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.

Message Definitions

prescription-order

description
Ordering of medications

eventCoding

category

category
consequence

focus

code	profile	min	max
MedicationRequest	https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationRequest-Message	1	4
CommunicationRequest	https://fhir.nhs.uk/StructureDefinition/NHSDigital-CommunicationRequest	0	*

documents

description
Used to exchange a clinical document. One of FHIR Binary or FHIR Bundle (type=document) is required. If a Binary is supplied a DocumentReference MUST also be supplied.

eventCoding

category

category
consequence

focus

code	profile	min	max
DocumentReference	https://fhir.nhs.uk/StructureDefinition/NHSDigital-DocumentReference	1	*
Patient	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient	0	1
Binary		0	*
Bundle		0	*

Examples

Document with patient referenced by NHS Number (no Patient resource) d12dc439-ca5c-4177-bb70-4fece88edab0 message
Document with Patient resource 3d0c9cc7-60ea-44e0-9ee8-765abbb660dd message

dispense-notification

description
Notification of dispensed medication

eventCoding

category

category
notification

focus

code	profile	min	max
MedicationDispense	https://fhir.nhs.uk/StructureDefinition/NHSDigital-MedicationDispense-Message	1	*

appointment

description
Used create an appointment.

eventCoding

category

category
consequence

focus

code	profile	min	max
Appointment		1	*
Patient	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient	0	1

vaccinations

description
Notification of immunisations.

eventCoding

category

category
notification

focus

code	profile	min	max
Immunization	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Immunization	1	*

unsolicited-observations

description
Unsolicited transmission of an observation message. If a Patient resource is not supplied, a NHS Number must be present in the DiaganosticReport and Observations

eventCoding

category

category
notification

focus

code	profile	min	max
DiagnosticReport	https://fhir.hl7.org.uk/StructureDefinition/UKCore-DiagnosticReport	0	*
Observation	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Observation	1	*
Patient	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient	0	1
PractitionerRole	https://fhir.nhs.uk/StructureDefinition/NHSDigital-PractitionerRole	0	*

Examples

Observations with patient referenced by NHS Number (no Patient resource) d0cf7825-1576-419b-8cbd-88db3ea1c70c message

referral

description
Patient referral

eventCoding

category

category
consequence

focus

code	profile	min	max
ServiceRequest	https://fhir.hl7.org.uk/StructureDefinition/UKCore-ServiceRequest	1	1
Patient	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Patient	1	1
DocumentReference	https://fhir.nhs.uk/StructureDefinition/NHSDigital-DocumentReference	1	*
Binary		0	*
Bundle	https://fhir.nhs.uk/StructureDefinition/NHSDigital-Bundle-FHIRDocument	0	*

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