Vaccinations | National Events Management Service (NEMS)

Guidance and requirements for the Vaccinations event message

Event Message Content

The Vaccinations event message represents a single vaccination given or not-given to a patient and any relevant supporting information.

All “Vaccinations” event messages that are published to the NEMS MUST be created inline with guidance and requirements specified on this page and on the Generic Event Message Requirements page.

Bundle structure

The event message will contain a mandatory MessageHeader resource as the first element within the event message bundle as per FHIR messaging requirements. The MessageHeader resource references a Immunization resource as the focus of the event message. The Immunization represents the vaccination that was given or not given to the patient.

The diagram below shows the referencing between FHIR resources within the event message bundle:

Event Life Cycle

The MessageHeader resource contains the messageEventType extension which represents the action the event message represents at a resource level, for example the Vaccination being shared is new, the Vaccination or supporting resources have been updated or the Vaccination has been deleted. The messageEventType extension shall contain a values as per the table below:

Value	Description
new	The `new` value must be used when the Vaccination is being shared for the first time.
update	The `update` value must be used when the Vaccination and supporting resources have previously been shared, but have been updated and the updated resources are being shared.
delete	The `delete` value must be used when the Vaccination record has been deleted and the record no longer exists.

Identifying Information

To allow subscribers to identify information between new, update and delete event messages the publisher must:

publish a complete event message for all event types
included identifiers within resources which are maintained between different event messages

Message Sequencing

As vaccinations shared using the vaccinations event message may change and therefore new, update and delete types of the event are supported. To allow a consumer to perform message sequencing, the event MUST include the meta.lastUpdated element within the MessageHeader resource allowing the consumer to identify the latest and most up to date information.

Onward Delivery

The delivery of the Vaccinations event messages to subscribers via MESH will use the following WorkflowID within the MESH control file. This WorkflowID will need to be added to the receiving MESH mailbox configuration before event messages can be received.

MESH WorkflowID VACCINATIONS_1

Resource Population Requirements and Guidance

The following requirements and resource population guidance must be followed in addition to the requirements and guidance outlined in the Generic Requirements page.

Bundle

The Bundle resource is the container for the event message and SHALL conform to the Bundle FHIR profile.

Resource Cardinality

1..1

Element	Cardinality	Additional Guidance
type	1..1	Fixed value: `message`

Event-MessageHeader-1

The MessageHeader resource included as part of the event message SHALL conform to the Event-MessageHeader-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

1..1

Element	Cardinality	Additional Guidance
meta.lastUpdated	1..1	The dateTime when the information was changed within the publishing system, for the use of event sequencing.
extension(messageEventType)	1..1	See the “Event Life Cycle” section above.
event	1..1	Fixed Value: vaccinations-1 (Vaccinations)
focus	1..1	This will reference the `CareConnect-Immunization-1` resource which contains information about the vaccination this event relates to.

CareConnect-Immunization-1

The Immunization resource included as part of the event message SHALL conform to the CareConnect-Immunization-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

1..1

Element	Cardinality	Additional Guidance
extension(vaccinationProcedure)	1..1	A code from the SNOMED Clinical Terminology UK coding system, to record a vaccination procedure that is either given or not given. If a vaccination is given, then an immunisation procedure concept or an immunisation situation (given) concept SHALL be used. If a vaccination has not been given, then an immunisation situation (not done) concept SHALL be used. Free text field should be used if no coded text available using `extension(vaccinationProcedure).valueCodeableConcept.text`
identifier	1..1	A publisher defined unique identifier for the vaccination which will be maintained across different event messages to allow subscribers to be identify the information within update or delete event messages.
notGiven	1..1	Value SHALL be `FALSE` when the vaccination was given or reported as given, `TRUE` when not given
vaccineCode	1..1	Immunization.vaccineCode should use a value from the CareConnect-VaccineCode-1 value set
date	1..1	The date or partial date that the vaccination was administered, or reported vaccination was given in the opinion of the child and/or parent carer
primarySource	1..1	Value should be `FALSE` if the vaccination was reported, `TRUE` if the vaccination was administered
reportOrigin	0..1	If the vaccination was reported then the original source should be include
manufacturer	0..1	Where available this should be included
site	0..1	Where available this should be included
route	0..1	Where available this should be included
explanation.reasonNotGiven	0..1	If the vaccination was `notGiven` then the `reasonNotGiven` element SHALL be included
vaccinationProtocol.doseSequence	0..1	Where available the `doesSequence` should be include

CareConnect-Organization-1

All Organization resources included in the bundle SHALL conform to the CareConnect-Organization-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

1..*

Element	Cardinality	Additional Guidance
identifier	1..*	The organization ODS code identifier SHALL be included within the `odsOrganizationCode` identifier slice.
name	1..1	A human readable name for the organization SHALL be included in the organization resource.

