PFS API FHIR response examples

PFS API FHIR response examples

This page is a work in progress. The FHIR responses shown are examples exclusively from the GP Data PFS API integration and do not represent the complete FHIR data available within PKB from other sources. These examples originate from the upstream FHIR stores, and their format may differ slightly from the aggregated store.

Contents


Patient

R4 FHIR Resource - Patient

Data Model - Entity: Patient

{ "resource": { "address": [ { "use": "home", "line": [ "1 Low Lane", "Horsforth", "Leeds", "West Yorkshire" ], "postalCode": "LS18 5PX" } ], "meta": { "lastUpdated": "2025-06-19T15:53:21.505593Z", "versionId": "8023", "extension": [ { "url": "ex:createdAt", "valueInstant": "2024-11-26T14:55:12.492078Z" } ] }, "managingOrganization": { "display": "HSCIC Test environment 71", "reference": "Organization/bbc83d8c-43fb-44e7-956e-1490d52a5cc7" }, "name": [ { "use": "usual", "given": [ "Gamora" ], "family": "Titan", "prefix": [ "Miss" ] } ], "birthDate": "1990-01-01", "resourceType": "Patient", "active": true, "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "identifier": [ { "value": "9991377964", "system": "https://fhir.nhs.uk/Id/nhs-number" }, { "value": "5c67600000000000", "system": "http://fhir.patientsknowbest.com/id/systmone-pfs-patient-guid" }, { "value": "7HqE+cTvvlhUocrrIMzO/z550DlWxe8OIAd9Ic2qotE9Nf0mf3mtRI+8KEAVIUO09FXXrnoxpJQU0+EI3xfWy++C75mCIUz2yO+qhCPqtjfNYwwna11AH7Lc/a2xEqPBuisurT8xTkS76Qtb/jz/E69Sm6cwWs1r1tdDbNABPJg=", "system": "http://fhir.patientsknowbest.com/id/systmone-rosu-patient-guid" } ], "telecom": [ { "use": "home", "value": "gamora@pkbtest.com", "system": "email" } ], "generalPractitioner": [ { "display": "HSCIC Test environment 71", "reference": "Organization/bbc83d8c-43fb-44e7-956e-1490d52a5cc7" } ], "gender": "female" }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Patient/77f14fe9-ab1b-4055-a628-49ee2e299f19", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Patient/77f14fe9-ab1b-4055-a628-49ee2e299f19" } ] }
{ "resource": { "address": [ { "use": "home", "city": "Leeds", "line": [ "1 Emis Street" ], "district": "West Yorkshire", "postalCode": "LS19 6BA" } ], "meta": { "lastUpdated": "2025-06-17T23:19:09.405817Z", "versionId": "7649", "extension": [ { "url": "ex:createdAt", "valueInstant": "2025-05-08T11:53:30.912428Z" } ] }, "managingOrganization": { "display": "Emis Test Organisation 28826", "reference": "Organization/C84143" }, "name": [ { "use": "official", "given": [ "Stephen" ], "family": "Strange", "prefix": [ "Dr" ] }, { "use": "usual", "given": [ "Stephen" ], "family": "Strange", "prefix": [ "Dr" ] } ], "birthDate": "1990-01-01", "resourceType": "Patient", "active": true, "id": "c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "identifier": [ { "value": "9994487663", "system": "https://fhir.nhs.uk/Id/nhs-number" }, { "value": "8c28914a-08d5-439d-942f-37d2c0a5c235", "system": "http://fhir.patientsknowbest.com/id/emis-pfs-patient-guid" }, { "value": "54fea460-4079-4bbf-9be5-ea4ad7063d9d", "system": "http://fhir.patientsknowbest.com/id/emis-rosu-patient-guid" } ], "telecom": [ { "use": "home", "value": "01132050001", "system": "phone" }, { "use": "home", "value": "emis_stephen@pkbtest.com", "system": "email" } ], "generalPractitioner": [ { "display": "Emis Test Organisation 28826", "reference": "Organization/C84143" } ], "gender": "male" }, "search": { "mode": "match" }, "fullUrl": "https://gdiemis.fhir-api.rc.pkb.io/Patient/c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "link": [ { "relation": "self", "url": "https://gdiemis.fhir-api.rc.pkb.io/Patient/c4858055-62b1-47ce-b8f7-25c4a8ffc3b5" } ] }

