Introduction
The GP Connect API 1.5.0-beta release contains:
- The Access Document capability, which was previously published separately, has been added into this specification.
- Access Record Structured:
- Support for diary entries
- Support for immunisations not given
Changes may affect more than one capability. Please see the Affects label for details of the capabilities changed.
This release also contains updates from the following releases:
These release notes capture all of the changes that were made during the period where 1.5.0 was in beta. These reflect how the specification changed during provider development.
1.5.0 changes
These release notes now incorporate entries from the 1.4.0, 1.4.1, Access Documents 1.0.0 and Access Documents 1.0.1 specifications that were merged into 1.5.0.
Access Document
Added Access Record Documents link to Implement a capability menu
Description:
- A new sub-menu item for Access Record Documents has been added to the Implement a capability menu. The Access Record Documents specification includes retrieval of a structured list of documents or retrieval of individual documents.
- The menu item links to the GP Connect versions page so the appropriate version of the new Access Record Documents specification can be selected as versions of the specifications may change independently.
Page added:
Added Send Document link to Implement a capability page and menu
Tickets: #895
Affects: Core
Impacts: No impact
Description:
- Added Send DOcument to the capabilities page
- Added a sub-menu item for Send Document to the Implement a capability menu.
- These new items link to a Send Document page which references the GP Connect versions page so the appropriate version of the Send Document specification can be selected as versions of the specifications may change independently.
Page added:
Added interaction IDs for Access Documents API
Affects Integrate with spine
Description:
- Interaction ids have been added for the query and retrieval APIs
- interaction ids have been added for the patient, organisation and practitioner APIs
Pages changed:
Merge separate Access Document 1.0.1 specification into this GP Connect API 1.5.0 specification
Tickets: #933
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- The Access Document specification will no longer be published independently of this specification (GP Connect API 1.x.x).
- An Access Document capability has been created under this specification and the content of the previously separate Access Document has been merged in.
- The release notes from before the merge can be viewed here:
API
Affects Access Documents
Description:
- Restful APIs have been defined for querying and retrieving documents
- Restful APIs have been added for patient, organisation and practitioner
- Consumer sessions page has been added to illustrate how APIs are used
Pages changed:
Updated Access Document capability statement
Tickets: #934
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Version number has been updated to 1.5.0
- Add minor version numbers to profiles listed in the capability statement
- Reword the page to make clear it is a capability statement describing the Access Document capability only
Pages changed:
Update service root URL definition to cater for different URLs per capability
Tickets: #935
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Update service root URL definition to accomodate the Access Document capability API being defined as its own FHIR server
Pages changed:
Change search for patient documents to use patient compartment based URL
Tickets: #941
Affects: Access Document
Impacts: Provider and consumer systems
Description:
-
Change search for patient documents to use a patient compartment based URL
-
Previously:
/DocumentReference?patientId=111&queryParam=
-
Now:
/Patient/111/DocumentReference?queryParam=
Pages changed:
Correct Patient _include
parameter for Search for a patient’s documents
Tickets: #942
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- The syntax of the Patient
_include
parameter for Search for a patient’s documents was incorrect and has been updated
Pages changed:
- Search for a patient’s documents
- FHIR® examples
- Get the FHIR® capability statement (Access Document)
Find Patient should return only patient records with a Regular/GMS registration type
Tickets: #938
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Find Patient is Access Document should return only return patients who have a Regular/GMS registration type (i.e. patients where this is their registered practice)
- Temporary, emergency and other non regular registration types must be excluded from the results
- This behaviour applies only to Find Patient in the Access Document capability
Pages changed:
Add explicit error response codes for Access Document API
Tickets: #937
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Add explicit error handling response for Access Document calls
Pages changed:
Error response when a capability is disabled by the practice
Tickets: #943
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Add error handling behaviour for each API endpoint when GP Connect as a whole or the Access Document capability is disabled
Pages changed:
- Get the FHIR® capability statement (Access Document)
- Find a patient (Access Document)
- Search for a patient’s documents
- Retrieve a document
Updated facility search parameter to use a token
Tickets: #965
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- the facility parameter now uses a token instead of an identifier as its datatype
Pages changed:
Clarification of Bundle.fullUrl
Tickets: #967
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Clarification has been added on use of URLs in Bundle.fullUrl. They MUST be used even when not resolvable as these are intended for use by consumers when resolving references in the bundle and not for retrieving resources..
