Access Record Structured FHIR examples
The following is a set of request/response examples for Allergies:
Example 1
Request
Example of a call to return the following items from a patient's structured record:
- Allergies
- Resolved allergies
Request payload
{
"resourceType": "Parameters",
"meta": {
"profile": {
"value": "https://fhir.nhs.uk/STU3/OperationDefinition/GPConnect-GetStructuredRecord-Operation-1"
}
},
"parameter": [
{
"name": "patientNHSNumber",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
{
"name": "includeAllergies",
"part": [
{
"name": "includeResolvedAllergies",
"valueBoolean": true
}
]
}
]
}
Response payload
{
"resourceType": "Bundle",
"id": "79183513-1382-4cdd-9470-7dbad15ea7b0",
"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": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"code": "K3XZhBz91kCLWKuTUnEArg=="
}
]
}
}
],
"value": "99999999"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Munoz",
"given": [
"Vicky"
],
"prefix": [
"Mrs"
]
}
],
"gender": "female",
"birthDate": "1935-09-20",
"generalPractitioner": [
{
"reference": "PractitionerRole/0244de8-07ef-4274-9f7a-d7067bcc8d21"
}
]
}
},
{
"resource": {
"resourceType": "Organization",
"id": "db67f447-b30d-442a-8e31-6918d1367eeb",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394745000",
"display": "General practice (organisation)"
}
]
}
],
"name": "The Moir Medical Centre",
"telecom": [
{
"system": "phone",
"value": "0115 9737320",
"use": "work"
}
],
"address": [
{
"use": "work",
"type": "both",
"line": [
"The Moir Medical Centre",
"Regent Street, Long Eaton",
"Nottingham"
],
"city": "Nottingham",
"district": "Derbyshire",
"postalCode": "NG10 1QQ"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "G8133438"
}
],
"name": [
{
"family": "Bhatia",
"prefix": [
"Dr"
],
"given": [
"John"
]
}
],
"active": true,
"id": "6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
}
},
{
"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",
"display": "The Moir Medical Centre"
},
"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"
]
}
}
}
]
}
Example 2
Request
Example of a call to return the following items from a patient’s structured record:
- Allergies
Request payload
{
"resourceType": "Parameters",
"meta": {
"profile": {
"value": "https://fhir.nhs.uk/STU3/OperationDefinition/GPConnect-GetStructuredRecord-Operation-1"
}
},
"parameter": [
{
"name": "patientNHSNumber",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
{
"name": "includeAllergies",
"part": [
{
"name": "includeResolvedAllergies",
"valueBoolean": false
}
]
}
]
}
Response payload
Assumption - ‘No Known Allergies’ has not been positively asserted on record, but is not contradicted by presence of active allergies on record.
{
"resourceType": "Bundle",
"id": "79183513-1382-4cdd-9470-7dbad15ea7b0",
"type": "collection",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"
],
},
"entry": [
{
"resource": {
"resourceType": "Patient",
"id": "04603d77-1a4e-4d63-b246-d7504f8bd833",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
"code": "K3XZhBz91kCLWKuTUnEArg=='"
}
]
}
}
],
"value": "99999999"
}
],
"active": true,
"name": [
{
"use": "official",
"family": "Munoz",
"given": [
"Vicky"
],
"prefix": [
"Mrs"
]
}
],
"gender": "female",
"birthDate": "1935-09-20",
"generalPractitioner": [
{
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
}
]
}
},
{
"resource": {
"resourceType": "Organization",
"id": "db67f447-b30d-442a-8e31-6918d1367eeb",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Organization-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/ods-organization-code",
"value": "C81010"
}
],
"active": true,
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"code": "394745000",
"display": "General practice (organisation)"
}
]
}
],
"name": "The Moir Medical Centre",
"telecom": [
{
"system": "phone",
"value": "0115 9737320",
"use": "work"
}
],
"address": [
{
"use": "work",
"type": "both",
"line": [
"The Moir Medical Centre",
"Regent Street, Long Eaton",
"Nottingham"
],
"city": "Nottingham",
"district": "Derbyshire",
