GP Connect Get Record FHIR API Implementation Guide

GPConnect-CareRecord-Composition-1

The Composition resource carries information in the patient's record.

View Composition Resource Changes for a delta of changes made to the standard FHIR DSTU2 Composition resource to allow its usage as a Care Record for use within the GP Connect APIs.

NameCard.TypeDescription & Constraints
..CompositionCompositionThis Composition resource is constrained to support the full patient record request for the GP Connect API interaction requirements

...date1..1DateTimeComposition editing time

...type1..1CodeableConceptKind of composition document
Binding Type of a composition. (http://fhir.nhs.net/ValueSet/document-type-codes-snct-1)
Binding Strength Required

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system
Fixed Value 425173008

.....display1..1StringRepresentation defined by the system
Fixed Value record extract (record artifact)

....text0..1Stringrecord extract (record artifact)
Fixed Value record extract (record artifact)

...class0..1CodeableConceptCategorization of Composition
Binding Type of a care setting. (http://fhir.nhs.net/ValueSet/care-setting-codes-snct-1)
Binding Strength Required

....coding0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code1..1CodeSymbol in syntax defined by the system
Fixed Value 700232004

.....display1..1StringRepresentation defined by the system
Fixed Value general medical service (qualifier value)

....text0..1Stringgeneral medical service (qualifier value)
Fixed Value general medical service (qualifier value)

...title1..1StringPatient Care Record
Fixed Value Patient Care Record

...status1..1Codepreliminary | final | amended | entered-in-error
Binding The workflow/clinical status of the composition. (http://hl7.org/fhir/ValueSet/composition-status)
Binding Strength Required
Fixed Value final

...confidentiality0..1CodeAs defined by affinity domain
Binding Codes specifying the level of confidentiality of the composition. (http://hl7.org/fhir/ValueSet/v3-Confidentiality)
Binding Strength Required

...subject1..1Reference (gpconnect-patient-1)The Patient this information is about

....reference0..1StringRelative URL reference to the Patient resource
Example Value Patient/31686b67-9f20-4644-9a54-193d2f91de57

....display0..1StringNarrative text for the resource
Example Value Sally Taylor

...author1..1Reference (gpconnect-device-1)The author of the patient care record

...custodian0..1Reference (gpconnect-organization-1)Organization which maintains the patient care record

....reference0..1StringRelative URL reference to the Organization resource
Example Value Organization/79600119-ebaf-4362-bb89-d473a33b1675

....display0..1StringNarrative text for the resource
Example Value Wood Town GP Practice

...sectionComposition is broken into sections
Slice: Ordering: Ordered, Discriminator: code, Rules: Closed

...section (Patient Details)0..1BackboneElementPatient demographic information including the patient's next of kin and carer information

....title1..1StringPatient Details

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value PAT

......display1..1StringRepresentation defined by the system
Fixed Value Patient Details

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Allergies and Sensitivities)0..1BackboneElementSummarised table of Allergies and Sensitivities from the GP record relating to the patient

....title (Allergies and Sensitivities)1..1StringAllergies and Sensitivities

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value ALL

......display1..1StringRepresentation defined by the system
Fixed Value Allergies and Sensitivities

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Summary)0..1BackboneElementSummarised text for some/all of the following; current Allergies and Sensitivities, last 3 Encounters, last 3 months of Investigations, active Problems and current Medications

....title1..1StringSummary

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value SUM

......display1..1StringRepresentation defined by the system
Fixed Value Summary

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Administrative Items)0..1BackboneElementSummarised text for non-clinical data relating to the patient

....title1..1StringLabel for section (Administrative Items)

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value ADM

......display1..1StringRepresentation defined by the system
Fixed Value Administrative Items

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Clinical Items)0..1BackboneElementSummarised text for some/all of the following; Problems Diagnoses and Procedures

....title1..1StringClinical Items

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value CLI

......display1..1StringRepresentation defined by the system
Fixed Value Clinical Items

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Encounters)0..1BackboneElementA journal like view of interaction(s) between the patient and a healthcare professional

....title1..1StringEncounters

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value ENC

......display1..1StringRepresentation defined by the system
Fixed Value Encounters

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Immunisations)0..1BackboneElementA list of all recorded immunisation events in the GP record in relation to the patient

....title1..1StringLabel for section (Immunisations)

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value IMM

......display1..1StringRepresentation defined by the system
Fixed Value Immunisations

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Investigations)0..1BackboneElementSummarised table of requested Diagnostic Investigations alongside any associated results

....title1..1StringInvestigations

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value INV

......display1..1StringRepresentation defined by the system
Fixed Value Investigations

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Medications)0..1BackboneElementSummarised table of medications including details of the Medication, Prescription, Dispense and Administration

....title (Medications)1..1StringMedications

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value MED

......display1..1StringRepresentation defined by the system
Fixed Value Medications

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Observations)0..1BackboneElementSummarised table of observations from the GP record relating to the patient

....title1..1StringLabel for section (Observations)

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value OBS

......display1..1StringRepresentation defined by the system
Fixed Value Observations

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Problems)0..1BackboneElementSummarised text for coded items marked as Problems from the GP record relating to the patient

....title1..1StringLabel for section (Problems)

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value PRB

......display1..1StringRepresentation defined by the system

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Referrals)0..1BackboneElementDetails of referrals made to or from the General Practice in relation to the patient

....title1..1StringReferrals

....code1..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://fhir.nhs.net/ValueSet/gpconnect-record-section-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/gpconnect-record-section-1

......code1..1CodeSymbol in syntax defined by the system
Fixed Value REF

......display1..1StringRepresentation defined by the system
Fixed Value Referrals

.....text1..1StringPlain text representation of the concept

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

GPConnect-CareRecord-Composition-1

Examples Description XML File JSON File
Composition-CareRecord-AdministrativeItems NHS Patient Care Record - Administrative Items Section
Composition-CareRecord-AllergiesandSensitivities NHS Patient Care Record - Allergies and Sensitivities Section
Composition-CareRecord-ClinicalItems NHS Patient Care Record - Clinical Items Section
Composition-CareRecord-Encounters NHS Patient Care Record - Encounters Section
Composition-CareRecord-Immunisations NHS Patient Care Record - Immunisations Section
Composition-CareRecord-Investigations NHS Patient Care Record - Investigations Section
Composition-CareRecord-Medications NHS Patient Care Record - Medications Section
Composition-CareRecord-Observations NHS Patient Care Record - Observations Section
Composition-CareRecord-PatientDetails NHS Patient Care Record - Patient Details Section
Composition-CareRecord-Problems NHS Patient Care Record - Problems Section
Composition-CareRecord-Referrals NHS Patient Care Record - Referrals Section
Composition-CareRecord-Summary NHS Patient Care Record - Summary Section