| Package | fhir.virtually.healthcare |
| Type | Questionnaire |
| Id | PatientReferral |
| FHIR Version | R4 |
| Source | https://fhir.virtually.healthcare/https://build.fhir.org/ig/Virtually-Healthcare/R4/Questionnaire-PatientReferral.html |
| URL | https://fhir.virtually.healthcare/Questionnaire/PatientReferral |
| Version | 0.1.1-current |
| Status | draft |
| Date | 2025-07-22T09:12:23+00:00 |
| Title | Virtually Healthcare Patient Referral |
| Realm | us |
| Authority | hl7 |
| Description | INITIAL VERSION Based on a combination of eRS and BARS requirements plus selected elements from North West GMSA |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: Questionnaire PatientReferral
Structure| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | INITIAL VERSION Based on a combination of eRS and BARS requirements plus selected elements from North West GMSA | Questionnaire | https://fhir.virtually.healthcare/Questionnaire/PatientReferral#0.1.1-current | ||
  Patient | Patient | 0..1 | group | Definition: Patient | |
  LN/45394-4 | Patient surname | 1..1 | string | Definition: Patient.name.family | |
| LN/45392-8 | Patient first name | 1..1 | string | Definition: Patient.name.given | |
 LN/21112-8 | Date of birth | 1..1 | date | Definition: Patient.birthDate | |
| LN/56799-0 | Address | 0..1 | group | Definition: Patient.address | |
| HL7/PID-11-1 | Address Line | 0..* | string | Definition: Patient.address.line | |
| HL7/PID-11-3 | City | 0..1 | string | Definition: Patient.address.city | |
 HL7/PID-11- | Postcode | 0..1 | string | Definition: Patient.address.postalCode | |
 LN/46098-0 | Sex registered at birth | 0..1 | choice | Definition: Patient.gender Value Set: https://fhir.virtually.healthcare/ValueSet/administrative-gender | |
| LN/89061-6 | NHS Number | 0..1 | string | Definition: Patient.identifier:nhsNumber | |
| LN/76435-7 | Hospital (EMIS/TPP) Number | 1..1 | string | Definition: Patient.identifier:MedicalRecordNumber | |
| LN/42077-8 | Phone | 0..1 | string | Definition: Patient.telecom | |
| LN/76458-9 | 0..1 | string | Definition: Patient.telecom | ||
| HL7/PD1-3 | GP Surgery (ODS Code) | 0..1 | choice | Definition: Patient.generalPractitioner | |
| Episode/Patient Journey Id | Patient | 0..1 | group | Definition: Encounter | |
| LN/56797-4 | Stay/Problem Number | 0..1 | string | Definition: Encounter.identifier.value | |
| HL7/PV1-44 | Start Date | 0..1 | date | Definition: Encounter.period.start | |
| HL7/ORC-12 | Healthcare Professional | 0..1 | group | Definition: PractitionerRole | |
| LN/18705-4 | Referring Clinician Name | 1..1 | string | Definition: PractitionerRole.practitioner.display | |
| LN/18707-0 | Referring Clinician Current Speciality | 1..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code | |
| LN/46608-6 | Referring Clinician Professional Identifier | 1..1 | string | Definition: PractitionerRole.practitioner.identifier.value | |
| LN/89058-2 | 0..1 | string | Definition: PractitionerRole.telecom.value | ||
| LN/81230-5 | Phone | 0..1 | string | Definition: PractitionerRole.telecom.value | |
| HL7/ORC-21 | Referring Organisation ODS Code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value | |
| HL7/OBR/ORC | Referral Details | 0..1 | group | Definition: ServiceRequest | |
| LN/106194-4 | Test request ID/Order ID | 0..1 | string |  | Definition: ServiceRequest.identifier:OriginatingReferralIdentifier |
| HL7/OBR-4 | Referral code | 1..1 | choice | Definition: ServiceRequest.code:BARSReferralCode | |
| HL7/DG1 | Specific disease suspected/reason for testing | 0..* | choice | Definition: ServiceRequest.reasonCode Value Set: VH Condition Code | |
| eRS/ReferralPathwayStart | Referral Pathway Start | 0..1 | date | Definition: ServiceRequest.authoredOn | |
 BARS/TriageAssessment | Triage Assessment | 0..1 | text | Definition: ServiceRequest.note | |
| AsAtOrderEntry | Ask At Order Entry | 0..1 | group | Definition: | |
 LN/19826-7 | Has consent has been obtained for tests (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
| eRS/AgeandGenderAppropriate | Age and Gender Appropriate | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
 eRS/MaximumWaitTimeForAppointment | Maximum wait time for appointment | 0..1 | quantity | Definition: Observation.valueQuantity Initial Value: Coding = UCUM#d "d" | |
