Search for free slots

Use case for searching for free slots within a date range.

Use case

This specification describes a single use case enabling the Consumer to request from the targeted Provider system slots matching the selected date range, Booking Organisation ODS Code and Type, and other parameters including UC Disposition Code and Service ID.

Refer to Consumer sessions illustrated for how this API use case could be used in the context of a typical consumer appointment management session.

Security

GP Connect utilises TLS Mutual Authentication for system level authorization
GP Connect utilises a JSON Web Tokens (JWT) to transmit clinical audit and provenance details

Search parameters

Provider systems SHALL support the following search parameters:

Name	Type	Description	Paths
`status`	`token`	The free/busy status of the appointment	`Slot.status`
`start`	`date`	Slot start date/time.	`Slot.start`
`end`	`date`	Slot end date/time.	`Slot.end`
`searchFilter`	`token`	A generic token to allow consumers to pass additional search criteria to the provider.	N/A

Note: The supported search parameters should be included in the FHIR Capability Statement.

_include parameters

Provider systems SHALL support the following include parameters:

Name	Description	Paths
`_include=Slot:schedule`	Include Schedule Resources referenced within the returned Slot Resources	`Slot.schedule`
`_include:recurse= Schedule:actor:Practitioner`	Include Practitioner Resources referenced within the returned Schedule Resources	`Schedule.actor:Practitioner`
`_include:recurse= Schedule:actor:Location`	Include Location Resources referenced within the returned Schedule Resources	`Schedule.actor:Location`

The following parameters SHALL be included in the request:

The start parameter SHALL only be included once in the request.
The start parameter SHALL be supplied with the ge search prefix. For example, ‘start=ge2017-09-22’, which indicates that the consumer would like slots where the slot start date is on or after “2017-09-22”.
The end parameter SHALL only be included once in the request.
The end parameter SHALL be supplied with the le search prefix. For example, ‘end=le2017-09-26’, which indicates that the consumer would like slots where the slot end date is on or before “2017-09-26”.
status=free specifies that only free slots will be returned. Note: the slot status value of free SHALL be specified, other slot status values are not permitted.
_include=Slot:schedule specifies that associated schedule resources are returned.

The following parameters MAY be included to minimise the number of API calls required to prepare an appointment booking:

_include:recurse=Schedule:actor:Practitioner
_include:recurse=Schedule:actor:Location

Note: Search for free slots does allow for searching for slots in the past, but all other appointment management capabilities do not allow for appointment management where the appointments start date element is in the past. Therefore slots found in the past cannot be used to book an appointment.

Enhanced slot filtering

Important: It is recognized that provider systems must offer GP practices more functionality to enable them to better manage their available appointment slots in the light of increasing access requirements from other organisations. GP Connect has specified additional provider requirements to enable this. These additional requirements are outlined on the Slot Availability Management page

In order for providers to return the appropriate slots for the consumer, the consumer SHOULD send in the following parameters using the searchFilter parameter with both ‘System’ and ‘Value’ elements:

Parameter system URI	Parameter description
https://fhir.nhs.uk/Id/ods-organization-code	The booking organisation ODS code
https://fhir.nhs.uk/STU3/ValueSet/GPConnect-OrganisationType-1	The booking organisation type, for example ‘Urgent Care’.

Where searchFilters are sent by consumers which are not explicitly supported in this specification (for example, urgent care use a disposition code value set), providers who do not understand the additional parameters SHALL ignore them and SHALL NOT return an error.

Search for free slots on the wire

On the wire, a Search for free slots request would look something like one of the following:

GET /Slot?start=ge2017-10-20T00:00:00&end=le2017-10-31T23:59:59&status=free&_include=Slot:schedule&_include:recurse=Schedule:actor:Practitioner&_include:recurse=Schedule:actor:Location&searchFilter={OrgTypeSystem}|{OrgTypeValue}&searchFilter={OrgODSCodeSystem}|{OrgODSCode}

GET /Slot?start=ge2017-10-20T00:00:00&end=le2017-10-31T23:59:59&status=free&_include=Slot:schedule&searchFilter={OrgTypeSystem}|{OrgTypeValue}&searchFilter={OrgODSCodeSystem}|{OrgODSCode}

Prerequisites

Consumer

The consumer system:

SHALL have previously resolved the organisation’s FHIR endpoint base URL through the Spine Directory Service
SHALL request a maximum date range covering a two-week period.

Tip: Multiple separate API calls can be made if a larger date range is required. However, consideration should be given to the load this placed on the provider system.