CareConnect-Patient-1

The patient resource included in the event message SHALL conform to the CareConnect-Patient-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

1..1

Element	Cardinality	Additional Guidance
identifier	1..1	Patient NHS Number identifier SHALL be included within the nhsNumber identifier slice
name (official)	1..1	Patients name as registered on PDS, included within the resource as the official name element slice
birthDate	1..1	The patients date of birth

CareConnect-Practitioner-1

The Practitioner resources included as part of the event message SHALL conform to the CareConnect-Practitioner-1 constrained FHIR profile.

Resource Cardinality

0..*

CareConnect-PractitionerRole-1

The PractitionerRole resources included as part of the event message SHALL conform to the CareConnect-PractitionerRole-1 constrained FHIR profile.

Resource Cardinality

0..*

Element	Cardinality	Additional Guidance
organization	1..1	Reference to the Organization where the practitioner performs this role
practitioner	1..1	Reference to the Practitioner who this role relates to
code	1..*	The practitioner role SHALL included a value from the ProfessionalType-1 value set. The PractitionerRole.code should also include the SDS Job Role name where available.
specialty	1..1	PractitionerRole.specialty SHALL use a value from Specialty-1 value set

CareConnect-Encounter-1

The Encounter resource included as part of the event message SHALL conform to the CareConnect-Encounter-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

0..1

Element	Cardinality	Additional Guidance
Encounter.type	1..*	The encounter type SHOULD include a value from the EncounterType-1 value set. This value set is extensible so additional values and code systems may be added where required.
location	0..1	Reference to the location at which the encounter took place
subject	1..1	A reference to the patient resource representing the subject of this event

CareConnect-HealthcareService-1

The HealthcareService resource included as part of the event message SHALL conform to the CareConnect-HealthcareService-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

0..1

Element	Cardinality	Additional Guidance
providedBy	1..1	Reference to the organization who provides the healthcare service
type	1..1	This will represent the type of service responsible for the event message. This will have a fixed value from the ValueSet CareConnect-CareSettingType-1
specialty	1..1	The specialty SHALL be a value from the Specialty-1 value set

CareConnect-Location-1

The Location resources included as part of the event message SHALL conform to the CareConnect-Location-1 constrained FHIR profile and the additional population guidance as per the table below:

Resource Cardinality

0..*

Element	Cardinality	Additional Guidance
identifier	0..*	Where available the ODS Site Code slice should be populated