Pages changed:
Updates to search for patient’s documents examples
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- updated created parameter to use a valid date
- added examples of search parameters
Pages changed:
Access Record Structured
Add immunisations not given
Tickets: #849
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- added
includeNotGiven
part parameter toGPConnect-GetStructuredRecord-Operation-1
with a default value offalse
- added
includeDissentConsent
part parameter toGPConnect-GetStructuredRecord-Operation-1
with a default value offalse
- updated bundle population diagram to include
includeNotGiven
andincludeDissentConsent
part parameters - Updated immunisation guidance to include details of inclusion of immunisation not given for providers
- Added guidance for consumers for handling immunisations not given
- Updated immunization profile to include additional guidance and valuesets
Pages changed:
Add Investigations
Tickets: #902
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Added general guidance page for Investigations
- Added description of populating the profiles for Diary Entries
- Updated pages referring to clinical areas to include Investigations
- Added
includeInvestigations
andinvestigationSearchPeriod
part parameter toGPConnect-GetStructuredRecord-Operation-1
- added error handling guidance for
investigationSearchPeriod
- updated bundle population diagram to include Investigations
Add Outbound Referrals
Tickets: #902
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Added general guidance page for Outbound Referrals
- Added description of populating the profiles for Outbound Referrals
- Updated pages referring to clinical areas to include Outbound Referrals
- Added
includeReferrals
andreferralSearchPeriod
part parameter toGPConnect-GetStructuredRecord-Operation-1
- added error handling guidance for
referralSearchPeriod
- updated bundle population diagram to include Outbound Referrals
Add Diary Entries
Tickets: #902
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Added general guidance page for Diary Entries
- Added description of populating the ProcedureRequest profile for Diary Entries
- Added example for Diary Entries
- Updated pages referring to clinical areas to include Diary Entries
- added
includeDiaryEntries
parameter anddiaryEntriesSearchDate
part parameter toGPConnect-GetStructuredRecord-Operation-1
- added error handling guidance for
diaryEntriesSearchDate
- updated bundle population diagram to include diary entries
Pages changed:
- Access Record Structured
- Business requirements
- Development Introduction
- Resource population fundamentals
- Linkages
- Search Criteria
- List
- Consultation guidance
- Problem guidance
- Diary Entry guidance
- Diary Entry
- Diary Entry FHIR® examples
- Retrieve a patient’s structured record
Update to error handling for parameters
Tickets: #904
Affects: Access Record Structured
Impacts: Providers and consumers
Description:
- An error condition has been added that states part parameters must not be included without a value
- Clarification stating that it is valid to include an empty Parameters.parameter in the case where it has only specified with optional part parameters.
Pages changed:
Updates to profiles
Affects: Access Record Structured
Impacts: Providers and consumers
Description:
- The
crossCareSettingIdentifier
slice onidentifier
has been removed from the following profiles:- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DiagnosticReport-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ProcedureRequest-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Immunization-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-ReferralRequest-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Specimen-1
Pages changed:
- DiagnosticReport
- ProcedureRequest
- DiaryEntry - ProcedureRequest
- Immunization
- Observation - Filing Comments
- Observation - Narrative
- Observation - Test Group Header
- Observation - Test Result
- ReferralRequest
- Specimen
Correction to Consultation List guidance
Tickets: #983
Affects: Access Record Structured
Impacts: Providers and consumers
Description:
- the
problemReference
extension has been corrected to berelatedProblemHeader
Pages changed:
Updates to structured capability statement
Affects: Access Record Structured
Impacts: Providers and consumers
Description:
- update version number in CapabilityStatement to 1.5.0
- update minor version numbers in profile listing
- update OperationDefinition minor version number
Pages changed:
Updated capability statement
Tickets:
Affects: Foundations
Impacts: Provider and consumer systems
Description:
- Version number has been updated to 1.5.0
Pages changed:
Not permitted parameters list has been updated to include diary entries, immunisations and referrals
Affects: Access Record Structured
Impacts: Providers and consumers
Description:
- Part parameters have been added
includeReferrals.referralSearchPeriod
includeDiaryEntries.diaryEntriesSearchDate
includeImmunisations.includeNotGiven
includeImmunisations.includeDissentConsent
Pages changed:
Updates to investigations examples
Tickets:
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Removed includeMedication and includeAllergies parameters from both requests
- Corrected duplicate id being used across multiple Observation resources
- added type to Observation.related
- removed use of Bundle.identifier
Pages changed:
Update issued on 31st July 2020
The following changes were made to clarify and correct issues in the GP Connect 1.5.0 specification
Some profiles still require updates to bring them in line with the guidance in this specification:
- https://fhir.nhs.uk/STU3/OperationDefinition/GPConnect-GetStructuredRecord-Operation-1/
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-DocumentReference-1
- https://fhir.hl7.org.uk/STU3/ValueSet/CareConnect-ListCode-1
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Encounter-1
Other known issues with the specification are documented on the Known issues page
Core
Tickets:
Affects: Core
Impacts: Provider and consumer systems
Description:
- The statement saying that all references SHALL be relative has been removed due to
DocumentReference
resources using full URLs for document locations
Pages changed:
Access Document
Updates to CapabilityStatement
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- CapabilityStatement for Access Document has been updated so that correct types are used for search parameters
- subject, type and facility have been removed from search parameters
- the read interaction has been removed from Patient.
