NHS Booking and Referral Standard

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

This page will list all updates to BaRS Application 6

- 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.8

This is a minor "patch" with clarifications to limited areas of the Implementation Guidance and examples for v1.0.0-beta.8

Application Change Log

Change	Description	Impact
Implementation guidance updated	encounter.status implementation guidance updated to include "arrived"	non-breaking
Out of Area Workflow diagram updated	Workflow diagram updated to reference additional workflow explanation of status updates (action triggered business acknowledgement)	non-breaking
BaRS Application 6 - Asynchronous Response flows diagram added	Workflow diagram added for status updates (action triggered business acknowledgement)	non-breaking

Payload Change Log

FHIR Element	Previous	Current	Other	Referral/Booking	Rationale	Impact
encounter.status		...For a case where a resource has arrived on scene this MUST be populated with ‘arrived’...	Update	Referral Response	Change	non-breaking

Previous Releases

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

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	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
- 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
- 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
- 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