[DRAFT] GP Connect (Patient Facing) Access Record

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

Additional Medication Filtering

The patient facing Access Record Structured API has additional filtering to the clinical Access Record API within MedicationRequest profile.

Consuming applications can filter by PrescriptionType of the MedicationRequests.

These parameters are called prescriptionType and correspond to the matching values within the MedicationRequest resource (prescriptionType)

The possible values for the prescriptionType:

This code system https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1 defines the following codes:

CodeDisplay
acuteAcute
repeatRepeat
repeat-dispensingRepeat dispensing
delayed-prescribingDelayed prescribing
acute-handwrittenAcute handwritten

{ 
  "name": "filterPrescriptionType",
  "valueCode": "repeat"
}

Example of a call for prescription medication

{
  "resourceType": "Parameters",
  "parameter": [
    {
      "name": "patientNHSNumber",
      "valueIdentifier": {
        "system": "https://fhir.nhs.uk/Id/nhs-number",
        "value": "9999999999"
      }
    },
   {
      "name": "includeMedication",
      "part": [
        {
          "name": "medicationSearchFromDate",
          "valueDate": "2016-02-21"
        },
        {
           "name": "filterPrescriptionType",
           "valueCode": "repeat"
        },
        {
           "name": "filterPrescriptionType",
           "valueCode": "repeat-dispensing"
        }
      ]
    }
  ]
}

