Summary Care Record - FHIR API

Access patient's Summary Care Record (SCR), an electronic record of important patient information, using our FHIR API.

This API is initially for use by new market entrant GP IT developers with other use cases to follow later.

Overview

Use this API to access or update a patient's Summary Care Record (SCR) - an electronic record of important patient information, created from GP medical records. SCRs can be seen and used by authorised staff in other areas of the health and care system involved in the patient's direct care.

Also use this API to update a patient's consent to share their SCR, and to raise a privacy alert where you have to override a patient's dissent to share their SCR in certain circumstances.

You can:

get a patient's SCR identifier
get a patient's SCR
upload a patient's SCR
send a privacy alert message, if you have to override a patient's dissent to view their SCR
update a patient's consent to share their SCR

Who can use this API

This API can only be used where there is a legal basis to do so. Make sure you have a valid use case before you go too far with your development. You must do this before you can go live (see ‘Onboarding’ below).

Related APIs

To use this API, you need the patient's NHS number, which can be retrieved by using the following API:

Personal Demographics Service (FHIR) API - use this API to search for patients and retrieve their details. This API can also be used to update their details in some cases. This is the latest version of the PDS API and is recommended for all new integrators.

This API has endpoints enabling you to get and set access permissions, the same as the Access Control Service (ACS) HL7 V3 API which it partly replaces.

API status and roadmap

This API is initially for use by new market entrant GP IT developers with other use cases to follow later.

This API is in alpha, meaning:

the API is available in our sandbox and integration test environments
the API is not yet available for production use
we might make breaking changes, but only if we cannot avoid it, and we'll give advance notice

To see our roadmap, or to suggest, comment or vote on features for this API, see our interactive product backlog.

If you have any other queries, please contact us.

Technology

This API is RESTful.

It also conforms to the FHIR (R4) global standard for health care data exchange.

You don not need to know much about FHIR to use this API - FHIR APIs are just RESTful APIs that follow specific rules. In particular: - array names are singular, for example line not lines for address lines - data items that are country-specific and thus not included in the FHIR global base resources are usually wrapped in an extension object

Network access

This API is available on the internet and, indirectly, on the Health and Social Care Network (HSCN). To use this API with NHS smartcards (see below) you do need an HSCN connection, although internet-facing alternatives are available.

For more details see Network access for APIs.

Security and authorisation

This API is user-restricted, meaning an end user must be present and authenticated to use it.

The end user must be:

a healthcare professional
strongly authenticated, using either an NHS smartcard or a modern alternative available via NHS Care Identity Service 2 (NHS CIS2)

The API uses OAuth 2.0 to authorise the calling system. It supports the following security patterns:

For more details, see user-restricted APIs.

Environments and testing

Purpose	Base URL
Sandbox	`https://sandbox.api.service.nhs.uk/summary-care-record/FHIR/R4`
Integration test	`https://int.api.service.nhs.uk/summary-care-record/FHIR/R4`

Sandbox testing

Our sandbox environment:

is for early developer testing
only covers a limited set of scenarios
is stateless, so it does not actually persist any updates
is open access, so does not allow you to test authorisation

For more details on sandbox testing, or to try out the sandbox using our "Try this API" feature, see the documentation for each endpoint.

Integration testing

Our integration test environment:

is for formal integration testing
is stateful, so persists updates
includes authorisation, with smartcard and non-smartcard options

It also includes ready-to-use summary care record test data.

For more details see integration testing with our RESTful APIs.

Onboarding

You need to get your software approved by us before it can go live with this API. We call this onboarding. The onboarding process can sometimes be quite long, so it’s worth planning well ahead.

Endpoints

Get patient's latest Summary Care Record identifier

get /DocumentReference

Overview

Use this endpoint to retrieve UUID of patient's latest record. The UUID is required to retrieve the Summary Care Record details using GET /Bundle endpoint and to update the details of patient's Summary Care Record using POST /Bundle endpoint.

This endpoint also returns patient’s consent status in the securityLabel attribute of a successful API response.

To get the information you must provide patient's NHS number. When no NHS Number is supplied in the patient query parameter, 400 HTTP status is returned.

