
                                <line value="1 MGP House" />
                                <line value="Overtown" />
                                <city value="Leeds" />
                                <postalCode value="LS21 7PA" />
                            </address>
                        </Organization>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                    <resource>
                        <Patient>
                            <id value="7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1" />
                            </meta>
                            <identifier>
                                <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-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="2378954317" />
                            </identifier>
                            <name>
                                <use value="official" />
                                <text value="Mr William Smith" />
                                <family value="Smith" />
                                <given value="William" />
                                <prefix value="Mr" />
                            </name>
                            <telecom>
                                <system value="phone" />
                                <value value="01132789365" />
                                <use value="home" />
                            </telecom>
                            <gender value="male" />
                            <birthDate value="1956-02-04" />
                            <address>
                                <use value="home" />
                                <type value="both" />
                                <text value="14 Sunny Mews, Overtown, West Yorkshire, LS17 4NK" />
                                <line value="14 Sunny Mews" />
                                <line value="Overtown" />
                                <city value="Leeds" />
                                <district value="West Yorkshire" />
                                <postalCode value="LS17 4NK" />
                            </address>
                            <maritalStatus>
                                <coding>
                                    <system value="http://hl7.org/fhir/v3/MaritalStatus" />
                                    <code value="M" />
                                    <display value="Married" />
                                </coding>
                            </maritalStatus>
                            <contact>
                                <relationship>
                                    <coding>
                                        <system value="http://hl7.org/fhir/v2/0131" />
                                        <code value="N" />
                                        <display value="Next-of-Kin" />
                                    </coding>
                                </relationship>
                                <name>
                                    <use value="official" />
                                    <family value="Smith" />
                                    <given value="June" />
                                </name>
                                <telecom>
                                    <system value="phone" />
                                    <value value="01132789365" />
                                </telecom>
                                <gender value="female" />
                            </contact>
                            <generalPractitioner>
                                <reference value="urn:uuid:852f593d-d943-40ca-b1f2-402cc6d1971c" />
                            </generalPractitioner>
                            <managingOrganization>
                                <reference value="urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2" />
                            </managingOrganization>
                        </Patient>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:852f593d-d943-40ca-b1f2-402cc6d1971c" />
                    <resource>
                        <Practitioner>
                            <id value="852f593d-d943-40ca-b1f2-402cc6d1971c" />
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.hl7.org.uk/Id/gmc-number" />
                                <value value="6122477" />
                            </identifier>
                            <name>
                                <family value="Rastall" />
                                <given value="Paul" />
                                <prefix value="Dr" />
                            </name>
                            <telecom>
                                <system value="phone" />
                                <value value="01136323200" />
                                <use value="work" />
                            </telecom>
                            <gender value="male" />
                        </Practitioner>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                    <resource>
                        <Practitioner>
                            <id value="eb664717-d3bd-4de3-88b1-562fef7e0204" />
                            <meta>
                                <profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1" />
                            </meta>
                            <identifier>
                                <system value="https://fhir.hl7.org.uk/Id/gphc-number" />
                                <value value="2145879" />
                            </identifier>