Example response from the above request

{
    "resourceType": "Bundle",
    "type": "collection",
    "meta": {
      "profile": [
        "https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"
      ]
    },
    "entry": [
      {
        "resource": {
          "resourceType": "Patient",
          "id": "04603d77-1a4e-4d63-b246-d7504f8bd833",
          "meta": {
            "versionId": "1469448000000",
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
            ]
          },
          "extension": [
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-RegistrationDetails-1",
              "extension": [
                {
                  "url": "registrationPeriod",
                  "valuePeriod": {
                    "start": "1962-07-13T00:00:00+00:00"
                  }
                }
              ]
            }
          ],
          "identifier": [
            {
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
                  "valueCodeableConcept": {
                    "coding": [
                      {
                        "system": "https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1",
                        "code": "01",
                        "display": "Number present and verified"
                      }
                    ]
                  }
                }
              ],
              "system": "https://fhir.nhs.uk/Id/nhs-number",
              "value": "9999999999"
            }
          ],
          "active": true,
          "name": [
            {
              "use": "official",
              "text": "JACKSON Jane (Miss)",
              "family": "Jackson",
              "given": [
                "Jane"
              ],
              "prefix": [
                "Miss"
              ]
            }
          ],
          "telecom": [
            {
              "system": "phone",
              "value": "01454587554",
              "use": "home"
            }
          ],
          "gender": "female",
          "birthDate": "1952-05-31",
          "address": [
            {
              "use": "home",
              "type": "physical",
              "line": [
                "Cable Place",
                "Roundhay"
              ],
              "city": "Leeds",
              "district": "West Yorkshire",
              "postalCode": "LS1 5HT"
            }
          ],
          "generalPractitioner": {
            "reference": "Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
          },
          "managingOrganization": {
            "reference": "Organization/db67f447-b30d-442a-8e31-6918d1367eeb"
          }
        }
      },
      {
        "resource": {
          "resourceType": "Organization",
          "id": "db67f447-b30d-442a-8e31-6918d1367eeb",
          "meta": {
            "versionId": "636064088098730113",
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
            ]
          },
          "identifier": [
            {
              "system": "https://fhir.nhs.uk/Id/ods-organization-code",
              "value": "O001"
            }
          ],
          "name": "The Trevelyan Practice",
          "address": [
            {
              "line": [
                "Trevelyan Square",
                "Boar Ln"
              ],
              "city": "Leeds",
              "district": "West Yorkshire",
              "postalCode": "LS1 6AE"
            }
          ],
          "telecom": [
            {
              "system": "phone",
              "value": "03003035678",
              "use": "work"
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "Practitioner",
          "id": "6c41ebfd-57c3-4162-9d7b-208c171a2fd7",
          "meta": {
            "versionId": "1469448000000",
            "lastUpdated": "2016-07-25T12:00:00.000+00:00",
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
            ]
          },
          "identifier": [
            {
              "system": "https://fhir.nhs.uk/Id/sds-user-id",
              "value": "G13579135"
            }
          ],
          "name": [
            {
              "use": "usual",
              "family": "Gilbert",
              "given": [
                "Nichole"
              ],
              "prefix": [
                "Miss"
              ]
            }
          ],
          "gender": "female"
        }
      },
      {
        "resource": {
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1"
            ]
          },
          "resourceType": "PractitionerRole",
          "id": "e0244de8-07ef-4274-9f7a-d7067bcc8d21",
          "practitioner": {
            "reference": "Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
          },
          "organization": {
            "reference": "Organization/db67f447-b30d-442a-8e31-6918d1367eeb"
          },
          "code": [
            {
              "coding": [
                {
                  "system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
                  "code": "R0260",
                  "display": "General Medical Practitioner"
                }
              ]
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "List",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
            ]
          },
          "status": "current",
          "mode": "snapshot",
          "title": "Medication List",
          "code": {
            "coding": [
              {
                "code": "933361000000108",
                "display": "Medications and medical devices",
                "system": "http://snomed.info/sct"
              }
            ]
          },
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "date": "2018-03-01T10:57:34+00:00",
          "orderedBy": {
            "coding": [
              {
                "code": "event-date",
                "system": "http://hl7.org/fhir/list-order"
              }
            ]
          },
          "entry": [
            {
              "item": {
                "reference": "MedicationStatement/6bff710a-0bdc-4c9b-b98b-40db0a107edc"
              }
            },
            {
              "item": {
                "reference": "MedicationStatement/791ceb40-db0a-491d-ab0f-22f5a08509fd"
              }
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "MedicationStatement",
          "id": "6bff710a-0bdc-4c9b-b98b-40db0a107edc",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
            ]
          },
          "extension": [
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1",
              "valueDateTime": "2016-05-10"
            },
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1",
                    "code": "prescribed-at-gp-practice",
                    "display": "Prescribed at GP practice"
                  }
                ]
              }
            }
          ],
          "identifier": [
            {
              "system": "https://provider.nhs.uk/data-identifier",
              "value": "13426283749629"
            }
          ],
          "basedOn": {
            "reference": "MedicationRequest/7e68abae-a50a-4dd2-8445-7a2aa9936bee"
          },
          "status": "completed",
          "medicationReference": {
            "reference": "Medication/c260b451-9821-42de-81f9-ba86dcea2c32"
          },
          "effectiveDateTime": "2016-05-10",
          "dateAsserted": "2016-05-10",
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "taken": "unk",
          "note": [
            {
              "text": "Pharmacy Notes: NOTES FOR PHARMACY"
            }
          ],
          "dosage": [
            {
              "patientInstruction": "INSTRUCTIONS FOR PATIENT",
              "text": "TAKE ONE DAILY"
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "MedicationStatement",
          "id": "791ceb40-db0a-491d-ab0f-22f5a08509fd",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
            ]
          },
          "extension": [
            {
              "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatementLastIssueDate-1",
              "valueDateTime": "2016-09-11"
            },
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1",
                    "code": "prescribed-at-gp-practice",
                    "display": "Prescribed at GP practice"
                  }
                ]
              }
            }
          ],
          "identifier": [
            {
              "system": "https://provider.nhs.uk/data-identifier",
              "value": "23426283749629"
            }
          ],
          "basedOn": {
            "reference": "MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c"
          },
          "status": "active",
          "medicationReference": {
            "reference": "Medication/8b339981-e9be-4e37-bf03-799295a6aec8"
          },
          "effectivePeriod": {
            "start": "2016-08-11"
          },
          "dateAsserted": "2016-08-11",
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "taken": "unk",
          "note": [
            {
              "text": "SOME NOTES"
            }
          ],