"postalCode": "NG10 1QQ"
}
]
}
},
{
"resource": {
"resourceType": "Practitioner",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Practitioner-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/sds-user-id",
"value": "G8133438"
}
],
"name": [
{
"family": "Bhatia",
"prefix": [
"Dr"
],
"given": [
"John"
]
}
],
"active": true,
"id": "6c41ebfd-57c3-4162-9d7b-208c171a2fd7"
}
},
{
"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",
"display": "The Moir Medical Centre"
},
"code": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
"code": "R0260",
"display": "General Medical Practitioner"
}
]
}
]
}
},
{
"resource": {
"title": "Active Allergies",
"date": "2018-03-01T10:57:34+00:00",
"resourceType": "List",
"mode": "snapshot",
"status": "current",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-List-1"
]
},
"code": {
"coding": [
{
"display": "Allergies and adverse reaction",
"system": "http://snomed.info/sct",
"code": "886921000000105"
}
]
},
"entry": [
{
"item": {
"reference": "AllergyIntolerance/561850bd-360c-4d17-b3c8-a837ef0cbfba"
}
}
],
"orderedBy": {
"coding": [
{
"system": "http://hl7.org/fhir/list-order",
"code": "event-date"
}
]
},
"subject": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
}
}
},
{
"resource": {
"id": "561850bd-360c-4d17-b3c8-a837ef0cbfba",
"assertedDate": "2012-05-07T00:00:00+00:00",
"resourceType": "AllergyIntolerance",
"clinicalStatus": "active",
"verificationStatus": "unconfirmed",
"type": "allergy",
"code": {
"coding": [
{
"display": "No known allergy",
"code": "716186003",
"system": "http://snomed.info/sct",
"extension": [
{
"url": "https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid",
"extension": [
{
"url": "DescriptionID",
"valueId": "3305010017"
},
{
"url": "DescriptionDisplay",
"valueString": "NKA - No known allergy"
}
]
}
]
}
]
},
"patient": {
"reference": "Patient/04603d77-1a4e-4d63-b246-d7504f8bd833"
},
"recorder": {
"reference": "PractitionerRole/e0244de8-07ef-4274-9f7a-d7067bcc8d21"
},
"category": [
"medication"
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-AllergyIntolerance-1"
]
}
}
}
]
}
Example 3
Request
Example of a call to return the following items from a patient’s structured record:
- Allergies
Request payload
{
"resourceType": "Parameters",
"meta": {
"profile": {
"value": "https://fhir.nhs.uk/STU3/OperationDefinition/GPConnect-GetStructuredRecord-Operation-1"
}
},
"parameter": [
{
"name": "patientNHSNumber",
"valueIdentifier": {
"system": "https://fhir.nhs.uk/Id/nhs-number",
"value": "9999999999"
}
},
{
"name": "includeAllergies",
"part": [
{
"name": "includeResolvedAllergies",
"valueBoolean": false
}
]
}
]
}
Response payload
Assumes - ‘No Known Allergies’ has been positively asserted on record and is not contradicted by presence of active allergies on record.
{
"resourceType": "Bundle",
"id": "79183513-1382-4cdd-9470-7dbad15ea7b0",
"type": "collection",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/GPConnect-StructuredRecord-Bundle-1"
],
"entry": [
{
"resource": {
"resourceType": "Patient",
"id": "04603d77-1a4e-4d63-b246-d7504f8bd833",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Patient-1"
]
},
"identifier": [
{
"system": "https://fhir.nhs.uk/Id/nhs-number",
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-CareConnect-GPC-NHSNumberVerificationStatus-1",
"valueCodeableConcept": {
"coding": [
{
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},
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{
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],
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{
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],
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],
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{
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},
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},
{
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},
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],
"date": "2018-03-01T10:57:34+00:00",
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]
}