                            <name>
                                <family value="Smith" />
                                <given value="Eric" />
                                <prefix value="Mr" />
                            </name>
                            <telecom>
                                <system value="phone" />
                                <value value="0113895123" />
                                <use value="work" />
                            </telecom>
                            <gender value="male" />
                        </Practitioner>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:079d6416-e1a8-41fa-b203-458cab1d082d" />
                    <resource>
                        <List>
                            <id value="079d6416-e1a8-41fa-b203-458cab1d082d" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-List-1" />
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122" />
                                <value value="079d6416-e1a8-41fa-b203-458cab1d082d" />
                            </identifier>
                            <status value="current" />
                            <mode value="snapshot" />
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="163541000000107" />
                                    <display value="Dispensed Medication" />
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William (Mr)" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            </encounter>
                            <date value="2024-12-13" />
                            <entry>
                                <item>
                                    <reference value="urn:uuid:3b98aac2-9d61-449a-8e96-027395b3b711" />
                                </item>
                            </entry>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:79a649a5-27a6-4019-b621-b07bca02b38b" />
                                </item>
                            </entry>
                        </List>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:3b98aac2-9d61-449a-8e96-027395b3b711" />
                    <resource>
                        <MedicationDispense>
                            <id value="3b98aac2-9d61-449a-8e96-027395b3b711" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-1" />
                            </meta>
                            <status value="completed" />
                            <medicationReference>
                                <reference value="urn:uuid:8691dcac-2f00-48a9-8ece-6fc3f942a374" />
                            </medicationReference>
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William (Mr)" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            </context>
                            <performer>
                                <actor>
                                    <reference value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                                </actor>
                                <onBehalfOf>
                                    <reference value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                                </onBehalfOf>
                            </performer>
                            <type>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1" />
                                    <code value="emergency-supply" />
                                    <display value="Emergency supply" />
                                </coding>
                            </type>
                            <quantity>
                                <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
                                    <valueString value="2 cartridge" />
                                </extension>
                                <value value="2" />
                                <unit value="cartridge" />
                                <system value="http://snomed.info/sct" />
                                <code value="732988008" />
                            </quantity>
                            <daysSupply>
                                <value value="14" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </daysSupply>
                            <whenPrepared value="2024-12-13" />
                            <whenHandedOver value="2024-12-13" />
                            <dosageInstruction>
                                <asNeededBoolean value="true" />
                            </dosageInstruction>
                        </MedicationDispense>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:79a649a5-27a6-4019-b621-b07bca02b38b" />
                    <resource>
                        <MedicationDispense>
                            <id value="79a649a5-27a6-4019-b621-b07bca02b38b" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-MedicationDispense-1" />
                            </meta>
                            <status value="completed" />
                            <medicationReference>
                                <reference value="urn:uuid:fe01cc83-847e-4d13-b13c-d6dc62c79dda" />
                            </medicationReference>
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William (Mr)" />
                            </subject>
                            <context>
                                <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            </context>
                            <performer>
                                <actor>
