Description of use case on Spine via the FHIR® Reasonable Adjustments API
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1 Add Adjustment, Add Impairment
Trigger:
Pre-operative appointment with Learning Disability Nurse N.
System Scope:
ClientSystem includes GPSystem client, SCRa, 1-click etc.
ServerSystem includes Spine, PDS, SDS, FlagServer etc.
Summary:
During appointment Nurse discusses RA Record, Patient requests recording of ‘Easy Read’ Adjustment, addition of ‘Mental Health Disability w supporting text’ Impairment.
Pre
- Practitioner logged into ClientSystem, traces & verifies demographic info
- Practitioner opens Patient’s RARecord
- System retrieves and displays RARecord for Patient’s NHS Number
- Practitioner discusses RARecord and RA with Patient
- Patient agrees to add Adjustment ‘Easy Read’
- Patient agrees to add Impairment ‘Mental Health Disability w supporting text’
Main
- Patient agrees to add Adjustment ‘Easy Read’
- Practitioner adds Adjustment from coded picklist
- ClientSystem captures and structures as new RARecord-Flag-1 resource
- Practitioner adds Adjustment from coded picklist
- Patient agrees to add Impairment ‘Mental Health Disability’ with supporting text
- Practitioner commits RARecord
- ClientSystem submits Create Flag request (xml) (json)
- ClientSystem captures and structures Provenance information as new Provenance (RARecord-Provenance-1) resource (xml) (json)
2 Interaction Examples
Examples of resources, http requests, responses and payloads
2.1 Create Condition Resource - xml example
resource
Create Condition Resource XML Example
<!-- xml example file
AddExample-CreateConditionRequest.xml -->
<Condition xmlns="http://hl7.org/fhir">
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="720821000000105"/>
<display value="Mental health condition(s)"/>
</coding>
<text value="Patient diagnosed with Stranger anxiety (disorder). Consider home-visit"/>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
2.2 Create Condition Resource - json example
resource
Create Condition Resource JSON Example
{
"resourceType": "Condition",
"fhir_comments": [
" xml example fileAddExample-CreateConditionRequest.xml "
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1"
]
},
"clinicalStatus": "active",
"category": [
{
"coding": [
{
"system": "https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1",
"code": "issue",
"display": "Issue"
}
]
}
],
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1",
"code": "720821000000105",
"display": "Mental health condition(s)"
}
],
"text": "Patient diagnosed with Stranger anxiety (disorder). Consider home-visit"
},
"subject": {
"reference": "demographics.spineservices.nhs.uk/STU3/Patient/999999998"
}
}
2.3 Create Flag Request - xml example
http request & headers
POST https://clinicals.spineservices.nhs.uk/STU3/Flag HTTP/1.1
Authorization: Bearer [jwt_token_string]
FromASID: 654321123456
ToASID: 987654456789
Content-Type: application/fhir+xml
Prefer: return=representation
InteractionID: urn:nhs:names:services:raflags:Flag.write:1
http body
Create Flag Request XML Example
<!-- xml example file
AddExample-CreateFlagRequest.xml -->
<Flag xmlns="http://hl7.org/fhir">
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Flag-1"/>
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-AdjustmentCategory-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AdjustmentCategories-1"/>
<code value="comms"/>
<display value="Communication"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<category>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1"/>
<code value="reasonable adjustments flag"/>
<display value="Reasonable Adjustments Flag"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AccessibleInformationAdjustments-1"/>
<code value="requiresinformationineasyread"/>
<display value="Requires information in Easyread"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Flag>
2.4 Create Flag Request - json example
http request & headers
POST https://clinicals.spineservices.nhs.uk/STU3/Flag HTTP/1.1
Authorization: Bearer [jwt_token_string]
FromASID: 654321123456
ToASID: 987654456789
Content-Type: application/fhir+json
Prefer: return=representation
InteractionID: urn:nhs:names:services:raflags:Flag.write:1
http body
Create Flag Request JSON Example
{
