Unified Care Record · HL7 FHIR

Your health and care,
in one place,
owned by you.

Appointments, care plans, medications, referrals and community connections — streaming from the NHS, social care and voluntary services into a single record. Yours. Shared on your terms, with whoever you choose.

🏥 NHS 🤝 Social Care 🌱 Voluntary Sector 📡 Assistiv Signals
assistiv.services/record · Margaret Wilson
👤
Margaret Wilson
NHS No. 485 621 3097 · DOB 12 Mar 1948
NHS Social Care Voluntary
Next appointment
Cardiology review
Mon 23 June · 10:30am
Care review due
Annual care plan
14 July 2026
Active medications
6 medications
Last reviewed 2 Apr
Recent activity
📋
GP summary updated
Following annual review · Dr Patel, Faversham Medical
2 Jun
🤝
Care package review scheduled
Kent County Council · 2hrs daily personal care
Upcoming
🌱
Age UK befriending — confirmed
Wednesday afternoons · Faversham
Active
📡
Frailty signal — gait improving
Assistiv sensor · 4-week trend · shared with Dr Patel
Shared
🔑
You hold the record
Your care record belongs to you. Clinicians and services read it with your permission. You can revoke access at any time.
🔄
Live from source
Data streams directly from NHS systems via HL7 FHIR, from Kent County Council, and from your Assistiv sensors. No manual entry.
🌐
One whole picture
NHS, social care and voluntary services have never shared a single record. Assistiv holds all three together, for the first time.
👥
Shared with consent
Your family carer sees what you've chosen to share. Your GP sees what's clinically relevant. Nobody else sees anything.
NHS data · HL7 FHIR

Your NHS record,
in plain English.

GP summaries, hospital discharge letters, clinic appointments, test results and current medications — pulled directly from NHS systems via the HL7 FHIR standard. Translated out of clinical language. Presented in terms that make sense.

  • 📅
    Appointments in one view
    Every upcoming appointment across all NHS providers — cardiology, GP, community nursing — in a single calendar. No missed letters.
  • 💊
    Medications, explained
    Your current prescription list, with plain-English descriptions of what each medication is for, when to take it, and what to watch for.
  • 📄
    Discharge letters, decoded
    Hospital discharge summaries translated into plain terms. What happened, what to do next, who to call if something changes.

"The FHIR standard is already built into NHS systems. Assistiv doesn't replace the NHS record — it makes it readable and accessible to the person who owns it."

Technical architecture note
9:41
●●●🔋
NHS
Your health record · last updated today
NHS
Upcoming
NHS · Cardiology Mon 23 Jun
Cardiology annual review
East Kent Hospital · Clinic C, Level 2 · Dr Okafor · 10:30am · Allow 45 mins
Medications · 6 active
NHS · Prescription Reviewed 2 Apr
Ramipril 5mg — once daily
For blood pressure. Take in the morning. Can cause dizziness when standing — rise slowly.
NHS · Prescription
Atorvastatin 20mg — evening
Cholesterol medication. Take at night. Report any unexplained muscle pain.
🏥NHS
🤝Care
🌱Community
📡Assistiv
9:41
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Care Plan
Kent County Council · active
Social Care
Current care package
From 1 Mar 2026
Morning visit
7:30–8:00am daily · personal care, medication prompt
Evening visit
6:00–6:30pm daily · meal preparation, medication
Shopping support
Tuesdays · 1hr · accompanied or delivered
Review due 14 Jul 2026
Annual care review
Your care plan will be reviewed by your social worker. You can request changes to your package before this date.
Your social worker
👤
Priya Sharma
Kent Adult Social Care · 01622 xxxxxx
🏥NHS
🤝Care
🌱Community
📡Assistiv
Social care · Kent County Council

Your care plan,
visible to you.

Your care package, in plain terms. What visits you receive, when, and what they cover. Who your social worker is and how to reach them. When your review is due, and how to request changes before it arrives.

For the first time, the person receiving care can see their own care plan — not just the professional delivering it. This is not a small thing. Knowing what you're entitled to, and being able to advocate for changes, is a meaningful shift in power.

