ePMA Implementation Guidance for FHIR STU3

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.
Please note: This guidance has been superseded by the Implementation guide for digitial medicines, which contains up-to-date information.

Element: identifier

For an STU3 implementation record the patient’s NHS Number as an identifier.

  • The Patient.identifier.use should be official
  • The Patient.identifier.type should be MR
  • The Patient.identifier.value must be the patient’s NHS Number
  • The Patient.identifier.period can be omitted unless there is a known validity period for the NHS Number

For a CareConnect implementation the identifier (nhsNumber) extension should be used for the patient’s NHS Number.

Additionally an implementation can populate an additional identifier to record any local patient identifier that is necessary for local business process interoperability.


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