openapi: 3.0.0 info: version: 0.0.1 title: e-Referrals Service CodeSystem List{id} API description: "## Overview\nUse this API to create paperless referrals from primary to secondary care with the [e-Referral Service (e-RS)](https://digital.nhs.uk/services/e-referral-service).\n\nFor an overview of how you can plan and prepare for your integration with e-RS, see our [API onboarding guide](https://digital.nhs.uk/services/e-referral-service/api).\n\n**As a primary care referrer, you can:**\n\n -\tcreate a new e-referral\n - search for relevant patient services to create a shortlist\n -\taccess existing e-referrals\n -\tcreate a triage request for the Referral Assessment Service (RAS)\n -\tupload and manage a patient letter or attachments, linking them to a referral\n -\tretrieve appointment slots and book appointments\n -\tdefer a booking to a provider if an appointment slot is unavailable\n - create a new advice and guidance request\n\n**As a secondary care provider, you can:**\n\n -\taccess referrals as a worklist\n -\tretrieve non-clinical information (meta-data) about the referral\n -\tretrieve attachments which are linked to a referral or triage (RAS) request\n -\tretrieve clinical information which has been provided by a referrer\n -\taccept or reject a referral request\n -\tretrieve Advice & Guidance (A&G) conversations and send responses\n -\tconvert Advice & Guidance (A&G) conversations into a referral\n - cancel a referral\n\n**You cannot use this API to:**\n\n -\tget patient details - instead, use the [[HYPERLINK_PDS]]\n\n**You can access the following data:**\n\n -\treferral attachments\n -\treferral letters\n -\tappointment slots\n -\tworklists for referral requests\n -\tworklists for triage (RAS) requests\n -\tworklists for Advice and Guidance (A&G) requests\n -\tconversation histories for Advice and Guidance (A&G) requests\n\n
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To discover the most common use cases, see our Building Healthcare Software guides.

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\n\n### Access modes\n\nThis API has two access modes:\n\n| Access mode | Authentication via | Functions | Availability |\n| ----------------------------- | -------------------------- | ----------------------- | ------------------------------- |\n| Application-restricted,
unattended access | [[HYPERLINK_SIGNED_JWT]] | | [[HYPERLINK_PRODUCTION]] |\n| Healthcare worker,
user-restricted access | [[HYPERLINK_CIS_AUTH_SHORT]] | All Endpoints | [[HYPERLINK_PRODUCTION]] |\n\n##### Application-restricted, unattended access\n\nThis access mode has been introduced to allow a Partner application which has been [registered with us](https://portal.developer.nhs.uk/create-a-developer-account) and [authenticated via signed JWT](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/application-restricted-restful-apis-signed-jwt-authentication) to interact with a subset of e-RS FHIR API endpoints in an unattended and read-only fashion.\nApplication-restricted, unattended access should only be used when authenticating a human user (for example via smartcard) is not possible.\n\nWrite operations are currently supported for specific use cases via:\n- [[HYPERLINK_A028]]\n- [[HYPERLINK_A013]]\n- [[HYPERLINK_A036]]\n\nYou will be required to submit your use case for review when using these endpoints via application-restricted, unattended access.\n\n##### Healthcare worker, user-restricted access\n\nThis access mode allows Partner applications to access e-RS FHIR API endpoints by authenticating users with [[HYPERLINK_CIS_AUTH_LONG]].\n\nThis access mode must be used for writing changes (such as Create Referral).\n\n## Who can use this API\n\nYou can use this API if you are a software developer wishing to interact with the e-referrals service (e-RS) data, for use in a professional, clinical setting. \n\nTo use this API you must:\n\n -\thave justification for doing so\n -\t[register with us](https://digital.nhs.uk/services/e-referral-service/api/integration-process/stage-1-design#1-8-register-with-us)\n -\tensure you have a [valid use case](https://digital.nhs.uk/services/e-referral-service/api/integration-process/stage-1-design#1-2-validate-your-use-case) before you go too far with your development\n -\t[assure](https://digital.nhs.uk/services/e-referral-service/api/integration-process/stage-3-assure) your solution before we grant access to live data\n\n## Related APIs\n\n[HL7 V3 API](https://digital.nhs.uk/developer/api-catalogue/e-referral-service-hl7-v3) - this API allows you to manage appointment slots for a Patient Administration System (PAS). \n\n\n## API