Sandbox test scenarios

You can test the following scenarios in our sandbox environment:

Scenario	Request	Response
Happy path	`nhs-number=9000000009`	HTTP Status 200 - Full Bundle
Empty result	`nhs-number=9000000033`	HTTP Status 200 - Empty Bundle

Request

Query parameters

Name	Description
`patient`	String The patient's NHS number. Must be preceded with FHIR identifier (eg."patient=https://fhir.nhs.uk/Id/nhs-number\|9000000009") Example: https://fhir.nhs.uk/Id/nhs-number\|9000000009 Required
`type`	String General Practice Summary snomed code. Must be equal "type=http://snomed.info/sct\|196981000000101" Example: http://snomed.info/sct\|196981000000101
`_sort`	String Defines how Patient's SCR list should be sorted in order to retrieve the latest one. The only supported value is _sort=date. If a different value is provided HTTP 400 Bad Request will be returned. Example: date
`_count`	Integer Defines the number of latest patient SCR IDs that sgould be retrieved. Currently the only supported value is _count=1. If a different value is provided HTTP 400 Bad Request will be returned. Example: 1

Headers

Name	Description
`Authorization`	String (^Bearer\ [[:ascii:]]+$) An OAuth 2.0 bearer token. Required in all environments except sandbox. Example: Bearer g1112R_ccQ1Ebbb4gtHBP1aaaNM Required
`X-Correlation-ID`	String A globally unique identifier (GUID) for the request, which we use to trace the request if you contact our helpdesk. Mirrored back in a response header. Avoid `.` characters. Example: 11C46F5F-CDEF-4865-94B2-0EE0EDCC26DA
`X-Request-ID`	String A globally unique identifier (GUID) for the request, which we use to de-duplicate repeated requests. Must be a universally unique identifier (UUID) (ideally version 4). If you re-send a failed request, use the same value in this header. Mirrored back in a response header. Pattern: /^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$/ Example: 60E0B220-8136-4CA5-AE46-1D97EF59D068
`NHSD-Session-URID`	String The user role ID (URID) for the current session. Also known as a user role profile ID (URPID). This header is optional. In user-restricted access mode if you send this header it must be valid for the logged-in user. See determin the user's role for guidance. Pattern: /^[0-9]+$/ Example: 555021935107

Response

HTTP status: 200

Success response

Body

Content type: application/fhir+json

Example

{
  "resourceType" : "Bundle",
  "id" : "55f8ba57-761a-406e-b61d-423027830fef",
  "type" : "searchset",
  "total" : 1,
  "entry" : [ {
    "fullUrl" : "https://api.service.nhs.uk/summary-care-record/FHIR/R4/DocumentReference/6d334ca8-a6e1-4bae-93b1-19a14a36ea7a",
    "resource" : {
      "resourceType" : "DocumentReference",
      "id" : "6d334ca8-a6e1-4bae-93b1-19a14a36ea7a",
      "masterIdentifier" : {
        "system" : "https://fhir.nhs.uk/Id/nhsSCRUUID",
        "value" : "FA60BE64-1F34-11EB-A2A8-000C29A364EB"
      },
      "status" : "current",
      "type" : {
        "coding" : [ {
          "system" : "http://snomed.info/sct",
          "code" : "196981000000101",
          "display" : "General Practice Summary"
        } ]
      },
      "subject" : {
        "reference" : "Patient/9b9a16ed-3cd0-45b2-ab1f-e625dd0251c1"
      },
      "securityLabel" : [ {
        "coding" : [ {
          "system" : "https://fhir.nhs.uk/CodeSystem/SCR-ACSPermission",
          "code" : "Ask"
        } ]
      } ],
      "content" : [ {
        "attachment" : {
          "url" : "https://api.service.nhs.uk/summary-care-record/Bundle?composition.identifier=FA60BE64-1F34-11EB-A2A8-000C29A364EB&composition.subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number|9000000009"
        }
      } ],
      "context" : {
        "event" : [ {
          "coding" : [ {
            "system" : "http://snomed.info/sct",
            "code" : "196981000000101",
            "display" : "General Practice Summary"
          } ]
        } ]
      }
    },
    "search" : {
      "mode" : "match"
    }
  }, {
    "fullUrl" : "9b9a16ed-3cd0-45b2-ab1f-e625dd0251c1",
    "resource" : {
      "resourceType" : "Patient",
      "id" : "9b9a16ed-3cd0-45b2-ab1f-e625dd0251c1",
      "identifier" : [ {
        "system" : "https://fhir.nhs.uk/Id/nhs-number",
        "value" : "9000000009"
      } ]
    }
  } ]
}

