Access Record Structured FHIR examples
The following is an example of a request/response where a consumer using version 1.3.0 of this specification attempts to request consultations, problems, medications and allergies from a provider who has implemented version 1.2.4 of the GP Connect API:
Example 1
Request
Example of a call to return the following items from a patient's structured record:
- Consultations
- Problems
- Medications
- Allergies
Request payload
{
"resourceType": "Parameters",
"parameter": [
{
"name": "patientNHSNumber",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
{
"name": "includeAllergies",
"part": [
{
"name": "includeResolvedAllergies",
"valueBoolean": true
}
]
},
{
"name": "includeMedication",
"part": [
{
"name": "includePrescriptionIssues",
"valueBoolean": true
},
{
"name": "medicationSearchFromDate",
"valueDate": "2017-06-04"
}
]
},
{
"name": "includeConsultations",
"part": [
{
"name": "includeNumberOfMostRecent",
"valueBoolean": 3
}
]
},
{
"name": "includeProblems",
"part": [
{
"name": "includeStatus",
"valueCode": "active"
},
{
"name": "includeSignificance",
"valueCode": "major"
}
]
}
]
}Response payload
{
"resourceType": "Bundle",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"
]
},
"type": "collection",
"entry": [
{
"resource": {
"resourceType": "Patient",
"id": "04603d77-1a4e-4d63-b246-d7504f8bd833",
"meta": {
"versionId": "1469448000000",
"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": "registrationPeriod",
"valuePeriod": {
"start": "1962-07-13T00:00:00+00:00"
}
}
]
}
],
"identifier": [
{
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/CareConnect-NHSNumberVerificationStatus-1",
"code": "01",
"display": "Number present and verified"
}
]
}
}
],
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
],
"active": true,
"name": [
{
"use": "official",
"text": "JACKSON Jane (Miss)",
"family": "Jackson",
"given": [
"Jane"
],
"prefix": [
"Miss"
]
}
],
"telecom": [
{
"system": "phone",
"value": "01454587554",
"use": "home"
}
],
"gender": "female",
"birthDate": "1952-05-31",
"address": [
{
"use": "home",
"type": "physical",
"line": [
"Cable Place",
"Roundhay"
],
"city": "Leeds",
"district": "West Yorkshire",
"postalCode": "LS1 5HT"
}
],
"generalPractitioner": [
{
"reference": "Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
}
],
"managingOrganization": {
"reference": "Organization/db67f447-b30d-442a-8e31-6918d1367eeb"
}
}
},
{
"resource": {
"resourceType": "Organization",
"id": "db67f447-b30d-442a-8e31-6918d1367eeb",
"meta": {
"versionId": "636064088098730113",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "O001"
}
],
"name": "The Trevelyan Practice",
"address": [
{
"line": [
"Trevelyan Square",
"Boar Ln"
],
"city": "Leeds",
"district": "West Yorkshire",
"postalCode": "LS1 6AE"
}
],
"telecom": [
{
"system": "phone",
"value": "03003035678",
"use": "work"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"id": "6c41ebfd-57c3-4162-9d7b-208c171a2fd7",
"meta": {
"versionId": "1469448000000",
"lastUpdated": "2016-07-25T12:00:00.000+00:00",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "G13579135"
}
],
"name": [
{
"use": "usual",
"family": "Gilbert",
"given": [
"Nichole"
],
"prefix": [
"Miss"
]
}
],
"gender": "female"
}
},
{
"resource": {
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-PractitionerRole-1"
]
},
"resourceType": "PractitionerRole",
"id": "e0244de8-07ef-4274-9f7a-d7067bcc8d21",
"practitioner": {
"reference": "Practitioner/6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
},
"organization": {
"reference": "Organization/db67f447-b30d-442a-8e31-6918d1367eeb"
},
"code": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
"code": "R0260",
"display": "General Medical Practitioner"
}
]
}
]
}
},
{
"resource": {
"resourceType": "List",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
"status": "current",
"title": "Active Allergies",
"code": {
"coding": [
{
"display": "Allergies and adverse reaction",
"system": "http://snomed.info/sct",
"code": "886921000000105"
}
]
},
"entry": [
{
"item": {
"reference": "AllergyIntolerance/561850bd-360c-4d17-b3c8-a837ef0cbfba"
}
},
{
"item": {
"reference": "AllergyIntolerance/6bff710a-0bdc-4c9b-b98b-40db0a107edc"
}
},
{
"item": {
"reference": "AllergyIntolerance/5eb0f76a-cecb-4b83-999d-ddb76e551a9b"
}
},
{
"item": {
"reference": "AllergyIntolerance/d92b7d42-554d-4c92-b829-e76508185702"
}
}
],
"date": "2018-03-01T10:57:34+00:00",
"mode": "snapshot",
"orderedBy": {
"coding": [
{
"system": "http://hl7.org/fhir/list-order",
"code": "event-date"
}
]
},
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