Pages changed:
Example updates
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- An error was fixed with the date in the example of searching for a patient’s documents
Pages changed:
Clarification of Bundle.fullUrl population
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Guidance has been added to Bundle.fullUrl in the Access Document capability
Pages changed:
Updates to find patient API
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- The error condition for an
INVALID_IDENTIFIER_SYSTEM
in Find a patient has been changed toINVALID_PARAMETER
Pages changed:
Updates to document search API
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- The facility parameter was updated to use a token instead of an identifier when searching for a patient’s documents.
- Practitioner and PractitionerRole resources for supplementary actors have been added to the response payload
- The
type
andfacility
search parameters have been removed from the search API in the Access Documents capability - The
description
parameter has been updated to state it’s a keyword based search and thatDocumentReference.type
andDocumentReference.title
will be searched.
Pages changed:
Updates to DocumentReference population guidance
Tickets:
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Guidance for the DocumentReference profile has been updated, the MIME type for the document is now recorded in
content.attachment.contentType
. This replaces the use ofcontent.format
. - DocumentReference.context.practiceSetting guidance updated so text can be used where code is outside of refset
- DocumentReference.identifier guidance has been updated in line with use of identifier attributes in Access Record Structured
- DocumentReference.content.attachment.title SHOULD be populated with a reason when a document is unavailable
Pages changed:
Access Record Structured
Updates to Retrieve a patient’s structured record API
Tickets:
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Not permitted parameter combinations have been updated to include diary entries and referral
- Access denied has been updated to use the value from the value set,
ACCESS DENIED
Pages changed:
Updates to examples
Tickets:
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Issues in the diary entry example have been fixed
- Updates were made to the investigations examples in the Access Record Structured capability
- The consultations example has been updated to use the new Lists guidance
Pages changed:
- FHIR® (Diary Entry) ProcedureRequest examples
- FHIR® Investigations examples
- FHIR® Consultations and Problems examples
Updates to Consultation List profile guidance
Tickets:
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Guidance for the List profile for Consultations has been updated, the
problemReference
extension has been corrected torelatedProblemHeader
to match the profile
Pages changed:
Update to multiple search parameters guidance
Tickets: #1004
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Guidance has been extended for requests using multiple search parameters
- Common search definitions have been added
Pages changed:
Update to Lists guidance
Tickets: #1007
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- The definition of Lists has been extended to introduce secondary lists to describe the bundle content
- Guidance for populating lists with warning codes has been updated to reflect the additional lists
- A new page has been created to incorporate the extended List guidance with some content moved from the resource population fundamentals page
- The linkages page has been updated and extended to reflect these changes
Pages changed:
Update to Problems guidance
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- The list of clinical item references has been updated to include consultations / encounters
- Guidance for out of scope items (complete diary entries and test requests outside of investigations) which are linked to problems
Pages changed:
Update to Problem Header profile guidance
Tickets: #1012
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Update to the actualProblem extension guidance to include all clinical areas for this specification
- Update to the relatedClinicalItems extension guidance to include all clinical areas for this specification
Pages changed:
Update to Consultation guidance
Tickets: #1009
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Detail on returning out of scope items from clinical areas as text has been added
Pages changed:
Update to include Inbound Referrals in Uncategorised Data
Tickets: #1013
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Inbound referrals referenced in scope of uncategorised data
- Referrals guidance references inbound referrals covered by uncategorised data
Pages changed:
Update to documents returned in Access Record Structured
Tickets:
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- A note has been added to the linkages page to state that consumers must have implemented the Access Document capability to retrieve documents linked from returned
DocumentReference
resources - The documents guidance page has been updated to state that consumers must have implemented the Access Document capability to retrieve documents linked from returned
DocumentReference
resources
Pages changed:
Update issued on 1st October 2020
The following changes were made to clarify and correct issues in the GP Connect 1.5.0 specification
Known issues with the specification are documented on the Known issues page
Access Record Structured
Update to Investigations diagrams
Tickets: #1021
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Diagrams changed to reflect filing comments are referenced from the diagnostic report and not the other direction
Pages changed:
Empty list guidance
Tickets: #900
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Corrected the empty reason code for investigations and referrals
Pages changed:
Filing comments for a test result