Schema

Name	Description
object
resourceType string required	Default: Bundle
id string required	UUID identifying the Bundle Example: 92A00AC6-4C89-46A1-867D-2C448AC3809E
type string required	Type of the bundle Default: searchset
total integer required	Number of results found Example: 1
entry array
anyOf
object
fullUrl string required	Absolute resource URL address Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/DocumentReference/D0AD7E01-5FAF-443C-B0D4-D4F6E37B65C3
resource object required	A resource in the bundle. A reference to a document
resourceType string required	Default: DocumentReference
id string required	Example: D0AD7E01-5FAF-443C-B0D4-D4F6E37B65C3
masterIdentifier object required	Master Version Specific Identifier
system string required	Default: https://fhir.nhs.uk/Id/nhsSCRUUID
value string required	Summary Care Record UUID Example: C058D90F-E526-4A27-A46E-E86229096AAC
status string required	Default: current
type object required	Fixed value describing kind of document
coding array	Max items: 1 Min items: 1
object
system string required	Default: http://snomed.info/sct
code string required	Default: 196981000000101
display string required	Default: General Practice Summary
subject object required	Subject of the document
reference string required	Example: Patient/9b9a16ed-3cd0-45b2-ab1f-e625dd0251c1
securityLabel array required	Information about patient's consent to View SCR Max items: 1 Min items: 1
object
coding object
system string required	Default: https://fhir.nhs.uk/CodeSystem/SCR-ACSPermission
code string required	The following values are allowed: Yes, No, Ask Example: Ask
content array required	Document referenced Max items: 1 Min items: 1
object
attachment object required
url string required	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Bundle?composition.identifier=C058D90F-E526-4A27-A46E-E86229096AAC&composition.subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number\|9000000009
context object required	Context of the document content
event array	Max items: 1 Min items: 1
object
coding array	Max items: 1 Min items: 1
object
system string required	Default: http://snomed.info/sct
code string required	Default: 196981000000101
display string required	Default: General Practice Summary
search object required
mode string required	Default: match
object
fullUrl string	UUID identifying resource within a bundle Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Patient/3346650E-BECA-4C00-BF07-18E27CE69114
resource object
resourceType string required	Default: Patient
id string	Example: 3346650E-BECA-4C00-BF07-18E27CE69114
identifier array required	Max items: 1 Min items: 1
object
system string required	Default: https://fhir.nhs.uk/Id/nhs-number
value string required	NHS number Example: 9000000009

HTTP status: 500

Internal Server Error

Body

Content type: application/fhir+json

Example

{
  "resourceType" : "OperationOutcome",
  "issue" : [ {
    "severity" : "error",
    "code" : "unknown",
    "details" : {
      "coding" : {
        "system" : "https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode",
        "version" : 1,
        "code" : "UNKNOWN_ERROR",
        "display" : "Unknown Error"
      }
    },
    "diagnostics" : "An unknown error occurred processing this request. Contact us for assistance diagnosing this issue: https://digital.nhs.uk/developer/help-and-support. (Message ID: rrt-4161241190348351641-b-geu2-4210-928960-20)"
  } ]
}

Schema

Name	Description
object	Operation error outcome
resourceType string	FHIR Resource Type. Default: OperationOutcome
issue array	List of issues that have occurred. Min items: 1
object
severity string required	Severity of the error. Allowed values: error
code string required	error code. Example: unknown
details object
coding array
object
system string	Default: https://fhir.nhs.uk/CodeSystem/Spine-ErrorOrWarningCode
version string	Default: 1
code string	Example: UNKNOWN_ERROR
display string	Example: Unknown Error
diagnostics string	Example: An unknown error occurred processing this request. Contact us for assistance diagnosing this issue: https://digital.nhs.uk/developer/help-and-support. (Message ID: {messageid})

HTTP status: 503

Service unavailable

Body

Content type: application/fhir+json

Example

{
  "resourceType" : "OperationOutcome",
  "issue" : [ {
    "severity" : "error",
    "code" : "transient",
    "details" : {
      "text" : "Code: 502, Display: Service Not Available"
    }
  } ]
}

Schema

Name	Description
object	Operation outcome
resourceType string	FHIR Resource Type. Default: OperationOutcome
issue array	List of issues that have occurred. Min items: 1
object
severity string required	Severity of the error. Allowed values: fatal, error, warning, information
code string required	error code. Example: invalid
details object
text string	detailed information

HTTP status: 4XX

An error occurred as follows:

HTTP status	Issue severity	Issue code	Description
400	error	invalid	Bad request, error in business logic on the client's side
401	error	forbidden	Unauthorized, access token missing, invalid or expired
403	error	forbidden	There's no patient's consent to store SCR
429	error	-	You have exceeded your application's rate limit.

