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Packagegpc.stu3.fhir-assets
Resource TypeBundle
Idvaccination--digimeds--seasonal-influenza--pharmacy.json
FHIR VersionR3

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Source1

{
  "resourceType": "Bundle",
  "id": "a21a2bd4-2bc7-40f9-96ff-5854e5814758",
  "meta": {
    "profile": [
      "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Message-Bundle-1"
    ]
  },
  "identifier": {
    "system": "https://tools.ietf.org/html/rfc4122",
    "value": "07e6c9e0-a8dd-4a5c-a140-fd0b07bec3de"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "urn:uuid:8beaf9e1-1ee7-402c-b4bc-29d8a5b291c2",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "8beaf9e1-1ee7-402c-b4bc-29d8a5b291c2",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-MessageHeader-2"
          ]
        },
        "extension": [
          {
            "extension": [
              {
                "url": "BusAckRequested",
                "valueBoolean": true
              },
              {
                "url": "InfAckRequested",
                "valueBoolean": true
              },
              {
                "url": "RecipientType",
                "valueCoding": {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1",
                  "code": "FA",
                  "display": "For Action"
                }
              },
              {
                "url": "MessageDefinition",
                "valueReference": {
                  "reference": "https://fhir.nhs.uk/STU3/MessageDefinition/ITK-DM-Immunization-MessageDefinition-1"
                }
              },
              {
                "url": "SenderReference",
                "valueString": "None"
              },
              {
                "url": "LocalExtension",
                "valueString": "None"
              }
            ],
            "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2"
          }
        ],
        "event": {
          "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2",
          "code": "ITK009D",
          "display": "ITK Digital Medicine Immunization Document"
        },
        "receiver": {
          "reference": "urn:uuid:e9d91324-2c27-41ba-a830-e30f4d9978c3"
        },
        "sender": {
          "reference": "urn:uuid:522ff955-42a2-49a4-93c8-dbb8d03f8175"
        },
        "timestamp": "2019-09-10T07:35:54+00:00",
        "source": {
          "endpoint": "SOURCE_MESH_MAILBOX_ID"
        },
        "focus": [
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      "resource": {
        "resourceType": "Organization",
        "id": "522ff955-42a2-49a4-93c8-dbb8d03f8175",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"
          ]
        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "X26"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:e9d91324-2c27-41ba-a830-e30f4d9978c3",
      "resource": {
        "resourceType": "Organization",
        "id": "e9d91324-2c27-41ba-a830-e30f4d9978c3",
        "meta": {
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Header-Organization-1"
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        },
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "X26"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:82cc309c-a994-4318-970a-17a9dfdc1ef0",
      "resource": {
        "resourceType": "Bundle",
        "id": "82cc309c-a994-4318-970a-17a9dfdc1ef0",
        "meta": {
          "lastUpdated": "2019-07-03T13:31:32+00:00",
          "profile": [
            "https://fhir.nhs.uk/STU3/StructureDefinition/ITK-Document-Bundle-1"
          ]
        },
        "identifier": {
          "system": "https://tools.ietf.org/html/rfc4122",
          "value": "79dfb29a-5a88-4abb-94ea-6d5c43545b83"
        },
        "type": "document",
        "entry": [
          {
            "fullUrl": "urn:uuid:9fe3090b-7b68-4fb3-9fd7-2757dd702fb1",
            "resource": {
              "resourceType": "Composition",
              "id": "9fe3090b-7b68-4fb3-9fd7-2757dd702fb1",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-Composition-1"
                ]
              },
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareSettingType-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "310080006",
                        "display": "Pharmacy service"
                      }
                    ]
                  }
                }
              ],
              "identifier": {
                "system": "https://tools.ietf.org/html/rfc4122",
                "value": "848b58a4-b4d5-4d0a-85e2-2e0eed6e17c7"
              },
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "41000179103",
                    "display": "Immunisation record"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d"
              },
              "encounter": {
                "reference": "urn:uuid:3278504b-ce5b-4fd2-8a73-59e53c95b4b3"
              },
              "date": "2019-07-03T13:31:32Z",
              "author": [
                {
                  "reference": "urn:uuid:f24b18e1-fe0f-46e8-9540-6c3c74db06e9"
                }
              ],
              "title": "Community Pharmacy Seasonal Flu Vaccine Record",
              "custodian": {
                "reference": "urn:uuid:ec147bd5-09b9-4ff6-a63c-5176153306cf"
              },
              "section": [
                {
                  "title": "Allergies and Adverse Reactions",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886921000000105",
                        "display": "Allergies and adverse reactions"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<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>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:268923b0-03ec-4b1a-92b4-de9d14b25a0e"
                    }
                  ]
                },
                {
                  "title": "Attendance Details",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1077881000000105",
                        "display": "Attendance details"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Date of contact</th><td>09 Jul 2024</td></tr><tr><th>Organisation name</th><td>Name: Pharmacy</td></tr><tr><th>Organisation address</th><td>1 Street name, Town, City Post code</td></tr><tr><th>Telephone</th><td>01234 567 890</td></tr><tr><th>Secure email</th><td>example.email@nhs.net</td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:3278504b-ce5b-4fd2-8a73-59e53c95b4b3"
                    }
                  ]
                },
                {
                  "title": "Consent",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "61861000000100",