                                    <reference value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                                </actor>
                                <onBehalfOf>
                                    <reference value="urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26" />
                                </onBehalfOf>
                            </performer>
                            <type>
                                <coding>
                                    <system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1" />
                                    <code value="emergency-supply" />
                                    <display value="Emergency supply" />
                                </coding>
                            </type>
                            <quantity>
                                <extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1">
                                    <valueString value="90 needle" />
                                </extension>
                                <value value="90" />
                                <unit value="needle" />
                                <system value="http://snomed.info/sct" />
                                <code value="3318111000001106" />
                            </quantity>
                            <daysSupply>
                                <value value="14" />
                                <unit value="day" />
                                <system value="http://unitsofmeasure.org" />
                                <code value="d" />
                            </daysSupply>
                            <whenPrepared value="2024-12-13" />
                            <whenHandedOver value="2024-12-13" />
                            <dosageInstruction>
                                <asNeededBoolean value="true" />
                            </dosageInstruction>
                        </MedicationDispense>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:8691dcac-2f00-48a9-8ece-6fc3f942a374" />
                    <resource>
                        <Medication>
                            <id value="8691dcac-2f00-48a9-8ece-6fc3f942a374" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1" />
                            </meta>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="37417211000001103" />
                                    <display value="Humulin M3 100units/ml suspension for injection 3ml cartridges (CST Pharma Ltd)" />
                                </coding>
                            </code>
                            <status value="active" />
                        </Medication>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:fe01cc83-847e-4d13-b13c-d6dc62c79dda" />
                    <resource>
                        <Medication>
                            <id value="fe01cc83-847e-4d13-b13c-d6dc62c79dda" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1" />
                            </meta>
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="31771611000001107" />
                                    <display value="BD Viva hypodermic insulin needles for pre-filled / reusable pen injectors screw on 5mm/31gauge (Becton, Dickinson UK Ltd)" />
                                </coding>
                            </code>
                            <status value="active" />
                        </Medication>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:265412e4-88a9-4554-80b0-624d050c7a75" />
                    <resource>
                        <List>
                            <id value="265412e4-88a9-4554-80b0-624d050c7a75" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1" />
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122" />
                                <value value="265412e4-88a9-4554-80b0-624d050c7a75" />
                            </identifier>
                            <status value="current" />
                            <mode value="snapshot" />
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="886921000000105" />
                                    <display value="Allergies and adverse reactions" />
                                </coding>
                            </code>
                            <subject>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William" />
                            </subject>
                            <encounter>
                                <reference value="urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb" />
                            </encounter>
                            <source>
                                <reference value="urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204" />
                                <display value="SMITH, Eric" />
                            </source>
                            <entry>
                                <item>
                                    <reference value="urn:uuid:20a091ce-3b5d-419c-8987-bd731914664b" />
                                </item>
                            </entry>
                        </List>
                    </resource>
                </entry>
                <entry>
                    <fullUrl value="urn:uuid:20a091ce-3b5d-419c-8987-bd731914664b" />
                    <resource>
                        <AllergyIntolerance>
                            <id value="20a091ce-3b5d-419c-8987-bd731914664b" />
                            <meta>
                                <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1" />
                            </meta>