Examples

New (Given) New (Not Given) Update Delete

<Bundle xmlns="http://hl7.org/fhir">
	<id value="6e824ff8-9b0a-11e8-9eb6-529269fb1459"/>
	<meta>
		<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
	</meta>
	<type value="message"/>
	<entry>
		<fullUrl value="urn:uuid:85c8a1c5-a8a1-41c9-bb99-20956fa66218"/>
		<resource>
			<MessageHeader>
				<id value="85c8a1c5-a8a1-41c9-bb99-20956fa66218"/>
				<meta>
					<lastUpdated value="2017-11-01T15:00:33+00:00"/>
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
				</meta>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1">
					<extension url="nhsNumber">
						<valueIdentifier>
							<system value="https://fhir.nhs.uk/Id/nhs-number"/>
							<value value="9912003888"/>
						</valueIdentifier>
					</extension>
					<extension url="name">
						<valueHumanName>
							<use value="official"/>
							<family value="DAWKINS"/>
							<given value="Jack"/>
						</valueHumanName>
					</extension>
					<extension url="birthDateTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</extension>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1">
					<valueCodeableConcept>
						<coding>
							<system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/>
							<code value="new"/>
							<display value="New event message"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<event>
					<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
					<code value="vaccinations-1"/>
					<display value="Vaccinations"/>
				</event>
				<timestamp value="2017-02-14T15:00:00+00:00"/>
				<source>
					<contact>
						<system value="phone"/>
						<value value="0191 1231234"/>
					</contact>
					<endpoint value="urn:nhs:addressing:asid:300000000161"/>
				</source>
				<responsible>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</responsible>
				<focus>
					<reference value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				</focus>
			</MessageHeader>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
		<resource>
			<Immunization>
				<id value="076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Immunization-1"/>
				</meta>
				<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1">
					<valueCodeableConcept>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="170433008"/>
							<display value="Measles mumps and rubella vaccination - second dose (procedure)"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<identifier>
					<system value="https://supplierABC/identifiers"/>
					<value value="abc1111"/>
				</identifier>
				<status value="completed"/>
				<notGiven value="false"/>
				<vaccineCode>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34925411000001109"/>
						<display value="Priorix vaccine powder and solvent for solution for injection 0.5ml pre-filled syringes (GlaxoSmithKline UK Ltd) 1 pre-filled disposable injection (product)"/>
					</coding>
				</vaccineCode>
				<patient>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				</patient>
				<encounter>
					<reference value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				</encounter>
				<date value="2017-02-14T12:00:00+00:00">
				</date>
				<primarySource value="true"/>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<lotNumber value="CCJN12M"/>
				<site>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="91775009"/>
						<display value="Structure of left shoulder region"/>
					</coding>
				</site>
				<route>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34206005"/>
						<display value="Subcutaneous route"/>
					</coding>
				</route>
				<doseQuantity>
					<value value="0.5"/>
					<system value="http://unitsofmeasure.org"/>
					<code value="ml"/>
				</doseQuantity>
				<practitioner>
					<actor>
						<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
					</actor>
				</practitioner>
				<explanation>
					<reason>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="864611000000103"/>
							<display value="Recommendation to have child immunised against measles, mumps and rubella"/>
						</coding>
					</reason>
				</explanation>
			</Immunization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
		<resource>
			<Organization>
