Virtually Healthcare - IHE Patient Care Coordination (PCC)
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Virtually Healthcare - IHE Patient Care Coordination (PCC) - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Questionnaire: Patient Referral Form (Domain Archetype)

Official URL: https://fhir.virtually.healthcare/Questionnaire/PatientReferral Version: 0.1.1-current
Draft as of 2025-06-28 Computable Name:

INITIAL VERSION

Based on a combination of eRS and BARS requirements plus selected elements from North West GMSA

Structure
LinkIDTextCardinalityTypeFlagsDescription & Constraintsdoco
.. INITIAL VERSION Based on a combination of eRS and BARS requirements plus selected elements from North West GMSAQuestionnairehttps://fhir.virtually.healthcare/Questionnaire/PatientReferral#0.1.1-current
... PatientPatient0..1groupDefinition: Patient
.... LN/45394-4Patient surname1..1stringDefinition: Patient.name.family
.... LN/45392-8Patient first name1..1stringDefinition: Patient.name.given
.... LN/21112-8Date of birth1..1date​Definition: Patient.birthDate
.... LN/56799-0Address0..1group​Definition: Patient.address
..... HL7/PID-11-1Address Line0..*string​Definition: Patient.address.line
..... HL7/PID-11-3City0..1string​Definition: Patient.address.city
..... HL7/PID-11-Postcode0..1string​Definition: Patient.address.postalCode
.... LN/46098-0Sex registered at birth0..1choice​Definition: Patient.gender
Value Set: https://fhir.virtually.healthcare/ValueSet/administrative-gender
.... LN/89061-6NHS Number0..1string​Definition: Patient.identifier:nhsNumber
.... LN/76435-7Hospital (EMIS/TPP) Number1..1string​Definition: Patient.identifier:MedicalRecordNumber
.... LN/42077-8Phone0..1string​Definition: Patient.telecom
.... LN/76458-9Email0..1string​Definition: Patient.telecom
.... HL7/PD1-3GP Surgery (ODS Code)0..1choice​Definition: Patient.generalPractitioner
... Episode/Patient Journey IdPatient0..1groupDefinition: Encounter
.... LN/56797-4Stay/Problem Number0..1stringDefinition: Encounter.identifier.value
.... HL7/PV1-44Start Date0..1dateDefinition: Encounter.period.start
... HL7/ORC-12Healthcare Professional0..1groupDefinition: PractitionerRole
.... LN/18705-4Referring Clinician Name1..1stringDefinition: PractitionerRole.practitioner.display
.... LN/18707-0Referring Clinician Current Speciality1..1choiceDefinition: PractitionerRole.specialty.coding.code
Value Set: UK Core Practice Setting Code
.... LN/46608-6Referring Clinician Professional Identifier1..1stringDefinition: PractitionerRole.practitioner.identifier.value
.... LN/89058-2Email0..1stringDefinition: PractitionerRole.telecom.value
.... LN/81230-5Phone0..1stringDefinition: PractitionerRole.telecom.value
.... HL7/ORC-21Referring Organisation ODS Code0..1stringDefinition: PractitionerRole.organization.identifier.value
... HL7/OBR/ORCReferral Details0..1groupDefinition: ServiceRequest
.... LN/106194-4Test request ID/Order ID0..1stringiconicon​Definition: ServiceRequest.identifier:OriginatingReferralIdentifier
.... HL7/OBR-4Referral code1..1choice​Definition: ServiceRequest.code:BARSReferralCode
.... HL7/DG1Specific disease suspected/reason for testing0..*choice​Definition: ServiceRequest.reasonCode
Value Set: VH Condition Code
.... eRS/ReferralPathwayStartReferral Pathway Start0..1date​Definition: ServiceRequest.authoredOn
.... BARS/TriageAssessmentTriage Assessment0..1textDefinition: ServiceRequest.note
... AsAtOrderEntryAsk At Order Entry0..1group​Definition:
.... LN/19826-7Has consent has been obtained for tests (Y/N)0..1choice​Definition: Observation.valueCodeableConcept
Options: 2 options
.... eRS/AgeandGenderAppropriateAge and Gender Appropriate0..1choice​Definition: Observation.valueCodeableConcept
Options: 2 options
.... eRS/MaximumWaitTimeForAppointmentMaximum wait time for appointment0..1quantity​Definition: Observation.valueQuantity
Initial Value: Coding = UCUM#d "d"
.... eRS/IntentionToAddReferralLetterIntention to add referral letter0..1choice​Definition: Observation.valueCodeableConcept
Options: 2 options
.... eRS/FirstPatientReminderLetterFollowUpFirst Patient Reminder Letter Follow Up0..1quantity​Definition: Observation.valueQuantity
Initial Value: Coding = UCUM#d "d"

doco Documentation for this format

Options Sets

Answer options for LN/19826-7

  • http://loinc.org#LA33-6 ("Yes")
  • http://loinc.org#LA32-8 ("No")

Answer options for eRS/AgeandGenderAppropriate

  • http://loinc.org#LA33-6 ("Yes")
  • http://loinc.org#LA32-8 ("No")

Answer options for eRS/IntentionToAddReferralLetter

  • http://loinc.org#LA33-6 ("Yes")
  • http://loinc.org#LA32-8 ("No")