NHS England FHIR Implementation Guide (deprecated)

Important Announcement regarding this Implementation Guide
  • As of 04/10/2023, this implementation guide has been deprecated and all development on the legacy NHS England FHIR Implementation Guide assets has ceased.
  • Therefore, vendors looking to start new implementations or looking to update existing implementations should use the new NHS England Implementation Guide. Vendors continuing to implement legacy NHS England FHIR Implementation Guide based solutions do so at their own risk and on the understanding that no maintenance or support will be available.

Inpatient Encounter

{
    "resourceType": "Encounter",
    "id": "9d222207-7b26-42a0-9abe-f9883a330662",
    "identifier":  [
        {
            "system": "https://fhir.leedsth.nhs.uk/Id/encounter",
            "value": "6f40cebe-7b55-461d-9d7f-eadb4c065762"
        }
    ],
    "status": "finished",
    "class": {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "IMP",
        "display": "inpatient encounter"
    },
    "type":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "185212007",
                    "display": "Seen in hospital ward"
                }
            ]
        }
    ],
    "serviceType": {
        "coding":  [
            {
                "system": "https://fhir.nhs.uk/CodeSystem/NHSDataModelAndDictionary-treatment-function",
                "code": "320",
                "display": "CARDIOLOGY"
            }
        ]
    },
    "subject": {
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/nhs-number",
            "value": "9871234567"
        },
        "display": "Richard Smith"
    },
    "episodeOfCare":  [
        {
            "identifier": {
                "system": "https://fhir.leedsth.nhs.uk/Id/stay-number",
                "value": "CARDIO-12345"
            }
        }
    ],
    "participant":  [
        {
            "type":  [
                {
                    "coding":  [
                        {
                            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                            "code": "ADM",
                            "display": "admitter"
                        }
                    ]
                }
            ],
            "individual": {
                "identifier":  [
                    {
                        "system": "https://fhir.nhs.uk/Id/gmc-number",
                        "value": "C12345678"
                    }
                ],
                "display": "Dr Sandra Goose"
            }
        }
    ],
    "period": {
        "start": "2019-12-10T13:00:00+00:00",
        "end": "2019-12-11T13:00:00+00:00"
    },
    "reasonCode":  [
        {
            "coding":  [
                {
                    "system": "http://snomed.info/sct",
                    "code": "7922000",
                    "display": "General treatment"
                }
            ]
        }
    ],
    "hospitalization": {
        "dischargeDisposition": {
            "coding":  [
                {
                    "system": "https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestination",
                    "code": "19",
                    "display": "Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode."
                }
            ]
        }
    },
    "location":  [
        {
            "location": {
                "identifier": {
                    "system": "https://fhir.nhs.uk/Id/ods-organization-code",
                    "value": "RR801"
                },
                "display": "St James Hospital"
            }
        },
        {
            "location": {
                "identifier": {
                    "system": "https://fhir.leedsth.nhs.uk/Id/ward-number",
                    "value": "WARD-B20"
                },
                "display": "Ward B20"
            }
        }
    ],
    "serviceProvider": {
        "identifier": {
            "system": "https://fhir.nhs.uk/Id/ods-organization-code",
            "value": "RR8"
        },
        "display": "Leeds Teaching Trust"
    }
}
<Encounter xmlns="http://hl7.org/fhir">
    <id value="9d222207-7b26-42a0-9abe-f9883a330662" />
    <identifier>
        <system value="https://fhir.leedsth.nhs.uk/Id/encounter" />
        <value value="6f40cebe-7b55-461d-9d7f-eadb4c065762" />
    </identifier>
    <status value="finished" />
    <class>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" />
        <code value="IMP" />
        <display value="inpatient encounter" />
    </class>
    <type>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="185212007" />
            <display value="Seen in hospital ward" />
        </coding>
    </type>
    <serviceType>
        <coding>
            <system value="https://fhir.nhs.uk/CodeSystem/NHSDataModelAndDictionary-treatment-function" />
            <code value="320" />
            <display value="CARDIOLOGY" />
        </coding>
    </serviceType>
    <subject>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/nhs-number" />
            <value value="9871234567" />
        </identifier>
        <display value="Richard Smith" />
    </subject>
    <episodeOfCare>
        <identifier>
            <system value="https://fhir.leedsth.nhs.uk/Id/stay-number" />
            <value value="CARDIO-12345" />
        </identifier>
    </episodeOfCare>
    <participant>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" />
                <code value="ADM" />
                <display value="admitter" />
            </coding>
        </type>
        <individual>
            <identifier>
                <system value="https://fhir.nhs.uk/Id/gmc-number" />
                <value value="C12345678" />
            </identifier>
            <display value="Dr Sandra Goose" />
        </individual>
    </participant>
    <period>
        <start value="2019-12-10T13:00:00+00:00" />
        <end value="2019-12-11T13:00:00+00:00" />
    </period>
    <reasonCode>
        <coding>
            <system value="http://snomed.info/sct" />
            <code value="7922000" />
            <display value="General treatment" />
        </coding>
    </reasonCode>
    <hospitalization>
        <dischargeDisposition>
            <coding>
                <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestination" />
                <code value="19" />
                <display value="Usual place of residence unless listed below, for example, a private dwelling whether owner occupied or owned by Local Authority, housing association or other landlord. This includes wardened accommodation but not residential accommodation where health care is provided. It also includes Patients with no fixed abode." />
            </coding>
        </dischargeDisposition>
    </hospitalization>
    <location>
        <location>
            <identifier>
                <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
                <value value="RR801" />
            </identifier>
            <display value="St James Hospital" />
        </location>
    </location>
    <location>
        <location>
            <identifier>
                <system value="https://fhir.leedsth.nhs.uk/Id/ward-number" />
                <value value="WARD-B20" />
            </identifier>
            <display value="Ward B20" />
        </location>
    </location>
    <serviceProvider>
        <identifier>
            <system value="https://fhir.nhs.uk/Id/ods-organization-code" />
            <value value="RR8" />
        </identifier>
        <display value="Leeds Teaching Trust" />
    </serviceProvider>
</Encounter>
Encounter
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