FHIR © HL7.org  |  FHIRsmith 4.0.1  |  Server Home  |  XIG Home  |  XIG Stats  | 

FHIR IG analytics

Packageuk.gpc.updaterecord
Resource TypeBundle
Idblood-pressure-check-service--example-1.json
FHIR VersionR3

Resources that use this resource

No resources found


Resources that this resource uses

No resources found


Narrative

No narrative content found in resource


Source1

{
  "resourceType": "Bundle",
  "id": "blood-pressure-check-service--example-1",
  "identifier": {
    "system": "https://fhir.provider.example/identifier/bundle",
    "value": "blood-pressure-check-service--example-1"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "urn:uuid:adcdf4b6-4c9d-4347-9dca-1264e1f51a4b",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "adcdf4b6-4c9d-4347-9dca-1264e1f51a4b",
        "extension": [
          {
            "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ITK-MessageHandling-2",
            "extension": [
              {
                "url": "BusAckRequested",
                "valueBoolean": true
              },
              {
                "url": "InfAckRequested",
                "valueBoolean": true
              },
              {
                "url": "RecipientType",
                "valueCoding": {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-RecipientType-1",
                  "code": "FI",
                  "display": "For Information"
                }
              },
              {
                "url": "MessageDefinition",
                "valueReference": {
                  "reference": "https://fhir.nhs.uk/MessageDefinition"
                }
              },
              {
                "url": "SenderReference",
                "valueString": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              {
                "url": "LocalExtension",
                "valueString": "None"
              }
            ]
          }
        ],
        "event": {
          "system": "https://fhir.nhs.uk/STU3/CodeSystem/ITK-MessageEvent-2",
          "code": "ITK014M",
          "display": "ITK Update Record"
        },
        "sender": {
          "reference": "urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002"
        },
        "timestamp": "2023-08-07T13:23:22.5082789+01:00",
        "source": {
          "endpoint": "SENDER_MESH_MAILBOX_ID"
        },
        "focus": [
          {
            "reference": "urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:41abf8ce-2d2e-11ee-be56-0242ac120002",
      "resource": {
        "resourceType": "Organization",
        "id": "41abf8ce-2d2e-11ee-be56-0242ac120002",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "FQW30"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:2eefc87f-8a16-45a1-a666-1753237608a3",
      "resource": {
        "resourceType": "Bundle",
        "id": "2eefc87f-8a16-45a1-a666-1753237608a3",
        "meta": {
          "lastUpdated": "2023-08-07T13:23:22.5286335+01:00"
        },
        "identifier": {
          "system": "https://fhir.provider.example/identifier/bundle",
          "value": "2eefc87f-8a16-45a1-a666-1753237608a3"
        },
        "type": "document",
        "entry": [
          {
            "fullUrl": "urn:uuid:28182303-be8d-429f-a593-4bd1b4952fc5",
            "resource": {
              "resourceType": "Composition",
              "id": "28182303-be8d-429f-a593-4bd1b4952fc5",
              "extension": [
                {
                  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-CareSettingType-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "264372000",
                        "display": "Pharmacy"
                      }
                    ]
                  }
                }
              ],
              "identifier": {
                "system": "https://fhir.provider.example/identifier/composition",
                "value": "28182303-be8d-429f-a593-4bd1b4952fc5"
              },
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1659111000000107",
                    "display": "Community Pharmacy Blood Pressure Check Service"
                  }
                ],
                "text": "Community Pharmacy Blood Pressure Check Service"
              },
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "encounter": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "date": "2023-08-07",
              "author": [
                {
                  "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                }
              ],
              "title": "The Dispensers - Community Pharmacist Blood Pressure Check Service",
              "section": [
                {
                  "entry": [
                    {
                      "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
                    },
                    {
                      "reference": "urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7"
                    },
                    {
                      "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                    },
                    {
                      "reference": "urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766"
                    },
                    {
                      "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
                    },
                    {
                      "reference": "urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b"
                    },
                    {
                      "reference": "urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f"
                    },
                    {
                      "reference": "urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2"
                    },
                    {
                      "reference": "urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72"
                    },
                    {
                      "reference": "urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5"
