From afb5318eb97477355329f46e1f21069e677706ae Mon Sep 17 00:00:00 2001 From: Carl De'ath <74620667+cda69@users.noreply.github.com> Date: Mon, 27 Oct 2025 14:43:07 +0000 Subject: [PATCH 1/3] App6-Example-updates --- Examples/Questionnaire for PTS.xml | 88 +- ...e Request - CAD Out of Area C4(1 of 1).xml | 1008 +++++++++++++++++ 2 files changed, 1066 insertions(+), 30 deletions(-) create mode 100644 Examples/REFREQ10 - Referral Service Request - CAD Out of Area C4(1 of 1).xml diff --git a/Examples/Questionnaire for PTS.xml b/Examples/Questionnaire for PTS.xml index 9e61eb0c..1320f8aa 100644 --- a/Examples/Questionnaire for PTS.xml +++ b/Examples/Questionnaire for PTS.xml @@ -1,25 +1,25 @@ - + - - + + - + - - - - <status value="active" /> - <experimental value="false" /> - <date value="2023-12-19T14:00:00+00:00" /> - <publisher value="NHSE - BaRS" /> - <description value="PTS Questionnaire for CAD-to-CAD" /> + <version value="0.2"/> + <name value="PTS"/> + <title value="Pre Triage Sieve Questionnaire"/> + <status value="active"/> + <experimental value="false"/> + <date value="2025-10-27T11:00:00+00:00"/> + <publisher value="NHSE - BaRS"/> + <description value="PTS Questionnaire for CAD-to-CAD"/> <item> - <linkId value="0" /> - <text value="Is the patient breathing?" /> - <type value="choice" /> - <required value="true" /> + <linkId value="0"/> + <text value="Is the patient breathing?"/> + <type value="choice"/> + <required value="true"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> @@ -36,18 +36,18 @@ </answerOption> </item> <item> - <linkId value="1" /> - <text value="Is the patient awake (conscious)?" /> - <type value="choice" /> + <linkId value="1"/> + <text value="Is the patient awake (conscious)?"/> + <type value="choice"/> <enableWhen> - <question value="0" /> - <operator value="="/> + <question value="0"/> + <operator value="="/> <answerCoding> - <code value="78064003" /> - <display value="Breathing (observable entity)" /> + <code value="78064003"/> + <display value="Breathing (observable entity)"/> </answerCoding> </enableWhen> - <required value="false" /> + <required value="false"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> @@ -64,18 +64,18 @@ </answerOption> </item> <item> - <linkId value="2" /> - <text value="Is their breathing noisy?" /> - <type value="choice" /> + <linkId value="2"/> + <text value="Is their breathing noisy?"/> + <type value="choice"/> <enableWhen> - <question value="0" /> - <operator value="="/> + <question value="0"/> + <operator value="="/> <answerCoding> <code value="78064003"/> <display value="Breathing (observable entity)"/> </answerCoding> </enableWhen> - <required value="false" /> + <required value="false"/> <answerOption> <valueCoding> <system value="http://snomed.info/sct"/> @@ -91,4 +91,32 @@ </valueCoding> </answerOption> </item> + <item> + <linkId value="3"/> + <text value="Is their breathing effective?"/> + <type value="choice"/> + <enableWhen> + <question value="0"/> + <operator value="="/> + <answerCoding> + <code value="78064003"/> + <display value="Breathing (observable entity)"/> + </answerCoding> + </enableWhen> + <required value="false"/> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct"/> + <code value="230145002"/> + <display value="Difficulty breathing (finding)"/> + </valueCoding> + </answerOption> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct"/> + <code value="20716004"/> + <display value="Respiratory rate normal (finding)"/> + </valueCoding> + </answerOption> + </item> </Questionnaire> diff --git a/Examples/REFREQ10 - Referral Service Request - CAD Out of Area C4(1 of 1).xml b/Examples/REFREQ10 - Referral Service Request - CAD Out of Area C4(1 of 1).xml new file mode 100644 index 00000000..ef544e47 --- /dev/null +++ b/Examples/REFREQ10 - Referral Service Request - CAD Out of Area C4(1 of 1).xml @@ -0,0 +1,1008 @@ +<!-- This messages shows a scenario in 999 where a 3rd party calls 999 where a patient is in distress and requires a CAT4 ambulance + +This is Message 1 of 1. + +No follow up update messages expected. + + --> +<Bundle xmlns="http://hl7.org/fhir"> + <id value="146b45fc-30f3-4f8f-9cd9-6462db3ff0c4" /> + <meta> + <versionId value="1.0.0-beta" /> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.nhs.uk/StructureDefinition/BARSBundleMessage" /> + </meta> + <type value="message" /> + <timestamp value="2025-10-27T11:30:00+00:00" /> + <entry> + <!-- 0 --> + <fullUrl value="urn:uuid:47a4d16a-071c-440a-ba97-68716526ef6e" /> + <resource> + <MessageHeader> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.nhs.uk/StructureDefinition/BARSMessageHeader-servicerequest-request" /> + </meta> + <extension url="https://fhir.nhs.uk/StructureDefinition/CDSSExtension"> + <extension url="RequesterCDSSsoftware"> + <valueString value="Pathways" /> + </extension> + <extension url="RequesterCDSSversion"> + <valueString value="30.2.0" /> + </extension> + </extension> + <eventCoding> + <system value="https://fhir.nhs.uk/CodeSystem/message-events-bars" /> + <code value="servicerequest-request" /> + </eventCoding> + <destination> + <endpoint value="https://fhir.nhs.uk/Id/dos-service-id|111111111" /> + <!-- Sender to populate with the system (of the DoS used) and Service Identity value --> + <receiver> + <!-- Organization --> + <reference value="urn:uuid:ed6edb24-7cc3-4847-bedd-cfa342be47bb" /> + </receiver> + </destination> + <sender> + <!-- Organization --> + <reference value="urn:uuid:e9a90910-40eb-451f-9621-6c6209d5c5f7" /> + </sender> + <source> + <name value="Emergency service" /> + <software value="Patient Manager" /> + <version value="1.7" /> + <contact> + <system value="phone" /> + <value value="+44 (0113) 123 4567" /> + </contact> + <endpoint value="https://fhir.nhs.uk/Id/dos-service-id|2222222222" /> + <!-- The Sender must populate the 'NHSD-Target-Identifier' header value a Receiver needs to populate in order to send a response to them via the BaRS API e.g. 'system value(URL):Service-TargetIdentifer' --> + </source> + <reason> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/message-reason-bars" /> + <code value="new" /> + </coding> + </reason> + <focus> + <!