                            <identifier>
                                <system value="https://tools.ietf.org/html/rfc4122" />
                                <value value="20a091ce-3b5d-419c-8987-bd731914664b" />
                            </identifier>
                            <clinicalStatus value="active" />
                            <verificationStatus value="unconfirmed" />
                            <category value="medication" />
                            <code>
                                <coding>
                                    <system value="http://snomed.info/sct" />
                                    <code value="409137002" />
                                    <display value="No known drug allergy" />
                                </coding>
                            </code>
                            <patient>
                                <reference value="urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb" />
                                <display value="SMITH, William" />
                            </patient>
                            <assertedDate value="2024-12-13" />
                        </AllergyIntolerance>
                    </resource>
                </entry>
            </Bundle>
        </resource>
    </entry>
</Bundle>

Table

Bundle.id[0]4619db9d-1647-46a4-b8ea-ae5d21378eb8
Bundle.identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.identifier[0].value[0]4619db9d-1647-46a4-b8ea-ae5d21378eb8
Bundle.type[0]message
Bundle.entry[0].fullUrl[0]urn:uuid:5eb3c5d8-deba-4533-a4cd-84a00b84de14
Bundle.entry[0].resource[0].id[0]5eb3c5d8-deba-4533-a4cd-84a00b84de14
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]FA
Bundle.entry[0].resource[0].extension[0].extension[2].value[0].display[0]For Action
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/STU3/MessageDefinition/ITK-DM-EmergencySupply-MessageDefinition-1
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:7ceafc48-fa50-4b21-8175-ca4fc744a1eb
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]ITK010D
Bundle.entry[0].resource[0].event[0].display[0]ITK Digital Medicine Emergency Supply Document
Bundle.entry[0].resource[0].sender[0].reference[0]urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26
Bundle.entry[0].resource[0].timestamp[0]2024-12-23T17:21:57.421714+00:00
Bundle.entry[0].resource[0].source[0].endpoint[0]SENDER_MESH_MAILBOX_ID
Bundle.entry[0].resource[0].focus[0].reference[0]urn:uuid:dcbe2bb9-df64-48bf-9702-a36a1a044506
Bundle.entry[1].fullUrl[0]urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26
Bundle.entry[1].resource[0].id[0]e3cc1193-4f44-48cd-92ed-c7dfb15cdb26
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]FA000
Bundle.entry[2].fullUrl[0]urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2
Bundle.entry[2].resource[0].id[0]734cb65a-fd52-4083-aba2-7d61cb2e64e2
Bundle.entry[2].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1
Bundle.entry[2].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[2].resource[0].identifier[0].value[0]GP123456
Bundle.entry[3].fullUrl[0]urn:uuid:dcbe2bb9-df64-48bf-9702-a36a1a044506
Bundle.entry[3].resource[0].id[0]dcbe2bb9-df64-48bf-9702-a36a1a044506
Bundle.entry[3].resource[0].meta[0].lastUpdated[0]2024-12-23T17:21:57.4376044+00:00
Bundle.entry[3].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1
Bundle.entry[3].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/bundle
Bundle.entry[3].resource[0].identifier[0].value[0]dcbe2bb9-df64-48bf-9702-a36a1a044506
Bundle.entry[3].resource[0].type[0]document
Bundle.entry[3].resource[0].entry[0].fullUrl[0]urn:uuid:9695e60d-3b4d-4272-a8fa-dda91a472757
Bundle.entry[3].resource[0].entry[0].resource[0].id[0]9695e60d-3b4d-4272-a8fa-dda91a472757
Bundle.entry[3].resource[0].entry[0].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-EmergencySupply-Composition-1
Bundle.entry[3].resource[0].entry[0].resource[0].extension[0].url[0]https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareSettingType-1
Bundle.entry[3].resource[0].entry[0].resource[0].extension[0].value[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].extension[0].value[0].coding[0].code[0]310080006
Bundle.entry[3].resource[0].entry[0].resource[0].extension[0].value[0].coding[0].display[0]Pharmacy service
Bundle.entry[3].resource[0].entry[0].resource[0].identifier[0].system[0]https://fhir.provider.example/identifier/composition
Bundle.entry[3].resource[0].entry[0].resource[0].identifier[0].value[0]9695e60d-3b4d-4272-a8fa-dda91a472757
Bundle.entry[3].resource[0].entry[0].resource[0].status[0]final
Bundle.entry[3].resource[0].entry[0].resource[0].type[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].type[0].coding[0].code[0]1218611000000102
Bundle.entry[3].resource[0].entry[0].resource[0].type[0].coding[0].display[0]Urgent supply of prescription items by community pharmacy
Bundle.entry[3].resource[0].entry[0].resource[0].type[0].text[0]Urgent supply of prescription items by community pharmacy
Bundle.entry[3].resource[0].entry[0].resource[0].subject[0].reference[0]urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb
Bundle.entry[3].resource[0].entry[0].resource[0].encounter[0].reference[0]urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb
Bundle.entry[3].resource[0].entry[0].resource[0].date[0]2024-12-23
Bundle.entry[3].resource[0].entry[0].resource[0].author[0].reference[0]urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204
Bundle.entry[3].resource[0].entry[0].resource[0].title[0]Overtown Pharmacy 118 Emergency Medication Supply Record
