Patient Information Maintenance - GP

Patient Information Maintenance - GP

ID

C13

Version

9.3.2

Type

Capability

Category

Patient care management

Status

Effective

Effective Date

Nov 4, 2025

Contracting Vehicle(s)

Description

Supports the registration of Patients and the maintenance of all Patient personal information including demographics. Supports the organisation and presentation of a comprehensive Electronic Patient Record (EPR) and enables other organisations to access this information.

Also supports configuring access to Citizen Services and the submission of data to the Authority for monitoring, research and payment purposes.

Outcomes

For a Patient:

The accurate recording of a Patient’s personal information which contributes to the identification of the Patient and sharing of correct data across health and care. Increased involvement in their own care through enablement of Citizen Services. Patient safety is increased and facilitates finding Patients at risk.

For General Practice:

The organisation and presentation of a comprehensive Electronic Patient Record (EPR) ensures up to date and relevant information is available to appropriate staff to support timely Patient care. It supports effective communication with Patients and other organisations as well as forming the basis for enabling access to Citizen services.

For the wider NHS and social care system: 

The accurate recording of a Patient’s personal information, the organisation and presentation of a comprehensive Electronic Patient Record (EPR) and making it available across care settings improves efficiency, promotes collaboration and encourages the use of a lifelong integrated care record. 

MUST Epics - Describes the minimum functionality required to deliver a Capability. Solutions MUST be successfully evaluated against each Epic and Acceptance Criteria via Capability Assessment in order to be associated with this Capability

E00163 - manage Patient Registrations

As a Health or Care Professional

I want to manage Patients Registrations

So that I can manage which Patients are currently registered with my Healthcare Organisation

Acceptance criterion 1: create a Patient Registration

Given the Health or Care Professional is permitted to create Patient Registrations

When the Health or Care Professional selects to create a Patient Registration

Then the Registration Type is recorded

And the date the Patient Registration started is recorded

And the Named Accountable GP for the Patient is recorded

And the Patient Registration is created

Acceptance criterion 2: amend a Patient Registration

Given the Health or Care Professional is permitted to amend Patient Registrations

When the Health or Care Professional selects to amend a Patient Registration

And the Patient Registration is amended

Acceptance criterion 3: end a Patient Registration

Given the Health or Care Professional is permitted to end Patient Registrations

When the Health or Care Professional selects to end a Patient Registration

Then the date the Patient Registration ended is recorded

And the Patient Registration is ended

Acceptance criterion 4: view Patient Registration information

Given the Health or Care Professional is permitted to view Patient Registration information

When the Health or Care Professional selects to view a Patient’s Registration information

Then the Patient’s Registration information is displayed

E00163 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Patient Registration Types will be in line with legislative registration statuses as defined in the GP Contract

E00163 - Supporting Information

  • Registration Types MAY include, but are not limited to:

    • Fully Registered

    • Temporary Resident

    • Immediately necessary treatment


E00164 - manage Patient Demographic Information 

As a Health or Care Professional

I want to manage Patient Demographic Information

So that Patient Demographic Information is managed

Acceptance criterion 1: create Patient Demographic Information

Given the Health or Care Professional is permitted to create Patient Demographic Information

When the Health or Care Professional selects to create Demographic Information for a Patient

Then the Patient’s NHS Number is recorded

And the Patient’s name is recorded

And the Patient’s date of birth is recorded

And the Patient’s address is recorded

And the Patient’s telephone number can be recorded

And other contact details for the Patient can be recorded

And the Patient’s ethnicity can be recorded

And the Patient Demographic Information is created

Acceptance criterion 2: amend Patient Demographic Information

Given the Health or Care Professional is permitted to amend Patient Demographic Information

When the Health or Care Professional selects to amend Patient Demographic Information

Then the Patient Demographic Information is amended

Acceptance criterion 3: view Patient Demographic Information

Given the Health or Care Professional is permitted to view Patient Demographic Information

When the Health or Care Professional selects to view a Patient’s Demographic Information

Then the Patient's Demographic Information is displayed

E00164 - Supporting Information

  • Examples of other contact details for a Patient MAY include, but are not limited to:

    • Email address

    • Alternative telephone numbers (e.g. work)

