Retrieve Patient Journal (Transactional)
Overview
The Retrieve Patient Journal allows 3rd party Transactional applications to obtain a structured chronological history of the patient’s care (the journal).
In order to satisfactorily serve the needs of a Healthcare Organisation, we are required to integrate with the ecosystem of 3rd party “transactional” applications that the Healthcare Organisation has chosen to use.
Journal (Payload) Structure
Journal entries are output in reverse chronological order, meaning the most recent entry will appear at the top
The journal is divided into Care Record Elements
The type of Care Record Element is defined by the
typekey
Some Care Record Elements contain a hierarchy of nested items
e.g. an
encountercan containconsultationTopic'swhich in turn can contain
consultationTopicHeading'swhich in turn can contain
careRecordElement's Care Record Element Types
A journal entry is a care record element with an additional
journalEntryDatekey.
Care Record Element Types
See the ‘Patient Journal Care Record Elements (Transactional)’ 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 |
|
Prescription |
|
Outbound Referral |
|
Procedure |
|
Problem |
|
Excluded Data
Excluded Patients
In line with our data protection obligations, a patient record will not be sent if the patient is:
Inactive (i.e. not currently registered)
Marked as “Sensitive” on the NHS PDS.
Excluded Individual Data Items
Items marked as “Confidential from third parties”
Any sections/data items that are featured on the Royal College of General Practitioners (RCGP) sensitive exclusion set
Any care record element with a care record status of:
draft
draft deleted
marked as incorrect
marked as incorrect hidden
Any inbound document that has not been reviewed and filed
Any investigation results that haven’t been reviewed, filed and released
An example of a confidential care record element as retrieved from the Transactional API Patient Journal
Confidential Entries With Nested Child Elements
If a confidential element contains “child” elements (e.g. an Encounter), then none of the child elements should be returned.
Encounter that isn’t marked as “confidential” | The same encounter marked as “confidential” |
|---|---|
JSON
|
JSON
|
Making a Request
HTTP method: GET
URL: https://{{medicusTenant}}.{{medicusBaseURL}}/transactional-api/v1/patient/{{patientId}}/journal
Request Headers
Header | Value | Description |
|---|---|---|
|
| The JWT token provided by the Consumer |
URL Parameters
Parameter | Description | Validation Rules |
|---|---|---|
| Patient ID e.g. | Mandatory UUID |
Example Request
CODE
GET /transactional-api/v1/patient/e9af860e-cf8e-4272-b81a-a95cc8a531f7/journal
Authorization: Bearer [token]Response Details
Specific Response Codes
HTTP Code | Error Code | Scenario |
|---|---|---|
|
| Retrieval successful |
Example Response
JSON
{
"journalEntries": [
{
"journalEntryDate": "2023-03-20",
"elementType": "observation",
"id": "e5787c6e-c764-11ed-8859-0a58a9feac02",
"type": {
"conceptId": "399753006",
"description": "Date of death",
"descriptionId": "1779056015"
},
"observationDate": "2023-03-20",
"valueDate": "2023-03-20",
"observedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"observedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"linkedProblems": [],
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedDate": "2023-03-20"
},
{
"elementType": "immunisation",
"journalEntryDate": "2023-03-20",
"id": "04f63dd0-c740-11ed-bf33-068d88a6a1e0",
"confidential": true
},
{
"journalEntryDate": "2023-03-16",
"elementType": "care-record-document",
"id": "880c9dfc-c413-11ed-b4a7-06b389297a3a",
"documentType": {
"conceptId": "721963009",
"description": "Order document",
"descriptionId": "3327866013"
},
"documentDate": "2023-03-16",
"file": {
"name": "2023-03-09 - Small Rx Sample Pack for Signing Testing.xlsx",
"size": 11884,
"type": "application/vnd.openxmlformats-officedocument.spreadsheetml.sheet",
