[DRAFT] GP Connect (Patient Facing) Access Record - FHIR API

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

Consultations

FHIR Consultations Examples

Access Record Structured FHIR examples for Consultations.

Request

Example of a call to return the following items from a patient's structured record:

  • Consultations

Request payload

{
   "resourceType": "Bundle",
   "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"]},
   "id": "9b2482e8-97ef-49cd-9356-5768862fee89",
   "type": "collection",
   "entry":    [
      {"resource":       {
         "resourceType": "Patient",
         "id": "4d59c916-9726-11ec-af3f-0a58a9feac02",
         "meta":          {
            "versionId": "eb690329a472dd332bcdc3bd0acb5f16",
            "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": "2022-02-26",
                        "end": "2023-12-08"
                     }
                  },
                                    {
                     "url": "registrationType",
                     "valueCodeableConcept": {"coding": [                     {
                        "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-RegistrationType-1",
                        "code": "T",
                        "display": "Temporary"
                     }]}
                  }
               ]
            },
                        {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSCommunication-1",
               "extension":                [
                                    {
                     "url": "language",
                     "valueCodeableConcept": {"coding": [                     {
                        "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-HumanLanguage-1",
                        "code": "fr",
                        "display": "French"
                     }]}
                  },
                                    {
                     "url": "interpreterRequired",
                     "valueBoolean": true
                  }
               ]
            }
         ],
         "identifier": [         {
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
               "valueCodeableConcept": {"coding": [               {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1",
                  "code": "01",
                  "display": "Number present and verified"
               }]}
            }],
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9693646525"
         }],
         "active": true,
         "name": [         {
            "use": "official",
            "family": "BAGGS",
            "prefix": ["MISS"],
            "given": ["Flora"]
         }],
         "telecom":          [
                        {
               "system": "phone",
               "value": "+441455290432",
               "use": "home"
            },
                        {
               "system": "phone",
               "value": "+447815123123",
               "use": "mobile"
            },
                        {
               "system": "phone",
               "value": "+442031231234",
               "use": "work"
            },
                        {
               "system": "email",
               "value": "patient1@gmail.com",
               "use": "home"
            }
         ],
         "gender": "female",
         "birthDate": "1971-07-09",
         "address": [         {
            "use": "home",
            "line":             [
               "1 Main St",
               "Villagey"
            ],
            "city": "Leicester",
            "district": "Leicestershire",
            "postalCode": "LE1 1AA",
            "country": "GBR"
         }],
         "contact": [         {
            "relationship":             [
               {"text": "brother"},
               {"text": "Next of kin"}
            ],
            "name":             {
               "use": "official",
               "text": "Fred Bloggs"
            }
         }],
         "managingOrganization": {"reference": "Organization/N82090"}
      }},
      {"resource":       {
         "resourceType": "Organization",
         "id": "N82090",
         "meta":          {
            "versionId": "0ee3a2e01efdc6841424aee9a0640395",
            "profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"]
         },
         "identifier": [         {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "N82090"
         }],
         "active": true,
         "name": "Green Lane Medical Centre",
         "address": [         {
            "use": "work",
            "line": ["1 Main St"],
            "city": "London",
            "postalCode": "W1A 1AA",
            "country": "GBR"
         }],
         "telecom":          [
                        {
               "system": "phone",
               "value": "+442071231234",
               "use": "work"
            },
                        {
               "system": "fax",
               "value": "+442071231235",
               "use": "work"
            },
                        {
               "system": "email",
               "value": "gp.connect.test.site@medicus.health",
               "use": "work"
            }
         ]
      }},
      {"resource":       {
         "resourceType": "Encounter",
         "id": "8dbadb3a-a634-11ed-af2e-0adb7c23cfe0",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1"]},
         "identifier": [         {
            "system": "https://medicus.health",
            "value": "8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"
         }],
         "status": "finished",
         "type": [{"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "325861000000105",
            "display": "Face to face consultation",
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
               "extension": [               {
                  "url": "descriptionId",
                  "valueId": "600731000000118"
               }]
            }]
         }]}],
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "participant":          [
                        {
               "type": [{"coding": [               {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PPRF",
                  "display": "Primary Performer"
               }]}],
               "individual": {"reference": "Practitioner/fd93c950a100235b81ca5e557e5b3fe9"}
            },
                        {
               "type": [{"coding": [               {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-ParticipantType-1",
                  "code": "REC",
                  "display": "Recorder"
               }]}],
               "individual": {"reference": "Practitioner/78f405fe-a9c9-11ec-a0ff-0a58a9feac02"}
            }
         ],
         "period": {"start": "2023-02-01T15:39:00+00:00"},