				<id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
					<value value="A83627"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
				<address>
					<line value="FRONT STREET"/>
					<line value="SOUTH HETTON"/>
					<city value="DURHAM"/>
					<district value="COUNTY DURHAM"/>
					<postalCode value="DH6 2TH"/>
				</address>
			</Organization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
		<resource>
			<Patient>
				<id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
				</meta>
				<identifier>
					<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
						<valueCodeableConcept>
							<coding>
								<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
								<code value="01"/>
								<display value="Number present and verified"/>
							</coding>
						</valueCodeableConcept>
					</extension>
					<system value="https://fhir.nhs.uk/Id/nhs-number"/>
					<value value="9912003888"/>
				</identifier>
				<name>
					<use value="official"/>
					<family value="DAWKINS"/>
					<given value="Jack"/>
				</name>
				<gender value="male"/>
				<birthDate value="2013-10-12">
					<extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</birthDate>
				<address>
					<use value="home"/>
					<line value="4 Sandmoor Drive"/>
					<city value="DURHAM"/>
					<postalCode value="DH1 2TF"/>
				</address>
			</Patient>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
		<resource>
			<HealthcareService>
				<id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/>
				</meta>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="4d98ee54-c813-49d8-bfdc-6e834313a4ff"/>
				</identifier>
				<providedBy>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</providedBy>
				<type>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="1060971000000108"/>
						<display value="General practice service"/>
					</coding>
				</type>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<telecom>
					<system value="phone"/>
					<value value="0191 1231234"/>
				</telecom>
			</HealthcareService>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
		<resource>
			<Encounter>
				<id value="0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
				</meta>
				<status value="finished"/>
				<type>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/>
						<code value="0012"/>
						<display value="12 week immunisations"/>
					</coding>
				</type>
				<subject>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
					<display value="DAWKINS, Jack"/>
				</subject>
				<period>
					<start value="2017-02-14"/>
				</period>
				<location>
					<location>
						<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
						<display value="SILVERDALE FAMILY PRACTICE"/>
					</location>
				</location>
				<serviceProvider>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</serviceProvider>
			</Encounter>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
		<resource>
			<Practitioner>
				<id value="f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<name>
					<family value="Strange"/>
					<given value="Stephen"/>
					<prefix value="Dr."/>
				</name>
			</Practitioner>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
		<resource>
			<PractitionerRole>
				<id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<practitioner>
					<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				</organization>
				<code>
					<coding>
						<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
						<code value="R0260"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<code>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/ProfessionalType-1"/>
						<code value="160"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<specialty>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/Specialty-1"/>
						<code value="290"/>
						<display value="COMMUNITY PAEDIATRICS"/>
					</coding>
				</specialty>
			</PractitionerRole>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
		<resource>
			<Location>
				<id value="e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-site-code"/>
					<value value="A83627001"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
			</Location>
		</resource>
	</entry>
</Bundle>

