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.

Release Notes


  • UKCore fhir.r4.ukcore.stu3.currentbuild 0.0.3-pre-release


  • UKCore fhir.r4.ukcore.stu1 version 1.0.0-pre-release
  • Removal of BARS Conformance resources.



NHS Digital version 2.5.0

  • UKCore fhir.r4.ukcore.stu1 version 0.5.0
  • Support for eRS


  • Based on UK Core Implementation Guide 0.1.0 - STU1 (ukcore.release1.stu1.01.01)
  • Numerous examples changed following FHIR Validation
  • Support for COVID Exemption API
  • Task.reasonCode altered to prefer SNOMED CT concepts
  • Profiling of NHSDigital-MessageHeader relaxed.
  • NHSDigital-PractitionerRole and NHSDigital-Practitioner now has constraint rules.
  • NHSDigital-Patient now has constraint rules
  • NHSDigital-Observation COVID Test pillar corrections
  • sds-user-id now optional in NHSDigital-Practitioner


NHSDigital-Patient extension https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSCommunication has been removed from the profile as it is no longer supported in UKCore.

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