Problem examples
Example 1
Request
Example of a call to return the following items from a patient's structured record:- Problems
Request payload
{
"resourceType": "Parameters",
"parameter": [
{
"name": "patientNHSNumber",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
{
"name": "includeProblems",
"part": [
{
"name": "filterStatus",
"valueCode": "active"
}
]
}
]
}
Response
Response payload
{
"resourceType": "Bundle",
"id": "5a1b20a7-c527-4a0d-8397-90ccf8e9df6f",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"
]
},
"type": "collection",
"entry": [
{
"resource": {
"resourceType": "List",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ClinicalSetting-1",
"valueCodeableConcept": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "1060971000000108",
"display": "General practice service"
}
]
}
}
],
"status": "current",
"mode": "snapshot",
"title": "Problems",
"code": {
"coding": [
{
"system": "http://snomed.info/sct",
"code": "717711000000103",
"display": "Problems"
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"date": "2024-09-03T13:55:35.095+00:00",
"orderedBy": {
"coding": [
{
"system": "http://hl7.org/fhir/list-order",
"code": "event-date",
"display": "Sorted by Event Date"
}
]
},
"entry": [
{
"item": {
"reference": "Condition/B7C7F70B-0010-4008-984A-1321EFD11FA5-PROB"
}
},
{
"item": {
"reference": "Condition/ED8A9A3F-7C56-48A3-8D5A-D8397F4C1E4E-PROB"
}
},
{
"item": {
"reference": "Condition/036B6C5C-6486-45AA-9D50-B5DA3D013DFA-PROB"
}
},
{
"item": {
"reference": "Condition/8C95450D-29BC-44A6-AF5A-75B7EB0944AB-PROB"
}
},
{
"item": {
"reference": "Condition/D41D92C6-DD72-4C21-9A18-D44D33255BC1-PROB"
}
}
]
}
},
{
"resource": {
"resourceType": "Patient",
"id": "3DBF8288-3CBD-4C18-8D20-367404B511D5",
"meta": {
"versionId": "2807984394789697926",
"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": "preferredBranchSurgery",
"valueReference": {
"reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57"
}
}
]
}
],
"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"
}
],
"text": "Number present and verified"
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9730146896"
}
],
"name": [
{
"use": "official",
"family": "Munyaradzi",
"given": [
"Naaif",
"Usamah"
],
"prefix": [
"Mr"
]
}
],
"gender": "male",
"birthDate": "1980-07-08",
"address": [
{
"use": "home",
"type": "physical",
"line": [
"1 Glenwilley",
"Great Corby"
],
"city": "Carlisle",
"postalCode": "CA4 8NF"
}
],
"generalPractitioner": [
{
"reference": "Practitioner/3F42DF6F-FD94-47F4-859F-CE34B6F28C00"
}
],
"managingOrganization": {
"reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757"
}
}
},
{
"resource": {
"resourceType": "Condition",
"id": "B7C7F70B-0010-4008-984A-1321EFD11FA5-PROB",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
"valueReference": {
"reference": "Observation/B7C7F70B-0010-4008-984A-1321EFD11FA5"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "Encounter/9CF31332-08B0-4671-A7A7-ABF920E6B05B"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "List/9CF31332-08B0-4671-A7A7-ABF920E6B05B-PG0"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/47EBD505-6DAE-4764-9804-CCE2B4B61D6C"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/7094C3A8-21C7-4A75-B4A0-CE08868C0FC8"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "AllergyIntolerance/5B0CAD40-B54F-4019-A26C-36528F4EDB8B"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/63EBC946-4127-4E77-9846-4B160F453C23"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/75AC6451-E092-40BC-A4DB-AB6EEFF9A184"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/75AC6451-E092-40BC-A4DB-AB6EEFF9A184-HD-1"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/0709E530-5711-4202-9FAC-CEA59FE5D35D"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/89CC947F-D80B-4275-BB57-1FF2AAEA7035"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/51E09D20-CACA-45F2-A92D-80C500A968D1"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "MedicationRequest/99B64756-868D-4931-B259-47E40725743E"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