<Bundle xmlns="http://hl7.org/fhir">
	<id value="6ebf82a4-669a-40a8-b4ac-cf7c4897bfb2"/>
	<meta>
		<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
	</meta>
	<type value="message"/>
	<entry>
		<fullUrl value="urn:uuid:bb34880d-6be3-47a0-8bc5-237008e72b60"/>
		<resource>
			<MessageHeader>
				<id value="bb34880d-6be3-47a0-8bc5-237008e72b60"/>
				<meta>
					<lastUpdated value="2020-01-18T12:32:12+00:00"/>
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
				</meta>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1">
					<extension url="nhsNumber">
						<valueIdentifier>
							<system value="https://fhir.nhs.uk/Id/nhs-number"/>
							<value value="9912003888"/>
						</valueIdentifier>
					</extension>
					<extension url="name">
						<valueHumanName>
							<use value="official"/>
							<family value="DAWKINS"/>
							<given value="Jack"/>
						</valueHumanName>
					</extension>
					<extension url="birthDateTime">
						<valueDateTime value="2019-10-12T12:00:00+00:00"/>
					</extension>
				</extension>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1">
					<valueCodeableConcept>
						<coding>
							<system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/>
							<code value="new"/>
							<display value="New event message"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<event>
					<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
					<code value="vaccinations-1"/>
					<display value="Vaccinations"/>
				</event>
				<timestamp value="2020-01-18T12:32:12+00:00"/>
				<source>
					<contact>
						<system value="phone"/>
						<value value="0191 1231234"/>
					</contact>
					<endpoint value="urn:nhs:addressing:asid:300000000161"/>
				</source>
				<responsible>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</responsible>
				<focus>
					<reference value="urn:uuid:f4c3ed2b-e6ad-4eb3-a565-96b2e2edb1ce"/>
				</focus>
			</MessageHeader>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:f4c3ed2b-e6ad-4eb3-a565-96b2e2edb1ce"/>
		<resource>
			<Immunization>
				<id value="f4c3ed2b-e6ad-4eb3-a565-96b2e2edb1ce"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Immunization-1"/>
				</meta>
				<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1">
					<valueCodeableConcept>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="61761000000109"/>
							<display value="Second measles, mumps and rubella vaccination not done"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<identifier>
					<system value="https://supplierABC/identifiers"/>
					<value value="ims11111"/>
				</identifier>
				<status value="completed"/>
				<notGiven value="true"/>
				<vaccineCode>
					<coding>
						<system value="http://hl7.org/fhir/v3/NullFlavor"/>
						<code value="NA"/>
						<display value="Not Applicable"/>
					</coding>
				</vaccineCode>
				<patient>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				</patient>
				<encounter>
					<reference value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				</encounter>
				<date value="2020-01-18T12:31:44+00:00">
				</date>
				<primarySource value="true"/>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<practitioner>
					<actor>
						<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
					</actor>
				</practitioner>
				<explanation>
					<reasonNotGiven>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="310376006"/>
							<display value="Immunization consent not given (finding)"/>
						</coding>
					</reasonNotGiven>
				</explanation>
			</Immunization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
		<resource>
			<Organization>
				<id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
					<value value="A83627"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
				<address>
					<line value="FRONT STREET"/>
					<line value="SOUTH HETTON"/>
					<city value="DURHAM"/>
					<district value="COUNTY DURHAM"/>
					<postalCode value="DH6 2TH"/>
				</address>
			</Organization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
		<resource>
			<Patient>
				<id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
				</meta>
				<identifier>
					<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
						<valueCodeableConcept>
							<coding>
								<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
								<code value="01"/>
								<display value="Number present and verified"/>
							</coding>
						</valueCodeableConcept>
					</extension>
					<system value="https://fhir.nhs.uk/Id/nhs-number"/>
					<value value="9912003888"/>
				</identifier>
				<name>
					<use value="official"/>
					<family value="DAWKINS"/>
					<given value="Jack"/>
				</name>
				<gender value="male"/>
				<birthDate value="2019-10-12">
					<extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
						<valueDateTime value="2019-10-12T12:00:00+00:00"/>
					</extension>
				</birthDate>
				<address>
					<use value="home"/>
					<line value="4 Sandmoor Drive"/>
					<city value="DURHAM"/>
					<postalCode value="DH1 2TF"/>
				</address>
			</Patient>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
		<resource>
			<HealthcareService>
				<id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/>
				</meta>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="4d98ee54-c813-49d8-bfdc-6e834313a4ff"/>
				</identifier>
				<providedBy>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</providedBy>
				<type>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="1060971000000108"/>
						<display value="General practice service"/>
					</coding>
				</type>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<telecom>
					<system value="phone"/>
					<value value="0191 1231234"/>
				</telecom>
			</HealthcareService>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
		<resource>
			<Encounter>
				<id value="0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
				</meta>
				<status value="finished"/>
				<type>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/>
						<code value="0012"/>
						<display value="12 week immunisations"/>
					</coding>
				</type>
				<subject>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
					<display value="DAWKINS, Jack"/>
				</subject>
				<period>
					<start value="2020-01-18"/>
				</period>
				<location>
					<location>
						<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
						<display value="SILVERDALE FAMILY PRACTICE"/>
					</location>
				</location>
				<serviceProvider>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</serviceProvider>
			</Encounter>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
		<resource>
			<Practitioner>
				<id value="f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<name>
					<family value="Strange"/>
					<given value="Stephen"/>
					<prefix value="Dr."/>
				</name>
			</Practitioner>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
		<resource>
			<PractitionerRole>
				<id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<practitioner>
					<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				</organization>
				<code>
					<coding>
						<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
						<code value="R0260"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<code>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/ProfessionalType-1"/>
						<code value="160"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<specialty>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/Specialty-1"/>
						<code value="290"/>
						<display value="COMMUNITY PAEDIATRICS"/>
					</coding>
				</specialty>
			</PractitionerRole>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
		<resource>
			<Location>
				<id value="e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-site-code"/>
					<value value="A83627001"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
			</Location>
		</resource>
	</entry>
</Bundle>