                    },
                    {
                      "reference": "urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6",
            "resource": {
              "resourceType": "Encounter",
              "id": "e224af1a-ed8b-4bb8-a854-f6d56f199bd6",
              "extension": [
                {
                  "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-OutcomeOfAttendance-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-OutcomeOfAttendance-1",
                        "code": "1"
                      }
                    ],
                    "text": "Discharged from Consultant's care (last attendance)"
                  }
                }
              ],
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/encounter",
                  "value": "e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
                }
              ],
              "status": "finished",
              "type": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "307778003",
                      "display": "Seen in primary care establishment"
                    }
                  ],
                  "text": "Seen in primary care establishment"
                }
              ],
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "participant": [
                {
                  "individual": {
                    "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                  }
                }
              ],
              "period": {
                "start": "2023-08-07"
              },
              "reason": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "1659111000000107",
                      "display": "Community Pharmacy Blood Pressure Check Service"
                    }
                  ],
                  "text": "Community Pharmacy Blood Pressure Check Service"
                }
              ],
              "serviceProvider": {
                "reference": "urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7",
            "resource": {
              "resourceType": "Organization",
              "id": "d850c18b-5143-4ae6-bf5f-96f102e7d3d7",
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "A(*)"
                }
              ],
              "name": "The Dispensers"
            }
          },
          {
            "fullUrl": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6",
            "resource": {
              "resourceType": "Practitioner",
              "id": "5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/staff",
                  "value": "5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                }
              ],
              "name": [
                {
                  "family": "Spencer",
                  "given": [
                    "Di"
                  ],
                  "prefix": [
                    "Miss"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:38c4c13a-6dbc-4a86-b2d8-e89709589766",
            "resource": {
              "resourceType": "PractitionerRole",
              "id": "38c4c13a-6dbc-4a86-b2d8-e89709589766",
              "practitioner": {
                "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
              },
              "organization": {
                "reference": "urn:uuid:d850c18b-5143-4ae6-bf5f-96f102e7d3d7"
              },
              "code": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
                      "code": "R5220",
                      "display": "Pharmacy Technician"
                    }
                  ],
                  "text": "Pharmacy Technician"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56",
            "resource": {
              "resourceType": "Patient",
              "id": "0192624d-34ff-419a-9814-4705fadb5c56",
              "identifier": [
                {
                  "extension": [
                    {
                      "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
                      "valueCodeableConcept": {
                        "coding": [
                          {
                            "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
                            "code": "01",
                            "display": "Number present and verified"
                          }
                        ],
                        "text": "Number present and verified"
                      }
                    }
                  ],
                  "system": "https://fhir.nhs.uk/Id/nhs-number",
                  "value": "4857773456"
                },
                {
                  "system": "https://fhir.provider.example/identifier/patient",
                  "value": "0192624d-34ff-419a-9814-4705fadb5c56"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "LERONE",
                  "given": [
                    "Toby"
                  ]
                }
              ],
              "gender": "male",
              "birthDate": "1983-08-07",
              "address": [
                {
                  "postalCode": "T0 BLR"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b",
            "resource": {
              "resourceType": "Observation",
              "id": "ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "ebc50084-5f7c-43f0-ab9e-bbe3a1fd848b"
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "vital-signs",
                      "display": "Vital Signs"
                    }
                  ],
                  "text": "Vital Signs"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "75367002",
                    "display": "Blood pressure"
                  }
                ],
                "text": "Blood pressure"
              },
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T13:23:22.5795951+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                }
              ],