Tickets: #1024
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Guidance for the filing comments observation profile has been updated to reference population of elements where the comments relate to a single test result
Pages changed:
Clarification around partial and unknown dates for date searches
Tickets: #949
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Clarification has been added around how information with partial or unknown dates should be returned for clinical areas which have date search parameters
Pages changed:
Configuration of supported clinical areas
Tickets: #1026
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- A page has been added with guidance on how provider systems MUST be able to configure which clinical areas are available
- The API has been updated to state how unavailable clinical areas are returned
- Guidance on unavailable clinical areas has been added to the Linkages page
Pages changed:
Confidential items in consultations
Tickets: #1029
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Updated the description for confidential items in consultations to reference secondary lists
Pages changed:
Fixed issue in requests in multi area searches page
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Example requests have been updated to be valid requests. The example now says 365 days instead of 1 year.
Pages changed:
Updated the guidance around blood pressure following the curation outcomes
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Updated to describe how bp’s are recorded in GP systems and include details of which blood pressures should be exported as a triple.
Pages changed:
Updated the guidance around fasting status in investigations specimens
Tickets: #1018
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Updated to describe how to populate the fasting status with data from EDIFACT.
Pages changed:
Updated the guidance on how and when to populate list.date
Tickets: #1014
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Updated to describe how to populate the list.date field.
Pages changed:
Updated the guidance on using lists to return data
Tickets: #1022
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Following curation this has been updated to reflect the new secondary list codes
Pages changed:
Uncategorised data value units
Tickets: #754
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Added a note to the Uncategorised data observation page that suppliers MUST use the units from the FHIR spec vital signs page.
Pages changed:
Immunisations not given
Affects: Access Record Structured
Impacts: Provider and consumer systems
Description:
- Updated guidance and profile definition following addition of ‘not done’ situation codes to the valueset for the vaccination procedure
Pages changed:
Corrected author search parameter type
Tickets: #1032
Affects: Access Document
Impacts: Provider and consumer systems
Description:
- Corrected description of
author
parameter to be atoken
in line with the rest of the specification
Pages changed:
Updates following last release
The following changes were made to clarify and correct issues in the GP Connect 1.5.0 specification:
Updates to Access Record Structured profile versions
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- The versions for profiles have been uplifted following curation
- Condition - ProblemHeader
- Observation
- The CapabilityStatement has been updated to use the updated versions
Pages changed:
- Condition - ProblemHeader
- Observation - Uncategorised Data
- Observation - test group header
- Observation - test result
- Observation - filing comments
- Observation - blood pressure
- Get the FHIR® capability statement (Access Record Structured)
Updates to Access Documents profile versions
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
- The versions for profiles have been uplifted
- DocumentReference
- The CapabilityStatement has been updated to use the updated versions
Pages changed:
- Guidance for populating and consuming the DocumentReference resource
- Get the FHIR capability statement from the Access Document FHIR server
Document retrieval file size limit
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
- A file size limit has been introduced to the Access Documents capability, documents over 5MB will not be retrievable.
- An error will be returned by the provider system if a document larger than 5MB is requested
Pages changed:
Clarification on file size population
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
- Clarification on how to set file size for documents that aren’t available
Pages changed:
Change to document type refset
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
- The refset to use for the document type is changed
Pages changed:
Updates to clinical area configuration
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- A list of configurable clinical areas has been added
- The warning has been updated for populating an
OperationOutcome
- Guidance on populating references has been added
Pages changed:
Updates to immunisation consent and dissent request
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- The
includeDissentConsent
part parameter has been updated toincludeStatus
- Observations representing the status of a patient’s immunisations will be returned
Pages changed:
Updated guidance for immunisations
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Medication records for immunisations are treated as medications and returned against medication not immunisation requests
- Guidance on notes population updated to remove reference to free text manufacturer
- Extended scope from inclusion of consent and dissent information to cover any coded information recorded within an immunisation module or categorised as immunisation data in the GP system
Pages changed:
Bundle.id must now be populated
Affects: Access Structured, Access Document
Impacts: Provider and consumer systems
Description:
- Bundle.id must now be populated.