"url": "/transactional-api/v1/patient/ef88c4e6-360c-11ed-aabf-060b232f1aa2/file/care-record-document/880c9dfc-c413-11ed-b4a7-06b389297a3a/88218956-c413-11ed-afe7-06b389297a3a"
},
"linkedProblems": [],
"filedByOrganisation": [],
"filedByPractitioner": []
},
{
"journalEntryDate": "2023-03-16",
"elementType": "prescription",
"id": "4645ced0-c408-11ed-9626-0a782adf4272",
"type": "repeat-dispensing",
"product": {
"dmdCode": "34887511000001102",
"name": "Paracetamol 100mg/10ml solution for infusion ampoules",
"description": "Paracetamol 100mg/10ml solution for infusion ampoules"
},
"dosageInstructions": "test",
"quantityRequired": {
"value": 21,
"unit": {
"conceptId": "413516001",
"description": "ampoule"
}
},
"authorisedIssues": 2,
"authorisedStartDate": "2023-03-16",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedDate": "2023-03-16",
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-16",
"elementType": "prescription",
"id": "d22b1fda-c3f0-11ed-b712-0a782adf4272",
"type": "acute",
"product": {
"dmdCode": "324248006",
"name": "Clarithromycin 250mg granules sachets",
"description": "Clarithromycin 250mg granules sachets"
},
"dosageInstructions": "1 bd",
"quantityRequired": {
"value": 14,
"unit": {
"conceptId": "733013000",
"description": "sachet"
}
},
"authorisedIssues": 1,
"authorisedStartDate": "2023-03-16",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedDate": "2023-03-16",
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-16",
"elementType": "care-record-note",
"id": "be5cd350-c3e5-11ed-9201-0a782adf4272",
"code": {
"conceptId": "165801000000106",
"description": "Sick note generated from secondary care done by practice",
"descriptionId": "226031000000112"
},
"note": "Test note",
"recordedDate": "2023-03-16",
"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": "Dr Mohammed Lee"
},
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-16",
"elementType": "care-record-note",
"id": "5e17c466-c3e3-11ed-82f4-06b389297a3a",
"code": {
"conceptId": "513631000000106",
"description": "Declined consent for short message service text messaging",
"descriptionId": "1142031000000112"
},
"recordedDate": "2023-03-16",
"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": "Dr Mohammed Lee"
},
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-15",
"elementType": "prescription",
"id": "d37c804c-c367-11ed-9d80-0a58a9feac02",
"type": "acute",
"product": {
"dmdCode": "23673611000001106",
"name": "Co-amoxiclav 1000mg/200mg/100ml infusion bags",
"description": "Co-amoxiclav 1000mg/200mg/100ml infusion bags"
},
"dosageInstructions": "As directed",
"quantityRequired": {
"value": 2,
"unit": {
"conceptId": "428672001",
"description": "bag"
}
},
"authorisedIssues": 1,
"authorisedStartDate": "2023-03-15",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"recordedDate": "2023-03-15",
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-15",
"elementType": "medication-administration",
"id": "823a3bda-c30c-11ed-aafc-0a61641c0b28",
"product": {
"dmdCode": "39330711000001103",
"name": "COVID-19 vaccine",
"description": "COVID-19 vaccine"
},
"quantityAdministered": {
"value": ""
},
"administeredDate": "2023-03-15",
"administeredByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"administeredByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr 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": "Dr Mohammed Lee"
},
"recordedDate": "2023-03-15"
},
{
"journalEntryDate": "2023-03-02",
"elementType": "care-record-document",
"id": "af049860-c3e6-11ed-bcef-0a782adf4272",
"documentType": {
"conceptId": "823701000000103",
"description": "Discharge letter"
},
"documentDate": "2023-03-02",
"file": {
"name": "Discharge_Letter.pdf",
"size": 78249,
"type": "application/pdf",
"url": "/transactional-api/v1/patient/ef88c4e6-360c-11ed-aabf-060b232f1aa2/file/care-record-document/af049860-c3e6-11ed-bcef-0a782adf4272/af04ab16-c3e6-11ed-a417-0a782adf4272"