  • 📋
    Your package, in full
    Every element of your current care package, in plain English. No jargon, no coded entries.
  • 🗓
    Review dates visible in advance
    Know when your review is coming. Prepare. Request adjustments before, not during.
  • 📲
    Direct line to your social worker
    Contact details, held in the record. Not lost in a letter, not requiring a call to a central number.
Voluntary sector · what nobody currently holds

Community connections,
in one place.

Social prescribing referrals, befriending schemes, community group memberships, lunch clubs, transport schemes — this data exists in dozens of separate systems, many of them paper-based. Nobody currently holds it alongside NHS and social care data. Assistiv does.

This matters because social isolation is an independent predictor of frailty progression, cognitive decline and early death. The community connections that prevent those outcomes are the least visible part of a person's care. Bringing them into the record changes that.

  • 🔗
    Social prescribing referrals tracked
    When a GP or Link Worker makes a referral to a community service, it appears in the record. You can see what was referred, when, and whether it's active.
  • 📆
    Group and activity schedule
    Weekly clubs, befriending visits and transport bookings appear alongside NHS appointments. One calendar, whole life.
  • 🌱
    Matched to what you said you wanted
    Community suggestions come from your Design Your Life conversation — not a generic list. Gardening group, not exercise class, if gardening is what you named.
9:41
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Community
Your connections · Faversham area
Voluntary
This week
Age UK Befriending — Jean
Weekly visit from your befriender Jean. 90 mins, at home.
Wednesday 2:00pm · Confirmed
🌿
Faversham Gardening Club
Community allotment session. Transport arranged.
Thursday 10:00am · Confirmed
Social prescribing
🔗
Referred by Dr Patel
Link Worker referral to Faversham community hub — active since March 2026.
Referral date: 4 Mar 2026 · Active
🔍 Find more in your area
🏥NHS
🤝Care
🌱Community
📡Assistiv
Where the data comes from

Three systems.
One coherent record.

No single system currently holds all three. NHS, social care and voluntary sector data have never shared a record. For the Missing Middle — people managing complex lives across all three — this fragmentation is not an administrative inconvenience. It is a clinical risk.

🏥
NHS

Via HL7 FHIR — the NHS-mandated interoperability standard already integrated into EMIS, SystmOne and NHS App. No new infrastructure required at the GP practice.

  • GP summaries and coded records
  • Hospital discharge summaries
  • Clinic appointments across providers
  • Current medications and changes
  • Test results and referral status
🤝
Social Care

Via local authority data-sharing agreements — Care Act assessments, care package details and review schedules, held by Kent County Council and partner providers.

  • Current care package and hours
  • Care plan goals and priorities
  • Review dates and assessment records
  • Named social worker and contact
  • Equipment and adaptations log
🌱
Voluntary Sector

Via social prescribing platforms and direct integrations with local VCSE organisations — the layer that currently exists in no digital record anywhere.

  • Social prescribing referrals
  • Active befriending and visiting schemes
  • Community group memberships
  • Transport and meal scheme access
  • Link Worker notes and referral status
Shared with consent

Your carer sees
what you choose to share.

Sarah doesn't automatically see your care record. She sees a shared view — configured by you — that gives her the practical information she needs to support you, without access to everything you hold.

This resolves a genuine problem. Adult children acting as unpaid carers need information to coordinate, advocate and respond. But the person receiving care retains dignity and privacy. The shared view is the mechanism that holds both.

  • 📅
    Shared appointments calendar
    Sarah can see upcoming appointments and offer to help with transport — without seeing clinical notes or medication details unless you choose to share those too.
  • 📋
    Care plan summary
    A condensed view of the care package — visit times, what is covered — helps family carers coordinate around professional care without duplicating or undermining it.
  • 📡
    Assistiv signals, on your terms
    The home sensor signals you've agreed to share appear here — not as raw data but as the plain-English summaries you configured in Inner Circle settings.
S
Sarah's shared view — Margaret's record
Shared by Margaret · updated live
📅
Cardiology review · East Kent
Monday 23 June · 10:30am · transport needed
🗓
Care review · KCC
14 July · Mum asked you to attend
Age UK befriending — Jean
Wednesday 2pm · no action needed
📡
Morning routine — settled this week
Kettle, front door, usual times · no flags
Margaret controls what appears here. You cannot change this view.