}
}
},
{
"resource": {
"resourceType": "List",
"contained": [
{
"resourceType": "AllergyIntolerance",
"id": "Resolved-1",
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-AllergyIntoleranceEnd-1",
"extension": [
{
"url": "endDate",
"valueDateTime": "2018-03-01"
},
{
"url": "reasonEnded",
"valueString": "Patient reports no subsequent recurrence on same medication"
}
]
}
],
"reaction": [
{
"manifestation": [
{
"coding": [
{
"display": "Vomiting",
"code": "422400008",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "2647992016"
},
{
"url": "DescriptionDisplay",
"valueString": "Emesis"
}
]
}
]
}
]
}
],
"severity": "severe"
}
],
"verificationStatus": "unconfirmed",
"assertedDate": "2011-05-07T00:00:00+00:00",
"type": "intolerance",
"code": {
"coding": [
{
"display": "Aspirin 75mg dispersible tablet",
"code": "319773006",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "56962301000001119"
},
{
"url": "DescriptionDisplay",
"valueString": "Aspirin 75mg dispersible tablets"
}
]
}
]
}
]
},
"clinicalStatus": "resolved",
"patient": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"note": [
{
"text": "Allergy Type: Adverse Reaction, Certainty: Absolute, Severity: Very Severe, NOTES: Some freetext notes"
}
],
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"category": [
"medication"
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
},
"criticality": "low"
}
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
"status": "current",
"title": "Resolved Allergies",
"code": {
"coding": [
{
"display": "Resolved Allergies",
"system": "http://snomed.info/sct",
"code": "TBD"
}
]
},
"entry": [
{
"item": {
"reference": "#Resolved-1"
}
}
],
"date": "2018-03-01T10:57:34+00:00",
"mode": "snapshot",
"orderedBy": {
"coding": [
{
"system": "http://hl7.org/fhir/list-order",
"code": "event-date"
}
]
},
"subject": {
"identifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "1234567890"
}
}
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "6bff710a-0bdc-4c9b-b98b-40db0a107edc",
"reaction": [
{
"manifestation": [
{
"coding": [
{
"display": "O/E - itchy rash",
"code": "304386008",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "446685017"
},
{
"url": "DescriptionDisplay",
"valueString": "O/E - itchy rash"
}
]
}
]
}
]
}
],
"severity": "mild"
}
],
"verificationStatus": "unconfirmed",
"assertedDate": "2012-05-07T00:00:00+00:00",
"type": "allergy",
"code": {
"coding": [
{
"display": "Amoxicillin 250mg capsules",
"code": "323509004",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "56966201000001112"
},
{
"url": "DescriptionDisplay",
"valueString": "Amoxicillin 250mg capsules"
}
]
}
]
}
]
},
"clinicalStatus": "active",
"patient": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"note": [
{
"text": "Certainty: Likely, Severity: Minimal, NOTES: Some freetext notes"
}
],
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"category": [
"medication"
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
},
"criticality": "low"
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "5eb0f76a-cecb-4b83-999d-ddb76e551a9b",
"reaction": [
{
"manifestation": [
{
"coding": [
{
"display": "Peanut-induced anaphylaxis",
"code": "241933001",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "362151013"
}
]
}
]
}
]
}
],
"severity": "severe"
}
],
"verificationStatus": "unconfirmed",
"assertedDate": "2016-02-08T10:57:34+00:00",
"type": "allergy",
"code": {
"coding": [
{
"display": "Peanut - dietary",
"code": "256349002",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "381852012"
},
{
"url": "DescriptionDisplay",
"valueString": "Peanut"
}
]
}
]
}
]
},
"clinicalStatus": "active",
"patient": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"note": [
{
"text": "Certainty: Certain, Severity: Life Threatening, NOTES: notes on the peanut allergy"
}
],
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"category": [
"environment"
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
},
"criticality": "high"
}
},
{
"resource": {
"resourceType": "AllergyIntolerance",
"id": "d92b7d42-554d-4c92-b829-e76508185702",
"verificationStatus": "unconfirmed",
"type": "allergy",
"code": {
"coding": [
{
"display": "Transfer-degraded drug allergy",
"code": "196461000000101",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "294801000000114"
}
]
}
]
}
]
},
"clinicalStatus": "active",
"patient": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"note": [
{
"text": "NOTES: This was entered incorrectly on the source system as a history/journal entry and not as a drug allergy"
}
],
"assertedDate": "2016-01-08T11:57:34+00:00",