Appointment

R4 FHIR Resource - Appointment

Data Model - Entity: Appointment

{ "resource": { "description": "Clinician: Sarah Staff - PKB Slot", "meta": { "lastUpdated": "2025-04-22T08:27:14.257617Z", "versionId": "6820", "extension": [ { "url": "ex:createdAt", "valueInstant": "2025-04-22T08:27:14.257617Z" } ] }, "start": "2025-11-19T15:30:00+00:00", "participant": [ { "actor": { "reference": "Patient/77f14fe9-ab1b-4055-a628-49ee2e299f19" }, "status": "accepted", "required": "required" }, { "actor": { "display": "Sarah Staff", "reference": "Practitioner/34f5a9c9-6cad-44e1-946f-be198ebd718d" }, "status": "accepted", "required": "required" }, { "actor": { "display": "HSCIC Test environment 71", "reference": "Location/df1c517f-2a2f-435e-82ee-7bfa22850c38" }, "status": "accepted", "required": "required" } ], "resourceType": "Appointment", "appointmentType": { "coding": [ { "display": "PKB Slot" } ] }, "status": "booked", "id": "47438289-a5d2-4a7f-bdc6-67b04a6b44c1", "identifier": [ { "value": "77f14fe9-ab1b-4055-a628-49ee2e299f19-71ee072000000000", "system": "http://fhir.patientsknowbest.com/id/systmone-appointment-event-guid" } ], "end": "2025-11-19T15:40:00+00:00" }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Appointment/47438289-a5d2-4a7f-bdc6-67b04a6b44c1", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Appointment/47438289-a5d2-4a7f-bdc6-67b04a6b44c1" } ] }
{ "resource": { "meta": { "lastUpdated": "2024-11-28T14:22:40.663807Z", "versionId": "4990", "extension": [ { "url": "ex:createdAt", "valueInstant": "2024-11-26T13:02:14.710241Z" } ] }, "start": "2023-08-21T15:00:00+01:00", "created": "2023-08-18T00:22:29.277+01:00", "participant": [ { "actor": { "reference": "Patient/e9ddc839-c65a-4c6f-9702-5e21367eec22" }, "status": "accepted" }, { "actor": { "display": "Mr PKB Test", "reference": "Practitioner/ef345fde-ec87-4e64-9b80-90e507d9cb67" }, "status": "accepted", "required": "required" }, { "actor": { "display": "Master Practice", "reference": "Location/513feb32-558c-4b79-9e1e-443bc73a63fc" }, "status": "accepted", "required": "required" } ], "resourceType": "Appointment", "appointmentType": { "coding": [ { "display": "Appt Test" } ] }, "status": "booked", "id": "46101140-47b8-4e63-9fd5-a4fa5bd48649", "identifier": [ { "value": "e9ddc839-c65a-4c6f-9702-5e21367eec22-755842", "system": "http://fhir.patientsknowbest.com/id/emis-appointment-event-guid" } ], "end": "2023-08-21T15:10:00+01:00" }, "search": { "mode": "match" }, "fullUrl": "https://gdiemis.fhir-api.rc.pkb.io/Appointment/46101140-47b8-4e63-9fd5-a4fa5bd48649", "link": [ { "relation": "self", "url": "https://gdiemis.fhir-api.rc.pkb.io/Appointment/46101140-47b8-4e63-9fd5-a4fa5bd48649" } ] }

Medication

R4 FHIR Resource - MedicationStatement

Data Model - Entity: Medication

{ "resource": { "meta": { "lastUpdated": "2025-04-30T11:19:49.471692Z", "createdAt": "2025-02-13T16:17:24.626181Z", "versionId": "6910" }, "dosage": [ { "patientInstruction": "take one daily" } ], "resourceType": "MedicationStatement", "status": "completed", "effective": { "Period": { "start": "2025-01-28T16:07:49+00:00" } }, "id": "afddbeba-8834-48e4-a31d-f21310a39ce3", "identifier": [ { "value": "MjAyNTAxMjgxNjA3NDkoUikgQXRvcnZhc3RhdGluIDIwbWcgdGFibGV0cyAtIDI4IHRhYmxldCAtIHRha2Ugb25lIGRhaWx5", "system": "http://fhir.patientsknowbest.com/id/systmone-medication-statement-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "medication": { "CodeableConcept": { "coding": [ { "code": "39733011000001106", "system": "http://snomed.info/sct", "display": "Atorvastatin 20mg tablets" } ] } } }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/MedicationStatement/afddbeba-8834-48e4-a31d-f21310a39ce3", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/MedicationStatement/afddbeba-8834-48e4-a31d-f21310a39ce3" } ] }
{ "resource": { "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-07T01:18:42+01:00" } ], "lastUpdated": "2025-06-17T23:19:09.791149Z", "createdAt": "2025-06-17T23:19:09.791149Z", "versionId": "7654" }, "dosage": [ { "patientInstruction": "One Or Two Puffs To Be Inhaled Up To Four Times A Day" } ], "resourceType": "MedicationStatement", "status": "active", "effective": { "Period": { "start": "2025-06-18T00:18:08+01:00" } }, "id": "3222357c-89a2-4b4d-b3b0-ee765c452bd6", "identifier": [ { "value": "fd5108ce-e6c7-4e54-a133-32d130065eaf", "system": "http://fhir.patientsknowbest.com/id/emis-medication-statement-event-guid" } ], "informationSource": { "id": "cd2821b1-4e5f-4016-bfc8-bc22394dc780", "display": "Dr PatientKnows Best", "resourceType": "Practitioner" }, "subject": { "id": "c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "resourceType": "Patient" }, "medication": { "CodeableConcept": { "coding": [ { "code": "1751341000033111", "system": "http://snomed.info/sct", "display": "Salbutamol 100micrograms/dose breath actuated inhaler CFC free" } ] } }