              "bodySite": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "40983000",
                    "display": "Structure of upper extremity between shoulder and elbow"
                  }
                ],
                "text": "Structure of upper extremity between shoulder and elbow"
              },
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "72313002",
                        "display": "Systolic arterial pressure"
                      }
                    ],
                    "text": "Systolic arterial pressure"
                  },
                  "valueQuantity": {
                    "value": 125,
                    "unit": "millimeter of mercury",
                    "system": "http://unitsofmeasure.org",
                    "code": "mm[Hg]"
                  }
                },
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "1091811000000102",
                        "display": "Diastolic arterial pressure"
                      }
                    ],
                    "text": "Diastolic arterial pressure"
                  },
                  "valueQuantity": {
                    "value": 84,
                    "unit": "millimeter of mercury",
                    "system": "http://unitsofmeasure.org",
                    "code": "mm[Hg]"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:9df8c399-f1ff-400d-8913-c6eeddc5c88f",
            "resource": {
              "resourceType": "Observation",
              "id": "9df8c399-f1ff-400d-8913-c6eeddc5c88f",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "9df8c399-f1ff-400d-8913-c6eeddc5c88f"
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "vital-signs",
                      "display": "Vital Signs"
                    }
                  ],
                  "text": "Vital Signs"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "364075005",
                    "display": "Heart rate"
                  }
                ],
                "text": "Heart rate"
              },
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T13:23:22.5846929+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                }
              ],
              "valueQuantity": {
                "value": 78,
                "unit": "per minute",
                "system": "http://unitsofmeasure.org",
                "code": "{beats}/min"
              },
              "bodySite": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "368209003",
                    "display": "Right upper arm structure"
                  }
                ],
                "text": "Right upper arm structure"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2",
            "resource": {
              "resourceType": "Observation",
              "id": "8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "social-context",
                    "display": "Social context"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "8ca45f71-01b5-4343-a8eb-8d63ba2eb2c2"
                }
              ],
              "status": "final",
              "category": [
                {
                  "coding": [
                    {
                      "system": "http://terminology.hl7.org/CodeSystem/observation-category",
                      "code": "social-history",
                      "display": "Social History"
                    }
                  ],
                  "text": "Social History"
                }
              ],
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "228378005",
                    "display": "Smokes drugs in cigarette form"
                  }
                ],
                "text": "Smokes drugs in cigarette form"
              },
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T13:23:22.5850452+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f133f155-acc1-4817-9903-dc4ab5636c72",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "f133f155-acc1-4817-9903-dc4ab5636c72",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "clinical-summary",
                    "display": "Clinical summary"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/clinical-impression",
                  "value": "f133f155-acc1-4817-9903-dc4ab5636c72"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
              },
              "summary": "Patient is above 40 and has walked in the Pharmacy for health check. A pharmacy technician approaches the patient to have a bp check subject to eligi bility - Patient eligible."
            }
          },
          {
            "fullUrl": "urn:uuid:4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "history",
                    "display": "History"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/clinical-impression",
                  "value": "4d81f8e4-1853-49cf-9aac-48f3a8f8a8a5"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
              },
              "summary": "Patient has family history of hypertension."
            }
          },
          {
            "fullUrl": "urn:uuid:c3e2954a-8e6a-4e30-8c09-c710ec022c90",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "c3e2954a-8e6a-4e30-8c09-c710ec022c90",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "information-and-advice-given",
                    "display": "Information and advice given"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/clinical-impression",
                  "value": "c3e2954a-8e6a-4e30-8c09-c710ec022c90"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:0192624d-34ff-419a-9814-4705fadb5c56"
              },
              "context": {
                "reference": "urn:uuid:e224af1a-ed8b-4bb8-a854-f6d56f199bd6"
              },
              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:5d7e5ef0-dddb-4cb3-905a-d21e26eb64e6"
              },
              "summary": "Advice given on healthy behaviours and recommended further blood pressure check within 5 years."
            }
          }
        ]
      }
    }
  ]
}