status and roadmap\n\n### This API has two access modes:\n - Application-restricted, unattended access\n - Healthcare worker, user-restricted access\n\n### Application-restricted, unattended access\n\nThis access mode is [[HYPERLINK_PRODUCTION]], meaning:\n - we avoid making routine [breaking changes](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/sunsetting-policy#breaking-changes), except in exceptional circumstances\n - if we need to deprecate an endpoint, we will give advance notice on our [board](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/deprecation-notices). Our [sunsetting page](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/sunsetting-policy) details our deprecation and retirement policy.\n \n### Healthcare worker, user-restricted access\n\nThis access mode is [[HYPERLINK_PRODUCTION]], meaning:\n - we avoid making routine [breaking changes](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/sunsetting-policy#breaking-changes), except in exceptional circumstances\n - if we need to deprecate an endpoint, we will give advance notice on our [board](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/deprecation-notices). Our [sunsetting page](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/sunsetting-policy) details our deprecation and retirement policy.\n\n### Roadmap\n\nVisit our [roadmap page](https://digital.nhs.uk/services/e-referral-service/api/updates-and-releases/roadmap) for details of what we are working on.\n\nTo suggest, comment or vote on features for this API, see our [interactive product backlog](https://portal.productboard.com/qhpkcqgctqtk3ujk8jyoajp8/tabs/4-new-requests).\n\n## Service level\nThis API is a gold service, meaning it is operational and supported 24 hours a day, 365 days a year.\n\nFor more details, see [service levels](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#service-levels).\n\n## Technology\n\nThis API is primarily [RESTful](https://digital.nhs.uk/developer/guides-and-documentation/api-technologies-at-nhs-digital#basic-rest) \nand based on [FHIR](https://digital.nhs.uk/developer/guides-and-documentation/api-technologies-at-nhs-digital#fhir) global standards for health care data exchange.\n\nThis API supports FHIR STU3 and FHIR R4.\n\n### FHIR STU3\n\nThe e-RS FHIR STU3 API is built against the set of profiles called [CareConnect](https://nhsconnect.github.io/CareConnectAPI/).\n\n### FHIR R4\n\nThe e-RS FHIR R4 API is built alongside the [NHS England FHIR Implementation Guide](https://simplifier.net/guide/nhsdigital), which is built on top of [FHIR UK Core](https://digital.nhs.uk/services/fhir-uk-core). The canonical URLs listed in the schema can be resolved with [https://simplifier.net/resolve](https://simplifier.net/resolve).\n\n## Network access\n\nThis API is available on the internet and, indirectly, on the [Health and Social Care Network (HSCN)](https://digital.nhs.uk/services/health-and-social-care-network).\n\nTo use this API with NHS smartcards you do need an HSCN connection, although internet-facing alternatives are available.\n\nFor more details see [Network access for APIs](https://digital.nhs.uk/developer/guides-and-documentation/network-access-for-apis).\n\n\n## Security and authorisation\n\nThis API has two access modes:\n- Application-restricted, unattended access\n- Healthcare worker, user-restricted access\n\n### Application-restricted, unattended access\n\nThis access mode is [application-restricted](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#application-restricted-apis), meaning we authenticate the calling application but not the end user.\n\nYou can only use this access mode when authenticating a human user (for example via smartcard) is not possible.\n\nWrite operations are currently only supported by [[HYPERLINK_A028]] for non-clinical use cases. You will be required to submit your use case for review when using this endpoint via application-restricted, unattended access.\n\nTo use this access mode, use the following security pattern:\n- [Application-restricted RESTful API - signed JWT authentication](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/application-restricted-restful-apis-signed-jwt-authentication)\n\n### Healthcare worker, user-restricted access\n\nThis access mode is [user-restricted](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation#user-restricted-apis), meaning an end user must be present, authenticated and authorised.