Condition

R4 FHIR Resource - Condition

Data Model - Entity: Diagnosis

{ "resource": { "onset": { "dateTime": "2025-05-19T14:08:07+00:00" }, "category": [ { "coding": [ { "code": "problem-list-item", "system": "http://terminology.hl7.org/CodeSystem/condition-category" } ] } ], "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-19T14:08:07+01:00" } ], "lastUpdated": "2025-06-19T15:53:36.124988Z", "createdAt": "2025-05-21T14:38:08.835602Z", "versionId": "8101" }, "encounter": { "id": "cc24b752-ca5b-4a83-ac89-cc09dda87776", "resourceType": "Encounter" }, "resourceType": "Condition", "id": "556aa526-d978-471a-95a5-14a22c32d207", "recorder": { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" }, "code": { "coding": [ { "code": "32398004", "system": "http://snomed.info/sct", "display": "Bronchitis" } ] }, "identifier": [ { "value": "MjAyNTA1MTkxNDA4MDdCcm9uY2hpdGlzIChYYUR0UCk=", "system": "http://fhir.patientsknowbest.com/id/systmone-condition-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Bronchitis (XaDtP)</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Condition/556aa526-d978-471a-95a5-14a22c32d207", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Condition/556aa526-d978-471a-95a5-14a22c32d207" } ] }
{ "resource": { "onset": { "dateTime": "2001-06-18T13:20:00+01:00" }, "category": [ { "coding": [ { "code": "problem-list-item", "system": "http://terminology.hl7.org/CodeSystem/condition-category" } ] } ], "clinicalStatus": { "coding": [ { "code": "active", "system": "http://terminology.hl7.org/CodeSystem/condition-clinical" } ] }, "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-07T01:23:23+01:00" } ], "lastUpdated": "2025-05-08T11:53:32.302783Z", "createdAt": "2025-05-08T11:53:32.302783Z", "versionId": "7158" }, "resourceType": "Condition", "extension": [ { "url": "https://fhir.nhs.uk/R4/CodeSystem/UKCore-ConditionEpisodicity", "valueCoding": { "code": "first", "display": "First" } } ], "id": "0ba92384-e046-4497-9743-4d1c52b63488", "recorder": { "id": "cd2821b1-4e5f-4016-bfc8-bc22394dc780", "display": "Dr PatientKnows Best", "resourceType": "Practitioner" }, "code": { "coding": [ { "code": "195967001", "system": "http://snomed.info/sct", "display": "Asthma" } ] }, "identifier": [ { "value": "36e4e0c5-113a-4b4e-a379-cf69fd6e8af0", "system": "http://fhir.patientsknowbest.com/id/emis-condition-event-guid" } ], "subject": { "id": "c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "resourceType": "Patient" }, "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Asthma</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gdiemis.fhir-api.rc.pkb.io/Condition/0ba92384-e046-4497-9743-4d1c52b63488", "link": [ { "relation": "self", "url": "https://gdiemis.fhir-api.rc.pkb.io/Condition/0ba92384-e046-4497-9743-4d1c52b63488" } ] }

Observation

R4 FHIR Resource - Observation

Test Result

To be added…

{ "resource": { "referenceRange": [ { "low": { "value": 4500 }, "high": { "value": 11000 }, "text": "4500 - 11000" } ], "meta": { "lastUpdated": "2024-06-20T10:26:51.077748Z", "versionId": "119", "extension": [ { "url": "ex:createdAt", "valueInstant": "2024-06-20T10:26:51.077748Z" } ] }, "interpretation": [ { "text": "Abnormal" } ], "valueQuantity": { "unit": "cells/uL", "value": 4500, "comparator": "<" }, "resourceType": "Observation", "extension": [ { "url": "<http://fhir.patientsknowbest.com/structuredefinition/recorded-date>", "valueDateTime": "2023-12-06T14:14:59.253+00:00" } ], "status": "final", "id": "1d99f059-62a9-40a1-a293-06720f34ec9f", "code": { "coding": [ { "code": "42331000237103", "system": "<http://snomed.info/sct>", "display": "White blood cell count in urine" } ] }, "identifier": [ { "value": "088bd111-7f7b-4de7-87b8-e0b50d5af040", "system": "http://fhir.patientsknowbest.com/id/emis-observation-event-guid" } ], "subject": { "reference": "Patient/10e55609-d188-4174-9887-e7d43aefbc91" }, "performer": [ { "display": "Mr PKB Test", "reference": "Practitioner/b7746e7c-2976-4663-ac88-f252e1bce21d" } ], "text": { "div": "<div xmlns=\\"<http://www.w3.org/1999/xhtml\\>"> - White blood cell count in urine</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "<http://fhir-emis:9443/Observation/1d99f059-62a9-40a1-a293-06720f34ec9f>", "link": [ { "relation": "self", "url": "<http://fhir-emis:9443/Observation/1d99f059-62a9-40a1-a293-06720f34ec9f>" } ] }

