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Packageuk.gpc.updaterecord
Resource TypeBundle
Idminor-illness-common-conditions-service--example-1.json
FHIR VersionR3

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Source1

{
  "resourceType": "Bundle",
  "id": "minor-illness-common-conditions-service--example-1",
  "identifier": {
    "system": "https://fhir.provider.example/identifier/bundle",
    "value": "minor-illness-common-conditions-service--example-1"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "urn:uuid:108805b4-32df-464d-a0a6-11c37afd74f2",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "108805b4-32df-464d-a0a6-11c37afd74f2",
        "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:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              {
                "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:a4e4fb3d-cc1f-42af-b864-949febf79937"
        },
        "timestamp": "2023-08-07T15:59:59.3213662+01:00",
        "source": {
          "endpoint": "SENDER_MESH_MAILBOX_ID"
        },
        "focus": [
          {
            "reference": "urn:uuid:aa7f9697-1a1e-41ee-9c62-cbaa68b35189"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:a4e4fb3d-cc1f-42af-b864-949febf79937",
      "resource": {
        "resourceType": "Organization",
        "id": "a4e4fb3d-cc1f-42af-b864-949febf79937",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "FQW30"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:aa7f9697-1a1e-41ee-9c62-cbaa68b35189",
      "resource": {
        "resourceType": "Bundle",
        "id": "aa7f9697-1a1e-41ee-9c62-cbaa68b35189",
        "meta": {
          "lastUpdated": "2023-08-07T15:59:59.332623+01:00"
        },
        "identifier": {
          "system": "https://fhir.provider.example/identifier/bundle",
          "value": "aa7f9697-1a1e-41ee-9c62-cbaa68b35189"
        },
        "type": "document",
        "entry": [
          {
            "fullUrl": "urn:uuid:bcfaf661-8353-4043-a41a-4e31af16465e",
            "resource": {
              "resourceType": "Composition",
              "id": "bcfaf661-8353-4043-a41a-4e31af16465e",
              "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": "bcfaf661-8353-4043-a41a-4e31af16465e"
              },
              "status": "final",
              "type": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "1577041000000109",
                    "display": "Community Pharmacist Consultation Service for minor illness"
                  }
                ],
                "text": "Community Pharmacist Consultation Service for minor illness"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "encounter": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "date": "2023-08-07",
              "author": [
                {
                  "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                }
              ],
              "title": "The Dispensers - Community Pharmacist Consultation Service for minor illness",
              "section": [
                {
                  "entry": [
                    {
                      "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
                    },
                    {
                      "reference": "urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32"
                    },
                    {
                      "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                    },
                    {
                      "reference": "urn:uuid:135dab31-d216-4882-b976-08d748c03b14"
                    },
                    {
                      "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
                    },
                    {
                      "reference": "urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70"
                    },
                    {
                      "reference": "urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a"
                    },
                    {
                      "reference": "urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195"
                    },
                    {
                      "reference": "urn:uuid:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05"
                    },
                    {
                      "reference": "urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9"
                    },
                    {
                      "reference": "urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf"
                    },
                    {
                      "reference": "urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc"
                    },
                    {
                      "reference": "urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc"
                    },
                    {
                      "reference": "urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf",
            "resource": {
              "resourceType": "Encounter",
              "id": "1cd20c60-4407-4e7d-8572-82db1b125eaf",
              "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": "1cd20c60-4407-4e7d-8572-82db1b125eaf"
                }
              ],
              "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:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "participant": [
                {
                  "individual": {
                    "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                  }
                }
              ],
              "period": {
                "start": "2023-08-07"
              },
              "reason": [
                {
                  "coding": [
                    {
                      "system": "http://snomed.info/sct",
                      "code": "1577041000000109",
                      "display": "Community Pharmacist Consultation Service for minor illness"
                    }
                  ],
                  "text": "Community Pharmacist Consultation Service for minor illness"
                }
              ],
              "serviceProvider": {
                "reference": "urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32",
            "resource": {
              "resourceType": "Organization",
