UK Core Clinical and Technical Assurance Sprint 4 Documentation Pack

UK Core Clinical and Technical Assurance Sprint 4 Documentation Pack

OperationOutcome Delta

There is no Care Connect version of the OperationOutcome. However, there are a range of existing ValueSets in existence such as these examples created by NHSDigital:

  • NHSDigital OperationOutcome Codes
  • eRS API Error Codes
  • Spine Error Or Warning Codes
  • ITK Response Codes

We conducted some initial analysis across these ValueSets and discovered there are some existing challenges to pursue a UK Core ValueSet for OperationOutcome.

Across the ValueSets, there are some examples where there is almost a like-for-like relationship between ValueSet Codes. For example, NHSDigital OperationOutcome Code 'ACCESS_DENIED' and Spine Error Or Warning Code 'ACCESS_DENIED' have the same code name and a very similar meaning. The eRS API Error Code 'NO_ACCESS' has a similiar meaning to the meanings of 'ACCESS_DENIED' although there is ambiguity as to whether access has been denied due to insufficient user authorisation or whether it could be for a different reason such as the feature or system being disabled. Additionally, the ITK Response Code '20012' represents the meaning of 'Unauthorised Sender' which might mean it is related to the above OperationOutcome in terms of the authentication/permission of the user but not in relation to the system functionality.

However, there are some challenging examples where there are some ValueSet Codes that have no possible mapping with any other ValueSets. For example, the NHSDigital OperationOutcome Code 'INVALID_CHECK_DIGIT' is purely in relation to a business process for electronic prescriptions for the Electronic Prescription Service (EPS). However, there are no codes in the other ValueSets that directly map to this.

For the C&TA we propose to discuss how can formulate a UK Core ValueSet for OperationOutcome as well as clarify the appetite for this to be handled at the UK Core level.

NHSDigital OperationOutcome Codes

This value set includes codes from the following code systems:

  • Import all codes from CodeSystem Spine-ErrorOrWarningCode
  • Import all codes from CodeSystem EPS-IssueCode
Code System Display
ACCESS_DENIED https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Access has been denied to process this request
ADDITIONAL_PROPERTIES https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Additional properties
CLAIM_AMEND_PERIOD_ISSUE https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Claim amendment is not permitted outside of the claim period
MISSING_DIGITAL_SIGNATURE https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Digital signature not found
DISPENSE_AMEND_IDENTIFIER_MISMATCH https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Dispense Amendment/Cancellation Request does not pertain to Last Dispense
DUPLICATE_MEDICATIONREQUEST_ID https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Duplicate item ID exists
DUPLICATE_PRESCRIPTION_ID https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Duplicate prescription ID exists
INVALID_CHECK_DIGIT https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Error in check digit
FAILURE_TO_PROCESS_MESSAGE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Failure to process message
FORBIDDEN_UPDATE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Forbidden update
INVALID_DATE_FORMAT https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Format of date passed is invalid
SERVICE_DISABLED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode functionality disabled in spine
CLAIM_INVALID_NOT_DISPENSED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Invalid Claim. Prescription is not Dispensed
INVALID_MESSAGE https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Invalid message
INVALID_RESOURCE_ID https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Invalid resource ID
INVALID_SEARCH_DATA https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Invalid search data
PRESCRIPTION_INVALID_STATE_TRANSITION https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Invalid State Transition for Prescription
MEDICATIONREQUEST_INVALID_STATE_TRANSITION https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Invalid State Transition for Prescription Item
INVALID_UPDATE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Invalid update
INVALID_VALUE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Invalid value
INVALIDATED_RESOURCE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Invalidated resource
MISMATCH_AUTHORISED_REPEAT_COUNT https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Mismatch in authorised repeat counts
MISSING_VALUE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode
NO_MORE_PRESCRIPTIONS https://fhir.nhs.uk/CodeSystem/EPS-IssueCode No more prescriptions available
INVALID_NUMBER_MEDICATIONREQUESTS https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Number of items on a prescription should be between 1 and 4
PATIENT_DECEASED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Patient is recorded as dead
POLLING_ID_NOT_FOUND https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Polling ID not found
POLLING_MESSAGE_FAILURE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Polling message failure
PRECONDITION_FAILED https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Precondition failed
PRESCRIPTION_NOT_FOUND https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription can not be found. Contact prescriber
PRESCRIPTION_CANCELLED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription has been cancelled
PRESCRIPTION_DISPENSED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription has been dispensed
PRESCRIPTION_EXPIRED https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription has expired
PRESCRIPTION_WITH_ANOTHER_DISPENSER https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription is with another dispenser
MEDICATIONREQUEST_NOT_FOUND https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Prescription Item Not found
INVALID_REPEAT_COUNT https://fhir.nhs.uk/CodeSystem/EPS-IssueCode Repeat count should be between 1 and 99
RESOURCE_NOT_FOUND https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Resource not found
RESOURCE_VERSION_MISMATCH https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Resource version mismatch
TOO_FEW_VALUES_SUBMITTED https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Too few values submitted
TOO_MANY_MATCHES https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Too many matches
TOO_MANY_VALUES_SUBMITTED https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Too many values submitted
UNABLE_TO_CALL_SERVICE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Unable to call service
UNSUPPORTED_SERVICE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Unsupported service
UNSUPPORTED_VALUE https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Unsupported value
VALIDATION_ERROR https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode Validation error