]
}

Measurement

{ "resource": { "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2024-10-14T09:00:00+01:00" } ], "lastUpdated": "2025-06-19T15:53:34.348510Z", "createdAt": "2024-11-26T14:55:14.815207Z", "versionId": "8090" }, "encounter": { "id": "3230daa0-5fed-43a0-9cb6-06b92444e7b7", "resourceType": "Encounter" }, "resourceType": "Observation", "status": "final", "id": "55a10dc0-0cf6-482b-b72f-88ba2ff0ff41", "code": { "coding": [ { "code": "162763007", "system": "http://snomed.info/sct", "display": "O/E - weight" } ] }, "identifier": [ { "value": "MjAyNDEwMTQwOTAwMDBPL0UgLSB3ZWlnaHQgKDIyQS4uKSA3NyBLZyAo4omIIDEyIHN0IDIgbGIp", "system": "http://fhir.patientsknowbest.com/id/systmone-observation-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "performer": [ { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coded entry: O/E - weight (22A..) 77 Kg (≈ 12 st 2 lb)</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Observation/55a10dc0-0cf6-482b-b72f-88ba2ff0ff41", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Observation/55a10dc0-0cf6-482b-b72f-88ba2ff0ff41" } ] }
{ "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2023-08-18T00:29:11.633+01:00" } ], "lastUpdated": "2025-02-24T23:25:02.418941Z", "createdAt": "2025-02-24T23:25:02.418941Z", "versionId": "6927" }, "interpretation": [ { "coding": [ { "code": "A", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "display": "Abnormal" } ] } ], "value": { "Quantity": { "unit": "kg", "value": 120 } }, "resourceType": "Observation", "status": "final", "id": "c6b6d7f6-8303-4eae-842c-ad7a57567b6c", "code": { "coding": [ { "code": "27113001", "system": "http://snomed.info/sct", "display": "Body weight" } ] }, "identifier": [ { "value": "0380fee0-b855-4540-97a6-e2fee9fb4705", "system": "http://fhir.patientsknowbest.com/id/emis-observation-event-guid" } ], "subject": { "id": "e9ddc839-c65a-4c6f-9702-5e21367eec22", "resourceType": "Patient" }, "performer": [ { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"> - Body weight</div>", "status": "generated" } }

Procedure

{ "resource": { "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-06-25T14:45:22+01:00" } ], "lastUpdated": "2025-06-25T13:48:37.161083Z", "createdAt": "2025-06-25T13:48:37.161083Z", "versionId": "8182" }, "encounter": { "id": "14708072-a718-48b9-a19c-455e8dd981ee", "resourceType": "Encounter" }, "resourceType": "Observation", "status": "final", "id": "8edb4555-31a0-467b-80ab-c8667a4d1211", "code": { "coding": [ { "code": "284181007", "system": "http://snomed.info/sct", "display": "Incision and drainage of abscess" } ] }, "identifier": [ { "value": "MjAyNTA2MjUxNDQ1MjJJbmNpc2lvbiBhbmQgZHJhaW5hZ2Ugb2YgYWJzY2VzcyAoWGEyZFIp", "system": "http://fhir.patientsknowbest.com/id/systmone-observation-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "performer": [ { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coded entry: Incision and drainage of abscess (Xa2dR)</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Observation/8edb4555-31a0-467b-80ab-c8667a4d1211", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Observation/8edb4555-31a0-467b-80ab-c8667a4d1211" } ] }
{ "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2023-08-17T23:58:37.873+01:00" } ], "lastUpdated": "2024-11-28T14:22:41.344797Z", "createdAt": "2024-11-26T13:02:15.234971Z", "versionId": "5021" }, "interpretation": [ { "coding": [ { "code": "N", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "display": "Normal" } ] } ], "resourceType": "Observation", "status": "final", "id": "39c3324e-fbbf-4b45-a3db-3129b121b2e5", "code": { "coding": [ { "code": "182531007", "system": "http://snomed.info/sct", "display": "Dressing of wound" } ] }, "identifier": [ { "value": "4fd00ac6-537b-43f8-b1a2-4fc8695430ee", "system": "http://fhir.patientsknowbest.com/id/emis-observation-event-guid" } ], "subject": { "id": "e9ddc839-c65a-4c6f-9702-5e21367eec22", "resourceType": "Patient" }, "performer": [ { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Procedure - Dressing of wound</div>", "status": "generated" } }