\n\nThe end user must be:\n- present\n- a healthcare worker\n- strongly authenticated and authorised by [[HYPERLINK_CIS_AUTH_LONG]]\n\nIn order to successfully authenticate with CIS2, the NHS e-Referral Service requires end users to be authenticated to the following standards:\n - an [Identity Assurance Level (IAL)](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/guidance-for-developers/detailed-guidance/scopes-and-claims#claims ) of IAL3\n - an [Authenticator Assurance Level (AAL)](https://digital.nhs.uk/services/care-identity-service/applications-and-services/cis2-authentication/guidance-for-developers/detailed-guidance/acr-values#authentication-methods) of AAL2 or AAL3\n\nTo use this access mode, use one of the following security patterns:\n- [user-restricted RESTful API - using NHS CIS2 - combined authentication and authorisation](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/user-restricted-restful-apis-nhs-cis2-combined-authentication-and-authorisation)\n- [user-restricted RESTful API - using NHS CIS2 - separate authentication and authorisation](https://digital.nhs.uk/developer/guides-and-documentation/security-and-authorisation/user-restricted-restful-apis-nhs-cis2-separate-authentication-and-authorisation)\n\nWe strongly recommend the use of separate authentication and authorisation. This mode will provide you access to the healthcare workers identity, allowing you to reuse it across multiple applications such as PDS.\n\nYou can [learn more](https://digital.nhs.uk/services/e-referral-service/api/integration-process/stage-1.4---select-your-authentication-level#1-access-modes) about each access mode option on our onboarding guide.\n\n#### Role and Organisation Validation\nFor most e-RS endpoints requests are made in the context of a specific authorised e-RS Role at a specific Organisation for the authenticated user. \n\nThe e-RS Role is supplied to the endpoint via the `NHSD-eRS-Business-Function` request header. \n\nThe Organisation is supplied to the endpoint via the `NHSD-End-User-Organisation-ODS` request header. \n\nSuitable values for these request headers can be obtained from the Practitioner Role Bundle returned by [[HYPERLINK_A030]].\n\n#### On Behalf Of User\nIf the `SERVICE_PROVIDER_CLINICIAN_ADMIN` role is used then the User ID of the Service Provider Clinician that the Admin is acting on behalf of must be supplied via the `NHSD-eRS-On-Behalf-Of-User-ID` header.\n\n\"On behalf of\" is only supported for a Service Provider Clinician Admin (SPCA) acting on behalf of a Service Provider Clinician (SPC).\n\n## Environments and testing\n\n| Environment | Base URL |\n| ----------------- | ---------------------------------------------------------------------- |\n| Sandbox | `https://sandbox.api.service.nhs.uk/referrals/FHIR` |\n| Integration test | `https://int.api.service.nhs.uk/referrals/FHIR` |\n| Production | `https://api.service.nhs.uk/referrals/FHIR` |\n\n### Sandbox testing\n\nOur [sandbox](https://digital.nhs.uk/developer/guides-and-documentation/testing#sandbox-testing) environment:\n-\tis for developer education and early testing\n-\tonly covers a limited set of scenarios\n-\tis stateless, so does not actually persist any updates\n-\tis open access, so does not allow you to test authorisation\n\nTry out the sandbox using our 'Try this API' feature, see the documentation for each endpoint.\n\nThe sandbox will only respond to an input which exactly matches one of the examples provided; it is otherwise stateless.\n\n### Integration testing\n\nOur [integration test](https://digital.nhs.uk/developer/guides-and-documentation/testing#integration-testing-with-our-restful-apis) environment:\n -\tis where the majority of your integration efforts will take place\n - is where we conduct witness testing for your application\n -\tis stateful, so data will be persisted\n\n\n## Onboarding\n\nYou need to get your software approved by us before you can go live with this API. We call this onboarding. The onboarding process can sometimes be quite long, so it's worth planning well ahead.\n\nWe use the Supplier Conformance Assessment List (SCAL) process. [Learn more](https://digital.nhs.uk/services/e-referral-service/api/integration-process/stage-1-design#1-7-learn-how-to-onboard) about onboarding.\n\n## Errors\nWe use standard HTTP status codes to show whether an API request succeeded or not. They are usually in the range:\n* 200 to 299 if it succeeded, including code 202 if it was accepted by an API that needs to wait for further action\n* 400 to 499 if it failed because of a client error by your application\n* 500 to 599 if it failed because of an error on our server\n\nErrors specific to each API are shown in the Endpoints section, under Response. See our [reference guide](https://digital.nhs.uk/developer/guides-and-documentation/reference-guide#http-status-codes) for more on errors.