Body

Content type: application/fhir+json

Example

{
  "resourceType" : "OperationOutcome",
  "issue" : [ {
    "severity" : "error",
    "code" : "forbidden",
    "details" : {
      "text" : "Invalid access token"
    }
  } ]
}

Schema

Name	Description
object	Operation outcome
resourceType string	FHIR Resource Type. Default: OperationOutcome
issue array	List of issues that have occurred. Min items: 1
object
severity string required	Severity of the error. Allowed values: fatal, error, warning, information
code string required	error code. Example: invalid
details object
text string	detailed information

Get patient's Summary Care Record

get /Bundle

Overview

Use this endpoint to retrieve the details of a patient's most recent Summary Care Record.

You must specify the NHS number and the UUID of the latest Summary Care Record of this patient. This UUID should be obtained using the GET /DocumentReference endpoint.

If you specify an out-of-date UUID, this endpoint returns a Bundle with 0 entries.

Sandbox test scenarios

You can test the following scenarios in our sandbox environment:

Scenario	Request	Response
Happy path	`composition.identifier`=`FA60BE64-1F34-11EB-A2A8-000C29A364EB` `composition.subject:Patient.identifier`=`9000000009`	HTTP Status 200 - Full Bundle
No results	`composition.identifier`=`81CC2DA0-8882-11EB-B538-0800200C9A66` `composition.subject:Patient.identifier`=`9000000033`	HTTP Status 200 - Empty Bundle

Request

Query parameters

Name Description

Name	Description
`composition.identifier`	String Latest Patient's Summary Care Record identifier. Can be obtained using GET /DocumentReference endpoint. Example: FA60BE64-1F34-11EB-A2A8-000C29A364EB Required
`composition.subject:Patient.identifier`	String The patient's NHS number. Must be preceded with FHIR identifier (eg."composition.subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number\|9000000009") Example: https://fhir.nhs.uk/Id/nhs-number\|9000000009 Required

composition.identifier

String

Latest Patient's Summary Care Record identifier. Can be obtained using GET /DocumentReference endpoint.

Example: FA60BE64-1F34-11EB-A2A8-000C29A364EB

Required

composition.subject:Patient.identifier

String

The patient's NHS number. Must be preceded with FHIR identifier (eg."composition.subject:Patient.identifier=https://fhir.nhs.uk/Id/nhs-number|9000000009")

Example: https://fhir.nhs.uk/Id/nhs-number|9000000009

Required

Headers

Name Description

Authorization

String (^Bearer\ [[:ascii:]]+$)

An OAuth 2.0 bearer token. Required in all environments except sandbox.

Example: Bearer g1112R_ccQ1Ebbb4gtHBP1aaaNM

Required

X-Correlation-ID

String

A globally unique identifier (GUID) for the request, which we use to trace the request if you contact our helpdesk.

Mirrored back in a response header.

Avoid . characters.

Example: 11C46F5F-CDEF-4865-94B2-0EE0EDCC26DA

X-Request-ID

String

A globally unique identifier (GUID) for the request, which we use to de-duplicate repeated requests.

Must be a universally unique identifier (UUID) (ideally version 4). If you re-send a failed request, use the same value in this header. Mirrored back in a response header.