Bundle.entry[3].resource[0].entry[0].resource[0].custodian[0].reference[0]urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].title[0]Allergies and Adverse Reactions
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].code[0].coding[0].code[0]886921000000105
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].code[0].coding[0].display[0]Allergies and adverse reactions
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Causative agent</th><td>No known drug allergy</td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[0].entry[0].reference[0]urn:uuid:265412e4-88a9-4554-80b0-624d050c7a75
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].title[0]Contact with professionals
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].code[0].coding[0].system[0]https://fhir.nhs.uk/CodeSystem/SectionCode
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].code[0].coding[0].code[0]contacts-with-professionals
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].code[0].coding[0].display[0]Contacts with professionals
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Date and time of contact</th><td>9-May-2018 10:00</td></tr><tr><th>Service</th><td>Community Pharmacist Consultation Service</td></tr><tr><th>Organisation</th><td><p>Name: Overtown Pharmacy</p><p>Address: 1 High Street, Overtown, Leeds</p><p>Postcode: LS1 9AM</p><p>Telephone: 01134875516</p><p>Email: overtonpharmacy118@mymail.com</p></td></tr><tr><th>Clinician</th><td><p>Name: Mr Eric Smith</p><p>Role: Pharmacist</p><p>Registration No: 2145879</p></td></tr><tr><th>Person collecting the medication</th><td>Patient</td></tr><tr><th>Reason for service</th><td>Emergency supply of medication. Patient had not ordered their prescription.</td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[1].entry[0].reference[0]urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].title[0]Legal information
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].code[0].coding[0].code[0]886961000000102
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].code[0].coding[0].display[0]Legal information
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[2].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Consent for treatment record</th><td>Patient's consent for treatment has been attained.</td></tr><tr><th>Consent relating to child</th><td>Not Applicable</td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].title[0]GP Practice
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].code[0].coding[0].code[0]886711000000101
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].code[0].coding[0].display[0]GP practice
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>GP name</th><td><p>Prefix: Dr</p><p>Given Name: Paul</p><p>Family Name: Rastall</p></td></tr><tr><th>GP practice identifier</th><td><p>ODS Organization Code:GP123456</p></td></tr><tr><th>GP practice details</th><td><p>Name: MGP Medical Centre</p><p>Address:</p><p>Address Line: 1 MGP House, Overtown</p><p>City: Leeds</p><p>Post Code: LS21 7PA</p></td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[3].entry[0].reference[0]urn:uuid:734cb65a-fd52-4083-aba2-7d61cb2e64e2
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].title[0]History
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].code[0].coding[0].code[0]717121000000105
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].code[0].coding[0].display[0]History
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[4].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Relevant past medical, surgical and mental health history</th><td><p>Patient has Type 2 diabetes and hypertension.</p></td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].title[0]Information and Advice given
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].code[0].coding[0].code[0]1052951000000105
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].code[0].coding[0].display[0]Information and advice given
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[5].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Information and advice given</th><td><p>Patient advised that he should consider discussing with his GP whether he can be set up for electronic repeat dispensing if his medication regime is stable.</p></td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].title[0]Medications and medical devices
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].code[0].coding[0].code[0]933361000000108
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].code[0].coding[0].display[0]Medications and medical devices
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Medication</th><td>Humulin M3 100units/ml suspension for injection 3ml cartridges (CST Pharma Ltd)</td></tr><tr><th>Dose directions</th><td>As needed</td></tr><tr><th>Quantity Supplied</th><td>2 cartridge</td></tr><tr><th>Days Supply</th><td>14 days</td></tr><tr><th>Medication</th><td>BD Viva hypodermic insulin needles for pre-filled / reusable pen injectors screw on 5mm/31gauge (Becton, Dickinson UK Ltd)</td></tr><tr><th>Dose directions</th><td>As needed</td></tr><tr><th>Quantity Supplied</th><td>90 needle</td></tr><tr><th>Days Supply</th><td>14 days</td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[6].entry[0].reference[0]urn:uuid:079d6416-e1a8-41fa-b203-458cab1d082d
Bundle.entry[3].resource[0].entry[0].resource[0].section[7].title[0]Patient Demographics
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Bundle.entry[3].resource[0].entry[0].resource[0].section[7].code[0].coding[0].code[0]886731000000109
