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Packageuk.gpc.updaterecord
Resource TypeBundle
Idminor-illness-common-conditions-service--example-2.json
FHIR VersionR3

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Source1

{
  "resourceType": "Bundle",
  "id": "minor-illness-common-conditions-service--example-2",
  "identifier": {
    "system": "https://fhir.provider.example/identifier/bundle",
    "value": "minor-illness-common-conditions-service--example-2"
  },
  "type": "message",
  "entry": [
    {
      "fullUrl": "urn:uuid:8da58274-2c2a-4444-be8a-fbccbbb5ceb8",
      "resource": {
        "resourceType": "MessageHeader",
        "id": "8da58274-2c2a-4444-be8a-fbccbbb5ceb8",
        "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:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              {
                "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:87838bcd-7493-435f-8d08-249c0214c71f"
        },
        "timestamp": "2023-08-07T16:05:39.9101058+01:00",
        "source": {
          "endpoint": "SENDER_MESH_MAILBOX_ID"
        },
        "focus": [
          {
            "reference": "urn:uuid:08b38b8d-b0dd-46d4-b96c-f328608fcc21"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:87838bcd-7493-435f-8d08-249c0214c71f",
      "resource": {
        "resourceType": "Organization",
        "id": "87838bcd-7493-435f-8d08-249c0214c71f",
        "identifier": [
          {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "FQW30"
          }
        ]
      }
    },
    {
      "fullUrl": "urn:uuid:08b38b8d-b0dd-46d4-b96c-f328608fcc21",
      "resource": {
        "resourceType": "Bundle",
        "id": "08b38b8d-b0dd-46d4-b96c-f328608fcc21",
        "meta": {
          "lastUpdated": "2023-08-07T16:05:39.9185997+01:00"
        },
        "identifier": {
          "system": "https://fhir.provider.example/identifier/bundle",
          "value": "08b38b8d-b0dd-46d4-b96c-f328608fcc21"
        },
        "type": "document",
        "entry": [
          {
            "fullUrl": "urn:uuid:b7b85403-8891-4888-948b-52c0d0d61216",
            "resource": {
              "resourceType": "Composition",
              "id": "b7b85403-8891-4888-948b-52c0d0d61216",
              "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": "b7b85403-8891-4888-948b-52c0d0d61216"
              },
              "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:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "encounter": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "date": "2023-08-07",
              "author": [
                {
                  "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                }
              ],
              "title": "The Dispensers - Community Pharmacist Consultation Service for minor illness",
              "section": [
                {
                  "entry": [
                    {
                      "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
                    },
                    {
                      "reference": "urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c"
                    },
                    {
                      "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                    },
                    {
                      "reference": "urn:uuid:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18"
                    },
                    {
                      "reference": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd"
                    },
                    {
                      "reference": "urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e"
                    },
                    {
                      "reference": "urn:uuid:304e7eb3-055b-41b1-80b1-41b2437025e7"
                    },
                    {
                      "reference": "urn:uuid:eea159a1-e391-406b-ab00-3f4ecb8fcf41"
                    },
                    {
                      "reference": "urn:uuid:a02f061c-5ae1-4acb-b599-3c2ce4cb7545"
                    },
                    {
                      "reference": "urn:uuid:3343dda4-b7a8-433c-bc80-be5724d00ce2"
                    },
                    {
                      "reference": "urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef"
                    },
                    {
                      "reference": "urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef"
                    },
                    {
                      "reference": "urn:uuid:21516e85-4933-4450-aa68-18a28f071800"
                    }
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f",
            "resource": {
              "resourceType": "Encounter",
              "id": "f8e7f842-0dee-400b-ae89-6f405cc64b0f",
              "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": "f8e7f842-0dee-400b-ae89-6f405cc64b0f"
                }
              ],
              "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:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "participant": [
                {
                  "individual": {
                    "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                  }
                }
              ],
              "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:a6c219ef-67a9-4ab8-b287-79f052f0a90c"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c",
            "resource": {
              "resourceType": "Organization",
              "id": "a6c219ef-67a9-4ab8-b287-79f052f0a90c",
              "identifier": [
                {
                  "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                  "value": "A(*)"
                }
              ],
              "name": "The Dispensers"
            }
          },
          {
            "fullUrl": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62",
            "resource": {
              "resourceType": "Practitioner",
              "id": "b6c487fb-22da-4aae-a29e-f24858d84d62",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/staff",
                  "value": "b6c487fb-22da-4aae-a29e-f24858d84d62"
                },
                {
                  "system": "https://fhir.hl7.org.uk/Id/gphc-number",
                  "value": "NNNNNNN"
                }
              ],
              "name": [
                {
                  "family": "Kai-Shun",
                  "given": [
                    "Medi"
                  ],
                  "prefix": [
                    "Dr"
                  ]
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:adbfa2d1-07c5-4b5b-b788-0c66c8e8df18",
            "resource": {
              "resourceType": "PractitionerRole",
              "id": "adbfa2d1-07c5-4b5b-b788-0c66c8e8df18",
              "practitioner": {
                "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
              },
              "organization": {
                "reference": "urn:uuid:a6c219ef-67a9-4ab8-b287-79f052f0a90c"
              },
              "code": [
                {
                  "coding": [
                    {
                      "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
                      "code": "R1290",
                      "display": "Pharmacist"
                    }
                  ],
                  "text": "Pharmacist"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd",
            "resource": {
              "resourceType": "Patient",
              "id": "77bce268-18e7-4060-a781-9e7e6ba086bd",
              "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": "77bce268-18e7-4060-a781-9e7e6ba086bd"
                }
              ],
              "name": [
                {
                  "use": "official",
                  "family": "TURNER",