  • Other examples of Demographic Information MAY include, but are not limited to:

    • Preferred Name

    • Former Family Name

    • Preferred written language

    • Preferred spoken language

    • Gender identity

    • Sex


E00165 - manage Electronic Patient Records (EPRs)

As a Health or Care Professional

I want to manage Electronic Patient Records (EPRs)

So that clinical and administrative information relating to a Patient is stored in a single Electronic Patient Record (EPR)

Acceptance criterion 1: view an Electronic Patient Record (EPR) 

Given the Health or Care Professional is permitted to view Electronic Patient Records (EPRs)

When the Health or Care Professional selects to view an Electronic Patient Record (EPR)

Then the Electronic Patient Record (EPR) is displayed

Acceptance criterion 2: update an Electronic Patient Record (EPR) 

Given the Health or Care Professional is permitted to update Electronic Patient Records (EPRs)

When the Health or Care Professional selects to update an Electronic Patient Record (EPR)

Then the Electronic Patient Record (EPR) is updated

Acceptance criterion 3: view of all historical information relating to a Patient’s care

Given the Health or Care Professional is permitted to view Electronic Patient Records (EPRs)

When they select to view all historical information relating to a Patient’s care

Then a view of all historical information relating to a Patient’s care is displayed


E00166 - manage Citizen Service access for a Patient

As a Health or Care Professional

I want to manage Citizen Service access for Patients

So that Patients have access to Citizen Services

Acceptance criterion 1: enable Citizen Service access for a Patient

Given the Health or Care Professional is permitted to enable Citizen Service access

When the Health or Care Professional selects to enable Citizen Service access for a Patient

Then Citizen Service access is enabled for that Patient

Acceptance criterion 2: disable Citizen Service access for a Patient

Given the Health or Care Professional is permitted to disable Citizen Service access

When the Health or Care Professional selects to disable Citizen Service access for a Patient

Then Citizen Service access is disabled for that Patient

E00166 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Suppliers of new Solutions:

  • Suppliers of Solutions which ARE currently deployed into an operational environment:

    • IM1 - Interface Mechanism Standard (Patient interface Provider requirements) or GP Connect (Patient Facing) User Permissions Standard (Provider requirements)

    • Ability to create, view and amend Verified User Accounts

    • Ability to generate Verified User Accounts credentials information to be shared with the Patient:

      • ODS Code

      • Verified User Accounts ID

      • Verified User Accounts Linkage Key

      • List of available Citizen Services

      • List of Solutions providing a Citizen Service which integrate with the Patient Information Maintenance Solution

      • Include the standard information text and URLs when generating VUA credentials information as defined on Information for GP IT Foundation Suppliers

    • Support linking of Online Service Account and Verified User Account

    • The Solution supports the resetting of the VUA Linkage Key as requested, both

      • Via the Citizen Service Solution, or

      • By a Health or Care Professional via their Solution

    • Upon reset request, the VUA reverts to a Status of Inactive and all access to Citizen Services terminated

    • Access to Citizen Services will be disabled immediately for deceased or otherwise deducted Patients

E00166 - Supporting Information


E00167 - manage Identity Verifications for a Patient

As a Health or Care Professional

I want to manage Identity Verifications for Patients

So that Identity Verifications are managed

Acceptance criterion 1: create Identity Verifications for a Patient

Given the Health or Care Professional is permitted to create Identity Verifications

When they select to create an Identity Verification for a Patient

Then the Identity Verification is created for that Patient

Acceptance criterion 2: amend Identity Verifications for a Patient

Given the Health or Care Professional is permitted to amend Identity Verifications

When they select to amend an Identity Verification for a Patient

Then the Identity Verification is amended for that Patient

Acceptance criterion 3: view Identity Verifications for a Patient

Given the Health or Care Professional is permitted to view Identity Verifications

When they select to view an Identity Verification for a Patient

Then the Identity Verification is displayed for that Patient

E00167 - Supporting Information


E00169 - manage Appointments Management Citizen Service access for a Patient and the Practice

As a Health or Care Professional

I want to manage Patient access to the Appointments Management Citizen Service

So that I can manage Patient access to the Appointments Management Citizen Service

Acceptance criterion 1: enable Patient access to the Appointments Management Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they select to enable the Patient’s access to the Appointments Management Citizen Service

