NHS Booking and Referral Standard

This guidance is under active development by NHS Digital and content may be added or updated on a regular basis.

NHS 111 (including CAS) to ED

This guidance is specific to the NHS 111 (including CAS) to ED application. It should be applied alongside the core guidance.

BARS ServiceRequest-Request Referral

FHIR Element Cardinality Element Guidance Additional Guidance
supportingInfo 0..1 This is used to indicate RejectedServices (Flag and Questionnaire Repsonse) or link to an Appointment resource
reference 0..1 reference to Rejected Service Questionnaire or Flag or, alternatively, link to an Appointment
display 0..1 Display info

UKCore-Encounter resource

FHIR Element Cardinality Element Guidance Additional Guidance
start 0..1 This SHOULD be populated with the time the contact with the practicioner was established. This SHOULD be the contact immediately prior to the referral being sent.

UKCore-CarePlan resource

FHIR Element Cardinality Element Guidance Additional Guidance
system 0..1 * Pathways Symptom Group (SG) code use ‘https://fhir.nhs.uk/Id/pathways-sg-code’ value
code 0..1 When you are passing an SG code this MUST be populated with the SG code.
display 0..1 When you are passing an SG code this MUST be populated the SG code description
system 0..1 * Pathways Symptom Discriminator (SD) code use ‘https://fhir.nhs.uk/Id/pathways-sd-code’ value
code 0..1 When you are passing an SD code this MUST be populated with the SD code
display 0..1 When you are passing an SD code this MUST be populated the SD code description
system 0..1 * Pathways Disposition (DX) code use ‘https://fhir.nhs.uk/Id/pathways-dx-code’ value
code 0..1 When you are passing an Dx code this MUST be populated with the Dx code
display 0..1 When you are passing an Dx code this MUST be populated the Dx code description

UKCore-Organisation resource

FHIR Element Cardinality Element Guidance Additional Guidance
value 0..1 Sender ODS code for reference

UKCore-QuestionnaireResponse resource

This resource is used to communicate links to external sources of clinical information used in the triage/assessment of the patient that would be useful to the recipient. It is also used to communicate details of services rejected by the patient.

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