-- ServiceRequest --> + <reference value="urn:uuid:b0056de1-3c52-4ec5-84d9-e80e5bfd87ed" /> + </focus> + <definition value="https://fhir.nhs.uk/MessageDefinition/bars-message-servicerequest-request-referral" /> + </MessageHeader> + </resource> + </entry> + <entry> + <!-- 1 --> + <fullUrl value="urn:uuid:b0056de1-3c52-4ec5-84d9-e80e5bfd87ed" /> + <resource> + <ServiceRequest> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be619" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.nhs.uk/StructureDefinition/BARSServiceRequest-request-referral" /> + </meta> + <basedOn> + <!-- Always CarePlan --> + <reference value="urn:uuid:6b5f7f75-77c7-4e3a-9855-ced66ae94301" /> + </basedOn> + <status value="active" /> + <!-- used to drive workflow e.g. cancel/remove --> + <intent value="plan" /> + <!-- required and always set to 'plan' --> + <category> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/message-category-servicerequest" /> + <code value="referral" /> + <!-- Important for driving workflow, determining the type of referral being requested --> + <display value="Transfer of Care" /> + </coding> + <coding> + <!-- Use case category --> + <system value="https://fhir.nhs.uk/CodeSystem/usecases-categories-bars" /> + <code value="a6t1" /> + <display value="CAD to CAD Out of Area Referral" /> + </coding> + </category> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <encounter> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + <authoredOn value="2025-10-27T11:30:00+00:00" /> + <requester> + <!-- Sending Practitioner --> + <reference value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + </requester> + <performer> + <!-- Receiving/performing Organization/HealthcareService --> + <reference value="urn:uuid:51561c40-26fb-45c1-8879-99397e8a60d5" /> + </performer> + <locationReference> + <!-- Incident Location --> + <reference value="urn:uuid:02722d80-ac23-460f-8492-c6736d4eb7d3" /> + </locationReference> + </ServiceRequest> + </resource> + </entry> + <entry> + <!-- 2 Call Receiving Trust --> + <fullUrl value="urn:uuid:51561c40-26fb-45c1-8879-99397e8a60d5" /> + <resource> + <HealthcareService> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be779" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="http://hl7.org/fhir/StructureDefinition/HealthcareService" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-HealthcareService" /> + </meta> + <identifier> + <system value="http://fhir.nhs.uk/Id/dos-service-id" /> + <value value="111111111" /> + </identifier> + <active value="true" /> + <providedBy> + <reference value="urn:uuid:ed6edb24-7cc3-4847-bedd-cfa342be47bb" /> + </providedBy> + <name value="Ambulance Service Trust A" /> + </HealthcareService> + </resource> + </entry> + <entry> + <!-- 3 --> + <fullUrl value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + <resource> + <Encounter> <!-- Senders Encounter --> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be651" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Encounter" /> + </meta> + <identifier> + <system value="https://sender.url/Id/case-number" /> + <!-- Set by the sender who is passing the business case number value --> + <value value="sender1234" /> + </identifier> + <status value="finished" /> + <statusHistory> + <status value="planned" /> + <period> + <start value="2025-10-27T11:22:00+00:00" /> + </period> + </statusHistory> + <statusHistory> + <status value="arrived" /> + <period> + <start value="2025-10-27T11:23:00+00:00" /> + </period> + </statusHistory> + <statusHistory> + <status value="in-progress" /> + <period> + <start value="2025-10-27T11:25:00+00:00" /> + </period> + </statusHistory> + <class> + <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> + <code value="EMER" /> + <display value="emergency" /> + </class> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <episodeOfCare> + <!-- Resource reference to an EpisodeOfCare Journey ID --> + <reference value="EpisodeOfCare/d877b820-e72b-44d1-a627-195f54bfc606" /> + </episodeOfCare> + <period> + <start value="2025-10-27T11:30:00+00:00" /> + </period> + <location> + <!-- Incident Location --> + <location> + <reference value="urn:uuid:02722d80-ac23-460f-8492-c6736d4eb7d3" /> + </location> + <status value="active" /> + <!-- Location confirmed time --> + <period> + <start value="2025-10-27T11:30:00+00:00" /> + </period> + </location> + </Encounter> + </resource> + </entry> + <entry> + <!-- 4 --> + <fullUrl value="urn:uuid:6b5f7f75-77c7-4e3a-9855-ced66ae94301" /> + <resource> + <CarePlan> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be385" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-CarePlan" /> + </meta> + <status value="active" /> + <intent value="plan" /> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <encounter> + <!-- Encounter --> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + <period> + <start value="2025-10-27T11:30:00+00:00" /> + </period> + <author> + <!-- Practitioner Reference if clinical --> + <reference value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + </author> + <activity> + <outcomeCodeableConcept> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/pathways-sd-codes" /> + <code value="SD4521" /> + <display value="AMB oxygen level concern" /> + </coding> + </outcomeCodeableConcept> + <outcomeCodeableConcept> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/pathways-sg-codes" /> + <code value="SG1131" /> + <display value="Nosebleeds without injury" /> + </coding> + </outcomeCodeableConcept> + <outcomeCodeableConcept> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/pathways-dx-codes" /> + <code value="Dx0128" /> + <display value="Non-emergency Ambulance Response (Category 4)" /> + </coding> + </outcomeCodeableConcept> + <outcomeCodeableConcept> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/arp-priority-codes" /> + <code value="C4" /> + <display value="Cat4 Emergency" /> + </coding> + </outcomeCodeableConcept> + <!