"resourceType": "Flag",
"fhir_comments": [
" xml example fileAddExample-CreateFlagRequest.xml "
],
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Flag-1"
]
},
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-AdjustmentCategory-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AdjustmentCategories-1",
"code": "comms",
"display": "Communication"
}
]
}
}
],
"status": "active",
"category": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1",
"code": "reasonable adjustments flag",
"display": "Reasonable Adjustments Flag"
}
]
},
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AccessibleInformationAdjustments-1",
"code": "requiresinformationineasyread",
"display": "Requires information in Easyread"
}
]
},
"subject": {
"reference": "demographics.spineservices.nhs.uk/STU3/Patient/999999998"
}
}
2.5 Create Flag Response - xml example
http request & headers
HTTP/1.1 201 Created
Date: Wed, 24 Jul 2018 10:01:00 GMT
Last-Modified:2018-07-24T10:01:00+00:00
Location: https://clinicals.spineservices.nhs.uk/STU3/Flag/2acb0536-0a8f-48c9-8a2f-6ee82860f186/_history/aa755bd6-2be9-4971-972a-6724879c5cb1
ETag: W/"aa755bd6-2be9-4971-972a-6724879c5cb1”
Content-Type: application/fhir+xml
http body
Create Flag Response XML Example
<!-- xml example file
AddExample-CreateFlagResponse.xml -->
<Flag xmlns="http://hl7.org/fhir">
<id value="2acb0536-0a8f-48c9-8a2f-6ee82860f186"/>
<meta>
<versionId value="aa755bd6-2be9-4971-972a-6724879c5cb1"/>
<lastUpdated value="2018-07-24T10:01:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Flag-1"/>
</meta>
<contained>
<Provenance>
<id value="43124f67-b09d-453d-b889-a5e2e8780b9e"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Flag/2acb0536-0a8f-48c9-8a2f-6ee82860f186"/>
</target>
<recorded value="2018-07-24T10:05:33+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1974"/>
<display value="Community Learning Disabilities Nurse"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9"/>
<display value="Nurse N"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some Hospital Learning Disability Support Department"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="#43124f67-b09d-453d-b889-a5e2e8780b9e"/>
</valueReference>
</extension>
</extension>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-AdjustmentCategory-1">
<valueCodeableConcept>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AdjustmentCategories-1"/>
<code value="comms"/>
<display value="Communication"/>
</coding>
</valueCodeableConcept>
</extension>
<status value="active"/>
<category>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1"/>
<code value="reasonable adjustments flag"/>
<display value="Reasonable Adjustments Flag"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AccessibleInformationAdjustments-1"/>
<code value="requiresinformationineasyread"/>
<display value="Requires information in Easyread"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Flag>
2.6 Create Flag Response - json example
http request & headers
HTTP/1.1 201 Created
Date: Wed, 24 Jul 2018 10:01:00 GMT
Last-Modified:2018-07-24T10:01:00+00:00
Location: https://clinicals.spineservices.nhs.uk/STU3/Flag/2acb0536-0a8f-48c9-8a2f-6ee82860f186/_history/aa755bd6-2be9-4971-972a-6724879c5cb1
ETag: W/"aa755bd6-2be9-4971-972a-6724879c5cb1”
Content-Type: application/fhir+json
http body
Create Flag Response JSON Example
{
"resourceType": "Flag",
"id": "2acb0536-0a8f-48c9-8a2f-6ee82860f186",
"fhir_comments": [
" xml example fileAddExample-CreateFlagResponse.xml "
],
"meta": {
"versionId": "aa755bd6-2be9-4971-972a-6724879c5cb1",
"lastUpdated": "2018-07-24T10:01:00+00:00",
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Flag-1"
]
},
"contained": [
{
"resourceType": "Provenance",
"id": "43124f67-b09d-453d-b889-a5e2e8780b9e",
"meta": {
"profile": [
"https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"
]
},
"target": [
{
"reference": "Flag/2acb0536-0a8f-48c9-8a2f-6ee82860f186"
}
],
"recorded": "2018-07-24T10:05:33+00:00",
"agent": [
{
"role": [
{
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
"code": "R1974",
"display": "Community Learning Disabilities Nurse"
}
]
}
],
"whoReference": {
"reference": "https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9",
"display": "Nurse N"
},
"onBehalfOfReference": {