                  "given": [
                    "Paige"
                  ]
                }
              ],
              "gender": "male",
              "birthDate": "1999-08-07",
              "address": [
                {
                  "postalCode": "REA DME"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:708bd946-776d-4941-ab08-bec117e1b66e",
            "resource": {
              "resourceType": "Observation",
              "id": "708bd946-776d-4941-ab08-bec117e1b66e",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "708bd946-776d-4941-ab08-bec117e1b66e"
                }
              ],
              "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:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T16:05:39.9471402+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                }
              ],
              "valueQuantity": {
                "value": 36.7,
                "unit": "degree Celsius",
                "system": "http://unitsofmeasure.org",
                "code": "Cel"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:304e7eb3-055b-41b1-80b1-41b2437025e7",
            "resource": {
              "resourceType": "Observation",
              "id": "304e7eb3-055b-41b1-80b1-41b2437025e7",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "304e7eb3-055b-41b1-80b1-41b2437025e7"
                }
              ],
              "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": "314137006",
                    "display": "Urine nitrite positive"
                  }
                ],
                "text": "Urine nitrite positive"
              },
              "subject": {
                "reference": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T16:05:39.9497175+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:eea159a1-e391-406b-ab00-3f4ecb8fcf41",
            "resource": {
              "resourceType": "Observation",
              "id": "eea159a1-e391-406b-ab00-3f4ecb8fcf41",
              "meta": {
                "tag": [
                  {
                    "system": "https://fhir.nhs.uk/CodeSystem/RecordStandardHeadings",
                    "code": "social-context",
                    "display": "Social context"
                  }
                ]
              },
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/observation",
                  "value": "eea159a1-e391-406b-ab00-3f4ecb8fcf41"
                }
              ],
              "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:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "effectiveDateTime": "2023-08-07",
              "issued": "2023-08-07T16:05:39.9498655+01:00",
              "performer": [
                {
                  "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                }
              ]
            }
          },
          {
            "fullUrl": "urn:uuid:a02f061c-5ae1-4acb-b599-3c2ce4cb7545",
            "resource": {
              "resourceType": "MedicationDispense",
              "id": "a02f061c-5ae1-4acb-b599-3c2ce4cb7545",
              "identifier": [
                {
                  "system": "https://fhir.provider.example/identifier/medication-dispense",
                  "value": "a02f061c-5ae1-4acb-b599-3c2ce4cb7545"
                }
              ],
              "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": "24549911000001107",
                    "display": "Nitrofurantoin 50mg capsules (A A H Pharmaceuticals Ltd)"
                  }
                ],
                "text": "Nitrofurantoin 50mg capsules (A A H Pharmaceuticals Ltd)"
              },
              "subject": {
                "reference": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "performer": [
                {
                  "actor": {
                    "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
                  }
                }
              ],
              "type": {
                "coding": [
                  {
                    "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-MedicationSupplyType-1",
                    "code": "prescription-dispensing",
                    "display": "Prescription dispensing"
                  }
                ],
                "text": "Prescription dispensing"
              },
              "quantity": {
                "value": 21,
                "unit": "Capsule",
                "system": "http://snomed.info/sct",
                "code": "428641000"
              },
              "daysSupply": {
                "value": 7,
                "unit": "day",
                "system": "http://unitsofmeasure.org",
                "code": "d"
              },
              "whenPrepared": "2023-08-07",
              "whenHandedOver": "2023-08-07",
              "dosageInstruction": [
                {
                  "text": "Take four times per day, for seven days.",
                  "patientInstruction": "Take four times per day, for seven days.",
                  "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:3343dda4-b7a8-433c-bc80-be5724d00ce2",
            "resource": {
              "resourceType": "Condition",
              "id": "3343dda4-b7a8-433c-bc80-be5724d00ce2",
              "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": "3343dda4-b7a8-433c-bc80-be5724d00ce2"
                }
              ],
              "clinicalStatus": "active",
              "code": {
                "coding": [
                  {
                    "system": "http://snomed.info/sct",
                    "code": "68566005",
                    "display": "Urinary tract infectious disease"
                  }
                ],
                "text": "Urinary tract infectious disease"
              },
              "subject": {
                "reference": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "assertedDate": "2023-08-07",
              "asserter": {
                "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
              }
            }
          },
          {
            "fullUrl": "urn:uuid:a6a3ff21-a2dd-4368-b1f1-c361f18675ef",
            "resource": {
              "resourceType": "ClinicalImpression",
              "id": "a6a3ff21-a2dd-4368-b1f1-c361f18675ef",
              "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": "a6a3ff21-a2dd-4368-b1f1-c361f18675ef"
                }
              ],
              "status": "completed",
              "subject": {
                "reference": "urn:uuid:77bce268-18e7-4060-a781-9e7e6ba086bd"
              },
              "context": {
                "reference": "urn:uuid:f8e7f842-0dee-400b-ae89-6f405cc64b0f"
              },
              "date": "2023-08-07",
              "assessor": {
                "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
              },
              "summary": "Female patient has had frequent urination and burning sensation when passing urine. No discharge, patient has pain in lower abdomen."
            }
          },
          {
            "fullUrl": "urn:uuid:7ad82a2d-79b7-421c-aa67-c0ff5fac80a1",
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              "summary": "Not taken Nitrofurantoin in past 3 months"
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              "identifier": [
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                  "system": "https://fhir.provider.example/identifier/clinical-impression",
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                "reference": "urn:uuid:b6c487fb-22da-4aae-a29e-f24858d84d62"
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              "summary": "If symptoms do not improve within 2 days, please call 111 for further advice."
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  ]
}