API usage

Request operation

FHIR relative request

GET /Slot?[start={search_prefix}start_date]
          [&end=[{search_prefix}end_date]
          [&status=free]
          [&_include=Slot:schedule]
          {&_include:recurse=Schedule:actor:Practitioner}
          {&_include:recurse=Schedule:actor:Location}
          {&searchFilter={OrgTypeSystem}|{OrgTypeValue}}
          {&searchFilter={OrgODSCodeSystem}|{OrgODSCode}}

FHIR® absolute request

GET https://[proxy_server]/https://[provider_server]/[fhir_base]
          /Slot?[start={search_prefix}start_date]
          [&end=[{search_prefix}end_date]
          [&status=free]
          [&_include=Slot:schedule]
          {&_include:recurse=Schedule:actor:Practitioner}
          {&_include:recurse=Schedule:actor:Location}
          {&searchFilter={OrgTypeSystem}|{OrgTypeValue}}
          {&searchFilter={OrgODSCodeSystem}|{OrgODSCode}}

Request headers

Consumers SHALL include the following additional HTTP request headers:

Header	Value
`Ssp-TraceID`	Consumer’s TraceID (that is, GUID/UUID)
`Ssp-From`	Consumer’s ASID
`Ssp-To`	Provider’s ASID
`Ssp-InteractionID`	`urn:nhs:names:services:gpconnect:fhir:rest:search:slot-1`

Payload request body

N/A

Error handling

The provider system SHALL return an error if:

the time period defined by start and end parameters is greater than a two week period
the status parameter is absent or is present with a value other than free
the _include=Slot:schedule is absent

SHALL return an GPConnect-OperationOutcome-1 resource that provides additional detail when one or more parameters are corrupt or a specific business rule/constraint is breached.

Refer to Error handling guidance for details of error codes.

Request response

Response headers

Provider systems are not expected to add any specific headers beyond that described in the HTTP and FHIR® standards.

Payload response body

Provider systems:

SHALL return a 200 OK HTTP status code on successful retrieval of “free” slot details.
SHALL include the free Slot details for the organisation which have a status of “free” and fall fully within the requested date range. That is, free slots which start before the start parameter and free slots which end after end search parameter SHALL NOT be returned.
SHALL only include the free slots which are bookable according to related defined ‘Embargo/Booking Window’ rules
SHALL only include the free slots which match the Search Filter parameters of Booking Organisation (ODS Code) and/or Type
SHALL include the Schedule and Slot details associated with the returned slots as defined by the search parameter which have been specified. Practitioner is required in the searchset Bundle only if available.

The response Bundle SHALL only contain Schedule, Organization, Practitioner and Location resources related to the returned free Slot resources. If no free slots are returned for the requested time period then no resources should be returned within the response Bundle.
- The Location referenced within the schedule resource SHALL represent the location where the appointment will take place, either a GP Practice where there are no branch surgeries (including Organization ODS Code) OR a branch surgery (including ODS Site Code where available). The referenced location resource SHALL contain a minimum of the name and address of the GP Practice.
SHALL include Practitioner and Location resources associated with Schedule resources in the response bundle ONLY where requested to do so by the consumer using the _include:recurse=Schedule:actor:Practitioner and/or _include:recurse=Schedule:actor:Location parameters.
SHALL manage slot start and end times to indicate which slots can be considered adjacent and therefore be booked against a single appointment as part of a multi slot appointment booking. Providers are responsible for the implementation of business rules that forbid the booking of non-adjacent slots according to their own practices.

To allow consumers to implement multi-slot appointment booking, the consumer needs to be able to identify which slots can be considered adjacent. A provider SHALL indicate which slots are adjacent or not adjacent using the following rules:
- To indicate two slots (Slot A and Slot B) are adjacent, the two slots SHALL reference the same schedule resource and the start time of Slot B SHALL equals end time of Slot A.
- If the slots do not conform to the rule above, either the slots do not link to the same schedule or the start time of one slot is not the same as the end time of the previous slot then these slots SHALL not be considered adjacent.
SHALL returned resources conforming to the GP Connect profiled versions of the base FHIR resources listed on the Appointment Management resources page.

