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.


Important: This is version 2.8.0. For a full list of available versions, see the directory of published versions

This NHS England FHIR Implementation Guide provides additional guidance, rules and constraints which extends the UK Core Implementation Guide.

The scope of this guide is NHS England, it also contains English NHS rules and constraints which are documented in Level 3 - Administration

Level 1 - Foundation

Basic framework on which the specification is built. See NHS England FHIR Policy for more details.

Level 2 - Implementation Support

Supporting implementation and binding to external specifications, covering: FHIR Validation , Exchange and Exchange Patterns.

See Implementation Support for more details.

Conformance Security Other
NHSDigital-CapabilityStatement NHSDigital-Provenance NHSDigital-Bundle
NHSDigital-MessageDefinition Consent NHSDigital-MessageHeader
NHSDigital-OperationDefinition AuditEvent NHSDigital-OperationOutcome

Level 3 - Administration

Linking to real world concepts in the healthcare system. See Administration for more details.

Individuals Entities Management
NHSDigital-Patient NHSDigital-Location NHSDigital-Appointment
NHSDigital-Practitioner NHSDigital-Organization NHSDigital-Encounter
NHSDigital-PractitionerRole NHSDigital-HealthcareService NHSDigital-Flag

Level 4 - Record Keeping and Data Exchange

Record-keeping and Data Exchange for the healthcare process. See also NHS Digital Workflow and Medications supplements.

Diagnostics Medications Workflow
NHSDigital-Observation NHSDigital-Immunization NHSDigital-ServiceRequest
NHSDigital-QuestionnaireResponse NHSDigital-MedicationRequest NHSDigital-Task
Document Definitional Artifacts Other
NHSDigital-Composition NHSDigital-Questionnaire NHSDigital-Claim
NHSDigital-DocumentReference NHSDigital-CommunicationRequest

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