Then access to the Appointments Management Citizen Service is enabled for the Patient

Acceptance criterion 2: disable Patient access to the Appointments Management Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When they select to disable the Patient’s access to the Appointments Management Citizen Service

Then access to the Appointments Management Citizen Service is disabled for the Patient

Acceptance criterion 3: enable Appointments Management Citizen Service for the Practice

Given the Health or Care Professional is permitted to enable a Citizen Service for the Practice

When they select to enable the Appointments Management Citizen Service for the Practice

Then the Appointments Management Citizen Service is enabled for the Practice

Acceptance criterion 4: disable Appointments Management Citizen Service for the Practice

Given the Health or Care Professional is permitted to disable a Citizen Service for the Practice

When they select to disable the Appointments Management Citizen Service for the Practice

Then the Appointments Management Citizen Service is disabled for the Practice

E00169 - Supporting Information


E00170 - manage Prescription Ordering Citizen Service access for a Patient and the Practice

As a Health or Care Professional

I want to be able to manage Patient access to the Prescription Ordering Citizen Service

So that I can manage Patient access to Prescription Ordering Citizen Service for Repeat Medication

Acceptance criterion 1: enable Patient access to the Prescription Ordering Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable the Patient’s access to the Prescription Ordering Citizen Service

Then access to the Prescription Ordering Citizen Service is enabled for the Patient

Acceptance criterion 2: disable Patient access to the Prescription Ordering Citizen Service

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable the Patient’s access to Prescription Ordering

Then access to the Prescription Ordering Citizen Service is disabled for the Patient

Acceptance criterion 3: enable Prescription Ordering Citizen Service for the Practice

Given the Health or Care Professional is permitted to enable a Citizen Service for the Practice

When the Health or Care Professional selects to enable the Prescription Ordering Citizen Service for the Practice

Then the Prescription Ordering Citizen service is enabled for the Practice

Acceptance criterion 4: disable Prescription Ordering Citizen Service for the Practice

Given the Health or Care Professional is permitted to disable a Citizen Service for the Practice

When the Health or Care Professional selects to disable the Prescription Ordering Citizen Service for the Practice

Then the Prescription Ordering Citizen Service is disabled for the Practice

E00170 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

E00170 - Supporting Information


E00171 - manage View Record Citizen Service access for the Practice

As a Health or Care Professional

I want to be able to manage access to the View Record Citizen Service for the Practice

So that I can manage access to View Record Citizen Service

Acceptance criterion 1: enable access to the Summary Information Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to enable access to the Summary Information Record Level for the Practice

Then the Summary Information Record Access Level is enabled for the Practice

Acceptance criterion 2: disable access to the Summary Information Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to disable access to the Summary Information Record Access Level for the Practice

Then the Summary Information Record Access Level is disabled for the Practice

Acceptance criterion 3: enable access to the Detailed Coded Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to enable access to the Detailed Coded Record Access Level for the Practice

Then the Detailed Coded Record Access Level is enabled for the Practice

Acceptance criterion 4: disable access to the Detailed Coded Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to disable a Patient’s access to the Detailed Coded Record Access Level for the Practice

Then the Detailed Coded Record Access Level is disabled for the Practice

Acceptance criterion 5: enable access to the Document Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

And the Detailed Coded Recorded Access Level is enabled

When the Health or Care Professional selects to enable access to the Document Access Level for the Practice

Then the Document Access Level is enabled for the Practice

Acceptance criterion 6: disable access to the Document Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to disable access to the Document Access Level for the Practice

Then the Document Access Level is disabled for the Practice

Acceptance criterion 7: enable access to the Full Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to enable access to the Full Record Access Level for the Practice

Then the Full Record Access Level is enabled for the Practice

Acceptance criterion 8: disable access to Full Record Access Level for the Practice

Given the Health or Care Professional is permitted to configure access to Citizen Services for the Practice

When the Health or Care Professional selects to disable access to the Full Record Access Level for the Practice

Then the Full Record Access Level is disabled for the Practice

E00171 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

E00171 - Supporting Information


E00755 - configure defaults for Citizen Service access for Patients

As a Health or Care Professional

I want to configure default access to Citizen Services for Patients

So that configuring access to Citizen Services for Patients is more efficient and inline with current policy