          "dosage": [
            {
              "patientInstruction": "INSTRUCTIONS FOR PATIENT",
              "text": "TAKE ONE DAILY"
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "MedicationRequest",
          "id": "8e078d04-8312-433a-b6b4-46bf52542b0c",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
            ]
          },
          "identifier": [
            {
              "system": "https://provider.nhs.uk/data-identifier",
              "value": "53426283749629"
            }
          ],
          "groupIdentifier": {
            "value": "urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75"
          },
          "status": "active",
          "intent": "plan",
          "medicationReference": {
            "reference": "Medication/8b339981-e9be-4e37-bf03-799295a6aec8"
          },
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "authoredOn": "2016-08-11",
          "recorder": {
            "reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
          },
          "note": [
            {
              "text": "NOTES FOR PHARMACY"
            }
          ],
          "dosageInstruction": [
            {
              "patientInstruction": "INSTRUCTIONS FOR PATIENT",
              "text": "TAKE ONE 3 TIMES/DAY"
            }
          ],
          "dispenseRequest": {
            "expectedSupplyDuration": {
              "code": [
                "d"
              ],
              "value": "28",
              "unit": "day",
              "system": "http://unitsofmeasure.org"
            },
            "quantity": {
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1",
                  "valueString": "tablets(s)"
                }
              ],
              "value": "84"
            },
            "validityPeriod": {
              "start": "2016-08-11"
            }
          },
          "extension": [
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationRepeatInformation-1",
              "extension": [
                {
                  "url": "numberOfRepeatPrescriptionsAllowed",
                  "valuePositiveInt": 5
                },
                {
                  "url": "numberOfRepeatPrescriptionsIssued",
                  "valuePositiveInt": 2
                }
              ]
            },
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "code": "repeat",
                    "display": "Repeat",
                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1"
                  }
                ]
              }
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "MedicationRequest",
          "id": "8afe3af9-995d-4ccc-9211-f8c2620be670",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
            ]
          },
          "identifier": [
            {
              "system": "https://provider.nhs.uk/data-identifier",
              "value": "63426283749629"
            }
          ],
          "basedOn": {
            "reference": "MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c"
          },
          "groupIdentifier": {
            "value": "urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75"
          },
          "status": "completed",
          "intent": "order",
          "medicationReference": {
            "reference": "Medication/8b339981-e9be-4e37-bf03-799295a6aec8"
          },
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "authoredOn": "2016-08-11",
          "recorder": {
            "reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
          },
          "note": [
            {
              "text": "NOTES FOR PHARMACY"
            }
          ],
          "dosageInstruction": [
            {
              "patientInstruction": "INSTRUCTIONS FOR PATIENT",
              "text": "TAKE ONE 3 TIMES/DAY"
            }
          ],
          "dispenseRequest": {
            "expectedSupplyDuration": {
              "code": [
                "d"
              ],
              "value": "28",
              "unit": "day",
              "system": "http://unitsofmeasure.org"
            },
            "quantity": {
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1",
                  "valueString": "tablet(s)"
                }
              ],
              "value": "84"
            },
            "validityPeriod": {
              "start": "2016-08-11"
            }
          },
          "extension": [
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "code": "repeat",
                    "display": "Repeat",
                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1"
                  }
                ]
              }
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "MedicationRequest",
          "id": "a946012a-283b-46c4-8312-e1312a54ab9c",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
            ]
          },
          "identifier": [
            {
              "system": "https://provider.nhs.uk/data-identifier",
              "value": "73426283749629"
            }
          ],
          "basedOn": {
            "reference": "MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c"
          },
          "groupIdentifier": {
            "value": "urn:uuid:eba24af1-5b74-4790-aa5a-2134fd27ad75"
          },
          "status": "completed",
          "intent": "order",
          "medicationReference": {
            "reference": "Medication/8b339981-e9be-4e37-bf03-799295a6aec8"
          },
          "subject": {
            "reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
          },
          "authoredOn": "2016-09-11",
          "recorder": {
            "reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
          },
          "note": [
            {
              "text": "NOTES FOR PHARMACY"
            }
          ],
          "dosageInstruction": [
            {
              "patientInstruction": "INSTRUCTIONS FOR PATIENT",
              "text": "TAKE ONE 3 TIMES/DAY"
            }
          ],
          "dispenseRequest": {
            "expectedSupplyDuration": {
              "code": [
                "d"
              ],
              "value": "28",
              "unit": "day",
              "system": "http://unitsofmeasure.org"
            },
            "quantity": {
              "extension": [
                {
                  "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1",
                  "valueString": "tablet(s)"
                }
              ],
              "value": "84"
            },
            "validityPeriod": {
              "start": "2016-09-11"
            }
          },
          "extension": [
            {
              "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1",
              "valueCodeableConcept": {
                "coding": [
                  {
                    "code": "repeat",
                    "display": "Repeat",
                    "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1"
                  }
                ]
              }
            }
          ]
        }
      },
      {
        "resource": {
          "resourceType": "Medication",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1"
            ]
          },
          "id": "c260b451-9821-42de-81f9-ba86dcea2c32",
          "code": {
            "coding": [
              {
                "extension": [
                  {
                    "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
                    "extension": [
                      {
                        "url": "DescriptionID",
                        "valueId": "56966201000001112"
                      }
                    ]
                  }
                ],
                "display": "Amoxicillin 250mg capsules",
                "code": "323509004",
                "system": "http://snomed.info/sct"
              }
            ]
          }
        }
      },
      {
        "resource": {
          "resourceType": "Medication",
          "id": "8b339981-e9be-4e37-bf03-799295a6aec8",
          "meta": {
            "profile": [
              "https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Medication-1"
            ]
          },
          "code": {
            "coding": [
              {
                "extension": [
                  {
                    "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
                    "extension": [
                      {
                        "url": "DescriptionID",
                        "valueId": "462888013"
                      },
                      {
                        "url": "DescriptionDisplay",
                        "valueString": "Aspirin 75mg dispersible tablet"
                      }
                    ]
                  }
                ],
                "display": "Aspirin 75mg dispersible tablets",
                "code": "319773006",
                "system": "http://snomed.info/sct"
              }
            ]
          }
        }
      }
    ]
  }

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