Pattern: /^[0-9a-fA-F]{8}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{4}-[0-9a-fA-F]{12}$/

Example: 60E0B220-8136-4CA5-AE46-1D97EF59D068

Response

HTTP status: 200

SCR successfully returned

Body

Content type: application/fhir+json

Example

{
  "resourceType" : "Bundle",
  "id" : "D5537E37-FFC6-4E7B-9BC4-336E871C0F29",
  "identifier" : {
    "system" : "https://tools.ietf.org/html/rfc4122",
    "value" : "821533D3-3E0F-11EB-8111-F40343488B16"
  },
  "type" : "searchset",
  "timestamp" : "2020-12-14T13:23:10+00:00",
  "total" : 48,
  "entry" : [ {
    "fullUrl" : "https://api.service.nhs.uk/summary-care-record/FHIR/R4/Composition/BF4180FD-C403-4EF7-A4AB-E07303AF5477",
    "resource" : {
      "resourceType" : "Composition",
      "id" : "BF4180FD-C403-4EF7-A4AB-E07303AF5477",
      "meta" : {
        "lastUpdated" : "2020-11-17T01:00:00+00:00"
      },
      "identifier" : {
        "system" : "https://tools.ietf.org/html/rfc4122",
        "value" : "BF4180FD-C403-4EF7-A4AB-E07303AF5477"
      },
      "status" : "final",
      "type" : {
        "coding" : [ {
          "system" : "http://snomed.info/sct",
          "code" : "196981000000101",
          "display" : "General Practice Summary"
        } ]
      },
      "category" : [ {
        "coding" : [ {
          "system" : "http://snomed.info/sct",
          "code" : "163171000000105",
          "display" : "Care Professional Documentation"
        } ]
      } ],
      "subject" : {
        "reference" : "Patient/01F9B243-02DC-42F4-8F51-2AF2A99DA377"
      },
      "date" : "2020-11-17T01:00:00+00:00",
      "author" : [ {
        "reference" : "PractitionerRole/D29F2286-A962-4034-B7D4-32CCB3610204"
      } ],
      "relatesTo" : [ {
        "code" : "replaces",
        "targetIdentifier" : {
          "value" : "D18B57ED-992E-45A2-A6AF-55200D20F48E"
        }
      } ],
      "section" : [ {
        "title" : "General Practice Summary",
        "code" : {
          "coding" : [ {
            "code" : "Title"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><h3 id=\"Disclaimer\">Sourced from the patient's General Practice record. This summary may not include all the information pertinent to this patient.</h3><p id=\"CreateTime\">Summary Created: 14-May-2020 14:31</p><p id=\"RegistrationStartedStatement\" class=\"HighlightedStatement\">At the time this record was created, this patient had recently registered with the GP Practice. GP Summary information may not be complete.</p><p id=\"Author\">Created by: SMITH, Sean (Mr)</p><p id=\"Practice\">EMISWebCR1 50004, Fulford Grange, Rawdon, Leeds, West Yorkshire, LS19 7BY.</p></div>"
        }
      }, {
        "title" : "Allergies and Adverse Reactions",
        "code" : {
          "coding" : [ {
            "code" : "AllergiesHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table summary=\"This table includes information about this patient's allergies and adverse reactions.\" id=\"Allergies\"><thead><tr><th>Date</th><th>Description</th><th>Certainty</th><th>Severity</th><th>Supporting Information</th></tr></thead><tbody><tr class=\"oddRow\"><td>12-May-2020</td><td>Toxic reaction to wasp sting</td><td/><td/><td>Problem; First</td></tr></tbody></table></div>"
        }
      }, {
        "title" : "Acute Medications (For the 12 month period 14-May-2019 to 14-May-2020)",
        "code" : {
          "coding" : [ {
            "code" : "AcuteMedsHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table summary=\"This table includes information about this patient's acute medications.\" id=\"AcuteMeds\"><thead><tr><th>Type</th><th>Date</th><th>Medication Item</th><th>Dosage Instructions</th><th>Quantity</th></tr></thead><tbody><tr class=\"oddRow\"><td>Acute Medication</td><td>Prescribed: 12-May-2020</td><td>Co-codamol 8mg/500mg effervescent tablets</td><td>One To Be Taken Four Times A Day</td><td>112 tablet</td></tr></tbody></table></div>"
        }
      }, {
        "title" : "Current Repeat Medications",
        "code" : {
          "coding" : [ {
            "code" : "RepeatMedsHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table summary=\"This table includes information about this patient's current repeat medications.\" id=\"RepeatMeds\"><thead><tr><th>Type</th><th>Date</th><th>Medication Item</th><th>Dosage Instructions</th><th>Quantity</th></tr></thead><tbody><tr class=\"oddRow\"><td>Repeat Medication</td><td>Last Issued: 12-May-2020</td><td>Paracetamol 250mg/5ml oral suspension</td><td>One 5ml Spoonful Every 4 To 6 Hours When Necessary. No More Than 4 doses in 24 Hours</td><td>40 ml</td></tr></tbody></table></div>"