<Bundle xmlns="http://hl7.org/fhir">
	<id value="3dd1142f-5089-4488-a33f-60d7d61c74e5"/>
	<meta>
		<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
	</meta>
	<type value="message"/>
	<entry>
		<fullUrl value="urn:uuid:8af8fec0-2599-47ad-9165-c163ca112612"/>
		<resource>
			<MessageHeader>
				<id value="8af8fec0-2599-47ad-9165-c163ca112612"/>
				<meta>
					<lastUpdated value="2017-11-01T15:06:31+00:00"/>
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
				</meta>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1">
					<extension url="nhsNumber">
						<valueIdentifier>
							<system value="https://fhir.nhs.uk/Id/nhs-number"/>
							<value value="9912003888"/>
						</valueIdentifier>
					</extension>
					<extension url="name">
						<valueHumanName>
							<use value="official"/>
							<family value="DAWKINS"/>
							<given value="Jack"/>
						</valueHumanName>
					</extension>
					<extension url="birthDateTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</extension>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1">
					<valueCodeableConcept>
						<coding>
							<system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/>
							<code value="update"/>
							<display value="Update event message"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<event>
					<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
					<code value="vaccinations-1"/>
					<display value="Vaccinations"/>
				</event>
				<timestamp value="2017-02-14T15:06:32+00:00"/>
				<source>
					<contact>
						<system value="phone"/>
						<value value="0191 1231234"/>
					</contact>
					<endpoint value="urn:nhs:addressing:asid:300000000161"/>
				</source>
				<responsible>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</responsible>
				<focus>
					<reference value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				</focus>
			</MessageHeader>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
		<resource>
			<Immunization>
				<id value="076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Immunization-1"/>
				</meta>
				<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1">
					<valueCodeableConcept>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="170433008"/>
							<display value="Measles mumps and rubella vaccination - second dose (procedure)"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<identifier>
					<system value="https://supplierABC/identifiers"/>
					<value value="abc1111"/>
				</identifier>
				<status value="completed"/>
				<notGiven value="false"/>
				<vaccineCode>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34925411000001109"/>
						<display value="Priorix vaccine powder and solvent for solution for injection 0.5ml pre-filled syringes (GlaxoSmithKline UK Ltd) 1 pre-filled disposable injection (product)"/>
					</coding>
				</vaccineCode>
				<patient>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				</patient>
				<encounter>
					<reference value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				</encounter>
				<date value="2017-02-14T12:00:00+00:00">
				</date>
				<primarySource value="true"/>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<lotNumber value="CCJN12Mb"/>
				<site>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="91775009"/>
						<display value="Structure of left shoulder region"/>
					</coding>
				</site>
				<route>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34206005"/>
						<display value="Subcutaneous route"/>
					</coding>
				</route>
				<doseQuantity>
					<value value="0.5"/>
					<system value="http://unitsofmeasure.org"/>
					<code value="ml"/>
				</doseQuantity>
				<practitioner>
					<actor>
						<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
					</actor>
				</practitioner>
				<explanation>
					<reason>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="864611000000103"/>
							<display value="Recommendation to have child immunised against measles, mumps and rubella"/>
						</coding>
					</reason>
				</explanation>
			</Immunization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
		<resource>
			<Organization>
				<id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
					<value value="A83627"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
				<address>
					<line value="FRONT STREET"/>
					<line value="SOUTH HETTON"/>
					<city value="DURHAM"/>
					<district value="COUNTY DURHAM"/>
					<postalCode value="DH6 2TH"/>
				</address>
			</Organization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
		<resource>
			<Patient>
				<id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
				</meta>
				<identifier>
					<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
						<valueCodeableConcept>
							<coding>
								<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
								<code value="01"/>
								<display value="Number present and verified"/>
							</coding>
						</valueCodeableConcept>
					</extension>
					<system value="https://fhir.nhs.uk/Id/nhs-number"/>
					<value value="9912003888"/>
				</identifier>
				<name>
					<use value="official"/>
					<family value="DAWKINS"/>
					<given value="Jack"/>
				</name>
				<gender value="male"/>
				<birthDate value="2013-10-12">
					<extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</birthDate>
				<address>
					<use value="home"/>
					<line value="4 Sandmoor Drive"/>
					<city value="DURHAM"/>
					<postalCode value="DH1 2TF"/>
				</address>
			</Patient>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
		<resource>
			<HealthcareService>
				<id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/>
				</meta>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="4d98ee54-c813-49d8-bfdc-6e834313a4ff"/>
				</identifier>
				<providedBy>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</providedBy>
				<type>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="1060971000000108"/>
						<display value="General practice service"/>
					</coding>
				</type>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<telecom>
					<system value="phone"/>
					<value value="0191 1231234"/>
				</telecom>
			</HealthcareService>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
		<resource>
			<Encounter>
				<id value="0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
				</meta>
				<status value="finished"/>
				<type>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/>
						<code value="0012"/>
						<display value="12 week immunisations"/>
					</coding>
				</type>
				<subject>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
					<display value="DAWKINS, Jack"/>
				</subject>
				<period>
					<start value="2017-02-14"/>
				</period>
				<location>
					<location>
						<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
						<display value="SILVERDALE FAMILY PRACTICE"/>
					</location>
				</location>
				<serviceProvider>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</serviceProvider>
			</Encounter>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
		<resource>
			<Practitioner>
				<id value="f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<name>
					<family value="Strange"/>
					<given value="Stephen"/>
					<prefix value="Dr."/>
				</name>
			</Practitioner>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
		<resource>
			<PractitionerRole>
				<id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<practitioner>
					<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				</organization>
				<code>
					<coding>
						<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
						<code value="R0260"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<code>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/ProfessionalType-1"/>
						<code value="160"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<specialty>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/Specialty-1"/>
						<code value="290"/>
						<display value="COMMUNITY PAEDIATRICS"/>
					</coding>
				</specialty>
			</PractitionerRole>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
		<resource>
			<Location>
				<id value="e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-site-code"/>
					<value value="A83627001"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
			</Location>
		</resource>
	</entry>
</Bundle>