Pages changed:
Updates to capability statement
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- CareConnect-GPC-MedicationRequest-1 version has been updated to 1.6
- CareConnect-GPC-Observation-1 has been updated to 1.6
- CareConnect-GPC-Condition-ProblemHeader-1 has been updated to 1.6
Pages changed:
- Get the FHIR® capability statement (Access Record Structured)
- Condition - ProblemHeader
- Observation - uncategorised data
- Observation - Blood pressure
- Observation - Filing comments
- Observation - Test group
- Observation - Test result
Updated link for secondary list CodeSystem
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Link to CodeSystem has been updated to https://fhir.hl7.org.uk/STU3/CodeSystem/GPConnect-SecondaryListValues-1
Pages changed:
Updated examples for includeNumberOfMostRecent part parameter
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- All examples of
includeNumberOfMostRecent
have been updated to use valuePositiveInt inline with the specification
Pages changed:
Clarification of clinical area configuration
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- The use of
OperationOutcome
has been corrected so that a singleOperationOutcome
is returned with multipleissue
elements when clinical areas have been switched off. - Clarification that ‘Documents’ controls whether
DocumentReference
resources are returned as part of the structured response. - Documents must be switched off when the Access Documents capability is switched off
issue.diagnostics
andissue.details.text
MUST contain ‘DocumentReferences’ when they have been turned off- Switching off a clinical are MUST be achieved via a single configuration item or action.
Pages changed:
Added HealthcareService to CapabilityStatement
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- HealthcareService has been added to the CapabilityStatement
Pages changed:
Updated the profile description of uncategorised data observation
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Updated to reflect the range of data that can be used to populate the component element
- Updated the performer element to include organization in reference types
- Minor re-word for code for free text
Pages changed:
Added guidance for inbound referrals
Tickets: #1066
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Section added with additional guidance for populating the observation resource for an inbound referral and updated the profile guidance
Pages changed:
Updates to Investigations guidance
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Add a line to say to use \n to keep line breaks in textual results. Updated pathology guidance page to specify use of \n to maintain line breaks.
- Note added regarding linkage between investigations and problems
- DiagnosticReport guidance for result element expanded to be explicit that only test result which are not part of a test group should be referenced from this element
Pages changed:
Remove warning codes from resource pop fundamentals
Tickets: #1050
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Removed and replaced with a link to the returning data in lists page.
Pages changed:
Investigations - How to handle Confidential items inside a report
Tickets: #1047
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Users in providing systems can flag reports results and headers as confidential within a diagnosticReport. Updated confidential items text to reflect this.
Pages changed:
Updated diagrams for linkages between resources
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Diagrams updated to show correct relationship of linkages for filing comments
- Diagrams updated to show additional problem and consultation linkages
- Note added that diagrams do not include all possible linkages
Pages changed:
Change how to deal with split plans due to a change in dose
Tickets: #1046
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
-
Add detail to the spec that describes how to split plans.
Also detail how it applies to a date filter. Details about the repeatInformation. Details of how to change the ids. Use of priorPrescription element.
Updated the medication guidance with example and removed dosageLastChanged extension from Med Statement page
Pages changed:
Updated medication request profile guidance
Tickets: #993
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Removed acute-handwritten from list of supported prescription types
Pages changed:
List of Lists - Path header/result as a problem
Tickets: #1043
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
-
it is possible to flag test result headers/results as Problems.
Currently the specification states that only the DiagnosticReport can be linked to a Problem, should this be updated to state that the child resources can also be linked
Updated the linkages page to say the DiagnosticReport must be linked as a related clinical item when any containing element is made a problem.
Pages changed:
Corrected allergies example
Tickets: #1038
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Corrected third allergies example to use correct value for
note
field - Updated descriptions for examples two and three to reflect content of example
Pages changed:
Clarification of clinical area configuration
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Rewording to clarify the use of
OperationOutcome
when clinical areas have been switched off. - Empty lists with basic information are permitted to be returned for disabled clinical areas.
