What should I do if I can support the retrieval of a document/record in both structured and unstructured formats? Should I register multiple pointers or just one single pointer?
If the content of the document/record is the same, NRL providers should create one single pointer including information about the multiple different formats that content is available. Please see example below:
`{
"resource": {
"resourceType": "DocumentReference",
"id": "Y05868-00000-NRL-1829",
"meta": {
"lastUpdated": "2025-12-15T17:39:18.288Z"
},
"masterIdentifier": {
"system": "urn:ietf:rfc:3986",
"value": "urn:oid:1.3.6.1.4.1.21367.2005.9.0"
},
"status": "current",
"docStatus": "final",
"type": {
"coding": [
{
"system": "``http://snomed.info/sct``",
"code": "824321000000109",
"display": "Summary record"
}
]
},
"category": [
{
"coding": [
{
"system": "``http://snomed.info/sct``",
"code": "823651000000106",
"display": "Clinical note"
}
]
}
],
"subject": {
"identifier": {
"system": "``https://fhir.nhs.uk/Id/nhs-number``",
"value": "9999999999"
}
},
"date": "2025-12-12T10:45:41+11:00",
"author": [
{
"identifier": {
"system": "``https://fhir.nhs.uk/Id/nhsSpineASID``",
"value": "200000000010"
}
}
],
"custodian": {
"identifier": {
"system": "``https://fhir.nhs.uk/Id/ods-organization-code``",
"value": "Y05868"
}
},
"description": "Test NRLF docref with multiple content attachments",
"content": [
{
"attachment": {
"contentType": "application/pdf",
"language": "en-UK",
"url": "ssp://some-example-url.pdf",
"title": "Test IPS doc pdf attachment",
"creation": "2025-12-15T10:45:41+11:00"
},
"format": {
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLFormatCode``",
"code": "urn:nhs-ic:unstructured",
"display": "Unstructured Document"
},
"extension": [
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-ContentStability``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLContentStability``",
"code": "static",
"display": "Static"
}
]
}
},
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-NRLRetrievalMechanism``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLRetrievalMechanism``",
"code": "SSP",
"display": "Spine Secure Proxy"
}
]
}
}
]
},
{
"attachment": {
"contentType": "text/html",
"language": "en-UK",
"url": "``https://digital.nhs.uk``",
"title": "Test IPS provider contact details",
"creation": "2025-12-15T10:45:41+11:00"
},
"format": {
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLFormatCode``",
"code": "urn:nhs-ic:record-contact",
"display": "Contact details (HTTP Unsecured)"
},
"extension": [
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-ContentStability``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLContentStability``",
"code": "static",
"display": "Static"
}
]
}
},
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-NRLRetrievalMechanism``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLRetrievalMechanism``",
"code": "Direct",
"display": "Direct"
}
]
}
}
]
},
{
"attachment": {
"contentType": "text/html",
"language": "en-UK",
"url": "ssp://some-example-url-structured.html",
"title": "Test IPS web doc",
"creation": "2025-12-15T10:45:41+11:00"
},
"format": {
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLFormatCode``",
"code": "urn:nhs-ic:structured",
"display": "Structured Document"
},
"extension": [
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-ContentStability``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLContentStability``",
"code": "dynamic",
"display": "Dynamic"
}
]
}
},
{
"url": "``https://fhir.nhs.uk/England/StructureDefinition/Extension-England-NRLRetrievalMechanism``",
"valueCodeableConcept": {
"coding": [
{
"system": "``https://fhir.nhs.uk/England/CodeSystem/England-NRLRetrievalMechanism``",
"code": "SSP",
"display": "Spine Secure Proxy"
}
]
}
}
]
}
],
"context": {
"practiceSetting": {
"coding": [
{
"system": "``http://snomed.info/sct``",
"code": "224891009",
"display": "Healthcare services"
}
]
},
"related": [
{
"identifier": {
"system": "``https://fhir.nhs.uk/Id/nhsSpineASID``",
"value": "200000000010"
}
}
]
}
}
}`
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