              "id": "938afe97-b2e2-4c25-a466-cd4e87a1ab32",
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "A(*)"
                }
              ],
              "name": "The Dispensers"
            }
          },
          {
            "fullUrl": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea",
            "resource": {
              "resourceType": "Practitioner",
              "id": "7e0325f4-8340-42cc-b2d8-997f703d0bea",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/staff",
                  "value": "7e0325f4-8340-42cc-b2d8-997f703d0bea"
                },
                {
                  "system": "https://fhir.hl7.org.uk/Id/gphc-number",
                  "value": "NNNNNNN"
                }
              ],
              "name": [
                {
                  "family": "Kai-Shun",
                  "given": [
                    "Medi"
                  ],
                  "prefix": [
                    "Dr"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:135dab31-d216-4882-b976-08d748c03b14",
            "resource": {
              "resourceType": "PractitionerRole",
              "id": "135dab31-d216-4882-b976-08d748c03b14",
              "practitioner": {
                "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
              },
              "organization": {
                "reference": "urn:uuid:938afe97-b2e2-4c25-a466-cd4e87a1ab32"
              },
              "code": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
                      "code": "R1290",
                      "display": "Pharmacist"
                    }
                  ],
                  "text": "Pharmacist"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92",
            "resource": {
              "resourceType": "Patient",
              "id": "45b79f14-8a6d-48e9-9ec7-642dd7592e92",
              "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": "45b79f14-8a6d-48e9-9ec7-642dd7592e92"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "PACKET",
                  "given": [
                    "Chris"
                  ]
                }
              ],
              "gender": "male",
              "birthDate": "1977-08-07",
              "address": [
                {
                  "postalCode": "P0T 4T0"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f939f898-16df-4a04-a38f-42eba3e2ae70",
            "resource": {
              "resourceType": "Observation",
              "id": "f939f898-16df-4a04-a38f-42eba3e2ae70",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "f939f898-16df-4a04-a38f-42eba3e2ae70"
                }
              ],
              "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": "703421000",
                    "display": "Temperature"
                  }
                ],
                "text": "Temperature"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T15:59:59.3698519+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                }
              ],
              "valueQuantity": {
                "value": 37.4,
                "unit": "degree Celsius",
                "system": "http://unitsofmeasure.org",
                "code": "Cel"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a",
            "resource": {
              "resourceType": "Observation",
              "id": "cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "cc364f0a-fa44-4ad4-9280-9c0b7bb9b28a"
                }
              ],
              "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": "Average blood pressure"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T15:59:59.3723647+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                }
              ],
              "bodySite": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "368208006",
                    "display": "Left upper arm structure"
                  }
                ],
                "text": "Left upper arm structure"
              },
              "component": [
                {
                  "code": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "72313002",
                        "display": "Systolic arterial pressure"
                      }
                    ],
                    "text": "Systolic arterial pressure"
                  },
                  "valueQuantity": {
                    "value": 118,
                    "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": 73,
                    "unit": "millimeter of mercury",
                    "system": "http://unitsofmeasure.org",
                    "code": "mm[Hg]"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:a49ead6d-cb6a-437e-b216-5529f2d5f195",
            "resource": {
              "resourceType": "Observation",
              "id": "a49ead6d-cb6a-437e-b216-5529f2d5f195",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "a49ead6d-cb6a-437e-b216-5529f2d5f195"
                }
              ],
              "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:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T15:59:59.3729977+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                }
              ],
              "valueQuantity": {
                "value": 82,
                "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:6e371772-8a9b-4bfc-b3f4-eed3e15dcf05",
            "resource": {
              "resourceType": "Observation",
              "id": "6e371772-8a9b-4bfc-b3f4-eed3e15dcf05",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "social-context",
                    "display": "Social context"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "6e371772-8a9b-4bfc-b3f4-eed3e15dcf05"
                }
              ],
              "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": "8392000",
                    "display": "Non-smoker"
                  }
                ],
                "text": "Non-smoker"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T15:59:59.3731208+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:c1a0cc27-c003-45fe-9042-7a36a93003c9",
            "resource": {
              "resourceType": "MedicationDispense",
              "id": "c1a0cc27-c003-45fe-9042-7a36a93003c9",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/medication-dispense",