Acceptance criterion 1: enable the default as Prospective Access to Full Record Access Level for the View Record Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to enable the default as Prospective Access to Full Record Access Level for Patients

Then the Health or Care Professional records a start date for data to be available from

And Prospective Access to Full Record Access Level is enabled by default when a new Patient is enabled for access to Citizen Services

And Prospective Access to Full Record Access Level is automatically enabled when a Patient who is already enabled for access to Citizen Services reaches their 16th birthday

Acceptance criterion 2: enable the default as Full Record Access Level for the View Record Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to enable the default as Full Record Access Level for Patients

Then the Full Record Access Level is enabled by default when a new Patient is enabled for access to Citizen Services

Acceptance criterion 3: disable the default for View Record Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to disable the default for the View Record Citizen Service for Patients

Then the default is disabled

Acceptance criterion 4: enable the default for Appointments Management Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to enable the default for Appointments Management Citizen Service for Patients

Then the Appointments Management Citizen Service is enabled by default when a new Patient is enabled for access to Citizen Services

Acceptance criterion 5: disable the default for Appointments Management Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to disable the default for the Appointments Management Citizen Service for Patients

Then the default is disabled

Acceptance criterion 6: enable the default for Prescription Ordering Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default default access to Citizen Services for Patients

When the Health or Care Professional selects to enable the default for Prescription Ordering Citizen Service for Patients

Then the Prescription Ordering Citizen Service is enabled by default when a new Patient is enabled for access to Citizen Services

Acceptance criterion 7: disable the default for Prescription Ordering Citizen Service for Patients

Given the Health or Care Professional is permitted to configure the default access to Citizen Services for Patients

When the Health or Care Professional selects to disable the default for the Prescription Ordering Citizen Service for Patients

Then the default is disabled

E00755 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • When Prospective Access to Full Record Access Level is enabled as the default for the View Record Citizen Service, for Patients newly enabled for online access (Practice enabled and via NHS Login) the Access Level is to default to Summary Information Record Access Level when the Patient is excluded for Prospective Access by one of the following criteria:

    • Patient has one of the following SNOMED CT codes recorded in their Electronic Patient Record (EPR):

      • ‘1364731000000104 - Enhanced review indicated before granting access to own health record (situation)’ without a later recording of ‘1364751000000106 - Enhanced review not indicated before granting access to own health record (situation)’ OR ‘1290311000000106 - Online access to own health record granted following enhanced health record review (finding)’

      • ‘1290301000000109 - Online access to own health record withheld following enhanced health record review (finding)’ without a later recording of ‘1290311000000106 - Online access to own health record granted following enhanced health record review (finding)’

      • '1290331000000103 - Online access to own health record declined by patient (situation)' without a later recording of ‘1290311000000106 - Online access to own health record granted following enhanced health record review (finding)’

    • Patient is under 16 years old

  • When Prospective Access to Full Record Access Level is enabled as the default for the View Record Citizen Service, and the Patient is excluded for Prospective Access (see exclusion criteria above), on the Patient’s 16th Birthday the Access Level will:

    • Automatically update to Summary Information Record Access Level for Patients with no previous access

    • Remain the same for Patients with existing View Record Citizen Service access

  • For Prospective Access to Full Record Access Level, if the start date for data to be available from is before the date the Patient Registration started for the Patient, then the start date for data to be available from is to be the same as their Patient Registration started date


E00172 - manage View Record Citizen Service access for a Patient

As a Health or Care Professional

I want to be able to manage access to the View Record Citizen Service for individual Patients

So that I can manage Patient access to View Record Citizen Service

Acceptance criterion 1: enable access to the Summary Information Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable the Patient’s access to the Summary Information Record Level

Then the Summary Information Record Access Level is enabled for the Patient

Acceptance criterion 2: disable access to the Summary Information Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable a Patient’s access to the Summary Information Record Access Level

Then the Summary Information Record Access Level is disabled for the Patient

Acceptance criterion 3: enable access to the Detailed Coded Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable the Patient’s access to the Detailed Coded Record Access Level

Then the Detailed Coded Record Access Level is enabled for the Patient

Acceptance criterion 4: disable access to the Detailed Coded Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable a Patient’s access to the Detailed Coded Record Access Level