-- Pathways assessment --> + <outcomeCodeableConcept> + <text value="CONSULTATION SUMMARY:/nAmbulance response not required/nReferral to another service required/nReferral to primary care or emergency treatment centre required/nIllness or other health problem/nEmergency treatment centre within 4hrs/nPATHWAYS ASSESSMENT:/nAn ambulance response was not required./nCoronavirus risk was not identified./nReferral to another service was required./nA referral to a primary care service or emergency treatment centre was required./nAn illness or other health problem was the reason for referral./nPathway Selected: PW818, Nosebleeds without Injury/nReferral to an emergency treatment centre within 4 hours was required./nADVICE GIVEN:/nIf there are any new symptoms, or if the condition gets worse, changes or you have any other concerns, call us/nback./nRemember to take a list of any current medications if you go to the out of hours surgery./nNO INSTRUCTIONS GIVEN AS CALL RELATES TO AN INDIVIDUAL WHO HAS DIED./nNO INSTRUCTIONS GIVEN AS CALL IS BEING WARM TRANSFERRED (INTERIM CARE ADVICE MUST BE GIVEN IF THE CALL IS PLACED ON A QUEUE)" /> + </outcomeCodeableConcept> + <outcomeCodeableConcept> + <text value="Pre-Triage Sieve, Patient breathing, Patient conscious, NOT noisy breathing, No NOC - Proceed to Triage" /> + </outcomeCodeableConcept> + </activity> + </CarePlan> + </resource> + </entry> + <entry> + <!-- 5 --> + <fullUrl value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + <resource> + <Patient> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be274" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" /> + </meta> + <identifier> + <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-NHSNumberVerificationStatus"> + <valueCodeableConcept> + <coding> + <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-NHSNumberVerificationStatus" /> + <code value="number-present-and-verified" /> + <display value="Number present and verified" /> + </coding> + </valueCodeableConcept> + </extension> + <system value="https://fhir.nhs.uk/Id/nhs-number" /> + <value value="7778521234" /> + </identifier> + <name> + <use value="official" /> + <text value="Mrs Julie Grayson" /> + <family value="Grayson" /> + <given value="Julie" /> + <prefix value="Mrs" /> + </name> + <gender value="female" /> + <birthDate value="1990-09-04" /> + <address> + <use value="home" /> + <type value="both" /> + <text value="22 Brightside Crescent, Overtown, West Yorkshire, LS10 4YU" /> + <line value="22 Brightside Crescent" /> + <line value="Overtown" /> + <line value="Leeds" /> + <line value="West Yorkshire" /> + <city value="Overtown" /> + <district value="West Yorkshire" /> + <postalCode value="LS10 4YU" /> + </address> + <contact> + <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank"> + <valuePositiveInt value="2" /> + </extension> + <relationship> + <coding> + <!-- patient --> + <system value="http://terminology.hl7.org/CodeSystem/v3-RoleCode" /> + <code value="ONESELF" /> + <display value="self" /> + </coding> + </relationship> + <telecom> + <system value="phone" /> + <value value="01138698875" /> + <use value="home" /> + <rank value="2" /> + </telecom> + <telecom> + <system value="phone" /> + <value value="07736312544" /> + <use value="mobile" /> + <rank value="1" /> + </telecom> + </contact> + <contact> + <extension url="https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-ContactRank"> + <valuePositiveInt value="1" /> + </extension> + <relationship> + <coding> + <!-- Emergency contact person --> + <system value="http://terminology.hl7.org/CodeSystem/v2-0131" /> + <code value="C" /> + <display value="Emergency Contact" /> + </coding> + </relationship> + <name> + <family value="Grayson" /> + <given value="Jack" /> + </name> + <telecom> + <system value="phone" /> + <value value="0789 1234999" /> + <use value="mobile" /> + <rank value="1" /> + </telecom> + <gender value="male" /> + </contact> + <communication> + <language> + <coding> + <system value="https://fhir.hl7.org.uk/CodeSystem/UKCore-HumanLanguage" /> + <code value="en" /> + <display value="English" /> + </coding> + </language> + <preferred value="true" /> + </communication> + <generalPractitioner> + <reference value="urn:uuid:1a00de32-9f6d-49e3-b00c-f1fcd159253d" /> + </generalPractitioner> + </Patient> + </resource> + </entry> + <entry> + <!-- 6 Patient GP Org --> + <fullUrl value="urn:uuid:1a00de32-9f6d-49e3-b00c-f1fcd159253d" /> + <resource> + <Organization> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be123" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> + </meta> + <identifier> + <system value="https://fhir.nhs.uk/id/ods-organization-code" /> + <value value="G82077" /> + </identifier> + <name value="Patient's Surgery" /> + </Organization> + </resource> + </entry> + <entry> + <!-- 7 Patients GP - Role --> + <fullUrl value="urn:uuid:1e744e34-6bbb-4aa9-8b20-fa3bb91f9d8f" /> + <resource> + <PractitionerRole> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be111" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> + </meta> + <practitioner> + <reference value="urn:uuid:124450c0-d125-41a0-b951-ba1037c0594b" /> + </practitioner> + <organization> + <reference value="urn:uuid:1a00de32-9f6d-49e3-b00c-f1fcd159253d" /> + </organization> + <specialty> + <coding> + <system value="http://snomed.info/sct" /> + <code value="408443003" /> + <display value="General medical practice" /> + </coding> + </specialty> + </PractitionerRole> + </resource> + </entry> + <entry> + <!-- 8 Patients GP --> + <fullUrl value="urn:uuid:124450c0-d125-41a0-b951-ba1037c0594b" /> + <resource> + <Practitioner> + <id value="3218ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> + </meta> + <identifier> + <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> + <value value="G823964" /> + </identifier> + <name> + <family value="Smith" /> + <given value="George" /> + </name> + <telecom> + <system value="phone" /> + <value value="0205663666" /> + <use value="work" /> + </telecom> + </Practitioner> + </resource> + </entry> + <entry> + <!-- 9 Org of Practitioner taking the request --> + <fullUrl value="urn:uuid:631eec84-e8de-4f04-8b5b-e9996fa24c1a" /> + <resource> + <Organization> + <id value="1238ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> + </meta> + <name value="Practitioner Org" /> + </Organization> + </resource> + </entry> + <entry> + <!