Finding

{ "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-19T14:08:07+01:00" } ], "lastUpdated": "2025-06-19T15:53:34.348510Z", "createdAt": "2025-05-21T14:38:08.490722Z", "versionId": "8042" }, "encounter": { "id": "cc24b752-ca5b-4a83-ac89-cc09dda87776", "resourceType": "Encounter" }, "resourceType": "Observation", "status": "final", "id": "bf50961d-087c-41b4-91e2-2dd80257f005", "code": { "coding": [ { "code": "77176002", "system": "http://snomed.info/sct", "display": "Smoker" } ] }, "identifier": [ { "value": "MjAyNTA1MTkxNDA4MDdTbW9rZXIgKDEzN1IuKQ==", "system": "http://fhir.patientsknowbest.com/id/systmone-observation-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "performer": [ { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coded entry: Smoker (137R.)</div>", "status": "generated" } }
{ "resource": { "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-07T01:19:47+01:00" } ], "lastUpdated": "2025-05-08T11:53:31.769938Z", "createdAt": "2025-05-08T11:53:31.769938Z", "versionId": "7142" }, "interpretation": [ { "coding": [ { "code": "N", "system": "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation", "display": "Normal" } ] } ], "resourceType": "Observation", "status": "final", "id": "ca0e010c-8f06-45e1-90a6-cab8ba070907", "code": { "coding": [ { "code": "301708006", "system": "http://snomed.info/sct", "display": "Chest clear" } ] }, "identifier": [ { "value": "78921adf-fefb-4bf7-8547-d64307a387bb", "system": "http://fhir.patientsknowbest.com/id/emis-observation-event-guid" } ], "subject": { "id": "c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "resourceType": "Patient" }, "performer": [ { "id": "cd2821b1-4e5f-4016-bfc8-bc22394dc780", "display": "Dr PatientKnows Best", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Examination - Chest clear</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gdiemis.fhir-api.rc.pkb.io/Observation/ca0e010c-8f06-45e1-90a6-cab8ba070907", "link": [ { "relation": "self", "url": "https://gdiemis.fhir-api.rc.pkb.io/Observation/ca0e010c-8f06-45e1-90a6-cab8ba070907" } ] }

Consultation notes

{ "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-05-19T13:25:54+01:00" } ], "lastUpdated": "2025-06-19T15:53:34.348510Z", "createdAt": "2025-05-19T12:54:09.882298Z", "versionId": "8047" }, "encounter": { "id": "8c29309c-fc9d-4f83-9639-83934da7832d", "resourceType": "Encounter" }, "resourceType": "Observation", "status": "final", "id": "73aaa206-b8ae-4e26-a344-6e3017c898ee", "code": { "coding": [ { "display": "History: Gamora presents with a persistent cough for the past three weeks. She reports that it started as a dry cough but has recently become more productive, with some whitish phlegm. She also mentions feeling more tired than usual and experiencing occasional night sweats. She denies any fever, chest pain, or shortness of breath.\n\nmother has asthma\nTeetotaller (1361.)\nExamination: General appearance: Well-nourished, appears slightly fatigued.\nLungs: Auscultation reveals scattered wheezes bilaterally. No crackles heard.\nHeart: Regular rate and rhythm, no murmurs.\nTemperature: 37.2°C O/E - temperature normal (2E31.)\nOxygen saturation: 98% on room air. Oxygen saturation at periphery (X770D)\nDiagnosis: Acute bronchitis (XE0Xr)" } ] }, "identifier": [ { "value": "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", "system": "http://fhir.patientsknowbest.com/id/systmone-observation-event-guid" } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "performer": [ { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Note: History: Gamora presents with a persistent cough for the past three weeks. She reports that it started as a dry cough but has recently become more productive, with some whitish phlegm. She also mentions feeling more tired than usual and experiencing occasional night sweats. She denies any fever, chest pain, or shortness of breath.\n\nmother has asthma\nTeetotaller (1361.)\nExamination: General appearance: Well-nourished, appears slightly fatigued.\nLungs: Auscultation reveals scattered wheezes bilaterally. No crackles heard.\nHeart: Regular rate and rhythm, no murmurs.\nTemperature: 37.2°C O/E - temperature normal (2E31.)\nOxygen saturation: 98% on room air. Oxygen saturation at periphery (X770D)\nDiagnosis: Acute bronchitis (XE0Xr)</div>", "status": "generated" } }

To be added…

Social

{ "resource": { "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2025-03-24T10:47:52+00:00" }, { "url": "ex:createdAt", "valueInstant": "2025-03-24T10:48:49.703459Z" } ], "lastUpdated": "2025-07-14T08:52:31.171978Z", "versionId": "8534" }, "resourceType": "Observation", "status": "final", "id": "6ee2792f-ddec-405f-9d0f-f154fe981ea6", "code": { "coding": [ { "code": "494131000000105", "system": "http://snomed.info/sct", "display": "White British - ethnic category 2001 census" } ] }, "identifier": [ { "value": "MjAyNTAzMjQxMDQ3NTJXaGl0ZSBCcml0aXNoIC0gZXRobmljIGNhdGVnb3J5IDIwMDEgY2Vuc3VzIChYYVFFYSk=", "system": "http://fhir.patientsknowbest.com/id/systmone-observation-event-guid" } ], "subject": { "reference": "Patient/77f14fe9-ab1b-4055-a628-49ee2e299f19" }, "performer": [ { "display": "Sarah Staff", "reference": "Practitioner/34f5a9c9-6cad-44e1-946f-be198ebd718d" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Coded entry: White British - ethnic category 2001 census (XaQEa)</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "https://gditpp.fhir-api.rc.pkb.io/Observation/6ee2792f-ddec-405f-9d0f-f154fe981ea6", "link": [ { "relation": "self", "url": "https://gditpp.fhir-api.rc.pkb.io/Observation/6ee2792f-ddec-405f-9d0f-f154fe981ea6" } ] }