},
"clinicalSpeciality": {
"conceptId": "702931005",
"description": "Oncology clinic"
},
"authoredByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authoredByPractitioner": {
"id": "AC12345",
"name": "Dr Joel Ward"
},
"linkedProblems": [],
"filedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"filedByPractitioner": {
"id": "AC12345",
"name": "Dr Joel Ward"
},
"filedDate": "2023-03-10"
},
{
"journalEntryDate": "2023-03-01",
"elementType": "care-record-note",
"id": "5b3b9b0c-c3e6-11ed-9b6e-06b389297a3a",
"code": {
"conceptId": "24731000000108",
"description": "Clinic note"
},
"note": "Demoing filing into the past.",
"recordedDate": "2023-03-01",
"recordedByOrganisation": {
"identifier": "F85003",
"identifierType": "nhs-england-ods-code",
"name": "Felix White Clinic"
},
"recordedByPractitioner": {
"identifier": "AC12345",
"identifierType": "gb-gmc-number",
"name": "Dr Joel Ward"
},
"linkedProblems": []
},
{
"journalEntryDate": "2023-03-01",
"elementType": "care-record-document",
"id": "f40d5c7c-c3e5-11ed-bb94-06b389297a3a",
"documentType": {
"conceptId": "823651000000106",
"description": "Clinical note",
"descriptionId": "2143821000000114"
},
"documentDate": "2023-03-01",
"file": {
"name": "sample.pdf",
"size": 3028,
"type": "application/pdf",
"url": "/transactional-api/v1/patient/ef88c4e6-360c-11ed-aabf-060b232f1aa2/file/care-record-document/f40d5c7c-c3e5-11ed-bb94-06b389297a3a/f41237ce-c3e5-11ed-8a84-06b389297a3a"
},
"authoredByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authoredByPractitioner": {
"id": "94ab62d3-28d9-11eb-adc1-7b68f19e04ad",
"name": "Miss Abbie Kennedy"
},
"linkedProblems": [],
"filedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"filedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr Mohammed Lee"
},
"filedDate": "2023-03-16"
},
{
"journalEntryDate": "2023-02-25",
"elementType": "medication-administration",
"id": "50feba76-b1e3-11ed-a469-0ac16113e65c",
"product": {
"dmdCode": "39230211000001104",
"name": "COVID-19 Vaccine Janssen (Ad26.COV2-S [recombinant]) 0.5ml dose suspension for injection multidose vials",
"description": "COVID-19 Vaccine Janssen (Ad26.COV2-S [recombinant]) 0.5ml dose suspension for injection multidose vials",
"manufacturerName": "Janssen-Cilag Ltd"
},
"quantityAdministered": {
"value": "0.5",
"unit": {
"conceptId": "258773002",
"description": "ml"
}
},
"batchNumber": "1234",
"expiryDate": "2024-01-01",
"site": {
"conceptId": "40983000",
"description": "Upper arm",
"descriptionId": "197540016"
},
"route": {
"conceptId": "78421000",
"description": "Intramuscular"
},
"administeredDate": "2023-02-25",
"administeredTime": "10:00:00",
"administeredByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"administeredByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Dr 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": "Mr Mohammed Lee"
},
"recordedDate": "2023-02-21"
},
{
"journalEntryDate": "2023-02-15",
"elementType": "recall",
"id": "05c2464c-ad0e-11ed-b6bd-06ed06eae7a0",
"clinicalCode": {
"conceptId": "197091000000103",
"description": "Lower back pain assessment",
"descriptionId": "296061000000112"
},
"plannedStartDate": "2023-02-28",
"plannedEndDate": "2023-02-28",
"status": "incomplete",
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"identifier": "aebc00c2-28df-11eb-adc1-0242ac120002",
"identifierType": "medicus-staff-id",
"name": "Mr Mohammed Lee"
},
"linkedProblems": [],
"recordedDate": "2023-02-15"
},
{
"journalEntryDate": "2023-02-15",
"elementType": "emed3-fit-note",
"id": "9f2a8138-ad08-11ed-9338-06ed06eae7a0",
"adminCode": {
"conceptId": "751481000000104",
"description": "eMED3 (2010) new statement issued, not fit for work",
"descriptionId": "1653351000000114"
},
"file": {
"name": "fit-note-9f2a8138-ad08-11ed-9338-06ed06eae7a0.pdf",
"size": 64622,
"type": "application/pdf",
"url": "/transactional-api/v1/patient/ef88c4e6-360c-11ed-aabf-060b232f1aa2/file/emed3-fit-note/9f2a8138-ad08-11ed-9338-06ed06eae7a0/9f6f4ca0-ad08-11ed-9fde-06ed06eae7a0"