-- 10 Receiver Org --> + <fullUrl value="urn:uuid:ed6edb24-7cc3-4847-bedd-cfa342be47bb" /> + <resource> + <Organization> + <id value="6758ec8e-0602-4d02-af8a-7b3cb72be614" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> + </meta> + <name value="Receiver Organization" /> + </Organization> + </resource> + </entry> + <entry> + <!-- 11 Sender Organisation --> + <fullUrl value="urn:uuid:e9a90910-40eb-451f-9621-6c6209d5c5f7" /> + <resource> + <Organization> + <id value="5558ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" /> + </meta> + <identifier> + <system value="https://fhir.nhs.uk/id/ods-organization-code" /> + <value value="RND" /> + </identifier> + <name value="Sender Organization" /> + </Organization> + </resource> + </entry> + <entry> + <!-- 12 Incident location --> + <fullUrl value="urn:uuid:02722d80-ac23-460f-8492-c6736d4eb7d3" /> + <resource> + <Location> + <id value="4448ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/BARSLocation-incident-location" /> + </meta> + <extension url="https://fhir.nhs.uk/StructureDefinition/LocationExtension"> + <extension url="UPRN"> + <valueString value="200002546857" /> + </extension> + <extension url="accuracy"> + <valueString value="80" /> + </extension> + </extension> + <name value="Newlands Medical Centre" /> + <type> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/location-types-bars" /> + <code value="ILOC" /> + <display value="Incident Location" /> + </coding> + </type> + <address> + <line value="Newlands Medical Centre" /> + <line value="315 Chorley New Road" /> + <line value="Greater Manchester" /> + <city value="Bolton" /> + <district value="Greater Manchester" /> + <postalCode value="BL1 5BP" /> + <country value="UK" /> + </address> + </Location> + </resource> + </entry> + <entry> + <!-- 13 Caller Location --> + <fullUrl value="urn:uuid:8eab64a7-839e-490e-83ba-5334368a04c8" /> + <resource> + <Location> + <id value="3338ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Location" /> + </meta> + <extension url="https://fhir.nhs.uk/StructureDefinition/LocationExtension"> + <extension url="UPRN"> + <valueString value="200002546857" /> + </extension> + </extension> + <name value="Newlands Medical Centre" /> + <type> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/location-types-bars" /> + <code value="CLOC" /> + <display value="Caller Location" /> + </coding> + </type> + <address> + <line value="Newlands Medical Centre" /> + <line value="315 Chorley New Road" /> + <line value="Greater Manchester" /> + <city value="Bolton" /> + <district value="Greater Manchester" /> + <postalCode value="BL1 5BP" /> + <country value="UK" /> + </address> + </Location> + </resource> + </entry> + <entry> + <!-- 14 Practitioner taking the request details --> + <fullUrl value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + <resource> + <Practitioner> + <id value="2228ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Practitioner" /> + </meta> + <identifier> + <system value="https://fhir.nhs.uk/Id/sds-role-profile-id" /> + <value value="PT2490" /> + </identifier> + <name> + <family value="TRUMAN" /> + <given value="John" /> + </name> + <telecom> + <system value="phone" /> + <value value="0205568345" /> + <use value="work" /> + </telecom> + </Practitioner> + </resource> + </entry> + <entry> + <!-- 15 --> + <fullUrl value="urn:uuid:c89af664-8a3e-48bd-bfea-57cd819f1205" /> + <resource> + <PractitionerRole> + <id value="1118ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-PractitionerRole" /> + </meta> + <practitioner> + <reference value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + </practitioner> + <organization> + <reference value="urn:uuid:631eec84-e8de-4f04-8b5b-e9996fa24c1a" /> + </organization> + <code> + <!-- If populated then use SDS code --> + <coding> + <system value="http://snomed.info/sct" /> + <code value="224608005" /> + <display value="Administrative healthcare staff" /> + </coding> + </code> + <specialty> + <coding> + <system value="http://snomed.info/sct" /> + <code value="408443003" /> + <display value="General medical practice" /> + </coding> + </specialty> + </PractitionerRole> + </resource> + </entry> + <entry> + <!-- 16 --> + <fullUrl value="urn:uuid:e7b1df33-f0aa-4b91-a0a2-cf6360158680" /> + <resource> + <Condition> + <id value="4b816945-a51b-47c4-9efd-4d7f94c8e718" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Condition" /> + </meta> + <clinicalStatus> + <coding> + <system value="http://terminology.hl7.org/CodeSystem/condition-clinical" /> + <code value="active" /> + </coding> + </clinicalStatus> + <category> + <coding> + <system value="http://snomed.info/sct" /> + <code value="33962009" /> + <display value="Presenting complaint" /> + </coding> + </category> + <code> + <text value="Maternity Complications" /> + </code> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <encounter> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + </Condition> + </resource> + </entry> + <entry> + <!-- 17 --> + <fullUrl value="urn:uuid:9c888050-9e7f-4b52-9662-77f160424b3d" /> + <!-- NOC QuestionnaireResponse WITHOUT linked (published) Questionnaire --> + <resource> + <QuestionnaireResponse> + <id value="8498ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> + </meta> + <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"> + <valueCodeableConcept> + <text value="Nature of Call (NOC)" /> + </valueCodeableConcept> + </extension> + <status value="completed" /> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <encounter> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + <authored value="2025-10-27T11:30:00+00:00" /> + <author> + <reference value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + </author> + <source> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </source> + <item> + <linkId value="0" /> + <text value="What is the nature of call??" /> + <answer> + <valueCoding> + <code value="MACM" /> + <display value="Maternity Complications" /> + </valueCoding> + </answer> + </item> + </QuestionnaireResponse> + </resource> + </entry> + <entry> + <fullUrl value="urn:uuid:3b0886eb-c3e0-4317-8780-5e5743b0553c" /> + <!