eRS API Error Codes

This value set includes codes from the following code systems:

  • Import all codes from CodeSystem eRS-APIErrorCode-1
Code System Display
CONFLICTING_VALUES https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Conflicting values
DUPLICATE_FILENAME https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The Filename of one of the files that correspond to the IDs supplied exactly matches (including extension) that of an existing file already associated with the referral.
FHIR_CONSTRAINT_VIOLATION https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 FHIR constraint violated
FIELD_NOT_PERMITTED https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 This field, although expected by the operation, is not applicable in some cases due to business rules.
FILE_SIZE_ERROR https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The file is either empty or too large.
INAPPROPRIATE_VALUE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A value, which is acceptable under different conditions, is inappropriate in the context of the other information provided with the request.
INVALID_CODE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Invalid code
INVALID_FHIR_STRUCTURE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The Spring framework is unable to interpret the provided json as FHIR.
INVALID_REQUEST_STATE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Invalid Request State
INVALID_REQUEST_TYPE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Invalid Request Type
INVALID_STATE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A referenced entity in an invalid state for the operation to proceed.
INVALID_VALUE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Invalid value
MISSING_VALUE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A mandatory input field is missing
NO_ACCESS https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The current user does not have permission to access one of the entities referenced.
NO_ACCESS_CODE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The patient record is missing the access code that is necessary to log onto Manage My Referrals
NO_RELATIONSHIP https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 No Relationship
ORGANISATION_IS_CLOSED https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The selected organisation is marked as closed
ORGANISATION_NOT_APPROPRIATE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The selected organisation is of a type that is not suitable for the operation.
PATHWAY_SERVICE_UNAVAILABLE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A service listed as a pathway to a restricted service is not compatible with the search criteria or not available to the logged in user because of commissioning or other rules.
PATIENT_ERROR https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 An error occurred while fetching the patient's record from PDS.
PATIENT_SENSITIVE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Patient Sensitive
REFERENCED_USER_IS_NOT_ACTIVE https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A user is not marked as active in SDS.
REFERENCED_USER_IS_NOT_RC https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The referenced user doesn't have the Referring Clinician Role.
REFERENCED_USER_IS_NOT_SPC https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The referenced user doesn't have the Service Provider Clinician Role.
REFERENCED_USER_NOT_IN_ORG https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The referenced user is not in the required organisation.
REFERENCE_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 An entity referenced in the body of the request is not found when looked up.
SERVICE_IS_NOT_RESTRICTED https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The service provided is not restricted for the user.
SERVICE_NOT_IN_RESULTS https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 The restricted service provided is not compatible with the search criteria.
SHORTLISTED_SERVICE_IS_RESTRICTED https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A service proposed for shortlisting is marked as 'restricted' and is therefore not directly available to the user.
SHORTLISTED_SERVICE_NOT_AUTH_PATHWAY https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A service proposed for shortlisting is not an authorised pathway service for the restricted service indicated.
SHORTLISTED_SERVICE_NOT_IN_RESULTS https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A service proposed for shortlisting is not compatible with the search criteria.
SNOMED_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 A SNOMED code, while potentially valid in the latest version of the international dictionary, is not found in the e-RS copy of the dictionary.
TOO_MANY_ITEMS https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Too many items have been provided in an array or list.
UNEXPECTED_FIELD https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 Unexpected field
VALUE_IS_REQUIRED https://fhir.nhs.uk/STU3/CodeSystem/eRS-APIErrorCode-1 This fields, although defined as optional, is required in specific cases due to business rules.