Then the Detailed Coded Record Access Level is disabled for the Patient

Acceptance criterion 5: enable access to the Document Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

And the Detailed Coded Recorded Access Level is enabled

When the Health or Care Professional selects to enable the Patient’s access to the Document Access Level

Then the Document Access Level is enabled for the Patient

Acceptance criterion 6: disable access to the Document Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable a Patient’s access to the Document Access Level

Then the Document Access Level is disabled for the Patient

Acceptance criterion 7: enable access to the Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable the Patient’s access to the Full Record Access Level

Then the Full Record Access Level is enabled for the Patient

Acceptance criterion 8: disable access to Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable a Patient’s access to the Full Record Access Level

Then the Full Record Access Level is disabled for the Patient

Acceptance criterion 9: enable Prospective Access to the Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to enable Prospective Access to the Full Record Access Level for a Patient

Then the Health or Care Professional records a start date for data to be available from

And the Prospective Access to the Full Record Access Level is enabled for the Patient

Acceptance criterion 10: disable Prospective Access to the Full Record Access Level for a Patient

Given the Health or Care Professional is permitted to configure access to Citizen Services

When the Health or Care Professional selects to disable Prospective Access to the Full Record Access Level for a Patient

Then the Prospective Access to the Full Record Access Level is disabled for the Patient

E00172 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

E00172 - Supporting Information

  • The start date for Prospective Access to the Full Record Access Level determines the date from which the data made available goes back to, not whether the Service is offered/available by the Practice e.g. where the Prospective Access to the Full Record Access Level start date is set to 15th March 2015 and the Full Record Access Level is enabled (‘switched on’) by the Practice on the 1st April 2015

  • Further information on the View Record Citizen Service can be found in the View Record - Citizen Capability and Citizen Services Implementation Guidance


E00174 - configure access to elements of the Electronic Patient Record (EPR) in the View Record Citizen Service

As a Health or Care Professional

I want to record that elements of the Electronic Patient Record (EPR) are Restricted from View Record

So that elements recorded as Restricted from View Record are not displayed to Citizens via the View Record Citizen Service

Acceptance criterion 1: record existing elements of the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service upon review

Given the Health or Care Professional is permitted to review the Electronic Patient Record (EPR)

When the Health or Care Professional selects to record an existing element of the Electronic Patient Record (EPR) as Restricted from View Record

Then this element is recorded as Restricted from View Record

And it is not displayed in Citizen Services

Acceptance criterion 2: record elements of the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service whilst entering information

Given the Health or Care Professional is permitted to enter information into the Electronic Patient Record (EPR)

When the Health or Care Professional enters information into the Electronic Patient Record (EPR)

And the Health or Care Professional selects to record an element of this information as Restricted from View Record

Then this element is recorded as Restricted from View Record

And it is not displayed via the View Record Citizen Service

Acceptance criterion 3: indicate Restricted from View Record elements to Health or Care Professionals

Given the Health or Care Professional is permitted to view the Electronic Patient Record (EPR)

And there are elements of the Electronic Patient Record (EPR) that have been recorded as Restricted from View Record

When the Health or Care Professional selects to view the Electronic Patient Record (EPR)

Then the Health or Care Professional can view that these elements are Restricted from View Record

Acceptance criterion 4: update elements recorded as Restricted from View Record as available for View Record

Given the Health or Care Professional is permitted to view the Electronic Patient Record (EPR)

And there are elements of the Electronic Patient Record (EPR) that have been recorded as Restricted from View Record

When the Health or Care Professional selects to record an element as available for View Record

Then this element is recorded as available for the View Record Citizen Service

And it is displayed via the View Record Citizen Service

E00174 - Additional Implementation Details

Solutions MUST comply with the following when implementing this Epic:

  • Ability for Health or Care Professionals to record any type of element recorded in the Electronic Patient Record (EPR) as Restricted from View Record Citizen Service

E00174 - Supporting Information

  • Elements of the Electronic Patient Record (EPR) MAY include, but are not limited to:

    • An Electronic Patient Record (EPR) (as a whole)

    • Groups of elements of an Electronic Patient Record (EPR) e.g. an entire consultation, documents and all associated read coded information

    • Individual elements e.g. a code, a medication