-- 18 PTS Questions --> + <resource> + <Questionnaire> + <id value="9749ae76-28f7-4b8a-863f-aba64d19d678" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Questionnaire" /> + </meta> + <identifier> + <value value="76b4622b-2b8b-4f24-aee5-2631c7695594" /> + </identifier> + <version value="0.2"/> + <name value="PTS"/> + <title value="Pre Triage Sieve Questionnaire"/> + <status value="active"/> + <experimental value="false"/> + <date value="2025-10-27T11:00:00+00:00"/> + <publisher value="NHSE - BaRS" /> + <description value="PTS Questionnaire for CAD-to-CAD" /> + <item> + <linkId value="0" /> + <text value="Is the patient breathing?" /> + <type value="choice" /> + <required value="true" /> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="78064003" /> + <display value="Breathing (observable entity)" /> + </valueCoding> + </answerOption> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="1023001" /> + <display value="Not Breathing (finding)" /> + </valueCoding> + </answerOption> + </item> + <item> + <linkId value="1" /> + <text value="Is the patient awake (conscious)?" /> + <type value="choice" /> + <enableWhen> + <question value="0" /> + <operator value="=" /> + <answerCoding> + <code value="78064003" /> + <display value="Breathing (observable entity)" /> + </answerCoding> + </enableWhen> + <required value="false" /> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="428913001" /> + <display value="No loss of consciousness (situation)" /> + </valueCoding> + </answerOption> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="419045004" /> + <display value="Loss of consciousness (finding)" /> + </valueCoding> + </answerOption> + </item> + <item> + <linkId value="2" /> + <text value="Is their breathing noisy?" /> + <type value="choice" /> + <enableWhen> + <question value="0" /> + <operator value="=" /> + <answerCoding> + <code value="78064003" /> + <display value="Breathing (observable entity)" /> + </answerCoding> + </enableWhen> + <required value="false" /> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="248573009" /> + <display value="Noisy respiration (finding)" /> + </valueCoding> + </answerOption> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="48348007" /> + <display value="Normal breath sounds (finding)" /> + </valueCoding> + </answerOption> + </item> + <item> + <linkId value="3"/> + <text value="Is their breathing effective?"/> + <type value="choice"/> + <enableWhen> + <question value="0"/> + <operator value="="/> + <answerCoding> + <code value="78064003"/> + <display value="Breathing (observable entity)"/> + </answerCoding> + </enableWhen> + <required value="false"/> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct"/> + <code value="230145002"/> + <display value="Difficulty breathing (finding)"/> + </valueCoding> + </answerOption> + <answerOption> + <valueCoding> + <system value="http://snomed.info/sct"/> + <code value="20716004"/> + <display value="Respiratory rate normal (finding)"/> + </valueCoding> + </answerOption> + </item> + </Questionnaire> + </resource> + </entry> + <entry> + <fullUrl value="urn:uuid:ee8fd86c-1c50-4026-b565-d158f214341b" /> + <!-- 19 PTS Answers --> + <resource> + <QuestionnaireResponse> + <id value="9998ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-QuestionnaireResponse" /> + </meta> + <extension url="http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason"> + <valueCodeableConcept> + <text value="Pre Triage Sieve Questionnaire" /> + </valueCodeableConcept> + </extension> + <questionnaire value="https://fhir.nhs.uk/Questionnaire/PTS" /> + <status value="completed" /> + <subject> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </subject> + <encounter> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + <authored value="2025-10-27T11:30:00+00:00" /> + <author> + <reference value="urn:uuid:c589f9f7-6c8d-4af5-ad5b-7365ee5d4343" /> + </author> + <source> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </source> + <item> + <linkId value="0" /> + <text value="Is the patient breathing?" /> + <answer> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="78064003" /> + <display value="Breathing (observable entity)" /> + </valueCoding> + </answer> + </item> + <item> + <linkId value="1" /> + <text value="Is the patient awake (conscious)?" /> + <answer> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="428913001" /> + <display value="No loss of consciousness (situation)" /> + </valueCoding> + </answer> + </item> + <item> + <linkId value="2" /> + <text value="Is the patient breathing?" /> + <answer> + <valueCoding> + <system value="http://snomed.info/sct" /> + <code value="48348007" /> + <display value="Normal breath sounds (finding)" /> + </valueCoding> + </answer> + </item> + </QuestionnaireResponse> + </resource> + </entry> + <entry> + <fullUrl value="urn:uuid:73715b3c-fac7-4149-b09a-e7d2ec80d9d7" /> + <!-- 20 Scene Safety Flag --> + <resource> + <Flag> + <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be952" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="http://hl7.org/fhir/StructureDefinition/Flag" /> + <profile value="https://fhir.nhs.uk/StructureDefinition/BARSFlag-scene-safety" /> + </meta> + <status value="active" /> + <category> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/flag-categories-bars" /> + <code value="SS" /> + <display value="Scene Safety" /> + </coding> + </category> + <code> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/scene-safety-codes-bars" /> + <code value="S" /> + <display value="The Scene is safe" /> + </coding> + </code> + <subject> + <reference value="urn:uuid:02722d80-ac23-460f-8492-c6736d4eb7d3" /> + </subject> + <period> + <start value="2025-10-27T11:30:00+00:00" /> + </period> + <encounter> + <reference value="urn:uuid:9e87c45d-a9bb-417f-a6e0-344f4f83c1b7" /> + </encounter> + </Flag> + </resource> + </entry> + <entry> + <!-- 21 --> + <fullUrl value="urn:uuid:69b171b7-821e-4462-99fc-1e15e3f45354" /> + <resource> + <Communication> + <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be523" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Communication" /> + </meta> + <status value="completed" /> + <topic> + <text value="Response for recurrent and continuous nosebleeds with low oxygen" /> + </topic> + <sent value="2025-10-27T11:30:00.8185338+00:00" /> + <payload> + <contentString value="Patient in distress." /> + </payload> + </Communication> + </resource> + </entry> + <entry> + <!