NHS Booking and Referral Standard

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Referrals into an Ambulance Service Trust (Application 6) Change Log


This page will list all updates to BaRS Application 6

handshake
  - 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

1.0.0-beta.7

This is a minor "patch" with clarifications to limited areas of the Implementation Guidance and examples for v1.0.0-beta.7

Application Change Log


Change Description Impact
Implementation guidance updated patient.id implementation guidance corrected correction

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
patient.id This SHOULD be populated with the name of the questionnaire responses contained within. This MUST only be populated with an id generated by the Receiver in the synchronous HTTP response. Update Referral Request Bug fix correction
patient.id This SHOULD be populated with the name of the questionnaire responses contained within. This MUST only be populated with an id generated by the Receiver in the synchronous HTTP response. Update Referral Response Bug fix correction
Encounter.statusHistory List of past and current encounter statuses List of past and current encounter statuses. These SHOULD NOT be populated in the Receiver's Encounter and asynchronous responses. Update Referral Response Bug fix correction
Encounter.statusHistory.status The status history permits the encounter resource to contain the status history without needing to read through the historical versions of the resource, or even have the server store them This SHOULD NOT be populated in the Receiver's response Encounter. Update Referral Response Bug fix correction
Encounter.statusHistory.period The time that the encounter was in the specified status. This SHOULD NOT be populated in the Receiver's response Encounter. Update Referral Response Bug fix correction
Encounter.statusHistory.period.start The time that the encounter started in the specified status. This SHOULD NOT be populated in the Receiver's response Encounter. Update Referral Response Bug fix correction

Previous Releases

1.0.0-beta.6

This is a minor "patch" with clarifications to limited areas of the Implementation Guidance and examples for v1.0.0-beta.6

Application Change Log


Change Description Impact
FHIR BaRS CodeSystem values added for Location Types Values for Helimed From and Helimed To added non-breaking

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
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 non-breaking

1.0.0-beta.5

This is a minor "patch" with clarifications to limited areas of the Implementation Guidance and examples for v1.0.0-beta.5

Application Change Log


Change Description Impact
Simplified cancellation guidance Updated cancellation guidance, for bookings referrals, under 'How does it work?', now pointing to Standard Patterns documentation. Reworded the description on use of Message Definitions when building a cancellation request. non-breaking
How does it work? Updated images and text to remove references to Intelligent Routing Platform. Improved formatting non-breaking
Referral and Referral Response bundle.meta.versionID added to payload for consistency across BaRS documentation correction
patient.identifier.system Implementation Guidance updated for consistency across BaRS documentation correction
FHIR BaRS CodeSystem added for Agencies FHIR BaRS CodeSystem added for Agencies to support Agency Contacted flag non-breaking
FHIR BaRS CodeSystem added for Rejected Reasons FHIR BaRS CodeSystem added for Rejected Reasons non-breaking

Payload Change Log

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 correction
patient.identifier.system This SHOULD be populated with the namespace for the Identifier Update Referral Response Implementation Guidance consistent across all applications correction
bundle.meta.versionID This MUST be populated with the version of the Application the bundle complies with. The Receiver will read this to know whether they are capable of processing. Update Referral Implementation guidance added correction
bundle.meta.versionID This MUST be populated with the version of the Application the bundle complies with. The Receiver will read this to know whether they are capable of processing. Update Referral Response Implementation guidance added correction

1.0.0-beta.4

This is a minor "patch" with clarifications to limited areas of the Implementation Guidance and examples for v1.0.0-beta.4

Application Change Log


Change Description Impact
Implementation Guidance updated encounter.class.display value corrected from "Emergency" to "emergency" correction
NHSD-Requesting-Practioner Examples updated FHIRPractioner corrected to FHIRPractionerRole correction

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
encounter.class.display Update Referral Request encounter.class.display value corrected from "Emergency" to "emergency" in Implementation Guidance correction

1.0.0-beta.3


This is a pre-release of v1.0.0-beta.2 - Referrals into an Ambulance Service Trust (Application 6) which supports the following use cases:

  • CAD to CAD Out of Area Referral
  • CAD to CAD Call Assist Request
  • CAD to CAD Mutual Aid Request

Application Change Log

This is a minor "patch" addressing a small revision of the guidance to include links to the examples for Application 6.