         "serviceProvider": {"reference": "Organization/AX8X"}
      }},
      {"resource":       {
         "resourceType": "Practitioner",
         "id": "78f405fe-a9c9-11ec-a0ff-0a58a9feac02",
         "meta":          {
            "versionId": "fcbc84d5285490f73a308bcbe0dd0270",
            "profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"]
         },
         "active": true,
         "name": [         {
            "use": "official",
            "text": "Prem Anandan",
            "family": "Prem Anandan"
         }]
      }},
      {"resource":       {
         "resourceType": "Practitioner",
         "id": "fd93c950a100235b81ca5e557e5b3fe9",
         "meta":          {
            "versionId": "09dead7ad66cba62cfd19f0b9d09efa1",
            "profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"]
         },
         "active": true,
         "name": [         {
            "use": "official",
            "text": "kledji ",
            "family": "kledji "
         }]
      }},
      {"resource":       {
         "resourceType": "Organization",
         "id": "AX8X",
         "meta":          {
            "versionId": "8d182720c50a4c5e42f8eecbdd1786cb",
            "profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"]
         },
         "identifier": [         {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "AX8X"
         }],
         "active": true,
         "name": "1 Diamond Home Care Ltd"
      }},
      {"resource":       {
         "resourceType": "List",
         "id": "8dbadb3a-a634-11ed-af2e-0adb7c23cfe0-consultation",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"]},
         "status": "current",
         "mode": "snapshot",
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "encounter": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "date": "2023-02-06T15:54:23+00:00",
         "orderedBy": {"coding": [         {
            "system": "http://hl7.org/fhir/list-order",
            "code": "system",
            "display": "Sorted by System"
         }]},
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "325851000000107",
            "display": "Consultation"
         }]},
         "title": "Face to face consultation",
         "entry": [{"item": {"reference": "List/8dc709dc-a634-11ed-bc27-0adb7c23cfe0"}}]
      }},
      {"resource":       {
         "resourceType": "List",
         "id": "8dc709dc-a634-11ed-bc27-0adb7c23cfe0",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"]},
         "extension": [         {
            "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1",
            "extension": [            {
               "url": "target",
               "valueReference": {"reference": "Condition/e5225ff6-ec9e-11ec-b38a-0a58a9feac02"}
            }]
         }],
         "status": "current",
         "mode": "snapshot",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "25851000000105",
            "display": "Topic (EHR)"
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "encounter": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "date": "2023-02-06T15:40:16+00:00",
         "orderedBy": {"coding": [         {
            "system": "http://hl7.org/fhir/list-order",
            "code": "system",
            "display": "Sorted by System"
         }]},
         "title": "Heart disease",
         "entry":          [
            {"item": {"reference": "List/d860958e-a635-11ed-aeed-0a58a9feac02"}},
            {"item": {"reference": "List/e1429e18-a635-11ed-97ed-0a58a9feac02"}},
            {"item": {"reference": "List/ee198552-a635-11ed-bb11-0adb7c23cfe0"}}
         ]
      }},
      {"resource":       {
         "resourceType": "List",
         "id": "d860958e-a635-11ed-aeed-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"]},
         "status": "current",
         "mode": "snapshot",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "24781000000107",
            "display": "Category (EHR)"
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "encounter": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "orderedBy": {"coding": [         {
            "system": "http://hl7.org/fhir/list-order",
            "code": "system",
            "display": "Sorted by System"
         }]},
         "title": "History",
         "entry": [{"item": {"reference": "Observation/df0d1240-a635-11ed-a297-0a58a9feac02"}}]
      }},
      {"resource":       {
         "resourceType": "Observation",
         "id": "df0d1240-a635-11ed-a297-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"]},
         "identifier": [         {
            "system": "https://medicus.health",
            "value": "df0d1240-a635-11ed-a297-0a58a9feac02"
         }],
         "status": "final",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "22298006",
            "display": "Myocardial infarction",
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
               "extension":                [
                                    {
                     "url": "descriptionId",
                     "valueId": "37443015"
                  },
                                    {
                     "url": "descriptionDisplay",
                     "valueString": "Heart attack"
                  }
               ]
            }]
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "context": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "effectiveDateTime": "2023-02-06",
         "issued": "2023-02-06T00:00:00+00:00",
         "performer":          [
            {"reference": "Practitioner/78f405fe-a9c9-11ec-a0ff-0a58a9feac02"},
            {"reference": "Organization/N82090"}
         ]
      }},
      {"resource":       {
         "resourceType": "List",
         "id": "e1429e18-a635-11ed-97ed-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"]},
         "status": "current",
         "mode": "snapshot",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "24781000000107",
            "display": "Category (EHR)"
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "encounter": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "orderedBy": {"coding": [         {
            "system": "http://hl7.org/fhir/list-order",
            "code": "system",
            "display": "Sorted by System"
         }]},
         "title": "Examination",
         "entry": [{"item": {"reference": "Observation/e9e8a03a-a635-11ed-85f8-0adb7c23cfe0"}}]
      }},
      {"resource":       {
         "resourceType": "Observation",
         "id": "e9e8a03a-a635-11ed-85f8-0adb7c23cfe0",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"]},
         "identifier": [         {
            "system": "https://medicus.health",
            "value": "e9e8a03a-a635-11ed-85f8-0adb7c23cfe0"
         }],
         "status": "final",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "8655006",