To be added…


Allergies

R4 FHIR Resource - AllergyIntolerance

Data model - Entity: Allergy

{ "patient": { "id": "203219f8-07a9-4747-a95e-e318744969ac", "resourceType": "Patient" }, "clinicalStatus": { "text": "Active", "coding": [ { "code": "active", "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" } ] }, "meta": { "lastUpdated": "2025-05-14T09:59:54.718723Z", "createdAt": "2025-05-14T09:59:54.718723Z", "versionId": "7304" }, "resourceType": "AllergyIntolerance", "asserter": { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" }, "recordedDate": "2023-11-10T12:49:49+00:00", "id": "53f699bf-2fff-4776-bf0c-3e594642fba3", "recorder": { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" }, "code": { "coding": [ { "code": "213021008", "system": "http://snomed.info/sct", "display": "Peanut allergy" } ] }, "identifier": [ { "value": "MjAyMzExMTAxMjQ5NDlQZWFudXQgYWxsZXJneSAoWGExbm8p", "system": "http://fhir.patientsknowbest.com/id/systmone-allergy-intolerance-event-guid" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Peanut allergy (Xa1no)</div>", "status": "generated" } }
{ "patient": { "id": "e9ddc839-c65a-4c6f-9702-5e21367eec22", "resourceType": "Patient" }, "onset": { "dateTime": "2023-09-22" }, "clinicalStatus": { "text": "Active", "coding": [ { "code": "active", "system": "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical" } ] }, "meta": { "extension": [ { "url": "http://fhir.patientsknowbest.com/structuredefinition/recorded-date", "valueDateTime": "2023-09-22T14:55:39.82+01:00" } ], "lastUpdated": "2024-11-28T14:22:39.319776Z", "createdAt": "2024-11-26T13:02:13.726593Z", "versionId": "4934" }, "resourceType": "AllergyIntolerance", "asserter": { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" }, "id": "0fc5e833-2c35-45f0-ab6e-94a153d24c3c", "recorder": { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" }, "code": { "coding": [ { "code": "236761000006114", "system": "http://snomed.info/sct", "display": "Allergy to peanuts" } ] }, "identifier": [ { "value": "ce87a60c-f981-4b54-9eda-780d310f0725", "system": "http://fhir.patientsknowbest.com/id/emis-allergy-intolerance-event-guid" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Allergy to peanuts</div>", "status": "generated" } }

DiagnosticReport

R4 FHIR Resource - DiagnosticReport

Data Model -

{ "entry": [ { "resource": { "meta": { "lastUpdated": "2024-06-20T10:40:02.842394Z", "versionId": "43", "extension": [ { "url": "ex:createdAt", "valueInstant": "2024-06-20T10:40:02.842394Z" } ] }, "resourceType": "DiagnosticReport", "effectiveDateTime": "2023-08-18", "status": "final", "id": "35072aa7-b972-4d19-9dcc-5eb8a5e8cafb", "code": { "coding": [ { "code": "166362002", "system": "http://snomed.info/sct", "display": "Serum TSH level (NHS Terminology LookUp)" } ] }, "identifier": [ { "value": "cfaa000000000000", "system": "Tpp" } ], "issued": "2023-08-18T00:00:00+00:00", "subject": { "reference": "Patient/c3727dcb-4845-4e07-b9aa-76ba80748de9" }, "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Pathology - Serum TSH Level</div>", "status": "generated" } }, "search": { "mode": "match" }, "fullUrl": "http://fhir-tpp:9443/DiagnosticReport/35072aa7-b972-4d19-9dcc-5eb8a5e8cafb", "link": [ { "relation": "self", "url": "http://fhir-tpp:9443/DiagnosticReport/35072aa7-b972-4d19-9dcc-5eb8a5e8cafb" } ] } ] }
{ "meta": { "lastUpdated": "2025-02-24T23:25:03.058737Z", "createdAt": "2024-11-26T13:02:16.629653Z", "versionId": "6985" }, "resourceType": "DiagnosticReport", "status": "unknown", "result": [ { "id": "170060fb-004a-412a-a434-9fb28e4a6419", "resourceType": "Observation" } ], "effective": { "dateTime": "2024-01-23" }, "id": "d8285850-a730-474f-a378-0140e4c3a044", "code": { "coding": [ { "code": "1000731000000107", "system": "http://snomed.info/sct", "display": "Serum creatinine level" } ] }, "identifier": [ { "value": "4cec8cbe-6313-4068-902e-9ed18ba29121", "system": "http://fhir.patientsknowbest.com/id/emis-diagnostic-report-event-guid" } ], "issued": "2024-01-23T00:00:00+00:00", "subject": { "id": "e9ddc839-c65a-4c6f-9702-5e21367eec22", "resourceType": "Patient" }, "performer": [ { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Serum creatinine level0.9 umol/L</div>", "status": "generated" } }