        }
      }, {
        "title" : "Discontinued Repeat Medications (For the 6 month period 14-Nov-2019 to 14-May-2020)",
        "code" : {
          "coding" : [ {
            "code" : "DiscRepeatMedsHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table summary=\"This table includes information about this patient's discontinued repeat medications.\" id=\"DiscRepeatMeds\"><thead><tr><th>Type</th><th>Date</th><th>Medication Item</th><th>Dosage Instructions</th><th>Quantity</th></tr></thead><tbody><tr><td colspan=\"5\">No relevant information available for this category.</td></tr></tbody></table></div>"
        }
      }, {
        "title" : "Risks to Patient",
        "code" : {
          "coding" : [ {
            "code" : "RisksToPatientHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table id=\"RisksToPatient\"><thead><tr><th>Date</th><th>Description</th><th>Additional information</th></tr></thead><tbody><tr class=\"oddRow\"><td>14-May-2020</td><td>Low risk category for developing complication from COVID-19 infection</td><td>Problem; Review</td></tr></tbody></table></div>"
        }
      }, {
        "title" : "Diagnoses",
        "code" : {
          "coding" : [ {
            "code" : "DiagnosesHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><table id=\"Diagnoses\"><thead><tr><th>Date</th><th>Description</th><th>Additional information</th></tr></thead><tbody><tr class=\"oddRow\"><td>13-May-2020</td><td>COVID-19 confirmed by laboratory test</td><td>Problem; First, test</td></tr></tbody></table></div>"
        },
        "entry" : [ {
          "reference" : "Condition/FCB84E15-02E5-495C-B334-D0685DCB0687"
        }, {
          "reference" : "Condition/0F582D97-8F89-11EA-8B2D-B741F13EFC47"
        }, {
          "reference" : "Condition/958E584C-25B8-4BD7-A71D-7625FDC1ACD6"
        }, {
          "reference" : "Condition/8CEB2867-551B-43D0-88B5-3278DA20A6B0"
        }, {
          "reference" : "Condition/6ECDAE6D-32AB-421C-AA8F-0B1ABA454C70"
        } ]
      }, {
        "title" : "Problems and Issues",
        "code" : {
          "coding" : [ {
            "code" : "ProblemsHeader"
          } ]
        },
        "text" : {
          "status" : "generated",
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object
resourceType string required	Default: Bundle
id string	Example: CE6B1A4F-51A4-4E03-AAB3-BA6113888E9F
identifier object required
system string	Default: https://tools.ietf.org/html/rfc4122
value string	Example: 10C71ECE-08F8-41D8-8A39-45D42DFC61D4
type string	type of the Bundle Default: searchset
timestamp string required	Example: 2007-03-15T01:00:00+00:00
total integer	Total number of entries in the Bundle Example: 58
entry array required
anyOf
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Composition/25FCE159-C82D-482B-8EA9-86DEF2C3929B
resource object
resourceType string required	Default: Composition
id string	Example: 25FCE159-C82D-482B-8EA9-86DEF2C3929B
meta object required
lastUpdated string required	Example: 2020-11-17T01:00:00+00:00
identifier object required
system string required	Default: https://tools.ietf.org/html/rfc4122
value string required	Example: C058D90F-E526-4A27-A46E-E86229096AAC
status string required	Default: final
type object required	Kind of composition
coding array required	Max items: 1 Min items: 1
object
system string required	Default: http://snomed.info/sct
code string required	Default: 196981000000101
display string required	Default: General Practice Summary
category array required
object
coding array required
object
system string required	Default: http://snomed.info/sct
code string required	Default: 163171000000105
display string required	Default: Care Professional Documentation
subject object required	Who and/or what the composition is about
reference string required	Example: Patient/B61AF2BD-0FFD-49CC-8374-C70DAFF8878F
date string required	Example: 2007-03-15T01:00:00+00:00
author array	Min items: 1
object	Who and/or what authored the composition.
reference string required	Example: PractitionerRole/33661E10-AA36-491A-AFFE-5C10C0BF9304
display string	Example: Dr Mark Spencer
title string required	Human Readable name/title Example: General Practice Summary
relatesTo array
object
code string	Example: replaces
targetIdentifier object
value string	Example: D18B57ED-992E-45A2-A6AF-55200D20F48E
section array
object
