{
  "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."
    }
  ]
}