Immunisation

R4 FHIR Resource - Immunization

Data Model -

{ "patient": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" }, "meta": { "lastUpdated": "2024-11-28T13:34:19.733241Z", "createdAt": "2024-11-28T13:34:19.733241Z", "versionId": "4892" }, "vaccineCode": { "text": "Anti-D Immunoglobulin 1 0.5 ml" }, "resourceType": "Immunization", "status": "completed", "id": "cfd17aa3-8ce7-4f33-ba14-b4468840ec9c", "identifier": [ { "value": "MjAyNDExMDUxMzMyMzRBbnRpLUQgSW1tdW5vZ2xvYnVsaW4gMSAwLjUgbWw=", "system": "http://fhir.patientsknowbest.com/id/systmone-immunization-event-guid" } ], "occurrence": { "dateTime": "2024-11-05T13:32:34+00:00" }, "performer": [ { "actor": { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Anti-D Immunoglobulin 1 0.5 ml</div>", "status": "generated" } }
{ "patient": { "id": "c4858055-62b1-47ce-b8f7-25c4a8ffc3b5", "resourceType": "Patient" }, "meta": { "lastUpdated": "2025-05-08T11:53:32.177976Z", "createdAt": "2025-05-08T11:53:32.177976Z", "versionId": "7154" }, "vaccineCode": { "coding": [ { "code": "838481000006115", "system": "http://snomed.info/sct", "display": "Booster diphtheria tetanus pertussis (DTaP) + polio vaccintn" } ] }, "resourceType": "Immunization", "status": "completed", "id": "b77ee4f8-c510-4813-a387-7ff69deb3318", "identifier": [ { "value": "f8f25786-5e3e-4774-9799-e10725b62cf4", "system": "http://fhir.patientsknowbest.com/id/emis-immunization-event-guid" } ], "occurrence": { "dateTime": "1994-09-05" }, "performer": [ { "actor": { "id": "cd2821b1-4e5f-4016-bfc8-bc22394dc780", "display": "Dr PatientKnows Best", "resourceType": "Practitioner" } } ], "text": { "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">Booster diphtheria tetanus pertussis (DTaP) + polio vaccintn</div>", "status": "generated" } }

Practitioner

R4 FHIR Resource - Practitioner

Data Model -

{ "name": [ { "use": "usual", "given": [ "Sarah" ], "family": "Staff" } ], "active": true, "identifier": [ { "value": "MTAySFNDSUNTYXJhaCBTdHVmZmlucw==", "system": "http://fhir.patientsknowbest.com/id/systmone-practitioner-guid" } ], "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "resourceType": "Practitioner", "meta": { "lastUpdated": "2024-11-26T14:55:12.384627Z", "createdAt": "2024-11-26T14:55:12.384627Z", "versionId": "4736" } }
{ "name": [ { "given": [ "PKB" ], "family": "Test", "prefix": [ "Mr" ] } ], "active": true, "identifier": [ { "value": "579eb193-a104-4105-b548-e45aa7e29fd4", "system": "http://fhir.patientsknowbest.com/id/emis-practitioner-guid" } ], "id": "bf780046-5540-4ff3-8493-9acc9496302a", "resourceType": "Practitioner", "meta": { "lastUpdated": "2024-11-28T14:22:38.694295Z", "createdAt": "2024-11-28T14:22:38.694295Z", "versionId": "4928" } }

Organisation

R4 FHIR Resource - Organization

Data Model - Entity: Organisation

{ "address": [ { "use": "work", "line": [ "2 Trevelyan Square", "Leeds", "West Yorkshire" ], "postalCode": "LS1 6AE" } ], "meta": { "lastUpdated": "2024-11-26T14:55:12.264580Z", "createdAt": "2024-11-26T14:55:12.264580Z", "versionId": "4734" }, "name": "HSCIC Test environment 71", "resourceType": "Organization", "extension": [ { "url": "GeneralTelephone2", "valueContactPoint": { "use": "work", "value": "02222222222", "system": "phone" } }, { "url": "AppointmentsTelephone", "valueContactPoint": { "use": "work", "value": "03333333333", "system": "phone" } }, { "url": "PrescriptionTelephone", "valueContactPoint": { "use": "work", "value": "05555555555", "system": "phone" } }, { "url": "EmergencyTelephone", "valueContactPoint": { "use": "work", "value": "04444444444", "system": "phone" } } ], "active": true, "id": "bbc83d8c-43fb-44e7-956e-1490d52a5cc7", "identifier": [ { "value": "102HSCIC", "system": "https://fhir.nhs.uk/Id/ods-organization-code" } ], "telecom": [ { "use": "work", "value": "01111111111", "system": "phone" } ] }
{ "address": [ { "city": "WAKEFIELD", "line": [ "UNIT 1", "PARAGON BUSINESS PARK", "RED HALL COURT" ], "country": "ENGLAND", "postalCode": "WF1 2UY" } ], "meta": { "profile": [ "https://fhir.nhs.uk/STU3/StructureDefinition/ODSAPI-Organization-1" ], "lastUpdated": "2024-11-26T13:02:12.953664Z", "createdAt": "2024-11-26T13:02:12.953664Z", "versionId": "4473" }, "name": "Emis Test Organisation 28826", "type": [ { "coding": [ { "code": "1", "system": "https://fhir.nhs.uk/STU3/CodeSystem/ODSAPI-OrganizationRecordClass-1", "display": "HSCOrg" } ] } ], "resourceType": "Organization", "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ODSAPI-ActivePeriod-1", "valuePeriod": { "start": "2021-05-28", "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ODSAPI-DateType-1", "valueString": "Operational" } ] } }, { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ODSAPI-OrganizationRole-1", "extension": [ { "url": "role", "valueCoding": { "code": "157", "system": "https://directory.spineservices.nhs.uk/STU3/CodeSystem/ODSAPI-OrganizationRole-1", "display": "NON-NHS ORGANISATION" } }, { "url": "primaryRole", "valueBoolean": true }, { "url": "activePeriod", "valuePeriod": { "start": "2021-05-28", "extension": [ { "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-ODSAPI-DateType-1", "valueString": "Operational" } ] } }, { "url": "status", "valueString": "Active" } ] } ], "active": true, "id": "A28826", "identifier": [ { "value": "A28826", "system": "https://fhir.nhs.uk/Id/ods-organization-code" } ], "telecom": [ { "value": "HTTPS://6B.DIGITAL", "system": "url" } ] }