"category": [
"medication"
],
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
}
}
},
{
"resource": {
"resourceType": "List",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
"status": "current",
"mode": "snapshot",
"title": "Medication List",
"code": {
"coding": [
{
"code": "933361000000108",
"display": "Medications and medical devices",
"system": "http://snomed.info/sct"
}
]
},
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"date": "2018-03-01T10:57:34+00:00",
"orderedBy": {
"coding": [
{
"code": "event-date",
"system": "http://hl7.org/fhir/list-order"
}
]
},
"entry": [
{
"item": {
"reference": "MedicationStatement/6bff710a-0bdc-4c9b-b98b-40db0a107edc"
}
},
{
"item": {
"reference": "MedicationStatement/791ceb40-db0a-491d-ab0f-22f5a08509fd"
}
}
]
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "6bff710a-0bdc-4c9b-b98b-40db0a107edc",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationStatementLastIssueDate-1",
"valueDateTime": "2016-05-10"
},
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1",
"code": "prescribed-at-gp-practice",
"display": "Prescribed at GP practice"
}
]
}
}
],
"basedOn": [
{
"reference": "MedicationRequest/7e68abae-a50a-4dd2-8445-7a2aa9936bee"
}
],
"status": "completed",
"medicationReference": {
"reference": "Medication/c260b451-9821-42de-81f9-ba86dcea2c32"
},
"effectiveDateTime": "2016-05-10",
"dateAsserted": "2016-05-10",
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"taken": "unk",
"note": [
{
"text": "Pharmacy Notes: NOTES FOR PHARMACY"
}
],
"dosage": [
{
"patientInstruction": "INSTRUCTIONS FOR PATIENT",
"text": "TAKE ONE DAILY"
}
]
}
},
{
"resource": {
"resourceType": "MedicationStatement",
"id": "791ceb40-db0a-491d-ab0f-22f5a08509fd",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationStatement-1"
]
},
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatementLastIssueDate-1",
"valueDateTime": "2016-09-11"
},
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescribingAgency-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescribingAgency-1",
"code": "prescribed-at-gp-practice",
"display": "Prescribed at GP practice"
}
]
}
}
],
"basedOn": [
{
"reference": "MedicationRequest/8e078d04-8312-433a-b6b4-46bf52542b0c"
}
],
"status": "active",
"medicationReference": {
"reference": "Medication/8b339981-e9be-4e37-bf03-799295a6aec8"
},
"effectivePeriod": {
"start": "2016-08-11"
},
"dateAsserted": "2016-08-11",
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"taken": "unk",
"note": [
{
"text": "SOME NOTES"
}
],
"dosage": [
{
"patientInstruction": "INSTRUCTIONS FOR PATIENT",
"text": "TAKE ONE DAILY"
}
]
}
},
{
"resource": {
"resourceType": "MedicationRequest",
"id": "7e68abae-a50a-4dd2-8445-7a2aa9936bee",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
]
},
"status": "completed",
"intent": "plan",
"medicationReference": {
"reference": "Medication/c260b451-9821-42de-81f9-ba86dcea2c32"
},
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"authoredOn": "2016-05-10",
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"note": [
{
"text": "Pharmacy Notes: NOTES FOR PHARMACY"
}
],
"dosageInstruction": [
{
"patientInstruction": "INSTRUCTIONS FOR PATIENT",
"text": "TAKE ONE DAILY"
}
],
"dispenseRequest": {
"expectedSupplyDuration": {
"code": "d",
"value": "28",
"unit": "day",
"system": "http://unitsofmeasure.org"
},
"quantity": {
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-MedicationQuantityText-1",
"valueString": "capsule(s)"
}
],
"value": "28"
},
"validityPeriod": {
"start": "2016-05-10"
}
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-PrescriptionType-1",
"valueCodeableConcept": {
"coding": [
{
"code": "acute",
"display": "Acute",
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-PrescriptionType-1"
}
]
}
}
]
}
},
{
"resource": {
"resourceType": "MedicationRequest",
"id": "ca89c863-1569-4e0f-ae8c-31bf98367555",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-MedicationRequest-1"
]
},
"basedOn": [
{
"reference": "MedicationRequest/7e68abae-a50a-4dd2-8445-7a2aa9936bee"
}
],
"status": "completed",
"intent": "order",
"medicationReference": {
"reference": "Medication/c260b451-9821-42de-81f9-ba86dcea2c32"
},
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"authoredOn": "2016-05-10",
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"note": [
{
"text": "NOTES FOR PHARMACY"
}
],
"dosageInstruction": [
{
"patientInstruction": "INSTRUCTIONS FOR PATIENT",
"text": "TAKE ONE DAILY"
}
],
"dispenseRequest": {
"expectedSupplyDuration": {
"code": [
"d"
],
"value": "28",
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