\n" contact: url: https://digital.nhs.uk/developer/help-and-support email: api.management@nhs.net license: name: MIT servers: - url: https://sandbox.api.service.nhs.uk/referrals/FHIR description: Sandbox environment. - url: https://int.api.service.nhs.uk/referrals/FHIR description: Integration test environment. - url: https://api.service.nhs.uk/referrals/FHIR description: Production environment. Not yet available. tags: - name: List{id} paths: /List{id}: get: summary: Get deletion notices operationId: get-deletion-notices description: "## Overview\n\nUse this endpoint to check for any full record or partial record deletions. As these occur infrequently a full List of deletions will be provided. \nThere are four Lists which provide details of deletions that have occured within the ODS Data\n * Organization-deletion\n * OrganizationAffiliation-deletion\n * Organization-role-deletion\n * Organization-succession-deletion\n \n #### Organization-deletion\n From time to time it is posible that we create or receive orgnisations which are created in error and removed from the source data. when this occurs there is no updates to the record, it is simply no longer available. to inform users when Organisations have been deleted, we have used the List resource to provide the ODS Code of the records which have been deleted so that you may removed them from any local copies you may be maintaining.\n \n #### OrganizationAffilliation-deletion\n in the unlikely event that a relationship must be deleted rather then given an end date, the RelationshipID will be provided in this List resource. \n \n #### Organization-role-deletion\n In the unlikely event that a role is deleted, rather than given an end date, the roleID will be provided in this list resource. As the role forms part of the Organization Resource you may not need to take action other than to verify the role was intentionally removed.\n \n #### Organization-succession-deletion\n In the unlikely event that the succession is removed from an organisation, the Organisation's ODS Code and that of it's successor will be published in this list resource. As the successor and predecessor are properties of the ods-organization-code CodeSystem, you may not need to take action if you are maintaining a local copy of the CodeSystem other than to verify the succession was intentionally removed. \n" parameters: - in: path name: id description: 'the business name for the List which contains details of deleted records ' required: true schema: type: string example: Organization-deletion responses: '200': description: a valid List resource containing details of deleted records content: application/fhir+json: example: resourceType: List id: Organization-deletion meta: versionId: '3' lastUpdated: '2024-03-06T08:33:55.775+00:00' source: '#3c8d0fc7e6526ce0' status: current mode: working title: List of Organization Resource Deletions date: '2024-01-25T00:00:00+00:00' note: - text: A list of complete Organisation records which have been deleted from the ODS Dataset entry: - date: '2024-01-17T00:00:00+00:00' item: type: Organization identifier: system: https://fhir.nhs.uk/Id/ods-organization-code value: FVG57 - date: '2024-01-17T00:00:00+00:00' item: type: Organization identifier: system: https://fhir.nhs.uk/Id/ods-organization-code value: FJE57 application/xml: example: <date value="2024-01-25T00:00:00+00:00"/> <note> <text value="A list of complete Organisation records which have been deleted from the ODS Dataset"/> </note> <entry> <date value="2024-01-17T00:00:00+00:00"/> <item> <type value="Organization"/> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code"/> <value value="FVG57"/> </identifier> </item> </entry> <entry> <date value="2024-01-17T00:00:00+00:00"/> <item> <type value="Organization"/> <identifier> <system value="https://fhir.nhs.uk/Id/ods-organization-code"/> <value value="FJE57"/> </identifier> </item> </entry> </List> tags: - List{id} components: securitySchemes: bearerAuth: type: http scheme: bearer bearerFormat: JWT x-nhsd-api-platform: meta: service_name: e-referrals-service-api short_service_name: ers service_base_path: referrals product_display_name: e-Referrals-Service product_description: The NHS e-RS vision is to enable local innovation and adoption of paperless referrals. To support this vision NHS Digital have created a set of APIs which provide a well-defined, simple to use data interface to the NHS e-Referral Service (e-RS). See https://digital.nhs.uk/developer/api-catalogue/e-referral-service-fhir pipeline_name_prefix: E-Referrals-Service