"valueCode": "major"
}
],
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D5B7C7F70B00104008984A1321EFD11FA5PROB"
}
],
"clinicalStatus": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "301485011"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "195967001",
"display": "Asthma",
"userSelected": true
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"context": {
"reference": "Encounter/9CF31332-08B0-4671-A7A7-ABF920E6B05B"
},
"onsetDateTime": "2024-02-01T14:38:00+00:00",
"assertedDate": "2024-02-01T14:42:04.4+00:00",
"asserter": {
"reference": "Practitioner/3F42DF6F-FD94-47F4-859F-CE34B6F28C00"
}
}
},
{
"resource": {
"resourceType": "Condition",
"id": "ED8A9A3F-7C56-48A3-8D5A-D8397F4C1E4E-PROB",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
"valueReference": {
"reference": "Observation/ED8A9A3F-7C56-48A3-8D5A-D8397F4C1E4E"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
"valueCode": "major"
}
],
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D5ED8A9A3F7C5648A38D5AD8397F4C1E4EPROB"
}
],
"clinicalStatus": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "1787541000006117"
},
{
"url": "descriptionDisplay",
"valueString": "Do not attempt CPR (DNACPR) form in place"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "1787541000006101",
"display": "Do not attempt CPR (DNACPR) form in place",
"userSelected": true
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"onsetDateTime": "2024-04-24",
"assertedDate": "2024-04-24T12:14:16.293+01:00",
"asserter": {
"reference": "Practitioner/3F42DF6F-FD94-47F4-859F-CE34B6F28C00"
},
"note": [
{
"text": "DNACPR code added to patient, recorded as a problem"
}
]
}
},
{
"resource": {
"resourceType": "Condition",
"id": "036B6C5C-6486-45AA-9D50-B5DA3D013DFA-PROB",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
"valueReference": {
"reference": "AllergyIntolerance/036B6C5C-6486-45AA-9D50-B5DA3D013DFA"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "AllergyIntolerance/637B0389-8D6A-4E82-87ED-03132B8C7643"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-RelatedClinicalContent-1",
"valueReference": {
"reference": "AllergyIntolerance/BBC8BA62-D048-42AF-B65C-0CE6D38D8577"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
"valueCode": "major"
}
],
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D5036B6C5C648645AA9D50B5DA3D013DFAPROB"
}
],
"clinicalStatus": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "3750364011"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "293586001",
"display": "Allergy to aspirin",
"userSelected": true
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"onsetDateTime": "2024-06-03",
"assertedDate": "2024-06-05T11:31:33.223+01:00",
"asserter": {
"reference": "Practitioner/3F42DF6F-FD94-47F4-859F-CE34B6F28C00"
},
"note": [
{
"text": "descriptive text 05 june flagged as a problem, onset date 03 june"
}
]
}
},
{
"resource": {
"resourceType": "Condition",
"id": "8C95450D-29BC-44A6-AF5A-75B7EB0944AB-PROB",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
"valueReference": {
"reference": "AllergyIntolerance/8C95450D-29BC-44A6-AF5A-75B7EB0944AB"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
"valueCode": "minor"
}
],
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D58C95450D29BC44A6AF5A75B7EB0944ABPROB"
}
],
"clinicalStatus": "inactive",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "1107221000006118"
},
{
"url": "descriptionDisplay",
"valueString": "Adverse reaction to Metanium Nappy Rash"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "1107221000006102",
"display": "Adverse reaction to Metanium Nappy Rash",
"userSelected": true
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"onsetDateTime": "2024-06-10",