"reference": "https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7",
"display": "Some Hospital Learning Disability Support Department"
}
}
]
}
],
"extension": [
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1",
"extension": [
{
"url": "created",
"valueReference": {
"reference": "#43124f67-b09d-453d-b889-a5e2e8780b9e"
}
}
]
},
{
"url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-AdjustmentCategory-1",
"valueCodeableConcept": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AdjustmentCategories-1",
"code": "comms",
"display": "Communication"
}
]
}
}
],
"status": "active",
"category": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1",
"code": "reasonable adjustments flag",
"display": "Reasonable Adjustments Flag"
}
]
},
"code": {
"coding": [
{
"system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-AccessibleInformationAdjustments-1",
"code": "requiresinformationineasyread",
"display": "Requires information in Easyread"
}
]
},
"subject": {
"reference": "demographics.spineservices.nhs.uk/STU3/Patient/999999998"
}
}
2.7 Create Provenance Resource - xml example
resource
Create Provenance Resource XML Example
<!-- AddExample-CreateProvenanceResource.xml -->
<Provenance>
<id value="fe71140b-3a30-45a3-b492-695b5f5e3717"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/6be8bee9-e727-4564-a904-49507576f8be"/>
</target>
<recorded value="2018-07-24T10:05:33+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1974"/>
<display value="Community Learning Disabilities Nurse"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9"/>
<display value="Nurse N"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some Hospital Learning Disability Support Department"/>
</onBehalfOfReference>
</agent>
</Provenance>
2.8 Create Provenance Resource - json example
resource
Create Provenance Resource JSON Example
{
"resourceType": "Condition",
"fhir_comments": [
" json example AAJSONPlaceholder.json "
]
}
2.9 Add to List Condition Resource - xml example
resource
Create List Condition Resource XML Example
<!-- AddExample-ListConditionResource.xml -->
<List xmlns="http://hl7.org/fhir">
<id value="130f416a-055d-4a5d-a453-2b7c2de3b57b"/>
<meta>
<versionId value="f2fef5e5-c38a-408c-a9bc-2d49923928f8"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-List-1"/>
</meta>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="57f04652-6dd0-4135-a560-f9091b1b26fa"/>
<meta>
<versionId value="557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
<lastUpdated value="2018-07-23T11:00:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="1855002"/>
<display value="Learning Disability(s)"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/57f04652-6dd0-4135-a560-f9091b1b26fa"/>
</target>
<recorded value="2018-07-23T11:00:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0260"/>
<display value="General Medical Practitioner"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/2ee4tr6a9"/>
<display value="Dr.D"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some GP Clinic"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="6be8bee9-e727-4564-a904-49507576f8be"/>
<meta>
<versionId value="a9b91e41-30ad-43a4-a2da-79b9be622169"/>
<lastUpdated value="2018-07-24T10:01:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:fe71140b-3a30-45a3-b492-695b5f5e3717"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="720821000000105"/>
<display value="Mental health condition(s)"/>
</coding>
<text value="Patient diagnosed with Stranger anxiety (disorder). Consider home-visit"/>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="fe71140b-3a30-45a3-b492-695b5f5e3717"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/6be8bee9-e727-4564-a904-49507576f8be"/>
</target>
<recorded value="2018-07-24T10:01:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1974"/>
<display value="Community Learning Disabilities Nurse"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9"/>
<display value="Nurse N"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some Hospital Learning Disability Support Department"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<status value="current"/>
<mode value="changes"/>
<title value="Reasonable Adjustment List"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1094391000000102"/>