Location

R4 FHIR Resource - Location

Data Model -

{ "name": "Branch of HSCIC Test env 71", "address": { "use": "work", "line": [ "Branch House", "Low Lane", "Horsforth", "Leeds", "West Yorkshire" ], "postalCode": "LS18 5PX" }, "identifier": [ { "value": "QnJhbmNoIG9mIEhTQ0lDIFRlc3QgZW52IDcx", "system": "http://fhir.patientsknowbest.com/id/systmone-location-guid" } ], "id": "0205d722-f42d-4a55-bec4-8524df773563", "resourceType": "Location", "meta": { "lastUpdated": "2025-05-14T09:59:53.799197Z", "createdAt": "2025-05-14T09:59:53.799197Z", "versionId": "7300" } }
{ "name": "Master Practice", "address": { "city": "3-Leeds", "line": [ "1-Fulford Grange, Micklefield Lane", "1-2", "2-Rawdon" ], "postalCode": "LS19 6BA" }, "identifier": [ { "value": "4884", "system": "http://fhir.patientsknowbest.com/id/emis-location-guid" } ], "id": "513feb32-558c-4b79-9e1e-443bc73a63fc", "resourceType": "Location", "meta": { "lastUpdated": "2024-11-26T13:02:13.064045Z", "createdAt": "2024-11-26T13:02:13.064045Z", "versionId": "4475" } }

Encounter

R4 FHIR Resource - Encounter

Data Model - Entity: Encounter

{ "meta": { "lastUpdated": "2025-05-19T12:54:07.966611Z", "createdAt": "2025-05-19T12:54:07.966611Z", "versionId": "7600" }, "participant": [ { "individual": { "id": "34f5a9c9-6cad-44e1-946f-be198ebd718d", "display": "Sarah Staff", "resourceType": "Practitioner" } } ], "resourceType": "Encounter", "status": "unknown", "id": "8c29309c-fc9d-4f83-9639-83934da7832d", "class": { "code": "AMB", "display": "ambulatory" }, "identifier": [ { "value": "MjAyNTA1MTkxMzI1NTQ=", "system": "http://fhir.patientsknowbest.com/id/systmone-encounter-event-guid" } ], "period": { "start": "2025-05-19T13:25:54+01:00" }, "location": [ { "location": { "id": "df1c517f-2a2f-435e-82ee-7bfa22850c38", "display": "HSCIC Test environment 71", "resourceType": "Location" } } ], "subject": { "id": "77f14fe9-ab1b-4055-a628-49ee2e299f19", "resourceType": "Patient" } }
{ "meta": { "lastUpdated": "2025-02-13T09:41:09.922620Z", "createdAt": "2024-11-26T13:02:14.429826Z", "versionId": "5860" }, "participant": [ { "individual": { "id": "bf780046-5540-4ff3-8493-9acc9496302a", "display": "Mr PKB Test", "resourceType": "Practitioner" } } ], "resourceType": "Encounter", "status": "unknown", "id": "95d6044c-0b16-4c08-82e3-b45226ca681a", "class": { "code": "OBSENC" }, "identifier": [ { "value": "a609c0f6-f226-47a8-9688-2f5e461f272e", "system": "http://fhir.patientsknowbest.com/id/emis-encounter-event-guid" } ], "period": { "start": "2023-10-26T10:32:00+01:00" }, "location": [ { "location": { "id": "513feb32-558c-4b79-9e1e-443bc73a63fc", "display": "Master Practice", "resourceType": "Location" } } ], "subject": { "id": "e9ddc839-c65a-4c6f-9702-5e21367eec22", "resourceType": "Patient" } }

 

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