title string	Example: Allergies and Adverse Reactions
text object
status string	Example: generated
div string	Example: <div xmlns="http://www.w3.org/1999/xhtml"> <table summary="This table includes information about this patient's allergies and adverse reactions." id="Allergies"> <thead> <tr> <th>Date</th> <th>Description</th> <th>Certainty</th> <th>Severity</th> <th>Supporting Information</th> </tr> </thead> <tbody> <tr class="oddRow"> <td>12-May-2020</td> <td>Toxic reaction to wasp sting</td> <td/> <td/> <td>Problem; First</td> </tr> </tbody> </table> </div>
object
fullUrl string	UUID identifying resource within a bundle Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Patient/453863C3-C679-4D84-9E01-1B1D0239AC5F
resource object
resourceType string required	Default: Patient
id string	Example: 453863C3-C679-4D84-9E01-1B1D0239AC5F
identifier array required
object
extension array required	Max items: 1 Min items: 1
object
url string required	Example: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-NHSNumberVerificationStatus-1
valueCodeableConcept object required
coding array required	Max items: 1 Min items: 1
object
system string required	Example: https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-NHSNumberVerificationStatus-1
code string required	Example: 01
display string required	Example: Number present and verified
system string required	Default: https://fhir.nhs.uk/Id/nhs-number
value string required	Example: 9000000009
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Practitioner/F4D5093D-351E-4C6E-819E-DCCBC4B9A7FD
resource object
resourceType string required	Default: Practitioner
id string	Example: F4D5093D-351E-4C6E-819E-DCCBC4B9A7FD
identifier array	There should be one identifier if user is a SDS USer
object
system string required	Should be fixed to https://fhir.nhs.uk/Id/sds-user-id when user is a SDS user Default: https://fhir.nhs.uk/Id/sds-user-id
value string required	Filed mandatory when user is a SDS User Example: 676789689789
name array
object
text string	Example: Mr. John Smith
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/PractitionerRole/FE7B9F77-3BC9-4D99-84DC-292D0762183C
resource object
resourceType string required	Note: Either identifier with http://fhir.nhs.net/Id/sds-role-profile-id system is required or code with https://fhir.nhs.uk/CodeSystem/HL7v3-SDSJobRoleName. If PractitionerRole is referenced in Composition.Author resource in Summary Care Record upload case, PractitionerRole should reference Practitioner resource. Default: PractitionerRole
id string	Example: FE7B9F77-3BC9-4D99-84DC-292D0762183C
identifier array required
object
system string required	Default: http://fhir.nhs.net/Id/sds-role-profile-id
value string required	Example: 673836492727
practitioner object
reference string	Example: Practitioner/F4D5093D-351E-4C6E-819E-DCCBC4B9A7FD
organization object
reference string	Example: Organization/90588362-F342-423F-AB6F-B5E92B20C6B6
code array
object
coding array
object
system string	Example: https://fhir.nhs.uk/CodeSystem/HL7v3-SDSJobRoleName
code string	Example: R0070
display string	Example: Associate Specialist
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Condition/ADB4683E-BE01-4B08-AE36-079837BFF19E
resource object
resourceType string required	Default: Condition
id string	Example: ADB4683E-BE01-4B08-AE36-079837BFF19E
meta array
object
profile string	Default: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition
identifier array required	Max items: 1 Min items: 1
object
value string required	Example: 0F582D97-8F89-11EA-8B2D-B741F13EFC47
clinicalStatus array	Max items: 1
object
coding array	Max items: 1 Min items: 1
object
system string required	Default: http://terminology.hl7.org/CodeSystem/condition-clinical
code string required	Example: active
display string	Example: Active
verificationStatus array	Max items: 1
object
coding array	Max items: 1 Min items: 1
object
system string required	Default: http://hl7.org/fhir/ValueSet/condition-ver-status
code string required	Example: confirmed
display string	Example: Confirmed
category array required	Max items: 1 Min items: 1
object
coding object required
system string required	Default: http://snomed.info/sct
code string required	Example: 163001000000103
display string required	Example: Diagnoses
code object required	Following SNOMED CT concept IDs are supported (see more): 1240751000000100 COVID-19 1240761000000102 COVID-19 confirmed by laboratory test 1300731000000106 COVID-19 confirmed using clinical diagnostic criteria 1300721000000109 Suspected COVID-19