},
"assessmentDate": "2023-02-15",
"assessedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"assessedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"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": "Mr Mohammed Lee"
},
"recordedDate": "2023-02-15"
},
{
"journalEntryDate": "2023-02-15",
"elementType": "immunisation",
"id": "d6ed21b2-ad0c-11ed-bb00-0a4c7e7d3ed4",
"immunisation": {
"conceptId": "1324681000000101",
"description": "First SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) vaccination",
"descriptionId": ""
},
"product": {
"dmdCode": "39326911000001101",
"name": "Spikevax COVID-19 mRNA (nucleoside modified) Vaccine 0.1mg/0.5ml dose dispersion for injection multidose vials",
"description": "Spikevax COVID-19 mRNA (nucleoside modified) Vaccine 0.1mg/0.5ml dose dispersion for injection multidose vials (Moderna, Inc)",
"manufacturer": {
"conceptId": "39326711000001103",
"description": "Moderna, Inc"
}
},
"quantityAdministered": {
"value": "0.5",
"unit": {
"conceptId": "258773002",
"description": "ml"
}
},
"batchNumber": "12345",
"expiryDate": "2024-01-30",
"site": {
"conceptId": "368209003",
"description": "Right upper arm structure",
"descriptionId": "507692010"
},
"route": {
"conceptId": "78421000",
"description": "Intramuscular"
},
"administrationDate": "2023-02-15",
"administrationTime": "08:00:00",
"administeredByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"administeredByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"linkedProblems": [],
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedDate": "2023-02-15"
},
{
"journalEntryDate": "2023-02-13",
"elementType": "prescription",
"id": "90f0630a-abe4-11ed-ac91-0a58a9feac02",
"type": "repeat",
"product": {
"dmdCode": "325426006",
"name": "Prednisolone 1mg tablets",
"description": "Prednisolone 1mg tablets"
},
"dosageInstructions": "One per day",
"quantityRequired": {
"value": 2,
"unit": {
"conceptId": "428673006",
"description": "tablet"
}
},
"authorisedIssues": 2,
"authorisedStartDate": "2023-02-13",
"authorisedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"authorisedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"recordedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"recordedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"recordedDate": "2023-02-13",
"status": "authorised",
"linkedProblems": []
},
{
"journalEntryDate": "2023-02-12",
"elementType": "emed3-fit-note",
"id": "731688ec-aac6-11ed-a63b-0a58a9feac02",
"adminCode": {
"conceptId": "751481000000104",
"description": "eMED3 (2010) new statement issued, not fit for work",
"descriptionId": "1653351000000114"
},
"file": {
"name": "fit-note-731688ec-aac6-11ed-a63b-0a58a9feac02.pdf",
"size": 64399,
"type": "application/pdf",
"url": "/transactional-api/v1/patient/ef88c4e6-360c-11ed-aabf-060b232f1aa2/file/emed3-fit-note/731688ec-aac6-11ed-a63b-0a58a9feac02/735931ba-aac6-11ed-9617-0a58a9feac02"
},
"assessmentDate": "2023-02-12",
"assessedByPractitioner": {
"id": "aebc00c2-28df-11eb-adc1-0242ac120002",
"name": "Mr Mohammed Lee"
},
"assessedByOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"linkedProblems": [
{
"id": "d8592f60-9d6b-11ed-976a-0a89de4a41da",
"problem": {
"conceptId": "170635006",
"description": "Asthma not disturbing sleep",
"descriptionId": "264544010"
}
}
],
"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": "Mr Mohammed Lee"
},
"recordedDate": "2023-02-12"
},
{
"journalEntryDate": "2023-01-19",
"elementType": "encounter",
"id": "dcfd3d86-9811-11ed-884d-06ba3ea1e69a",
"seenInEstablishment": {
"conceptId": "185202000",
"description": "Seen in GP’s surgery",
"descriptionId": "285185014"
},
"startDate": "2023-01-19",
"startTime": "15:56:00",
"responsibleOrganisation": {
"name": "Riley House GP Practice",
"odsCode": "F85003"
},
"responsiblePractitioner": {
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