{
	"resourceType": "Bundle",
	"type": "searchset",
	"entry": [{
		"fullUrl": "Organisation/23",
		"resource": {
			"fullUrl": "http://gpconnect.aprovider.nhs.net/GP001/STU3/1/Organization/23",
			"resource": {
				"resourceType": "Organization",
				"id": "23",
				"meta": {
					"versionId": "636064088098730113",
					"lastUpdated": "2016-08-10T13:52:54.516+01:00",
					"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"]
				},
				"identifier": [{
					"system": "https://fhir.nhs.uk/Id/ods-organization-code",
					"value": "O001"
				}],
				"name": "Honley GP Practice"
			}
		}
	},
	{
		"fullUrl": "Location/17",
		"resource": {
			"resourceType": "Location",
			"id": "17",
			"meta": {
				"versionId": "636064088100870233",
				"lastUpdated": "2016-08-10T14:27:49.778+01:00",
				"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Location-1"]
			},
			"identifier": [{
				"system": "https://fhir.nhs.uk/Id/ods-site-code",
				"value": "L001"
			}],
			"name": "Honley Highstreet",
			"address": {
				"line": [
					"Trevelyan Square",
					"Boar Ln",
					"Leeds"
				],
				"postalCode": "LS1 6AE"
			},
		}
	},
	{
		"fullUrl": "Schedule/14",
		"resource": {
			"resourceType": "Schedule",
			"id": "14",
			"meta": {
				"versionId": "1469444400000",
				"lastUpdated": "2017-11-08T12:00:00.000+01:00",
				"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Schedule-1"]
			},
			"extension": [{
				"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-PractitionerRole-1",
				"valueCodeableConcept": {
					"coding": [{
						"system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
						"code": "R0260",
						"display": "General Medical Practitioner"
					}]
				}
			},
			{
				"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-GPConnect-DeliveryChannel-1",
				"valueCodeableConcept": {
					"coding": [{
						"system": "https://fhir.nhs.uk/STU3/CodeSystem/GPConnect-DeliveryChannel-1",
						"code": "In-person",
						"display": "In-person"
					}]
				}
			}],
			"actor": [{
				"reference": "Location/17"
			},
			{
				"reference": "Practitioner/2"
			}],
			"comment": "Schedule 1 for general appointments"
		}
	},
	{
		"fullUrl": "Practitioner/2",
		"resource": {
			"resourceType": "Practitioner",
			"id": "2",
			"meta": {
				"versionId": "636064088099800115",
				"lastUpdated": "2016-08-10T13:47:09.966+01:00",
				"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"]
			},
			"identifier": [{
				"system": "https://fhir.nhs.uk/Id/sds-user-id",
				"value": "S001"
			}],
			"name": {
				"family": ["Black"],
				"given": ["Sarah"],
				"prefix": ["Mrs"]
			},
			"gender": "female"
		}
	},
	{
		"fullUrl": "Slot/1584",
		"resource": {
			"resourceType": "Slot",
			"id": "1584",
			"meta": {
				"versionId": "1471219260000",
				"lastUpdated": "2017-11-09T01:01:00.000+01:00",
				"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Slot-1"]
			},
			"schedule": {
				"reference": "Schedule/14"
			},
			"status": "free",
			"start": "2016-08-15T11:30:00.000+01:00",
			"end": "2016-08-15T11:59:59.000+01:00"
		}
	},
	{
		"fullUrl": "Slot/1644",
		"resource": {
			"resourceType": "Slot",
			"id": "1644",
			"meta": {
				"versionId": "1471219260112",
				"lastUpdated": "2017-11-09T02:13:05.000+01:00",
				"profile": ["https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-Slot-1"]
			},
			"schedule": {
				"reference": "Schedule/14"
			},
			"status": "free",
			"start": "2016-08-15T12:00:00.000+01:00",
			"end": "2016-08-15T12:29:59.000+01:00"
		}
	}]	
}

Examples

C#

Tip: C# code snippets utilise Ewout Kramer’s fhir-net-api library, which is the official .NET API for HL7® FHIR®.

var client = new FhirClient("http://gpconnect.aprovider.nhs.net/GP001/STU3/1/");
client.PreferredFormat = ResourceFormat.Json;

[ to add ]

FhirSerializer.SerializeResourceToJson(resource).Dump();

Java

Tip: Java code snippets utilise James Agnew’s hapi-fhir library.

FhirContext ctx = FhirContext.forStu3();
IGenericClient client = ctx.newRestfulGenericClient("http://gpconnect.aprovider.nhs.net/GP001/STU3/1");

[ to add ]

System.out.println(ctx.newJsonParser().setPrettyPrint(true).encodeResourceToString(responseBundle));

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