-- 22 --> + <fullUrl value="urn:uuid:ff720eaf-f8bd-4ad7-9fca-9b6b3408b65e" /> + <resource> + <Consent> + <id value="d0f8ec8e-0602-4d02-af8a-7b3cb72be722" /> + <meta> + <lastUpdated value="2025-10-27T11:30:00.8185338+00:00" /> + <profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Consent" /> + </meta> + <status value="active" /> + <scope> + <coding> + <system value="http://terminology.hl7.org/CodeSystem/consentscope" /> + <code value="patient-privacy" /> + </coding> + </scope> + <category> + <coding> + <system value="https://fhir.nhs.uk/CodeSystem/consent-categories-bars" /> + <code value="DRC" /> + <display value="Direct Care" /> + </coding> + </category> + <patient> + <reference value="urn:uuid:2ef93178-0cc8-4a4c-bd4b-c2e6096ac957" /> + </patient> + <dateTime value="2025-10-27" /> + <policyRule> + <coding> + <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> + <code value="IMPLIED" /> + </coding> + </policyRule> + </Consent> + </resource> + </entry> +</Bundle> \ No newline at end of file From be476ccfc39ea9b25a8c4db60c28205c53e3a8a3 Mon Sep 17 00:00:00 2001 From: Carl De'ath <74620667+cda69@users.noreply.github.com> Date: Mon, 27 Oct 2025 15:51:31 +0000 Subject: [PATCH 2/3] App6-IG-Payload-updates-for-beta Payload amendments for QuestionnaireResponse to support NOC Questionnaire and QuestionnaireResponse payload descriptions updated --- .../BaRS-APP6/Payloads-for-Referrals.page.md | 36 +++++++++---------- .../BaRS-APP6/Referral-Payload.page.md | 4 +-- 2 files changed, 20 insertions(+), 20 deletions(-) diff --git a/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Payloads-for-Referrals.page.md b/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Payloads-for-Referrals.page.md index e670d99a..1692359a 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Payloads-for-Referrals.page.md +++ b/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Payloads-for-Referrals.page.md @@ -143,7 +143,7 @@ The level of consent currently supported by BaRS is for 'Direct Care' only. In e ### Questionnaire A Questionnaire is an organised collection of questions intended to solicit information from patients, providers or other individuals involved in the healthcare domain. They may be simple flat lists of questions or can be hierarchically organised in groups and sub-groups, each containing questions. The Questionnaire defines the questions to be asked, how they are ordered and grouped, any intervening instructional text and what the constraints are on the allowed answers. The results of a Questionnaire can be communicated using the QuestionnaireResponse resource. -The Questionnaire resource is used to covey the Pre Triage Sieve and Nature of Call (NOC) questions and the potential responses as detailed below: +The Questionnaire resource is used to covey the Pre Triage Sieve and the potential responses as detailed below: #### Pre Triage Sieve | Question | Answer| Code | @@ -154,14 +154,30 @@ The Questionnaire resource is used to covey the Pre Triage Sieve and Nature of C | | No|419045004 Loss of consciousness| |Is their breathing noisy?| Yes| 248573009 Noisy respiration| | | No| 248573009 48348007 Normal breath sounds| +|Is their breathing effective?| Yes| 20716004 Respiratory rate normal (finding)| +| | No| 20716004 Difficulty breathing (finding)| This is an [example](https://simplifier.net/NHSBookingandReferrals/9749ae76-28f7-4b8a-863f-aba64d19d678/~json) of the Pre triage Sieve questionnaire. *Only the nationally agreed answers and associated codes in this table are valid to be sent. No locally defined responses can be sent.* +Nature of call (NOC) responses are not defined in a published Questionnaire but can be sent using a QuestionnaireResponse. See QuestionnaireResponse guidance. + +### Questionnaire Response +The Questionnaire Response resource is used to convey the PTS and NOC responses given by the patient (or their representative). + +The extension *questionnaireresponse-reason* **must** be populated to indicate which data is contained within, as outlined in the resource element guidance below. + +Using a nested set of *questionnaireResponse.item*, *questionnaireResponse.linkId* and *questionnaireResponse.answer* complex structured data can be generated and processed, by the Sender and Receiver, respectively. The element guidance for this resource below goes into detail but, essentially, the item and linkId can be continually nested to convey various types of information. The item indicates a new answer, linkId **may** correspond with the questionnaire question linkId, forging the relationship between the questionnaire and questionnaireResponse, and answer contains any the value recorded. The *questionnaireResponse.item.answer* datatype **must** correspond with that defined in the *questionnaire.item.answerOption*. + +We have published examples of [Pre Triage Sieve](https://simplifier.net/NHSBookingandReferrals/Examples-QuestionnaireResponse-for-PTS/~json) and [Nature of Call](https://simplifier.net/NHSBookingandReferrals/Examples-QuestionnaireResponse-for-NOC/~json) questionnaire responses. + +Pre Triage Sieve (PTS) responses will link directly to the associated published Questionnaire, while Nature of Call (NOC) responses are transfered in a QuestionnaireResponse without reference to a published Questionnaire. + #### Nature of Call (NOC) -Nature of call types are nationally agreed by ECPAG for ASTs using both AMPDS and NHS Pathways as their CDSS. Receivers **MUST** be able to process and display NOC types and their associated code for both NHS Pathways and AMPDS NOC types detailed below. +Nature of call types are nationally agreed by ECPAG for ASTs using both AMPDS and NHS Pathways as their CDSS. Receivers **MUST** be able to process and display NOC types and their associated code for both NHS Pathways and AMPDS NOC types detailed below, as well as locally agreed NOC codes. + ##### AMPDS NOC Types | Question | Answer (NOC type)| Code | @@ -181,11 +197,9 @@ Nature of call types are nationally agreed by ECPAG for ASTs using both AMPDS an This is an [example](https://simplifier.net/NHSBookingandReferrals/81599e54-c713-4f3e-bca9-90225657f18d/~json) of the Nature of Call questionnaire. -*Only the nationally agreed answers and associated codes in this table are valid to be sent. No locally defined responses can be sent.