- References MUST be populated with “[Clinical area] items have been disabled.”
Pages changed:
Diary Entries Search
Tickets: #1062
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Note added regarding search criteria to be explicit about inclusion of historic, active diary entries
Pages changed:
Updates to API page
Tickets: #1059
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- includeImmunisations.includeStatus has a default value of
true
- updated bundle population diagram
Pages changed:
Update to guidance on free text records
Tickets: #1037
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
Minor changes to the text to clarify that free text recorded in consultation use the observation resource as defined under uncategorised data, but free text which is not associated with a clinical code must only be returned in the context of a consultation (and problem when linking a consultation topic items) and not in response to only an uncategorised data request.
Pages changed:
Added documens consumer session starting from structured
Tickets: #1141
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
Section has been added describing how a consumer might retrieve documents that are referenced from a patient’s structured record
Pages changed:
Updates to API page
Tickets: #1138
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Corrections:
- added HealthcareService and Location resources to list of supplementary actors
- supplementary actors added for all clinical areas
- consultation and problems response updated to include all linked clinical areas
- updated bundle population diagram
- medication response updated to state that all medications that are prescribed elsewhere will be returned regardless of the search from date
- includeImmunisations.includeStatus has been removed from the not permitted parameters list
Pages changed:
Version compatibility
Tickets: #1139
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Version 1.3 has been removed from the version compatibility table
Pages changed:
ReferralRequest reference to DocumentReference
Tickets: #1147
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Page has been updated to reflect DocumentReferences being referenced from ReferralRequest resources
Pages changed:
Updated links to Observation profile to use correct version
Tickets: #1147
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-GPC-Observation-1 has been updated to version 1.7
Pages changed:
- Retrieve a patient’s structured record
- Get the structured FHIR® capability statement
- Observation - Test Group Header
- Observation - Test Result
- Observation - Filing Comments
- Observation - uncategorised data
- Observation - blood pressure
API page updates
Tickets:
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- References to ‘includeMedications’ have been updated to ‘includeMedication’
- Reference to ‘includePrescriptionIssue’ has been removed
- Error for missing includePrescriptionIssues paramter has been removed
- Error for incorrect uncategorisedDataSearchPeriod has been corrected as the dates were specified in an incorrect order
Pages changed:
Update guidance for documents size
Tickets: #1152
Affects: Access Documents
Impacts: Provider and consumer systems
Description:
- Updated guidance for content.attachment.size
Pages changed:
Corrections and updates for CareConnect-GPC-ProblemHeader-Condition-1
Tickets: #1157
Affects: Foundations, Access Structured
Impacts: Provider and consumer systems
Description:
- References to ‘CareConnect-GPC-Condition-ProblemHeader-1’ have been corrected to ‘CareConnect-GPC-ProblemHeader-Condition-1’
- CareConnect-GPC-ProblemHeader-Condition-1 has been updated to 1.7
Pages changed:
- Get the FHIR® capability statement (Foundations)
- Get the FHIR® capability statement (Access Record Structured)
- ProblemHeader (Condition)
Updates to not permitted parameter combinations
Tickets: #1165
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Added includeImmunisations.includeStatus to not permitted parameter combinations
Pages changed:
Updates to guidance for documents linked to inbound referrals
Tickets: #1166
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Updated guidance for documents linked to inbound referrals to be sent using DocumentReference resources
Pages changed:
Updates to guidance for populating references to clinical areas that aren’t available
Tickets: #1167
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Updated guidance for how to populate references for clinical items that are unavailable and also confidential
Pages changed:
Updates to API error display values
Tickets: #1171
Date: 11 May 2022
Affects: Core
Impacts: Provider and consumer systems
Description:
- Updated API error display values to the Spine error or warning display values
Pages changed:
Updates to patient retrieve bundle illustration
Tickets: #1174
Date: 17 May 2022
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Updated the illustration diagram to include all resources that are returned for problems
Pages changed:
Correction to coding system in FHIR error examples
Tickets: #1181
Date: 7 June 2022
Affects: Core
Impacts: Provider and consumer systems
Description:
- Updated the coding system in FHIR error examples
Pages changed:
Correction to data type for practitioner.role
Tickets: #1179
Date: 8 June 2022
Affects: Access Structured
Impacts: Provider and consumer systems
Description:
- Updated the data type for practitioner.role to CodeableConcept
Pages changed: