Retrieve Patient Journal (PFS)
Overview
The Retrieve Patient Journal PFS endpoint allows Client patient-facing apps to retrieve a chronological history of the patient’s Care Record (the Journal). The returned payload displays the patient's journal on a screen.
This endpoint isn’t intended for:
Splitting out the patient’s Journal into individual care record sections
To provide a list of the patient’s “current medication”
Each of these use cases is catered for by other endpoints.
Journal (Payload) Structure
Journal entries are output in reverse chronological order, meaning the most recent entry will appear at the top. A journal entry is a care record element with an additional journalEntryDate key.
The journal is divided into Care Record Elements. The type of Care Record Element is defined by the type key.
Some Care Record Elements contain a hierarchy of nested items. For example:
an
encountercan containconsultationTopic's,which in turn can contain
consultationTopicHeading's,which in turn can contain
careRecordElement's Care Record Element Types.
Care Record Element Types
See the ‘Patient Journal Care Record Elements (PFS)’ page for Care Record Element payloads
Care Record Element Type | Type |
|---|---|
Allergy Intolerance |
|
Care Record Document |
|
Care Record Note |
|
Communication |
|
Encounter (Consultation) |
|
eMED3 Fit Note |
|
Immunisation |
|
Investigation Report |
|
Medication Administration |
|
Medication Statement |
|
Observation |
|
Outbound Referral |
|
Prescription |
|
Procedure |
|
Problem |
|
Care Record Levels of Access
Each care record element field is restricted by the healthcare organisations specified “levels of access”.
The levels of access can be set on an organisation or individual patient level.
PFS Patient Journal Care Record Elements (PFS API) to determine which care record elements and individual fields are available for each level of access.
Available levels of access:
No record access - not shown, no PFS output would be shown
Summary information record access
Coded record access
Full record access
Making a Request
HTTP method: GET
Endpoint URL: https://{{medicusTenant}}.{{medicusBaseURL}}/pfs-api/v1/patient/{{patientId}}/journal
Request Headers
Header | Value | Description |
|---|---|---|
|
| The JWT token provided by the Consumer |
Request Parameters
URL Parameters
Parameter | Description | Validation Rules |
|---|---|---|
| Patient ID e.g. | Mandatory UUID |
Example Request
CODE
GET /pfs-api/v1/patient/e9af860e-cf8e-4272-b81a-a95cc8a531f7/journal
Authorization: Bearer [token]Response Details
Example Successful Response (The Patient has Zero Entries):
This use case can occur when a patient is new to the surgery and has no medical history, or the patient has never had an interaction with a primary care provider.
JSON
{
"journalEntries": []
}Example of a Successful Response:
JSON
{
"journalEntries": [
{
"journalEntryDate": "2022-11-29",
"elementType": "observation",
"id": "367476d2-6fc1-11ed-87ae-0650ab0ee28e",
"type": {
"conceptId": "896811007",
"description": "Alcohol intake in 1 week",
"descriptionId": "4029360011"
},
"observationDate": "2022-11-29",
"bloodPressureUnitOfMeasure": {
"conceptId": "259018001",
"description": "mmHg",
"descriptionId": "385726016"
},
"valueQuantity": {
"value": "40",
"unit": {
"conceptId": "228956008",
"description": "Alcohol units"
}
},
"interpretation": {
"conceptId": "260360000",
"description": "Very high",
"descriptionId": "387899014"
},
"additionalInformation": "Usually at weekends",
"observedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"observedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"linkedProblems": [],
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"recordedDate": "2022-11-29"
},
{
"journalEntryDate": "2022-11-29",
"elementType": "observation",
"id": "1334ea12-6fc1-11ed-b903-0afd1ae64c88",
"type": {
"conceptId": "75367002",
"description": "Blood pressure",
"descriptionId": "125176019"
},
"observationDate": "2022-11-29",
"valueBloodPressure": {
"systolic": "185",
"diastolic": "85"
},
"bloodPressureUnitOfMeasure": {
"conceptId": "259018001",
"description": "mmHg",
"descriptionId": "385726016"
},
"valueQuantity": {
"value": "",
"unit": {
"conceptId": "259018001",
"description": "mmHg",
"descriptionId": "385726016"
}
},
"bodySite": {
"conceptId": "368208006",
"description": "Left arm",
"descriptionId": "507686016"
},
"interpretation": {
"conceptId": "17621005",
"description": "Normal",
"descriptionId": "29780011"
},
"observedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"observedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"linkedProblems": [],
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"recordedDate": "2022-11-29"
},
{
"journalEntryDate": "2022-11-28",
"elementType": "prescription",
"id": "5b67fe7a-6f38-11ed-97a2-0a5a396e3cd4",
"type": "acute",
"product": {
"dmdCode": "20344911000001107",
"name": "Cetirizine 10mg capsules",
"description": "Cetirizine 10mg capsules",
"manufacturerName": "VMP",
"manufacturer": "gb-dmd-vmp"
},
"dosageInstructions": "One a day",
"quantityRequiredPerIssue": {
"value": 100,
"unit": {
"conceptId": "428641000",
"description": "capsule"
}
},
"authorisedIssues": 1,
"authorisedDate": "2022-11-28",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2022-11-28",
"elementType": "prescription",
"id": "e0012e76-6f34-11ed-b731-067b4562cb68",
"type": "acute",
"product": {
"dmdCode": "322256005",
"name": "Paracetamol 120mg suppositories",
"description": "Paracetamol 120mg suppositories",
"manufacturerName": "VMP",
"manufacturer": "gb-dmd-vmp"
},
"dosageInstructions": "15 to 20mg/kg - every 4 to 6 hours - rectal - Maximum dose 75mg/kg DAILY",
"quantityRequiredPerIssue": {
"value": 10,
"unit": {
"conceptId": "430293001",
"description": "suppository"
}
},
"authorisedIssues": 1,
"authorisedDate": "2022-11-28",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2022-11-28",
"elementType": "prescription",
"id": "c3ff4938-6f34-11ed-bb0f-067b4562cb68",
"type": "repeat-dispensing",
"product": {
"dmdCode": "320822001",
"name": "Loratadine 10mg tablets",
"description": "Loratadine 10mg tablets",
"manufacturerName": "VMP",
"manufacturer": "gb-dmd-vmp"
},
"dosageInstructions": "One a day",
"quantityRequiredPerIssue": {
"value": 60,
"unit": {
"conceptId": "428673006",
"description": "tablet"
}
},
"expectedDaysSupplyPerIssue": 30,
"authorisedIssues": 1,
"authorisedDate": "2022-11-28",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2022-11-28",
"elementType": "prescription",
"id": "35e60a06-6f2f-11ed-8782-0a5a396e3cd4",
"type": "acute",
"product": {
"dmdCode": "322502004",
"name": "Codeine 15mg tablets",
"description": "Codeine 15mg tablets",
"manufacturerName": "VMP",
"manufacturer": "gb-dmd-vmp"
},
"dosageInstructions": "When required",
"quantityRequiredPerIssue": {
"value": 100,
"unit": {
"conceptId": "428673006",
"description": "tablet"
}
},
"authorisedIssues": 1,
"authorisedDate": "2022-11-28",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2022-11-28",
"elementType": "procedure",
"id": "50a665c4-6fc1-11ed-ad7a-0afd1ae64c88",
"procedureCode": {
"conceptId": "385795005",
"description": "Injection of vitamin B12",
"descriptionId": "1479987012"
},
"bodySite": {
"conceptId": "368208006",
"description": "Left upper arm",
"descriptionId": "507687013"
},
"performedDate": "2022-11-28",
"performedTime": "13:00:00",
"performedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"performedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"recordedDate": "2022-11-29",
"linkedProblems": []
},
{
"journalEntryDate": "2022-11-22",
"elementType": "encounter",
"id": "65a0ff14-6fc3-11ed-b33f-0afd1ae64c88",
"seenInEstablishment": {
"conceptId": "185202000",
"description": "Seen in GP’s surgery",
"descriptionId": "285185014"
},
"startDate": "2022-11-22",
"startTime": "09:00:00",
"responsibleOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"responsiblePractitioner": {
"id": "f73edce6-6cb9-11ed-954d-0a58a9feac02",
"name": "Cal Newport"
},
"deliveryMode": {
"conceptId": "325861000000105",
"description": "Face to face consultation",
"descriptionId": "600731000000118"
},
"location": {
"name": "Andover Site",
"odsCode": "c1073d6b-28d9-11eb-adc1-2a09fc8b15ed"
},
"additionalStaff": [
{
"id": "9651cfea-28d9-11eb-adc1-0c1362ef4ad9",
"name": "Kieran Green"
}
],
"otherParticipants": [
"Patient's Wife"
],
"consultationTopics": [
{
"id": "65b5c17e-6fc3-11ed-aa1d-0afd1ae64c88",
"title": "Topic 1",
"headings": [
{
"id": "7e95e0fc-6fc3-11ed-9395-0650ab0ee28e",
"title": "History",
"careRecordElements": [
{
"elementType": "care-record-note",
"id": "832adfbe-6fc3-11ed-b667-0afd1ae64c88",
"code": {
"conceptId": "43116000",
"description": "Eczema",
"descriptionId": "71923017"
},
"note": "",
"recordedDate": "2022-11-29",
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"linkedProblems": []
}
]
},
{
"id": "a2b96b3e-6fc3-11ed-a4ff-0afd1ae64c88",
"title": "Examination",
"careRecordElements": [
{
"elementType": "care-record-note",
"id": "a77d03ec-6fc3-11ed-ab9c-0650ab0ee28e",
"code": {
"conceptId": "1141807004",
"description": "Eyelid crusting",
"descriptionId": "4535391014"
},
"note": "",
"recordedDate": "2022-11-29",
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"linkedProblems": []
}
]
},
{
"id": "a9cb893e-6fc3-11ed-9e0a-0650ab0ee28e",
"title": "Plan",
"careRecordElements": [
{
"elementType": "prescription",
"id": "c206aa92-6fc3-11ed-b11e-0afd1ae64c88",
"type": "acute",
"product": {
"dmdCode": "331742001",
"name": "Hydrocortisone acetate 1% / Fusidic acid 2% cream",
"description": "Hydrocortisone acetate 1% / Fusidic acid 2% cream",
"manufacturerName": "VMP",
"manufacturer": "gb-dmd-vmp"
},
"dosageInstructions": "1 application - TWICE a DAY - topical",
"quantityRequiredPerIssue": {
"value": 30,
"unit": {
"conceptId": "258682000",
"description": "gram"
}
},
"authorisedIssues": 1,
"authorisedDate": "2022-11-29",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mohammed Lee"
},
"status": "authorised",
"linkedProblems": []
}
]
}
],
"linkedProblems": [
{
"id": "7bc8e194-6fc3-11ed-8f77-0afd1ae64c88",
"problem": {
"conceptId": "36259009",
"description": "Eczema of eyelid",
"descriptionId": "60516019"
}
}
]
}
],
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Riley House GP Practice"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mohammed Lee"
},
"recordedDate": "2022-11-29"
},
{
"journalEntryDate": "2022-09-16",
"elementType": "observation",
"id": "b85c64ed-28d9-11eb-adc1-cd6392a5fb87",
"type": {
"conceptId": "75367002",
"description": "Blood pressure",
"descriptionId": "125176019"
},
"observationDate": "2022-04-11",
"valueBloodPressure": {
"systolic": "166",
"diastolic": "97"
},
"bloodPressureUnitOfMeasure": {
"conceptId": "259018001",
"description": "mmHg",
"descriptionId": "385726016"
},
"valueQuantity": {
"value": "",
"unit": {
"conceptId": "259018001",
"description": "mmHg",
"descriptionId": "385726016"
}
},
"bodySite": {
"conceptId": "368209003",
"description": "Right arm",
"descriptionId": "507691015"
},
"linkedProblems": [],
"recordedDate": "2022-09-16"
},
{
"journalEntryDate": "2022-09-16",
"elementType": "prescription",
"id": "d2fac53e-28d9-11eb-adc1-f165d48bce32",
"type": "repeat",
"product": {
"dmdCode": "52911000001107",
"name": "Prednisolone 1mg tablets",
"description": "Prednisolone 1mg tablets (Alliance Healthcare (Distribution) Ltd)",
"manufacturerName": "AMP",
"manufacturer": "gb-dmd-amp"
},
"dosageInstructions": "1 tablet - every MORNING",
"quantityRequiredPerIssue": {
"value": 1,
"unit": {
"conceptId": "428673006",
"description": "tablet"
}
},
"expectedDaysSupplyPerIssue": 28,
"authorisedIssues": 6,
"authorisedDate": "2022-09-16",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "1339aa9b-28d6-11eb-adc1-0242ac120002",
"name": "Caitlin Davies"
},
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2022-09-16",
"elementType": "investigation-report",
"id": "a024da46-360e-11ed-86e2-060b232f1aa2",
"requestedByPractitioner": {
"id": "G1234538",
"name": "Sangeeta Singh"
},
"requesterComments": "TATT",
"issuedDateTime": "2001-03-30 16:36:00",
"performedByOrganisation": {
"name": "ST JAMES'S UNIVERSITY HOSPITAL"
},
"performedByDepartment": "Haematology",
"investigationGroups": [
{
"id": "a024e4d2-360e-11ed-81d0-060b232f1aa2",
"type": {
"conceptId": "1022441000000101",
"description": "FBC - full blood count",
"descriptionId": "2566641000000111"
},
"investigationResults": [
{
"id": "a024e810-360e-11ed-ae6b-060b232f1aa2",
"type": {
"conceptId": "1022541000000102",
"description": "Total white cell count",
"descriptionId": "2566651000000114"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "7.2",
"resultUnit": {
"description": "10*9/L"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "4",
"upperReferenceLimit": "11"
}
]
},
{
"id": "a024eee6-360e-11ed-a2dc-060b232f1aa2",
"type": {
"conceptId": "1022451000000103",
"description": "Red blood cell count",
"descriptionId": "2567261000000112"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "3.16",
"resultUnit": {
"description": "10*12/L"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "3.8",
"upperReferenceLimit": "5.4"
}
]
},
{
"id": "a024f54e-360e-11ed-835d-060b232f1aa2",
"type": {
"conceptId": "1022431000000105",
"description": "Haemoglobin estimation",
"descriptionId": "2553471000000116"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "9.4",
"resultUnit": {
"description": "g/dL"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "10.5",
"upperReferenceLimit": "15"
}
],
"interpretation": {
"conceptId": "281300000"
}
},
{
"id": "a024fb98-360e-11ed-8727-060b232f1aa2",
"type": {
"conceptId": "1022291000000105",
"description": "Haematocrit",
"descriptionId": "2575711000000119"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "0.371",
"resultUnit": {
"description": "%"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "0.37",
"upperReferenceLimit": "0.47"
}
]
},
{
"id": "a02501c4-360e-11ed-a60c-060b232f1aa2",
"type": {
"conceptId": "1022491000000106",
"description": "MCV - Mean corpuscular volume",
"descriptionId": "2575741000000118"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "84.1",
"resultUnit": {
"description": "fL"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "76",
"upperReferenceLimit": "100"
}
]
},
{
"id": "a02507e6-360e-11ed-b8ef-060b232f1aa2",
"type": {
"conceptId": "1022471000000107",
"description": "MCH - Mean corpuscular haemoglobin",
"descriptionId": "2583921000000119"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "30.6",
"resultUnit": {
"description": "pg"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "26",
"upperReferenceLimit": "32"
}
]
},
{
"id": "a0250e08-360e-11ed-9229-060b232f1aa2",
"type": {
"conceptId": "1022481000000109",
"description": "MCHC - Mean corpuscular haemoglobin concentration",
"descriptionId": "2553491000000117"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "34.2",
"resultUnit": {
"description": "g/dL"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "30",
"upperReferenceLimit": "37"
}
]
},
{
"id": "a0251682-360e-11ed-b177-060b232f1aa2",
"type": {
"conceptId": "1022651000000100",
"description": "Platelet count",
"descriptionId": "2553501000000111"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "188",
"resultUnit": {
"description": "10*9/L"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "150",
"upperReferenceLimit": "600"
}
]
},
{
"id": "a0251cd6-360e-11ed-abb8-060b232f1aa2",
"type": {
"conceptId": "1022551000000104",
"description": "Neutrophil count",
"descriptionId": "2583941000000114"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "4.3",
"resultUnit": {
"description": "10*9/L"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "2",
"upperReferenceLimit": "7.5"
}
]
},
{
"id": "a02522f8-360e-11ed-9a91-060b232f1aa2",
"type": {
"conceptId": "1022581000000105",
"description": "Lymphocyte count",
"descriptionId": "2566671000000117"
},
"issuedDateTime": "2001-03-30 16:36:00",
"resultValue": "1.2",
"resultUnit": {
"description": "10*9/L"
},
"approximateResult": false,
"referenceRange": [
{
"lowerReferenceLimit": "1",
"upperReferenceLimit": "4"
}
]
},
{
"id": "a02528fc-360e-11ed-a23d-060b232f1aa2",
"type": {
"conceptId": "1022591000000107",
"description": "Monocyte count",
"descriptionId": "2583951000000112"
},
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