coding array required	Max items: 1 Min items: 1
object
system string required	Example: http://snomed.info/sct
code string required	Example: 1240631000000102
display string required	Example: Did not attend SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination
onsetDateTime string	Example: 2020-05-06T10:48:19+00:00
evidence array	Supporting evidence - should link Observation resource Min items: 1
object
detail array required
object
reference string required	Reference to related Observation resource Example: Observation/F17999D2-FFE7-4CA4-8CE8-52CB45FF6F49
note array	Additional information about the Condition Max items: 1 Min items: 1
object
text string required
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Encounter/6E1B91CC-C25A-4466-94A6-DFDE260C12AB
resource object
resourceType string	Default: Encounter
id string	Example: 6E1B91CC-C25A-4466-94A6-DFDE260C12AB
status string	Default: finished
class object
system string	Default: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code string	Default: UNK
display string	Default: Unknown
participant array
object
type array required	Max items: 1 Min items: 1
object
coding array	Max items: 1 Min items: 1
object
system string required	Default: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code string required	Allowed values: AUT, PRF, INF
display string	Example: author
period object required
start string required	Example: 2020-11-17T01:00:00+00:00
individual object required
reference string required	Example: PractitionerRole/1CB6874C-67C4-4A3B-BE24-3D574382D464
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Organization/FD3F2E98-511F-4A3E-AD84-127DAEC1645E
resource object
resourceType string required	Default: Organization
id string	Example: FD3F2E98-511F-4A3E-AD84-127DAEC1645E
identifier array	Organization identifier. Mandatory for SDS organizations.
object
use string	Example: official
system string	Default: https://fhir.nhs.uk/Id/ods-organization-code
value string	Example: RR8
type array
object
coding array
object
code string	Example: 021
name string	Example: LEEDS TEACHING HOSPITAL TRUST
telecom array
object
system string	Example: phone
value string	Example: 0113 243 3144
address array
object
text string
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/RelatedPerson/086DE219-FEDF-41D4-BA5D-55EE3B1CAE9F
resource object
resourceType string required	Default: RelatedPerson
id string	Example: 086DE219-FEDF-41D4-BA5D-55EE3B1CAE9F
relationship array required	Max items: 1 Min items: 1
object
coding array required	Max items: 1 Min items: 1
object
system string required	Default: https://fhir.nhs.uk/STU3/ValueSet/PersonRelationshipType-1
code string required	Example: 01
display string required	Example: Brother
name array required
object
text string	Example: Mr. John Smith
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Observation/02778CD7-E78E-4BF5-9B05-1C634275DB91
resource object
resourceType string required	Default: Observation
id string	Example: 02778CD7-E78E-4BF5-9B05-1C634275DB91
meta array	Max items: 1 Min items: 1
object
profile string	Default: https://fhir.hl7.org.uk/StructureDefinition/UKCore-Observation
identifier array required	Max items: 1 Min items: 1
object
value string required	Example: 0F582D97-8F89-11EA-8B2D-B741F13EFC47
status string required	Allowed values: final, entered-in-error
category array required	Max items: 1 Min items: 1
object
coding object required
system string required	Default: http://snomed.info/sct
code string required	Example: 163001000000104
display string	Example: Investigation Results
code object required	Following SNOMED CT concept IDs are supported (see more): 1240581000000104 SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) RNA (ribonucleic acid) detection result positive
coding array required
object
system string required	Example: http://snomed.info/sct
code string required	Example: 1240631000000102
display string required	Example: Did not attend SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination
effectivePeriod object
start string	Example: 2020-05-06T10:48:19+00:00
end string	Example: 2020-05-26T11:56:18+00:00
object
fullUrl string	Example: https://api.service.nhs.uk/summary-care-record/FHIR/R4/Device/C5F6616C-AA6F-4A8C-85FF-0183C3D15D37
resource object
resourceType string required	Default: Device
id string	Example: C5F6616C-AA6F-4A8C-85FF-0183C3D15D37
identifier array	Min items: 1
object
system string	Example: https://fhir.nhs.uk/Id/SDSDevice
value