Bundle.entry[3].resource[0].entry[0].resource[0].section[7].code[0].coding[0].display[0]Patient demographics
Bundle.entry[3].resource[0].entry[0].resource[0].section[7].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[7].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Patient</th><td><p>Prefix: Mr</p><p>Given Name: William</p><p>Family Name: Smith</p></td></tr><tr><th>Date of birth</th><td>4 February 1956</td></tr><tr><th>Gender</th><td>Male</td></tr><tr><th>NHS number</th><td>2378954317</td></tr><tr><th>Patient address</th><td><p>Address Line: 14, Sunny Mews, Overtown,</p><p>City: Leeds</p><p>Post Code: LS17 4NK</p></td></tr><tr><th>Patient telephone number</th><td><p>Home: 01135540935</p><p>Mobile: 07823123456</p></td></tr><tr><th>Relevant contacts</th><td>Name: June Smith <p>Relationship: Next of kin</p><p>Contact details: Tel. 01132789365</p></td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[7].entry[0].reference[0]urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].title[0]Plan and requested actions
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].code[0].coding[0].code[0]887201000000105
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].code[0].coding[0].display[0]Plan and requested actions
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[8].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Plan and requested actions</th><td>GP to review medications and speak to Patient regarding electronic repeat dispensing</td></tr></tbody></table></div>
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].title[0]Referral details
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].code[0].coding[0].code[0]886721000000107
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].code[0].coding[0].display[0]Referral details
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].text[0].status[0]generated
Bundle.entry[3].resource[0].entry[0].resource[0].section[9].text[0].div[0]<div xmlns="http://www.w3.org/1999/xhtml"><table width="100%"><tbody><tr><th>Referral details</th><td>NHS 111</td></tr></tbody></table></div>
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Bundle.entry[3].resource[0].entry[1].resource[0].status[0]finished
Bundle.entry[3].resource[0].entry[1].resource[0].subject[0].reference[0]urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb
Bundle.entry[3].resource[0].entry[1].resource[0].subject[0].display[0]SMITH, William (Mr)
Bundle.entry[3].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].system[0]http://hl7.org/fhir/v3/ParticipationType
Bundle.entry[3].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].code[0]PPRF
Bundle.entry[3].resource[0].entry[1].resource[0].participant[0].type[0].coding[0].display[0]primary performer
Bundle.entry[3].resource[0].entry[1].resource[0].participant[0].individual[0].reference[0]urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204
Bundle.entry[3].resource[0].entry[1].resource[0].participant[0].individual[0].display[0]SMITH, Eric (Mr)
Bundle.entry[3].resource[0].entry[1].resource[0].period[0].start[0]2024-12-23
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Bundle.entry[3].resource[0].entry[2].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[3].resource[0].entry[2].resource[0].identifier[0].value[0]FA000
Bundle.entry[3].resource[0].entry[2].resource[0].name[0]Overtown Pharmacy
Bundle.entry[3].resource[0].entry[2].resource[0].telecom[0].system[0]phone
Bundle.entry[3].resource[0].entry[2].resource[0].telecom[0].value[0]01134875516
Bundle.entry[3].resource[0].entry[2].resource[0].address[0].line[0]1 High Street
Bundle.entry[3].resource[0].entry[2].resource[0].address[0].line[1]Overtown
Bundle.entry[3].resource[0].entry[2].resource[0].address[0].city[0]Leeds
Bundle.entry[3].resource[0].entry[2].resource[0].address[0].postalCode[0]LS1 9AM
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Bundle.entry[3].resource[0].entry[3].resource[0].identifier[0].system[0]https://fhir.nhs.uk/Id/ods-organization-code
Bundle.entry[3].resource[0].entry[3].resource[0].identifier[0].value[0]GP123456
Bundle.entry[3].resource[0].entry[3].resource[0].name[0]MGP Medical Centre
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Bundle.entry[3].resource[0].entry[4].resource[0].name[0].use[0]official
Bundle.entry[3].resource[0].entry[4].resource[0].name[0].text[0]Mr William Smith
Bundle.entry[3].resource[0].entry[4].resource[0].name[0].family[0]Smith
Bundle.entry[3].resource[0].entry[4].resource[0].name[0].given[0]William
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Bundle.entry[3].resource[0].entry[4].resource[0].birthDate[0]1956-02-04
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Bundle.entry[3].resource[0].entry[4].resource[0].address[0].type[0]both
Bundle.entry[3].resource[0].entry[4].resource[0].address[0].text[0]14 Sunny Mews, Overtown, West Yorkshire, LS17 4NK
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Bundle.entry[3].resource[0].entry[4].resource[0].address[0].district[0]West Yorkshire
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Bundle.entry[3].resource[0].entry[9].resource[0].subject[0].display[0]SMITH, William (Mr)
Bundle.entry[3].resource[0].entry[9].resource[0].context[0].reference[0]urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb
Bundle.entry[3].resource[0].entry[9].resource[0].performer[0].actor[0].reference[0]urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204
Bundle.entry[3].resource[0].entry[9].resource[0].performer[0].onBehalfOf[0].reference[0]urn:uuid:e3cc1193-4f44-48cd-92ed-c7dfb15cdb26
