Social Care Interoperability Platform FHIR Implementation Guide
Version: 0.1.0, Status: draft

Social Care Interoperability Platform FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: MODS FHIR Patient Registration (Permanent Failure) - JSON Representation

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{
  "resourceType" : "Patient",
  "id" : "96fbb306-9977-4b54-bd5b-f3c045607721",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2026-04-23T16:43:00Z",
    "profile" : [
      🔗 "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/MODS-Patient"
    ],
    "tag" : [
      {
        "system" : "https://yhcr.nhs.uk/pix/registration/status",
        "code" : "failed",
        "display" : "This resource has failed PIX registration"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Patient 96fbb306-9977-4b54-bd5b-f3c045607721</b></p><a name=\"96fbb306-9977-4b54-bd5b-f3c045607721\"> </a><a name=\"hc96fbb306-9977-4b54-bd5b-f3c045607721\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2026-04-23 16:43:00+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MODS-Patient.html\">MODS Patient</a></p><p style=\"margin-bottom: 0px\">Tag: </p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Mike Meakin  Male, DoB: 1970-01-01 ( https://fhir.hl7.org.uk/Id/nino#AA998877BB)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-PersonMaritalStatusEngland 9}\">Not known</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li><code>https://fhir.nhs.uk/Id/nhs-number</code>/9658218873\u00a0(use:\u00a0official,\u00a0)</li><li><code>https://example.org/Id/client-id</code>/9874560000</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">8 Box Road London W3 7JF United Kingdom of Great Britain and Northern Ireland </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Information that describes the patient's ethnic category.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory\">Extension UK Core Ethnic Category</a></td><td colspan=\"3\"><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland A}\">White - British</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The gender identity of a PERSON as stated by the PERSON.\"><a href=\"StructureDefinition-Extension-MODS-PersonGenderIdentity.html\">Extension MODS Person Gender Identity</a></td><td colspan=\"3\"><span title=\"Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-PersonGenderIdentityCode-1 1}\">Male (including trans man)</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The RELIGIOUS_OR_OTHER_BELIEF_SYSTEM_AFFILIATION of a PERSON, as specified by a PERSON. Note: This is the Religious_Affiliation of a PERSON, not their Religion.\"><a href=\"StructureDefinition-Extension-MODS-PersonReligiousAffiliation.html\">Extension MODS Religious Affiliation</a></td><td colspan=\"3\"><span title=\"Codes:{https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-PersonReligionCode-1 N1}\">PATIENT Religion Unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Indication of the person's sexual preferences\"><a href=\"StructureDefinition-Extension-MODS-PersonSexualOrientation.html\">Extension MODS Sexual Orientation</a></td><td colspan=\"3\"><span title=\"Codes:{http://snomed.info/ct 20430005}\">Heterosexual</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"An extension to support the patient's phenotypic sex at birth.\"><a href=\"https://simplifier.net/resolve?scope=fhir.r4.ukcore.stu2@2.0.2&amp;canonical=https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex\">Extension UK Core Birth Sex</a></td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender M}\">Male</span></td></tr></table><hr/><p><b>Contained Resource</b></p><hr/><a name=\"96fbb306-9977-4b54-bd5b-f3c045607721/null\"> </a><p class=\"res-header-id\"><b>OperationOutcome </b></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Tag: </p></div><h3>Issues</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Severity</b></td><td><b>Code</b></td><td><b>Details</b></td><td><b>Diagnostics</b></td></tr><tr><td style=\"display: none\">*</td><td>Fatal</td><td>Processing Failure</td><td><span title=\"Codes:{https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-PIXFailureType permanent}\">PIX has encountered a permanent error, the request must not be retried</span></td><td>SMSP Error (could not create linkage): Patient has a permanently failed PDS trace status - not tracing</td></tr></table></div>"
  },
  "contained" : [
    {
      "resourceType" : "OperationOutcome",
      "meta" : {
        "tag" : [
          {
            "system" : "https://fhir.yhcr.nhs.uk/CodeSystem/OutcomeSource",
            "code" : "pix"
          }
        ]
      },
      "issue" : [
        {
          "severity" : "fatal",
          "code" : "processing",
          "details" : {
            "coding" : [
              {
                "system" : "https://fhir.interweavedigital.nhs.uk/CodeSystem/Interweave-PIXFailureType",
                "code" : "permanent",
                "display" : "PIX has encountered a permanent error, the request must not be retried"
              }
            ]
          },
          "diagnostics" : "SMSP Error (could not create linkage): Patient has a permanently failed PDS trace status - not tracing"
        }
      ]
    }
  ],
  "extension" : [
    {
      "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-BirthSex",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-AdministrativeGender",
            "code" : "M",
            "display" : "Male"
          }
        ]
      }
    },
    {
      "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-PersonGenderIdentity",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-PersonGenderIdentityCode-1",
            "code" : "1",
            "display" : "Male (including trans man)"
          }
        ]
      }
    },
    {
      "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-EthnicCategory",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-EthnicCategoryEngland",
            "code" : "A",
            "display" : "White - British"
          }
        ]
      }
    },
    {
      "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-PersonReligiousAffiliation",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-PersonReligionCode-1",
            "code" : "N1",
            "display" : "PATIENT Religion Unknown"
          }
        ]
      }
    },
    {
      "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-PersonSexualOrientation",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "http://snomed.info/ct",
            "code" : "20430005",
            "display" : "Heterosexual"
          }
        ]
      }
    }
  ],
  "identifier" : [
    {
      "extension" : [
        {
          "url" : "https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatusEngland",
                "code" : "01",
                "display" : "Number present and verified"
              }
            ]
          }
        }
      ],
      "use" : "official",
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9658218873"
    },
    {
      "system" : "https://fhir.hl7.org.uk/Id/nino",
      "value" : "AA998877BB"
    },
    {
      "system" : "https://example.org/Id/client-id",
      "value" : "9874560000"
    }
  ],
  "name" : [
    {
      "family" : "Meakin",
      "given" : [
        "Mike"
      ]
    }
  ],
  "gender" : "male",
  "birthDate" : "1970-01-01",
  "address" : [
    {
      "extension" : [
        {
          "url" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/StructureDefinition/Extension-MODS-AddressCountry",
          "valueCoding" : {
            "system" : "https://metadata.phase2.scip.synanetics.cloud/fhir/r4/CodeSystem/MODS-Country-1",
            "code" : "GB",
            "display" : "United Kingdom of Great Britain and Northern Ireland"
          }
        }
      ],
      "line" : [
        "8 Box Road",
        "London"
      ],
      "postalCode" : "W3 7JF",
      "country" : "United Kingdom of Great Britain and Northern Ireland"
    }
  ],
  "maritalStatus" : {
    "coding" : [
      {
        "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-PersonMaritalStatusEngland",
        "code" : "9",
        "display" : "Not known"
      }
    ]
  }
}