                  "value": "c1a0cc27-c003-45fe-9042-7a36a93003c9"
                }
              ],
              "status": "completed",
              "category": {
                "coding": [
                  {
                    "system": "http://hl7.org/fhir/medication-dispense-category",
                    "code": "community",
                    "display": "Community"
                  }
                ],
                "text": "Community"
              },
              "medicationCodeableConcept": {
                "coding": [
                  {
                    "system": "https://dmd.nhs.uk",
                    "code": "39692211000001107",
                    "display": "Flucloxacillin 500mg capsules"
                  }
                ],
                "text": "Flucloxacillin 500mg capsules"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "performer": [
                {
                  "actor": {
                    "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
                  }
                }
              ],
              "type": {
                "coding": [
                  {
                    "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1",
                    "code": "prescription-dispensing",
                    "display": "Prescription dispensing"
                  }
                ],
                "text": "Prescription dispensing"
              },
              "quantity": {
                "value": 20,
                "unit": "Capsule",
                "system": "http://snomed.info/sct",
                "code": "428641000"
              },
              "daysSupply": {
                "value": 5,
                "unit": "day",
                "system": "http://unitsofmeasure.org",
                "code": "d"
              },
              "whenPrepared": "2023-08-07",
              "whenHandedOver": "2023-08-07",
              "dosageInstruction": [
                {
                  "text": "Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)",
                  "patientInstruction": "Four times a day for 5 days (to be taken at least 1 hour before or 2 hours after meals)",
                  "timing": {
                    "repeat": {
                      "frequency": 4,
                      "period": 1,
                      "periodUnit": "d"
                    }
                  },
                  "route": {
                    "coding": [
                      {
                        "system": "http://snomed.info/sct",
                        "code": "26643006",
                        "display": "Oral route"
                      }
                    ],
                    "text": "Oral route"
                  }
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf",
            "resource": {
              "resourceType": "Condition",
              "id": "1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "presenting-complaints-or-issues",
                    "display": "Presenting complaints or issues"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/condition",
                  "value": "1b4a9a85-8084-4dcf-b6ac-c60b48a9ddcf"
                }
              ],
              "clinicalStatus": "active",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "276433004",
                    "display": "Insect bite - wound"
                  }
                ],
                "text": "Insect bite - wound"
              },
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
              },
              "assertedDate": "2023-08-07",
              "asserter": {
                "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "7671cc7e-9b99-4ffa-9ac6-1b634a2c91cc",
              "meta": {
                "tag": [
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                    "code": "clinical-summary",
                    "display": "Clinical summary"
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                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/clinical-impression",
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              "status": "completed",
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              "assessor": {
                "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
              },
              "summary": "Patient has had localised redness in skin and complains that had an insect bite on the site. Site is tender and swollen."
            }
          },
          {
            "fullUrl": "urn:uuid:9b4cead7-8367-45ab-a6db-9b15cdfe8683",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "9b4cead7-8367-45ab-a6db-9b15cdfe8683",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "history",
                    "display": "History"
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                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/clinical-impression",
                  "value": "9b4cead7-8367-45ab-a6db-9b15cdfe8683"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
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              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
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              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
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              "summary": "Not allergic to penicillin."
            }
          },
          {
            "fullUrl": "urn:uuid:f55997bb-ff2c-43a4-b38e-7f8f68f43a25",
            "resource": {
              "resourceType": "ClinicalImpression",
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              "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": "f55997bb-ff2c-43a4-b38e-7f8f68f43a25"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:45b79f14-8a6d-48e9-9ec7-642dd7592e92"
              },
              "context": {
                "reference": "urn:uuid:1cd20c60-4407-4e7d-8572-82db1b125eaf"
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              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:7e0325f4-8340-42cc-b2d8-997f703d0bea"
              },
              "summary": "Keep the site clean. If the symptoms do not improve, contact 111."
            }
          }
        ]
      }
    }
  ]
}