Spine Error Or Warning Codes

This value set includes codes from the following code systems:

  • Import all codes from CodeSystem Spine-ErrorOrWarningCode-1
Code System Display
ACCESS DENIED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Access has been denied to process this request
ACCESS_DENIED_SSL https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 SSL Protocol or Cipher requirements not met
ASID_CHECK_FAILED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 The sender or receiver's ASID is not authorised for this interaction
AUTHOR_CREDENTIALS_ERROR https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Author credentials error
BAD_REQUEST https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Bad request
CONFLICTING_VALUES https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Conflicting values have been specified in different fields
DEPRECATED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Event message type has been deprecated
DUPLICATE_REJECTED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Create would lead to creation of a duplicate resource
FHIR_CONSTRAINT_VIOLATION https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 FHIR constraint violated
FLAG_ALREADY_SET https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Flag value was already set
INTERNAL_SERVER_ERROR https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Unexpected internal server error
INVALID_CODE_SYSTEM https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid code system
INVALID_CODE_VALUE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid code value
INVALID_ELEMENT https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid element
INVALID_IDENTIFIER_SYSTEM https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid identifier system
INVALID_IDENTIFIER_VALUE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid identifier value
INVALID_NHS_NUMBER https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid NHS number
INVALID_PARAMETER https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid parameter
INVALID_PATIENT_DEMOGRAPHICS https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid patient demographics
INVALID_REQUEST_MESSAGE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid request message
INVALID_REQUEST_STATE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 The request exists but is not in an appropriate state for the call to succeed
INVALID_REQUEST_TYPE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 The type of request is not supported by the API call
INVALID_RESOURCE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Invalid validation of resource
INVALID_VALUE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 An input field has an invalid value for its type
MESSAGE_NOT_WELL_FORMED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Message not well formed
MISSING_OR_INVALID_HEADER https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 There is a required header missing or invalid
MSG_RESOURCE_ID_FAIL https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Client is not permitted to assign an id
NOT_IMPLEMENTED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Not implemented
NO_LONGER_SUPPORTED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Event message type is no longer supported
NO_ORGANISATIONAL_CONSENT https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Organisation has not provided consent to share data
NO_PATIENT_CONSENT https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Patient has not provided consent to share data
NO_RECORD_FOUND https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 No record found
NO_RELATIONSHIP https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 No legitimate relationship exists with this patient
ORGANISATION_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Organisation not found
PATIENT_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Patient not found
PATIENT_SENSITIVE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Patient sensitive
PRACTITIONER_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Practitioner not found
REFERENCE_NOT_FOUND https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Reference not found
REQUEST_UNMATCHED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Request does not match authorisation token
RESOURCE_CREATED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 New resource created
RESOURCE_DELETED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Resource removed
RESOURCE_UPDATED https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Resource has been successfully updated
UNSUPPORTED_MEDIA_TYPE https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Unsupported media type
WITHDRAWN https://fhir.nhs.uk/STU3/CodeSystem/Spine-ErrorOrWarningCode-1 Event message type has been withdrawn

ITK Response Codes

This value set includes codes from the following code systems:

  • Import all codes from CodeSystem ITK-ResponseCodes-1
Code System Display
10001 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Handling Specification Error
10002 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Infrastructure Level Response Value - Processing Error
10003 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Business Level Response Value - Processing Error
10004 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Message Definition Value - Processing Error
10005 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Message Definition Version Value - Processing Error
10007 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Sender Reference Value - Processing Error
10008 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Handling Specification Business Rule Error
10009 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unreadable message received
10010 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Recipient Type - Processing Error
20001 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unrecognised Recipient Person
20002 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unrecognised Recipient Organisation
20003 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unrecognised Sender
20004 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Non-Approved file type received as an attachment
20005 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unsupported file type received as an attachment
20006 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 ITK header validation failure
20007 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Duplicate Message received
20008 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Duplicate Document received
20009 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Payload validation failure
20010 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unrecognised Payload Recipient Organisation
20011 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unrecognised Payload Recipient Person
20012 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unauthorised Sender
20013 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Success
20014 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Unable to Process Replacement Document
30001 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Patient known here. (e.g. Patient is registered here)
30002 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Patient not known here. (aka 'patient record not present in system')
30003 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Patient no longer at this clinical setting
30004 https://fhir.nhs.uk/STU3/CodeSystem/ITK-ResponseCodes-1 Patient known here and recently deceased (i.e. patient record current in GP practice system at time of patient’s death and deduction subsequently occurred for this reason)
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