Application Change Log


Change Description Impact
use case codes added use case codes were not explicitly defined correction

Payload Change Log


1.0.0-beta.2


This is a pre-release of v1.0.0-beta.2 - Referrals into an Ambulance Service Trust (Application 6) which supports the following use cases:

  • CAD to CAD Out of Area Referral
  • CAD to CAD Call Assist Request
  • CAD to CAD Mutual Aid Request

Application Change Log

This is a minor "patch" addressing a small revision of the guidance to include links to the examples for Application 6.

Application Change Log


Change Description Impact
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- Include example links in Application 6 Guidance		 Update to Application 6 guidance to include links to the examples created for this application. non-breaking

Payload Change Log

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


1.0.0-beta.1


This is a pre-release of v1.0.0-beta.1 - Referrals into an Ambulance Service Trust (Application 6) which supports the following use cases:

  • CAD to CAD Out of Area Referral
  • CAD to CAD Call Assist Request
  • CAD to CAD Mutual Aid Request

Application Change Log

This is a minor "patch" addressing a small revision of the requirements which includes the updated Use-Case Category codes that will now be used across all Applications of BaRS.

Application Change Log


Change Description Impact
Updated Use-Case Category codes Updated Use-Cases Category codes added for use in Application 6. correction
Updates to Application 6 Examples Updates to all Application 6 Examples to include the latest Use-Case Category codes. non-breaking

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
Patient.extension.valueCodeableConcept Patient.extension.url.valueCodeableConcept Patient.extension.valueCodeableConcept Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding Patient.extension.url.valueCodeableConcept.coding Patient.extension.url.valueCodeableConcept.coding Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding 1..1 0..* Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.system Patient.extension.url.valueCodeableConcept.coding.system Patient.extension.valueCodeableConcept.coding.system Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.code Patient.extension.url.valueCodeableConcept.coding.code Patient.extension.valueCodeableConcept.coding.code Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept.coding.display Patient.extension.url.valueCodeableConcept.coding.display Patient.extension.valueCodeableConcept.coding.display Update Referral Request / Response FHIR path incorrect correction
Patient.extension.valueCodeableConcept Patient.extension.url.valueCodeableConcept Patient.extension.valueCodeableConcept Update Booking Request FHIR path incorrect correction

1.0.0-beta


This is a pre-release of v1.0.0-beta - Referrals into an Ambulance Service Trust (Application 6) which supports the following use cases:

  • CAD to CAD Out of Area Referral
  • CAD to CAD Call Assist Request
  • CAD to CAD Mutual Aid Request

Application Change Log

Change Description Impact
Application 6 v1.0.0-beta released Referrals from an AST Computer Aided Dispatch system (CAD) to an AST CAD (Application 6) v1.0.0-beta to the guide
Bug fixes Multiple bug fixes and corrections have been made to the implementation guidance for Application 6 correction
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- Updated Workflows		 Updated the workflow diagrams to simplify them further following feedback non-breaking
Updated Application Name Updated the application name following feedback non-breaking
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- Updated Scope		 Updated the scope and requirements throughout the application to relax the mandatory requirement for all use cases. Out of Area Referral is the only mandatory workflow for Application 6 and Mutual Aid and Call Assist flows are now optional following feedback non-breaking
Updated Use Case Categories Use Case Categories have been updated in the published CodeSystem and multiple references to the Use Case Categories updated throughout. - https://simplifier.net/NHSBookingandReferrals/usecases-categories-bars non-breaking

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact
ServiceRequest.category 0..1 1..1 Referral Request / Response Updated in line with the BaRS Profile correction

1.0.0-alpha

This is a pre-release of v1.0.0-alpha - Referrals from an AST Computer Aided Dispatch system (CAD) to an AST CAD (Application 6) which supports the following use cases:

  • CAD to CAD Out of Area Referral
  • CAD to CAD Call Assist Request
  • CAD to CAD Mutual Aid Request

Application Change Log

Change Description Impact
Application 6 released Referrals from an AST Computer Aided Dispatch system (CAD) to an AST CAD (Application 6) v1.0.0-alpha to the guide

Payload Change Log

FHIR Element Previous Current Other Referral/Booking Rationale Impact

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