<display value="Reasonable adjustments for health and care access"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
<date value="2018-07-23T11:00:00+00:00"/>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</item>
</entry>
</List>
2.10 Add to List Condition Resource - json example
resource
Create List Condition Resource JSON Example
{
"resourceType": "Condition",
"fhir_comments": [
" json example AAJSONPlaceholder.json "
]
}
2.11 Update List Condition Request - xml example
http request & headers
POST https://clinicals.spineservices.nhs.uk/STU3/List HTTP/1.1
Authorization: Bearer [jwt_token_string]
FromASID: 123456123456
ToASID: 987654456789
Content-Type: application/fhir+xml
Prefer: return=representation
InteractionID: urn:nhs:names:services:raflags:List.write:1
http body
Create List Condition Request XML Example
<!-- AddExample-ListConditionResource.xml -->
<List xmlns="http://hl7.org/fhir">
<id value="130f416a-055d-4a5d-a453-2b7c2de3b57b"/>
<meta>
<versionId value="f2fef5e5-c38a-408c-a9bc-2d49923928f8"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-List-1"/>
</meta>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="57f04652-6dd0-4135-a560-f9091b1b26fa"/>
<meta>
<versionId value="557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
<lastUpdated value="2018-07-23T11:00:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="1855002"/>
<display value="Learning Disability(s)"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/57f04652-6dd0-4135-a560-f9091b1b26fa"/>
</target>
<recorded value="2018-07-23T11:00:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0260"/>
<display value="General Medical Practitioner"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/2ee4tr6a9"/>
<display value="Dr.D"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some GP Clinic"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="6be8bee9-e727-4564-a904-49507576f8be"/>
<meta>
<versionId value="a9b91e41-30ad-43a4-a2da-79b9be622169"/>
<lastUpdated value="2018-07-24T10:01:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:fe71140b-3a30-45a3-b492-695b5f5e3717"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="720821000000105"/>
<display value="Mental health condition(s)"/>
</coding>
<text value="Patient diagnosed with Stranger anxiety (disorder). Consider home-visit"/>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="fe71140b-3a30-45a3-b492-695b5f5e3717"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/6be8bee9-e727-4564-a904-49507576f8be"/>
</target>
<recorded value="2018-07-24T10:01:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1974"/>
<display value="Community Learning Disabilities Nurse"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9"/>
<display value="Nurse N"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some Hospital Learning Disability Support Department"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<status value="current"/>
<mode value="changes"/>
<title value="Reasonable Adjustment List"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1094391000000102"/>
<display value="Reasonable adjustments for health and care access"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
<date value="2018-07-23T11:00:00+00:00"/>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</item>
</entry>
</List>
2.12 Update List Condition Request - json example
http request & headers
POST https://clinicals.spineservices.nhs.uk/STU3/List HTTP/1.1
Authorization: Bearer [jwt_token_string]
FromASID: 123456123456
ToASID: 987654456789
Content-Type: application/fhir+json
Prefer: return=representation
InteractionID: urn:nhs:names:services:raflags:List.write:1
http body
Create List Condition Request JSON Example
{
"resourceType": "Condition",
"fhir_comments": [
" json example AAJSONPlaceholder.json "
]
}
2.13 Update List Condition Response - xml example
http response & headers
HTTP/1.1 201 Created
Date: Tue, 23 Jul 2018 11:00:00 GMT
Last-Modified:2018-07-23T11:00:00+00:00
Location: https://clinicals.spineservices.nhs.uk/STU3/List/130f416a-055d-4a5d-a453-2b7c2de3b57b/_history/9554c538-1661-43b1-921b-efcbd2991c90
ETag: W/"9554c538-1661-43b1-921b-efcbd2991c90”
Content-Type: application/fhir+xml
http body
Create List Condition Response XML Example
<!-- AddExample-ListConditionResponse.xml -->