"assertedDate": "2024-06-10T12:04:05.007+01:00",
"asserter": {
"reference": "Practitioner/A6D3B7DE-E5F4-49FC-9F7F-6A9781829009"
},
"note": [
{
"text": "adverse reaction test 10 june"
}
]
}
},
{
"resource": {
"resourceType": "Condition",
"id": "D41D92C6-DD72-4C21-9A18-D44D33255BC1-PROB",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProblemHeader-Condition-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-ActualProblem-1",
"valueReference": {
"reference": "Observation/D41D92C6-DD72-4C21-9A18-D44D33255BC1"
}
},
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-ProblemSignificance-1",
"valueCode": "major"
}
],
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D5D41D92C6DD724C219A18D44D33255BC1PROB"
}
],
"clinicalStatus": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "problem-list-item",
"display": "Problem List Item"
}
]
}
],
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "267426013"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "172733004",
"display": "Implantation of extracochlear prosthesis",
"userSelected": true
}
]
},
"subject": {
"reference": "Patient/3DBF8288-3CBD-4C18-8D20-367404B511D5"
},
"onsetDateTime": "2024-06-12",
"assertedDate": "2024-06-14T09:00:31.21+01:00",
"asserter": {
"reference": "Practitioner/3F42DF6F-FD94-47F4-859F-CE34B6F28C00"
},
"note": [
{
"text": "Cochlear implant. Added to record on 2024-06-14 with a date entry of 2024-06-12. Recorded as a problem."
}
]
}
},
{
"resource": {
"resourceType": "Organization",
"id": "5E496953-065B-41F2-9577-BE8F2FBD0757",
"meta": {
"versionId": "1112974926854455048",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MainLocation-1",
"valueReference": {
"reference": "Location/EB3994A6-5A87-4B53-A414-913137072F57"
}
}
],
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "A82038"
}
],
"type": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-OrganisationType-1",
"code": "gp-practice"
}
],
"text": "GP Practice"
}
],
"name": "TEMPLE SOWERBY MEDICAL PRACTICE",
"telecom": [
{
"system": "phone",
"value": "01133800000",
"use": "work",
"rank": 1
}
],
"address": [
{
"use": "work",
"type": "physical",
"line": [
"Fulford Grange",
"Micklefield Lane",
"Rawdon",
"Rawdon"
],
"city": "Leeds",
"district": "Yorkshire",
"postalCode": "LS19 6BA"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "3F42DF6F-FD94-47F4-859F-CE34B6F28C00",
"meta": {
"versionId": "2965114434625595420",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
]
},
"name": [
{
"use": "official",
"family": "Allen",
"given": [
"Alexander"
],
"prefix": [
"Dr"
]
}
],
"gender": "unknown"
}
},
{
"resource": {
"resourceType": "Location",
"id": "EB3994A6-5A87-4B53-A414-913137072F57",
"meta": {
"versionId": "6653785719080073703",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1"
]
},
"status": "active",
"name": "GP Test Practice Location",
"type": {
"text": "Main Surgery"
},
"telecom": [
{
"system": "phone",
"value": "01133800000",
"use": "work",
"rank": 1
}
],
"address": {
"use": "work",
"type": "physical",
"line": [
"Fulford Grange",
"Micklefield Lane",
"Rawdon",
"Rawdon"
],
"city": "Leeds",
"district": "Yorkshire",
"postalCode": "LS19 6BA"
},
"managingOrganization": {
"reference": "Organization/5E496953-065B-41F2-9577-BE8F2FBD0757",
"display": "TEMPLE SOWERBY MEDICAL PRACTICE"
}
}
},
{
"resource": {
"resourceType": "Observation",
"id": "B7C7F70B-0010-4008-984A-1321EFD11FA5",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1"
]
},
"identifier": [
{
"system": "https://localsystem/A82038",
"value": "3DBF82883CBD4C188D20367404B511D5B7C7F70B00104008984A1321EFD11FA5"
}
],
"status": "final",
"code": {
"coding": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "descriptionId",
"valueId": "301485011"
}
]
}
],
"system": "http://snomed.info/sct",
"code": "195967001",
"display": "Asthma",
"userSelected": true
}
]
},
"subject": {
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