<Bundle xmlns="http://hl7.org/fhir">
	<id value="b2dcd41c-4302-4b01-a509-fb502f3e0f6f"/>
	<meta>
		<profile value="http://hl7.org/fhir/STU3/StructureDefinition/Bundle"/>
	</meta>
	<type value="message"/>
	<entry>
		<fullUrl value="urn:uuid:3a9334c6-7872-41a8-969f-8fe4331d009c"/>
		<resource>
			<MessageHeader>
				<id value="3a9334c6-7872-41a8-969f-8fe4331d009c"/>
				<meta>
					<lastUpdated value="2017-11-01T15:07:45+00:00"/>
					<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/Event-MessageHeader-1"/>
				</meta>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RoutingDemographics-1">
					<extension url="nhsNumber">
						<valueIdentifier>
							<system value="https://fhir.nhs.uk/Id/nhs-number"/>
							<value value="9912003888"/>
						</valueIdentifier>
					</extension>
					<extension url="name">
						<valueHumanName>
							<use value="official"/>
							<family value="DAWKINS"/>
							<given value="Jack"/>
						</valueHumanName>
					</extension>
					<extension url="birthDateTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</extension>
				<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-MessageEventType-1">
					<valueCodeableConcept>
						<coding>
							<system value="https://fhir.nhs.uk/STU3/CodeSystem/MessageEventType-1"/>
							<code value="delete"/>
							<display value="Delete event message"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<event>
					<system value="https://fhir.nhs.uk/STU3/CodeSystem/EventType-1"/>
					<code value="vaccinations-1"/>
					<display value="Vaccinations"/>
				</event>
				<timestamp value="2017-02-14T15:07:45+00:00"/>
				<source>
					<contact>
						<system value="phone"/>
						<value value="0191 1231234"/>
					</contact>
					<endpoint value="urn:nhs:addressing:asid:300000000161"/>
				</source>
				<responsible>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</responsible>
				<focus>
					<reference value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				</focus>
			</MessageHeader>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
		<resource>
			<Immunization>
				<id value="076db265-8799-4dda-9418-e2a4d6d1c0d0"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Immunization-1"/>
				</meta>
				<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-VaccinationProcedure-1">
					<valueCodeableConcept>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="170433008"/>
							<display value="Measles mumps and rubella vaccination - second dose (procedure)"/>
						</coding>
					</valueCodeableConcept>
				</extension>
				<identifier>
					<system value="https://supplierABC/identifiers"/>
					<value value="abc1111"/>
				</identifier>
				<status value="entered-in-error"/>
				<notGiven value="false"/>
				<vaccineCode>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34925411000001109"/>
						<display value="Priorix vaccine powder and solvent for solution for injection 0.5ml pre-filled syringes (GlaxoSmithKline UK Ltd) 1 pre-filled disposable injection (product)"/>
					</coding>
				</vaccineCode>
				<patient>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				</patient>
				<encounter>
					<reference value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				</encounter>
				<date value="2017-02-14T12:00:00+00:00">
				</date>
				<primarySource value="true"/>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<lotNumber value="CCJN12Mb"/>
				<site>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="91775009"/>
						<display value="Structure of left shoulder region"/>
					</coding>
				</site>
				<route>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="34206005"/>
						<display value="Subcutaneous route"/>
					</coding>
				</route>
				<doseQuantity>
					<value value="0.5"/>
					<system value="http://unitsofmeasure.org"/>
					<code value="ml"/>
				</doseQuantity>
				<practitioner>
					<actor>
						<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
					</actor>
				</practitioner>
				<explanation>
					<reason>
						<coding>
							<system value="http://snomed.info/sct"/>
							<code value="864611000000103"/>
							<display value="Recommendation to have child immunised against measles, mumps and rubella"/>
						</coding>
					</reason>
				</explanation>
			</Immunization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
		<resource>
			<Organization>
				<id value="3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
					<value value="A83627"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
				<address>
					<line value="FRONT STREET"/>
					<line value="SOUTH HETTON"/>
					<city value="DURHAM"/>
					<district value="COUNTY DURHAM"/>
					<postalCode value="DH6 2TH"/>
				</address>
			</Organization>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
		<resource>
			<Patient>
				<id value="5d5845f3-398f-474b-af59-14882fc7b0ca"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1"/>