                        "display": "Consent"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<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 for information sharing</th><td>Patient is happy for the immunisation details to be shared with their Registered GP practice.</td></tr></tbody></table></div>"
                  }
                },
                {
                  "title": "Eligibility Criteria",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "61871000000107",
                        "display": "Eligibility for treatment"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Eligibility criteria</th><td>65 years and over</td></tr></tbody></table></div>"
                  }
                },
                {
                  "title": "GP Practice",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886711000000101",
                        "display": "GP practice"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>GP ODS Code</th><td>X26</td></tr><tr><th>GP Practice Name</th><td>NHS England</td></tr><tr><th>GP Practice Address</th><td>1 Street name, Town, City Post code</td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:a4a04424-4e58-481f-952d-c8678bb36378"
                    }
                  ]
                },
                {
                  "title": "Vaccinations",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1102181000000102",
                        "display": "Immunisations"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Vaccine product</th><td>Seasonal influenza vaccination given by pharmacist</td></tr><tr><th>Site</th><td>Right upper arm</td></tr><tr><th>Route</th><td>Subcutaneous route</td></tr><tr><th>Indication</th><td>65 years and over</td></tr><tr><th>Administered by</th><td>Pharmacist</td></tr><tr><th>GPhC identifier</th><td>999999</td></tr><tr><th>Date</th><td>09 Jul 2024</td></tr></tbody></table></div>"
                  },
                  "entry": [
                    {
                      "reference": "urn:uuid:66806128-16fb-43c7-aecc-f9e0382f3f34"
                    }
                  ]
                },
                {
                  "title": "Information and Advice given",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1052951000000105",
                        "display": "Information and advice given"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Information and advice given</th><td>Patient advised the side effects of the vaccine and requested to see their registered GP if any of the symptoms last longer than the expected duration.</td></tr></tbody></table></div>"
                  }
                },
                {
                  "title": "Patient Demographics",
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "886731000000109",
                        "display": "Patient demographics"
                      }
                    ]
                  },
                  "text": {
                    "status": "additional",
                    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table width=\"100%\"><tbody><tr><th>Patient name</th><td>Test PATIENT</td></tr><tr><th>Date of birth</th><td>16 Sep 1930</td></tr><tr><th>Gender</th><td>Female</td></tr><tr><th>NHS number</th><td>485 777 3456</td></tr><tr><th>Patient address</th><td>1 STREET NAME, TOWN, CITY, COUNTY POST CODE</td></tr></tbody></table></div>"
                  },
                  "entry": [
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                      "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d"
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            "fullUrl": "urn:uuid:3278504b-ce5b-4fd2-8a73-59e53c95b4b3",
            "resource": {
              "resourceType": "Encounter",
              "id": "3278504b-ce5b-4fd2-8a73-59e53c95b4b3",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Encounter-1"
                ]
              },
              "status": "finished",
              "subject": {
                "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d",
                "display": "Test PATIENT"
              },
              "participant": [
                {
                  "type": [
                    {
                      "coding": [
                        {
                          "system": "http://hl7.org/fhir/v3/ParticipationType",
                          "code": "PPRF",
                          "display": "primary performer"
                        }
                      ]
                    }
                  ],
                  "individual": {
                    "reference": "urn:uuid:f24b18e1-fe0f-46e8-9540-6c3c74db06e9",
                    "display": "Pharmacist"
                  }
                }
              ],
              "period": {
                "start": "1986-07-23T00:00:00Z"
              },
              "serviceProvider": {
                "reference": "urn:uuid:ec147bd5-09b9-4ff6-a63c-5176153306cf",
                "display": "Test ORGANISATION"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:ec147bd5-09b9-4ff6-a63c-5176153306cf",
            "resource": {
              "resourceType": "Organization",
              "id": "ec147bd5-09b9-4ff6-a63c-5176153306cf",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "X26"
                }
              ],
              "name": "Test ORGANISATION",
              "telecom": [
                {
                  "system": "phone",
                  "value": "01234 567 890",
                  "use": "work"
                },
                {
                  "system": "email",
                  "value": "email.example@nhs.net",
                  "use": "work"
                }
              ],
              "address": [
                {
                  "line": [
                    "1 High Street, Overtown, Leeds LS1 9AM"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d",
            "resource": {
              "resourceType": "Patient",
              "id": "528c5c00-7239-4cdc-a39a-292c4ba73a7d",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"
                ]
              },
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ]
                      }
                    }
                  ],
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "485 777 3456"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "PATIENT",
                  "given": [
                    "Test"
                  ]
                }
              ],
              "gender": "female",
              "birthDate": "1930-09-16",
              "address": [
                {
                  "use": "home",
                  "text": "1 STREET NAME, TOWN, CITY, COUNTY POST CODE"
                }
              ],
              "generalPractitioner": [
                {
                  "reference": "urn:uuid:a4a04424-4e58-481f-952d-c8678bb36378"
                }
              ],