Bundle.entry[3].resource[0].entry[9].resource[0].type[0].coding[0].system[0]https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1
Bundle.entry[3].resource[0].entry[9].resource[0].type[0].coding[0].code[0]emergency-supply
Bundle.entry[3].resource[0].entry[9].resource[0].type[0].coding[0].display[0]Emergency supply
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].extension[0].url[0]https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].extension[0].value[0]90 needle
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].value[0]90
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].unit[0]needle
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[9].resource[0].quantity[0].code[0]3318111000001106
Bundle.entry[3].resource[0].entry[9].resource[0].daysSupply[0].value[0]14
Bundle.entry[3].resource[0].entry[9].resource[0].daysSupply[0].unit[0]day
Bundle.entry[3].resource[0].entry[9].resource[0].daysSupply[0].system[0]http://unitsofmeasure.org
Bundle.entry[3].resource[0].entry[9].resource[0].daysSupply[0].code[0]d
Bundle.entry[3].resource[0].entry[9].resource[0].whenPrepared[0]2024-12-13
Bundle.entry[3].resource[0].entry[9].resource[0].whenHandedOver[0]2024-12-13
Bundle.entry[3].resource[0].entry[9].resource[0].dosageInstruction[0].asNeeded[0]True
Bundle.entry[3].resource[0].entry[10].fullUrl[0]urn:uuid:8691dcac-2f00-48a9-8ece-6fc3f942a374
Bundle.entry[3].resource[0].entry[10].resource[0].id[0]8691dcac-2f00-48a9-8ece-6fc3f942a374
Bundle.entry[3].resource[0].entry[10].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1
Bundle.entry[3].resource[0].entry[10].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[10].resource[0].code[0].coding[0].code[0]37417211000001103
Bundle.entry[3].resource[0].entry[10].resource[0].code[0].coding[0].display[0]Humulin M3 100units/ml suspension for injection 3ml cartridges (CST Pharma Ltd)
Bundle.entry[3].resource[0].entry[10].resource[0].status[0]active
Bundle.entry[3].resource[0].entry[11].fullUrl[0]urn:uuid:fe01cc83-847e-4d13-b13c-d6dc62c79dda
Bundle.entry[3].resource[0].entry[11].resource[0].id[0]fe01cc83-847e-4d13-b13c-d6dc62c79dda
Bundle.entry[3].resource[0].entry[11].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Medication-1
Bundle.entry[3].resource[0].entry[11].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[11].resource[0].code[0].coding[0].code[0]31771611000001107
Bundle.entry[3].resource[0].entry[11].resource[0].code[0].coding[0].display[0]BD Viva hypodermic insulin needles for pre-filled / reusable pen injectors screw on 5mm/31gauge (Becton, Dickinson UK Ltd)
Bundle.entry[3].resource[0].entry[11].resource[0].status[0]active
Bundle.entry[3].resource[0].entry[12].fullUrl[0]urn:uuid:265412e4-88a9-4554-80b0-624d050c7a75
Bundle.entry[3].resource[0].entry[12].resource[0].id[0]265412e4-88a9-4554-80b0-624d050c7a75
Bundle.entry[3].resource[0].entry[12].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1
Bundle.entry[3].resource[0].entry[12].resource[0].identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Bundle.entry[3].resource[0].entry[12].resource[0].identifier[0].value[0]265412e4-88a9-4554-80b0-624d050c7a75
Bundle.entry[3].resource[0].entry[12].resource[0].status[0]current
Bundle.entry[3].resource[0].entry[12].resource[0].mode[0]snapshot
Bundle.entry[3].resource[0].entry[12].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[12].resource[0].code[0].coding[0].code[0]886921000000105
Bundle.entry[3].resource[0].entry[12].resource[0].code[0].coding[0].display[0]Allergies and adverse reactions
Bundle.entry[3].resource[0].entry[12].resource[0].subject[0].reference[0]urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb
Bundle.entry[3].resource[0].entry[12].resource[0].subject[0].display[0]SMITH, William
Bundle.entry[3].resource[0].entry[12].resource[0].encounter[0].reference[0]urn:uuid:7ceafc48-fa50-4b21-8175-ca4fc744a1eb
Bundle.entry[3].resource[0].entry[12].resource[0].source[0].reference[0]urn:uuid:eb664717-d3bd-4de3-88b1-562fef7e0204
Bundle.entry[3].resource[0].entry[12].resource[0].source[0].display[0]SMITH, Eric
Bundle.entry[3].resource[0].entry[12].resource[0].entry[0].item[0].reference[0]urn:uuid:20a091ce-3b5d-419c-8987-bd731914664b
Bundle.entry[3].resource[0].entry[13].fullUrl[0]urn:uuid:20a091ce-3b5d-419c-8987-bd731914664b
Bundle.entry[3].resource[0].entry[13].resource[0].id[0]20a091ce-3b5d-419c-8987-bd731914664b
Bundle.entry[3].resource[0].entry[13].resource[0].meta[0].profile[0]https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1
Bundle.entry[3].resource[0].entry[13].resource[0].identifier[0].system[0]https://tools.ietf.org/html/rfc4122
Bundle.entry[3].resource[0].entry[13].resource[0].identifier[0].value[0]20a091ce-3b5d-419c-8987-bd731914664b
Bundle.entry[3].resource[0].entry[13].resource[0].clinicalStatus[0]active
Bundle.entry[3].resource[0].entry[13].resource[0].verificationStatus[0]unconfirmed
Bundle.entry[3].resource[0].entry[13].resource[0].category[0]medication
Bundle.entry[3].resource[0].entry[13].resource[0].code[0].coding[0].system[0]http://snomed.info/sct
Bundle.entry[3].resource[0].entry[13].resource[0].code[0].coding[0].code[0]409137002
Bundle.entry[3].resource[0].entry[13].resource[0].code[0].coding[0].display[0]No known drug allergy
Bundle.entry[3].resource[0].entry[13].resource[0].patient[0].reference[0]urn:uuid:7a31e0b3-14dc-467b-83d4-21e4142102cb
Bundle.entry[3].resource[0].entry[13].resource[0].patient[0].display[0]SMITH, William
Bundle.entry[3].resource[0].entry[13].resource[0].assertedDate[0]2024-12-13
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