NHS Booking and Referral Standard

Guide v1.8.0 | Core v1.1.4 | Package v1.33.0

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Validation into CAS (Application 4) Change Log


This page will list all updates to the BaRS Application 4.

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  - Indicates a change inspired by provider or supplier feedback.

Key Description
non-breaking Non-breaking changed introduced to the standard since the last release
breaking Breaking changed introduced to the standard since the last release
correction Correction to the standard since the last release

1.2.0

Application 4 has been updated to now support additional use cases. This application supports the use of the following use cases:

  • 999 Ambulance Service Trust (AST) validation request to Clinical Assessment Service (CAS)
  • 999 AST to Falls Lifting Service (new)
  • 999 AST to Community Services (new)

New Use Case Categories have been added to support the new use cases.

Application Change Log


Change Description Impact
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- New Use-Cases added
New use cases added for use in Application 4 - 999 AST to Falls Lifting Service (new), 999 AST to Community Services (new) non-breaking
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- Updated guidance
Updated guidance to include the new use cases including examples for use in Application 4. non-breaking

Payload Change Log

| FHIR Element | Previous | Current | Other | Referral/Booking | Rationale | Impact | |------------------------------------------------------|----------|------------|---------|------------------|-------------------------------------------------------------------------------------------------|----------|
None



Previous Releases

1.1.1

This release includes the latest Use-Cases Category codes used by Application 4.

Application Change Log


Change Description Impact
New Use-Case Category codes New Use-Cases Category codes added for use in Application 4. correction
Updates to Application 4 Examples Updates to all Application 4 Examples to include the latest Use-Case Category codes. non-breaking

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
ServiceRequest.category.code Update Validation Request / Interim Response / Final Response The new Use-Case Codes have been made generic correction
Patient.extension.valueCodeableConcept Patient.extension.url.valueCodeableConcept Patient.extension.valueCodeableConcept Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding Patient.extension.url.valueCodeableConcept.coding Patient.extension.url.valueCodeableConcept.coding Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding 1..1 0..* Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.system Patient.extension.url.valueCodeableConcept.coding.system Patient.extension.valueCodeableConcept.coding.system Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.code Patient.extension.url.valueCodeableConcept.coding.code Patient.extension.valueCodeableConcept.coding.code Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.display Patient.extension.url.valueCodeableConcept.coding.display Patient.extension.valueCodeableConcept.coding.display Update Validation Request / Interim Response / Final Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept Patient.extension.url.valueCodeableConcept Patient.extension.valueCodeableConcept Update Booking Request FHIR path incorrect correction


1.1.0

This is v1.1.0 - Validation into CAS(Application 4) which include the new requirement to reject a validation request from the CAS.

Application Change Log


Change Description Impact
New Reject Validation Request functionality This version introduces a new requirement that allows a Responder(Receiver) to reject a validation request. e.g Failed Contact non-breaking
New Use Case Category added In line with the future direction of BaRS, Application 4 now requires an additional ServiceRequest.category.code. This drives workflow. breaking
New guidance for Use Case Category In line with the future direction of BaRS, Application 4 now requires an additional ServiceRequest.category.code in the ServiceRequest resource. This has been updated throughout the guide to include references to the new Use Case Category. Additional information about the use of Use Case Category can be found in standard pattern for BaRS operations. breaking
Bug fixes A number of bug fixes and corrections have been made to the implementation guidance for Application 4 correction

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
Encounter.status New Interim Response A status of 'cancelled' is to be used non-breaking
Encounter.reasonCode.coding.system FIXED New Interim Response No longer a fixed value. A new CodeSystem is used when a Rejection is sent. https://fhir.nhs.uk/CodeSystem/rejected-reasons-bars non-breaking
Encounter.reasonCode.coding.code FIXED New Interim Response No longer a fixed value. A Code from the relevant CodeSystem should be used. non-breaking
Encounter.reasonCode.coding.display FIXED New Interim Response No longer a fixed value. A Display from the relevant CodeSystem should be used. non-breaking
Encounter.reasonCode.text New Interim Response Supporting text for the Rejection can now be included non-breaking
ServiceRequest.category 0..1 1..1 Validation Request / Interim Response / Final Response Updated in line with the BaRS Profile correction


1.0.0

This is v1.0.0 - Validation into CAS(application 4) which supports the use case:

  • for 999 Ambulance Service Trust (AST) validation requests to Clinical Assessment Service (CAS)

Application Change Log


Change Description Impact
Application 4 released The release of Referral into UEC for Validation (Application 4) v1.0.0 to the guide breaking
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- Correction to Interim Message Definition
Correction to BaRS-messageDefinition-serviceRequest-response-validation-interim message definition in line with example and ERD, to include missing resources: HealthcareService, PractitionerRole, Practitioner, Organization non-breaking
Correction to Interim Response payload Correction to Interim Response payload in line with example and ERD to include HealthcareService resource in line with example and ERD non-breaking
Guidance update for Encounter Correction to Interim Response payload guidance for Encounter, Practitioner and PractitionerRole to reference Responder rather than Requester in line with example and ERD non-breaking
Interim Payload correction Correction to Interim Response payload to remove ServiceRequest.basedon and ServiceRequest.location.reference in line with example non-breaking
Corrections to Implementation Guide documentation. Minor text corrections to the guide to maintain consistency non-breaking
Correct MessageHeader.Definition for Interim and Final Response Update the payload implementation guidance to reference the correct Message Definition for Interim and Final Responses. correction
Correction to Flag (Scene Safety) guidance Correction to Flag (Scene Safety) guidance for Validation request and Final validation Response. non-breaking
Correction to scene-safety-codes-bars codesystem Codes referencing "trapped" have been removed from the Scene Safety Codes correction

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
ServiceRequest.performer.reference MUST SHOULD Interim Response In line with update to guidance as a non breaking change non-breaking
Encounter (Interim) 1..3 2..2 Interim Response An Interim response includes 2 encounter resources (requester's and responder's). breaking


1.0.0-beta

This is a pre-release of v1.0.0-beta - Validation into CAS(application 4) which supports the use case - for 999 Ambulance Service Trust (AST) validation requests to Clinical Assessment Service (CAS)

Application Change Log


Change Description Impact
Application 4 released The first release of Referral into UEC for Validation (Application 4) v1.0.0-beta to the guide

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact



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