              "managingOrganization": {
                "reference": "urn:uuid:ec147bd5-09b9-4ff6-a63c-5176153306cf"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:a4a04424-4e58-481f-952d-c8678bb36378",
            "resource": {
              "resourceType": "Organization",
              "id": "a4a04424-4e58-481f-952d-c8678bb36378",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "X26"
                }
              ],
              "name": "Test ORGANISATION",
              "address": [
                {
                  "line": [
                    "1 Street name, Town, City Post code"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f24b18e1-fe0f-46e8-9540-6c3c74db06e9",
            "resource": {
              "resourceType": "Practitioner",
              "id": "f24b18e1-fe0f-46e8-9540-6c3c74db06e9",
              "meta": {
                "profile": [
                  "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.hl7.org.uk/Id/gphc-number",
                  "value": "2036897"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "text": "PRACTITIONER Test",
                  "family": "PRACTITIONER",
                  "given": [
                    "Test"
                  ]
                }
              ],
              "telecom": [
                {
                  "system": "phone",
                  "value": "01234 567 890",
                  "use": "work"
                },
                {
                  "system": "email",
                  "value": "example.email@nhs.net",
                  "use": "work"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:66806128-16fb-43c7-aecc-f9e0382f3f34",
            "resource": {
              "resourceType": "Immunization",
              "id": "66806128-16fb-43c7-aecc-f9e0382f3f34",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-DM-Immunization-1"
                ]
              },
              "extension": [
                {
                  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "955691000000108",
                        "display": "Seasonal influenza vaccination given by pharmacist"
                      }
                    ]
                  }
                }
              ],
              "status": "completed",
              "notGiven": false,
              "vaccineCode": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "37514811000001102",
                    "display": "Fluad vaccine suspension for injection 0.5ml pre-filled syringes"
                  }
                ]
              },
              "patient": {
                "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d",
                "display": "Test PATIENT"
              },
              "encounter": {
                "reference": "urn:uuid:3278504b-ce5b-4fd2-8a73-59e53c95b4b3"
              },
              "date": "1986-07-23",
              "primarySource": true,
              "site": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "368209003",
                    "display": "Right upper arm"
                  }
                ]
              },
              "route": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "34206005",
                    "display": "Subcutaneous route"
                  }
                ]
              },
              "practitioner": [
                {
                  "role": {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/v2/0443",
                        "code": "AP",
                        "display": "Administering Provider"
                      }
                    ]
                  },
                  "actor": {
                    "reference": "urn:uuid:f24b18e1-fe0f-46e8-9540-6c3c74db06e9",
                    "display": "Test PRACTITIONER"
                  }
                }
              ],
              "explanation": {
                "reason": [
                  {
                    "coding": [
                      {
                        "system": "http://hl7.org/fhir/v3/NullFlavor",
                        "code": "UNC",
                        "display": "65 years and over"
                      }
                    ]
                  }
                ]
              }
            }
          },
          {
            "fullUrl": "urn:uuid:268923b0-03ec-4b1a-92b4-de9d14b25a0e",
            "resource": {
              "resourceType": "List",
              "id": "268923b0-03ec-4b1a-92b4-de9d14b25a0e",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-Allergy-List-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://tools.ietf.org/html/rfc4122",
                  "value": "268923b0-03ec-4b1a-92b4-de9d14b25a0e"
                }
              ],
              "status": "current",
              "mode": "snapshot",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "886921000000105",
                    "display": "Allergies and adverse reactions"
                  }
                ]
              },
              "subject": {
                "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d",
                "display": "Test PATIENT"
              },
              "encounter": {
                "reference": "urn:uuid:3278504b-ce5b-4fd2-8a73-59e53c95b4b3"
              },
              "source": {
                "reference": "urn:uuid:f24b18e1-fe0f-46e8-9540-6c3c74db06e9",
                "display": "Test PRACTITIONER"
              },
              "entry": [
                {
                  "item": {
                    "reference": "urn:uuid:c58dc76f-66bf-4010-8d89-c4e7034803d2"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:c58dc76f-66bf-4010-8d89-c4e7034803d2",
            "resource": {
              "resourceType": "AllergyIntolerance",
              "id": "c58dc76f-66bf-4010-8d89-c4e7034803d2",
              "meta": {
                "profile": [
                  "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-ITK-AllergyIntolerance-1"
                ]
              },
              "identifier": [
                {
                  "system": "https://tools.ietf.org/html/rfc4122",
                  "value": "c58dc76f-66bf-4010-8d89-c4e7034803d2"
                }
              ],
              "clinicalStatus": "active",
              "verificationStatus": "unconfirmed",
              "category": [
                "medication"
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "409137002",
                    "display": "No known drug allergy"
                  }
                ]
              },
              "patient": {
                "reference": "urn:uuid:528c5c00-7239-4cdc-a39a-292c4ba73a7d",
                "display": "Test PATIENT"
              },
              "assertedDate": "2019-09-10"
            }
          }
        ]
      }
    }
  ]
}