* ##### NHS Pathways NOC Types - | Question | Answer (NOC type) | Code | | -------------------------| ------| -------| |What is the Nature of Call?| Anaphylaxis| ANAP| @@ -203,20 +217,6 @@ This is an [example](https://simplifier.net/NHSBookingandReferrals/81599e54-c713 This is an [example](https://simplifier.net/NHSBookingandReferrals/81599e54-c713-4f3e-bca9-90225657f18d/~json) of the Nature of Call questionnaire. -*Only the nationally agreed answers and associated codes in this table are valid to be sent. No locally defined responses can be sent.* - - - -### Questionnaire Response -The Questionnaire Response resource is used to convey the PTS and NOC responses given by the patient (or their representative). - -The extension *questionnaireresponse-reason* **must** be populated to indicate which data is contained within, as outlined in the resource element guidance below. - -Using a nested set of *questionnaireResponse.item*, *questionnaireResponse.linkId* and *questionnaireResponse.answer* complex structured data can be generated and processed, by the Sender and Receiver, respectively. The element guidance for this resource below goes into detail but, essentially, the item and linkId can be continually nested to convey various types of information, as guided by the corresponding questionnaire. The item indicates a new answer, linkId **must** correspond with the questionnaire question linkId, forging the relationship between the questionnaire and questionnaireResponse, and answer contains any the value recorded. The *questionnaireResponse.item.answer* datatype **must** correspond with that defined in the *questionnaire.item.answerOption*. - -We have published examples of [Pre Triage Sieve](https://simplifier.net/NHSBookingandReferrals/Examples-QuestionnaireResponse-for-PTS/~json) and [Nature of Call](https://simplifier.net/NHSBookingandReferrals/Examples-QuestionnaireResponse-for-NOC/~json) questionnaire responses. - -*Only the nationally agreed answers and associated codes in the associated Questionnaire are valid to be sent in the QuestionnaireResponse.* ### Condition diff --git a/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Referral-Payload.page.md b/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Referral-Payload.page.md index 93188b30..d844892c 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Referral-Payload.page.md +++ b/guides/Live-ImplementationGuide-BaRS/Home/Applications/BaRS-Applications/Applications/BaRS-APP6/Referral-Payload.page.md @@ -873,8 +873,8 @@ This payload is used to transmit all the necessary information that is required | QuestionnaireResponse.extension | | MUST | 0..* | | | QuestionnaireResponse.extension.url | This MUST be populated with Structure Definition 'http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason' - FIXED VALUE | MUST | 1..1 | http://hl7.org/fhir/StructureDefinition/questionnaireresponse-reason | | QuestionnaireResponse.extension.valueCodeableConcept | | MUST | 0..* | | -| QuestionnaireResponse.extension.valueCodeableConcept.text | This SHOULD be populated with the name of the questionnaire responses contained within | SHOULD | 0..1 | Pre Triage Sieve | -| QuestionnaireResponse.questionnaire | This MUST be populated with the Canonical value of the Questionnaire resource the responses relate to | MUST | 0..1 | https://fhir.nhs.uk/Questionnaire/NOC | +| QuestionnaireResponse.extension.valueCodeableConcept.text | This SHOULD be populated with the name of the questionnaire responses contained within. For the Nature-of-call response this MUST be set to 'Nature of Call (NOC)' | SHOULD | 0..1 | Pre Triage Sieve | +| QuestionnaireResponse.questionnaire | This MUST be populated with the Canonical value of the Questionnaire resource the responses relate to | MAY | 0..1 | https://fhir.nhs.uk/Questionnaire/PTS | | QuestionnaireResponse.status | This MUST be populated with 'completed' - Fixed Value | MUST | 1..1 | completed | | QuestionnaireResponse.subject | Follow UK Core guidance for populating this element | MUST | 0..1 | | | QuestionnaireResponse.subject.reference | This SHOULD be populated with a Reference to the Patient resource | MUST | 0..1 | urn:uuid:41e591ab-d333-4fb8-87b4-d35f740b6bfc | From e54cab770d35558c5b36e2ccfa47d74959abdb24 Mon Sep 17 00:00:00 2001 From: Carl De'ath <74620667+cda69@users.noreply.github.com> Date: Mon, 27 Oct 2025 16:05:03 +0000 Subject: [PATCH 3/3] Release Note updates Core App6 App4 --- .../Technical-Release-Notes/BaRS-Core/1.3.0.page.md | 5 +++++ .../Releases/Technical-Release-Notes/BaRS-Core/toc.yaml | 2 ++ .../Technical-Release-Notes/TRN-APP4/2.0.0.page.md | 8 ++++++-- .../Technical-Release-Notes/TRN-APP6/1.0.0-beta.6.page.md | 4 ++++ 4 files changed, 17 insertions(+), 2 deletions(-) diff --git a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/1.3.0.page.md b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/1.3.0.page.md index 5dbf98b6..c031d7e1 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/1.3.0.page.md +++ b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/1.3.0.page.md @@ -2,6 +2,9 @@ topic: TRN-Core-1.3.0 --- +<div class="bars-blg-expander"> +<div class="bars-blg-expander-entry" id="v1.3.0"> + ## {{page-title}} | Change | Description | Impact | @@ -14,6 +17,8 @@ topic: TRN-Core-1.3.0 | Standard Pattern Cancellation updated | Standard Pattern Cancellation updated to reference the new Find Resource Standard Pattern | <mark style="background-color: Green">Non-breaking</mark> | | Appointment Foundation updated | Appointment Foundation updated to reference the new Find Resource Standard Pattern | <mark style="background-color: Green">Non-breaking</mark> | +</div> +</div> <br> <hr> diff --git a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/toc.yaml b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/toc.yaml index 