<List xmlns="http://hl7.org/fhir">
<id value="130f416a-055d-4a5d-a453-2b7c2de3b57b"/>
<meta>
<versionId value="9554c538-1661-43b1-921b-efcbd2991c90"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-List-1"/>
</meta>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="57f04652-6dd0-4135-a560-f9091b1b26fa"/>
<meta>
<versionId value="557ccfc3-0c78-48bf-aedd-70cc08af2ba1"/>
<lastUpdated value="2018-07-23T11:00:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="1855002"/>
<display value="Learning Disability(s)"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/57f04652-6dd0-4135-a560-f9091b1b26fa"/>
</target>
<recorded value="2018-07-23T11:00:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R0260"/>
<display value="General Medical Practitioner"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/2ee4tr6a9"/>
<display value="Dr.D"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some GP Clinic"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<contained>
<Condition xmlns="http://hl7.org/fhir">
<id value="6be8bee9-e727-4564-a904-49507576f8be"/>
<meta>
<versionId value="a9b91e41-30ad-43a4-a2da-79b9be622169"/>
<lastUpdated value="2018-07-24T10:01:00+00:00"/>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/CareConnect-RARecord-Condition-1" />
</meta>
<extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
<extension url="created">
<valueReference>
<reference value="urn:uuid:fe71140b-3a30-45a3-b492-695b5f5e3717"/>
</valueReference>
</extension>
</extension>
<clinicalStatus value="active"/>
<category>
<coding>
<system value="https://fhir.hl7.org.uk/STU3/CodeSystem/CareConnect-ConditionCategory-1"/>
<code value="issue"/>
<display value="Issue"/>
</coding>
</category>
<code>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ConditionCode-1"/>
<code value="720821000000105"/>
<display value="Mental health condition(s)"/>
</coding>
<text value="Patient diagnosed with Stranger anxiety (disorder). Consider home-visit"/>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
</Condition>
</contained>
<contained>
<Provenance>
<id value="fe71140b-3a30-45a3-b492-695b5f5e3717"/>
<meta>
<profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
</meta>
<target>
<reference value="Condition/6be8bee9-e727-4564-a904-49507576f8be"/>
</target>
<recorded value="2018-07-24T10:01:00+00:00"/>
<agent>
<role>
<coding>
<system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
<code value="R1974"/>
<display value="Community Learning Disabilities Nurse"/>
</coding>
</role>
<whoReference>
<reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/4tr6ee6a9"/>
<display value="Nurse N"/>
</whoReference>
<onBehalfOfReference>
<reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
<display value="Some Hospital Learning Disability Support Department"/>
</onBehalfOfReference>
</agent>
</Provenance>
</contained>
<status value="current"/>
<mode value="changes"/>
<title value="Reasonable Adjustment List"/>
<code>
<coding>
<system value="http://snomed.info/sct"/>
<code value="1094391000000102"/>
<display value="Reasonable adjustments for health and care access"/>
</coding>
</code>
<subject>
<reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
</subject>
<date value="2018-07-23T11:00:00+00:00"/>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:57f04652-6dd0-4135-a560-f9091b1b26fa"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-23T11:00:00+00:00"/>
<item>
<reference value="urn:uuid:8ce7de6b-1307-432d-8e96-ae6a613ca3e4"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:6be8bee9-e727-4564-a904-49507576f8be"/>
</item>
</entry>
<entry>
<deleted value="false"/>
<date value="2018-07-24T10:01:00+00:00"/>
<item>
<reference value="urn:uuid:fe71140b-3a30-45a3-b492-695b5f5e3717"/>
</item>
</entry>
</List>
2.14 Update List Condition Response - json example
http response & headers
HTTP/1.1 201 Created
Date: Tue, 23 Jul 2018 11:00:00 GMT
Last-Modified:2018-07-23T11:00:00+00:00
Location: https://clinicals.spineservices.nhs.uk/STU3/List/130f416a-055d-4a5d-a453-2b7c2de3b57b/_history/9554c538-1661-43b1-921b-efcbd2991c90
ETag: W/"9554c538-1661-43b1-921b-efcbd2991c90”
Content-Type: application/fhir+json
http body
Create List Condition Response JSON Example
{
"resourceType": "Condition",
"fhir_comments": [
" json example AAJSONPlaceholder.json "
]
}