NHSBSA Claim SuppportingInfo
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Questionnaire |
id : 0906e705-4a97-4701-b78c-00d68064ea79 |
url : https://fhir.virtually.healthcare/Questionnaire/NHSBSA-Claim |
version : 0.0.2 |
title : NHSABSA-Claim |
status : draft |
subjectType : Patient |
item |
linkId : REFERRAL_REFERENCE |
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 |
type : string |
required : True |
item |
linkId : MEDICATION_SUPPLY_TYPE |
text : Over the counter/Minor Ailments Service/Patient Group Direction |
type : choice |
required : False |
item |
linkId : REFERRER_ORG_TYPE |
text : Type of referring organisation |
type : choice |
required : False |
item |
linkId : REFERRER_CASE_REF |
text : The case reference number from the referring organisation. Optional if Referral Case ID (REFERRAL_REFERENCE) is present |
type : string |
required : False |
item |
linkId : DISPOSITION_CODE |
text : Dx code from the 111 system resulting from the NHS Pathways |
type : choice |
required : False |
item |
linkId : CONSULTATION_METHOD |
text : Type of consultation conducted |
type : choice |
required : False |
item |
linkId : CONSULTATION_OUTCOME |
text : The outcome of the consultation conducted |
type : choice |
required : False |
item |
linkId : OTHER_CONSULTATION_OUTCOME |
text : Free text value for other outcome of the consultation conducted and mandatory only if value of CONSULTATION_OUTCOME is selected as OTHER(Other). |
type : string |
required : False |
item |
linkId : SIGNPOSTED_TO |
text : Details of Where patient has been signposted to |
type : choice |
required : False |
item |
linkId : OTHER_SIGNPOSTED_TO |
text : Free text value for other signposted to and mandatory only if value of SIGNPOSTED_TO is selected as option OTHER |
type : string |
required : False |
item |
linkId : ESCALATED_TO |
text : Where patient has been referred to (escalated) |
type : choice |
required : False |
item |
linkId : INCIDENT |
text : Confirmation of whether the pharmacist would like to report an incident or send a message to CPCS commissioners. |
type : boolean |
required : False |
item |
linkId : PRESENTING_COMPLAINT_OR_ISSUES |
text : The health problem or issue experienced by the patient. Freetext values with max size 250 chars. |
type : string |
required : False |
item |
linkId : ONWARD_REFERRAL_REASON |
text : Reason (free text value) for onward referral. Max size 250. |
type : string |
required : False |
{ "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" }