				</meta>
				<identifier>
					<extension url="https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1">
						<valueCodeableConcept>
							<coding>
								<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1"/>
								<code value="01"/>
								<display value="Number present and verified"/>
							</coding>
						</valueCodeableConcept>
					</extension>
					<system value="https://fhir.nhs.uk/Id/nhs-number"/>
					<value value="9912003888"/>
				</identifier>
				<name>
					<use value="official"/>
					<family value="DAWKINS"/>
					<given value="Jack"/>
				</name>
				<gender value="male"/>
				<birthDate value="2013-10-12">
					<extension url="http://hl7.org/fhir/StructureDefinition/patient-birthTime">
						<valueDateTime value="2017-10-02T12:00:00+00:00"/>
					</extension>
				</birthDate>
				<address>
					<use value="home"/>
					<line value="4 Sandmoor Drive"/>
					<city value="DURHAM"/>
					<postalCode value="DH1 2TF"/>
				</address>
			</Patient>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
		<resource>
			<HealthcareService>
				<id value="5a293df7-b22f-41b6-8bf1-44248ea59edb"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-HealthcareService-1"/>
				</meta>
				<identifier>
					<system value="https://tools.ietf.org/html/rfc4122"/>
					<value value="4d98ee54-c813-49d8-bfdc-6e834313a4ff"/>
				</identifier>
				<providedBy>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</providedBy>
				<type>
					<coding>
						<system value="http://snomed.info/sct"/>
						<code value="1060971000000108"/>
						<display value="General practice service"/>
					</coding>
				</type>
				<location>
					<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				</location>
				<telecom>
					<system value="phone"/>
					<value value="0191 1231234"/>
				</telecom>
			</HealthcareService>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
		<resource>
			<Encounter>
				<id value="0b5365ea-5eb5-4119-bfad-c6dfe0874b1b"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1"/>
				</meta>
				<status value="finished"/>
				<type>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/DCH-ChildHealthEncounterType-1"/>
						<code value="0012"/>
						<display value="12 week immunisations"/>
					</coding>
				</type>
				<subject>
					<reference value="urn:uuid:5d5845f3-398f-474b-af59-14882fc7b0ca"/>
					<display value="DAWKINS, Jack"/>
				</subject>
				<period>
					<start value="2017-02-14"/>
				</period>
				<location>
					<location>
						<reference value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
						<display value="SILVERDALE FAMILY PRACTICE"/>
					</location>
				</location>
				<serviceProvider>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
					<display value="SILVERDALE FAMILY PRACTICE"/>
				</serviceProvider>
			</Encounter>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
		<resource>
			<Practitioner>
				<id value="f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<name>
					<family value="Strange"/>
					<given value="Stephen"/>
					<prefix value="Dr."/>
				</name>
			</Practitioner>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
		<resource>
			<PractitionerRole>
				<id value="b7e3cc3a-9120-49fe-801c-2793b80ca922"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-PractitionerRole-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/sds-role-profile-id"/>
					<value value="PT2468"/>
				</identifier>
				<practitioner>
					<reference value="urn:uuid:f25e9d63-6a4e-4de6-b9dc-c912fda62b01"/>
				</practitioner>
				<organization>
					<reference value="urn:uuid:3ff6d789-af64-4d9c-aa1d-0087d29e9e1c"/>
				</organization>
				<code>
					<coding>
						<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
						<code value="R0260"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<code>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/ProfessionalType-1"/>
						<code value="160"/>
						<display value="General Medical Practitioner"/>
					</coding>
				</code>
				<specialty>
					<coding>
						<system value="https://fhir.nhs.uk/STU3/CodeSystem/Specialty-1"/>
						<code value="290"/>
						<display value="COMMUNITY PAEDIATRICS"/>
					</coding>
				</specialty>
			</PractitionerRole>
		</resource>
	</entry>
	<entry>
		<fullUrl value="urn:uuid:e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
		<resource>
			<Location>
				<id value="e19a8932-7ccd-4b4a-bed2-b13f5e924698"/>
				<meta>
					<profile value="https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Location-1"/>
				</meta>
				<identifier>
					<system value="https://fhir.nhs.uk/Id/ods-site-code"/>
					<value value="A83627001"/>
				</identifier>
				<name value="SILVERDALE FAMILY PRACTICE"/>
			</Location>
		</resource>
	</entry>
</Bundle>

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