992406c8..c4319218 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/toc.yaml +++ b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/BaRS-Core/toc.yaml @@ -1,5 +1,7 @@ - name: Index filename: Index.page.md +- name: 1.3.1 + filename: 1.3.1.page.md - name: 1.3.0 filename: 1.3.0.page.md - name: 1.0.7 diff --git a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP4/2.0.0.page.md b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP4/2.0.0.page.md index fc55201e..95bbe9bf 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP4/2.0.0.page.md +++ b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP4/2.0.0.page.md @@ -16,8 +16,12 @@ This is a major release with a significant change to the Implementation Guidance | FHIR Element | Previous | Current | Other | Referral/Booking | Rationale | Impact | |------------------------------------------------------|----------|------------|---------|------------------|-------------------------------------------------------------------------------------------------|----------| -| Patient.identifier.extension.valueCodeableConcept.coding.code | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be 'number-present-and-verified' or 'number-present-but-not-traced', else no NHS number MUST be sent. No other statuses are permitted. | Update | Referral Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | -| Patient.identifier.extension.valueCodeableConcept.coding.display | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be populated with 'Number present and verified' or 'Number present but not traced'. No other statuses are permitted. | Update | Referral Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.code | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be 'number-present-and-verified' or 'number-present-but-not-traced', else no NHS number MUST be sent. No other statuses are permitted. | Update | Validation Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.display | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be populated with 'Number present and verified' or 'Number present but not traced'. No other statuses are permitted. | Update | Validation Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.code | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be 'number-present-and-verified' or 'number-present-but-not-traced', else no NHS number MUST be sent. No other statuses are permitted. | Update | Intermin Validation Response |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.display | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be populated with 'Number present and verified' or 'Number present but not traced'. No other statuses are permitted. | Update | Intermin Validation Response |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.code | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be 'number-present-and-verified' or 'number-present-but-not-traced', else no NHS number MUST be sent. No other statuses are permitted. | Update | Full Validation Response |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | +| Patient.identifier.extension.valueCodeableConcept.coding.display | Follow UK Core guidance for populating this element | This SHOULD be populated. Where used this MUST be populated with 'Number present and verified' or 'Number present but not traced'. No other statuses are permitted. | Update | Full Validation Response |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> | <br> diff --git a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP6/1.0.0-beta.6.page.md b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP6/1.0.0-beta.6.page.md index fd54d14c..66dfcebe 100644 --- a/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP6/1.0.0-beta.6.page.md +++ b/guides/Live-ImplementationGuide-BaRS/Home/About-BaRS/Releases/Technical-Release-Notes/TRN-APP6/1.0.0-beta.6.page.md @@ -12,6 +12,7 @@ This is a minor "patch" with clarifications to limited areas of the Implementati | | FHIR BaRS CodeSystem values added for Location Types | Values for Helimed From and Helimed To added | <mark style="background-color: LightGreen">non-breaking</mark> | | FHIR BaRS CodeSystem value added for Flag Categories | Value for Call Warning added | <mark style="background-color: LightGreen">non-breaking</mark> | +| Updated FHIR Questionnaire and QuestionnaireResponse guidance | Guidance updated to reflect Nature of Call published Questionnaire being removed for beta | <mark style="background-color: LightGreen">non-breaking</mark> | ### Payload Change Log @@ -19,6 +20,9 @@ This is a minor "patch" with clarifications to limited areas of the Implementati | FHIR Element | Previous | Current | Other | Referral/Booking | Rationale | Impact | |------------------------------------------------------|----------|------------|---------|------------------|-------------------------------------------------------------------------------------------------|----------| | patient.identifier.system | | This SHOULD be populated with the namespace for the Identifier | Update | Referral Request |Implementation Guidance consistent across all applications | <mark style="background-color: Yellow">correction</mark> | +| QuestionnaireResponse.extension.valueCodeableConcept.text | This SHOULD be populated with the name of the questionnaire responses contained within. | This SHOULD be populated with the name of the questionnaire responses contained within. For the Nature-of-call response this MUST be set to 'Nature of Call (NOC)' | Update | Referral Request |Changes to use of QuestionnaireResponse for Nature-of-call | <mark style="background-color: LightGreen">non-breaking</mark> | +| QuestionnaireResponse.questionnaire | Example updated - https://fhir.nhs.uk/Questionnaire/NOC | Example updated - https://fhir.nhs.uk/Questionnaire/PTS | Update | Referral Request |Changes to use of QuestionnaireResponse for Nature-of-call | <mark style="background-color: LightGreen">non-breaking</mark> | +| QuestionnaireResponse.questionnaire | Necessity Updated - MUST | Necessity Updated - MAY | Update | Referral Request |Changes to use of QuestionnaireResponse for Nature-of-call | <mark style="background-color: LightGreen">non-breaking</mark> | <br>