NHSBSA Claim SuppportingInfo

You dot not have a license to run FQL queries.

Questionnaire

{
    "id": "0906e705-4a97-4701-b78c-00d68064ea79",
    "version": "0.0.2",
    "subjectType":  [
        "Patient"
    ],
    "status": "draft",
    "url": "https://fhir.virtually.healthcare/Questionnaire/NHSBSA-Claim",
    "title": "NHSABSA-Claim",
    "resourceType": "Questionnaire",
    "item":  [
        {
            "linkId": "REFERRAL_REFERENCE",
            "required": true,
            "type": "string",
            "text": "The NHS 111 call centre or online reference for the referral. Size max. 255. Mandatory for types EMG_MED, MIN_ILL, EMG_MED_UEC and MIN_ILL_UEC. Should not be supplied for type FLU_VAC, COVID_VAC. For GP Referrals should be supplied as 'GP-'  {Unique_identifier}. Recommended format: 'GP-' + {Caller_Identifier} + '-' + {generated_identifier}, e.g. GPNHSBSA-123456XYZ"
        },
        {
            "linkId": "MEDICATION_SUPPLY_TYPE",
            "required": false,
            "type": "choice",
            "text": "Over the counter/Minor Ailments Service/Patient Group Direction"
        },
        {
            "linkId": "REFERRER_ORG_TYPE",
            "required": false,
            "type": "choice",
            "text": "Type of referring organisation"
        },
        {
            "linkId": "REFERRER_CASE_REF",
            "required": false,
            "type": "string",
            "text": "The case reference number from the referring organisation. Optional if Referral Case ID (REFERRAL_REFERENCE) is present"
        },
        {
            "linkId": "DISPOSITION_CODE",
            "required": false,
            "type": "choice",
            "text": "Dx code from the 111 system resulting from the NHS Pathways"
        },
        {
            "linkId": "CONSULTATION_METHOD",
            "required": false,
            "type": "choice",
            "text": "Type of consultation conducted"
        },
        {
            "linkId": "CONSULTATION_OUTCOME",
            "required": false,
            "type": "choice",
            "text": "The outcome of the consultation conducted"
        },
        {
            "linkId": "OTHER_CONSULTATION_OUTCOME",
            "required": false,
            "type": "string",
            "text": "Free text value for other outcome of the consultation conducted and mandatory only if value of CONSULTATION_OUTCOME is selected as OTHER(Other)."
        },
        {
            "linkId": "SIGNPOSTED_TO",
            "required": false,
            "type": "choice",
            "text": "Details of Where patient has been signposted to"
        },
        {
            "linkId": "OTHER_SIGNPOSTED_TO",
            "required": false,
            "type": "string",
            "text": "Free text value for other signposted to and mandatory only if value of SIGNPOSTED_TO is selected as option OTHER"
        },
        {
            "linkId": "ESCALATED_TO",
            "required": false,
            "type": "choice",
            "text": "Where patient has been referred to (escalated)"
        },
        {
            "linkId": "INCIDENT",
            "required": false,
            "type": "boolean",
            "text": "Confirmation of whether the pharmacist would like to report an incident or send a message to CPCS commissioners. "
        },
        {
            "linkId": "PRESENTING_COMPLAINT_OR_ISSUES",
            "required": false,
            "type": "string",
            "text": "The health problem or issue experienced by the patient. Freetext values with max size 250 chars."
        },
        {
            "linkId": "ONWARD_REFERRAL_REASON",
            "required": false,
            "type": "string",
            "text": "Reason (free text value) for onward referral. Max size 250."
        }
    ]
}

Patient Registration

Example patient registration form, based on gov.uk GMS1

{
    "resourceType": "Questionnaire",
    "id": "0300f7e6-3a1c-4931-b7b7-e5099a883248",
    "title": "Patient Registration",
    "url": "https://example.nhs.uk/Questionnaire/Patient-Registration",
    "subjectType":  [
        "Patient"
    ],
    "name": "PatientRegistration",
    "status": "draft",
    "item":  [
        {
            "text": "Title",
            "type": "string",
            "linkId": "prefix",
            "required": true
        },
        {
            "text": "First Name",
            "linkId": "forename",
            "type": "string",
            "required": true
        },
        {
            "text": "Middle Name(s)",
            "linkId": "middlenames",
            "type": "string",
            "required": false
        },
        {
            "text": "Last name",
            "linkId": "surname",
            "type": "string",
            "required": true
        },
        {
            "text": "Previous last name",
            "linkId": "previous_surname",
            "type": "string"
        },
        {
            "text": "Date of Birth",
            "linkId": "date_of_birth",
            "type": "date",
            "required": true
        },
        {
            "text": "NHS Number (if known)",
            "linkId": "nhs_number",
            "type": "string",
            "maxLength": 10
        },
        {
            "text": "Your postcode used when you last registered with a UK GP",
            "linkId": "previous_postcode",
            "type": "string"
        },
        {
            "text": "Your current address",
            "linkId": "current_address",
            "type": "string"
        },
        {
            "text": "Contact Preference",
            "linkId": "contact_group",
            "type": "group",
            "repeats": true,
            "item":  [
                {
                    "text": "Contact Type",
                    "linkId": "contact_type",
                    "type": "choice",
                    "required": false,
                    "answerValueSet": "http://hl7.org/fhir/ValueSet/contact-point-system"
                },
                {
                    "text": "Contact Number or email",
                    "linkId": "contact_value",
                    "type": "string"
                }
            ]
        },
        {
            "text": "Gender assigned at Birth",
            "linkId": "gender_birth",
            "type": "choice",
            "answerOption":  [
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "female",
                        "display": "Female"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "male",
                        "display": "Male"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "other",
                        "display": "Non Binary"
                    }
                },
                {
                    "valueCoding": {
                        "system": "http://hl7.org/fhir/administrative-gender",
                        "code": "unknown",
                        "display": "Prefer to self describe"
                    }
                }
            ]
        },
        {
            "text": "Ethnic Category",
            "linkId": "ethnic",
            "type": "choice",
            "required": false,
            "answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-DeathNotificationStatus"
        },
        {
            "text": "Have you ever been a member of the UK Armed Forces or are a family member registered with the Defence Medical Services?",
            "linkId": "armed_forces",
            "type": "boolean"
        }
    ],
    "description": "A form to be used in conjunction with patient registration workflows"
}