            "display": "Lead measurement, quantitative, blood",
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
               "extension":                [
                                    {
                     "url": "descriptionId",
                     "valueId": "132881000000116"
                  },
                                    {
                     "url": "descriptionDisplay",
                     "valueString": "Blood lead level"
                  }
               ]
            }]
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "context": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "effectiveDateTime": "2023-02-06",
         "issued": "2023-02-06T00:00:00+00:00",
         "performer":          [
            {"reference": "Practitioner/78f405fe-a9c9-11ec-a0ff-0a58a9feac02"},
            {"reference": "Organization/N82090"}
         ]
      }},
      {"resource":       {
         "resourceType": "List",
         "id": "ee198552-a635-11ed-bb11-0adb7c23cfe0",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"]},
         "status": "current",
         "mode": "snapshot",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "24781000000107",
            "display": "Category (EHR)"
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "encounter": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "orderedBy": {"coding": [         {
            "system": "http://hl7.org/fhir/list-order",
            "code": "system",
            "display": "Sorted by System"
         }]},
         "title": "Plan",
         "entry": [{"item": {"reference": "Observation/f3b4148c-a635-11ed-a3d3-0a58a9feac02"}}]
      }},
      {"resource":       {
         "resourceType": "Observation",
         "id": "f3b4148c-a635-11ed-a3d3-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"]},
         "identifier": [         {
            "system": "https://medicus.health",
            "value": "f3b4148c-a635-11ed-a3d3-0a58a9feac02"
         }],
         "status": "final",
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "56265001",
            "display": "Heart disease",
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
               "extension": [               {
                  "url": "descriptionId",
                  "valueId": "93561011"
               }]
            }]
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "context": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"},
         "effectiveDateTime": "2023-02-06",
         "issued": "2023-02-06T00:00:00+00:00",
         "performer":          [
            {"reference": "Practitioner/78f405fe-a9c9-11ec-a0ff-0a58a9feac02"},
            {"reference": "Organization/N82090"}
         ]
      }},
      {"resource":       {
         "resourceType": "Condition",
         "id": "e5225ff6-ec9e-11ec-b38a-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"]},
         "extension":          [
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
               "valueCode": "major"
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1",
               "extension":                [
                                    {
                     "url": "type",
                     "valueCode": "sibling"
                  },
                                    {
                     "url": "target",
                     "valueReference": {"reference": "Condition/f057a9a8-ec9e-11ec-ab85-0a58a9feac02"}
                  }
               ]
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Encounter/b54392c6-0816-11ed-9344-069ffbeb8efa"}
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Observation/b69c2cfe-0817-11ed-90d9-069ffbeb8efa"}
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Encounter/8dbadb3a-a634-11ed-af2e-0adb7c23cfe0"}
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Observation/df0d1240-a635-11ed-a297-0a58a9feac02"}
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Observation/e9e8a03a-a635-11ed-85f8-0adb7c23cfe0"}
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
               "valueReference": {"reference": "Observation/f3b4148c-a635-11ed-a3d3-0a58a9feac02"}
            }
         ],
         "identifier": [         {
            "system": "https://medicus.health",
            "value": "e5225ff6-ec9e-11ec-b38a-0a58a9feac02"
         }],
         "clinicalStatus": "active",
         "category": [{"coding": [         {
            "system": "http://hl7.org/fhir/condition-category",
            "code": "problem-list-item",
            "display": "Problem List Item"
         }]}],
         "code": {"coding": [         {
            "system": "http://snomed.info/sct",
            "code": "414545008",
            "display": "Ischaemic heart disease",
            "extension": [            {
               "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
               "extension":                [
                                    {
                     "url": "descriptionId",
                     "valueId": "2537479013"
                  },
                                    {
                     "url": "descriptionDisplay",
                     "valueString": "IHD - Ischemic heart disease"
                  }
               ]
            }]
         }]},
         "subject": {"reference": "Patient/4d59c916-9726-11ec-af3f-0a58a9feac02"},
         "assertedDate": "2022-06-15T12:32:53+01:00",
         "asserter": {"reference": "Practitioner/bb1e3008-ba45-11ec-9b67-0a58a9feac02"}
      }},
      {"resource":       {
         "resourceType": "Practitioner",
         "id": "bb1e3008-ba45-11ec-9b67-0a58a9feac02",
         "meta":          {
            "versionId": "acfbb3553175835c05b58346e1e8ed99",
            "profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"]
         },
         "active": true,
         "name": [         {
            "use": "official",
            "text": " Andrew Guiseley",
            "family": " Andrew Guiseley"
         }]
      }},
      {"resource":       {
         "resourceType": "Condition",
         "id": "f057a9a8-ec9e-11ec-ab85-0a58a9feac02",
         "meta": {"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"]},
         "extension":          [
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
               "valueCode": "major"
            },
                        {
               "url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedProblemHeader-1",
               "extension":                [
                                    {
                     "url": "type",
                     "valueCode": "sibling"
                  },
                                    {
                     "url": "target",
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}

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