| eRS/IntentionToAddReferralLetter | Intention to add referral letter | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
| eRS/FirstPatientReminderLetterFollowUp | First Patient Reminder Letter Follow Up | 0..1 | quantity | Definition: Observation.valueQuantity Initial Value: Coding = UCUM#d "d" | |
| Documentation for this format | |||||
Options Sets
Answer options for LN/19826-7
Answer options for eRS/AgeandGenderAppropriate
Answer options for eRS/IntentionToAddReferralLetter
FHIR{
"resourceType": "Questionnaire",
"id": "PatientReferral",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"url": "https://fhir.virtually.healthcare/Questionnaire/PatientReferral",
"version": "0.1.1-current",
"title": "Virtually Healthcare Patient Referral",
"status": "draft",
"date": "2025-07-22T09:12:23+00:00",
"publisher": "Virtually Healthcare",
"contact": [
{
"name": "Virtually Healthcare",
"telecom": [
{
"system": "url",
"value": "https://virtually.healthcare"
}
]
}
],
"description": "INITIAL VERSION\n\nBased on a combination of eRS and BARS requirements plus selected elements from North West GMSA",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "GB",
"display": "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"item": [
{
"linkId": "Patient",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient",
"text": "Patient",
"type": "group",
"item": [
{
"linkId": "LN/45394-4",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.name.family",
"code": [
{
"system": "http://loinc.org",
"code": "45394-4"
}
],
"text": "Patient surname",
"type": "string",
"required": true
},
{
"linkId": "LN/45392-8",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.name.given",
"code": [
{
"system": "http://loinc.org",
"code": "45392-8"
}
],
"text": "Patient first name",
"type": "string",
"required": true
},
{
"linkId": "LN/21112-8",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.birthDate",
"code": [
{
"system": "http://loinc.org",
"code": "21112-8"
}
],
"text": "Date of birth",
"type": "date",
"required": true
},
{
"linkId": "LN/56799-0",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.address",
"code": [
{
"system": "http://loinc.org",
"code": "56799-0"
}
],
"text": "Address",
"type": "group",
"item": [
{
"linkId": "HL7/PID-11-1",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.address.line",
"text": "Address Line",
"type": "string",
"repeats": true
},
{
"linkId": "HL7/PID-11-3",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.address.city",
"text": "City",
"type": "string"
},
{
"linkId": "HL7/PID-11-",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.address.postalCode",
"text": "Postcode",
"type": "string"
}
]
},
{
"linkId": "LN/46098-0",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.gender",
"code": [
{
"system": "http://loinc.org",
"code": "46098-0"
}
],
"text": "Sex registered at birth",
"type": "choice",
"answerValueSet": "https://fhir.virtually.healthcare/ValueSet/administrative-gender"
},
{
"linkId": "LN/89061-6",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.identifier:nhsNumber",
"code": [
{
"system": "http://loinc.org",
"code": "89061-6"
}
],
"text": "NHS Number",
"type": "string"
},
{
"linkId": "LN/76435-7",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.identifier:MedicalRecordNumber",
"code": [
{
"system": "http://loinc.org",
"code": "76435-7"
}
],
"text": "Hospital (EMIS/TPP) Number",
"type": "string",
"required": true
},
{
"linkId": "LN/42077-8",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.telecom",
"code": [
{
"system": "http://loinc.org",
"code": "42077-8"
}
],
"text": "Phone",
"type": "string"
},
{
"linkId": "LN/76458-9",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.telecom",
"code": [
{
"system": "http://loinc.org",
"code": "76458-9"
}
],
"text": "Email",
"type": "string"
},
{
"linkId": "HL7/PD1-3",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Patient#Patient.generalPractitioner",
"text": "GP Surgery (ODS Code)",
"type": "choice"
}
]
},
{
"linkId": "Episode/Patient Journey Id",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter",
"text": "Patient",
"type": "group",
"item": [
{
"linkId": "LN/56797-4",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "56797-4"
}
],
"text": "Stay/Problem Number",
"type": "string",
"required": false
},
{
"linkId": "HL7/PV1-44",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Encounter#Encounter.period.start",
"text": "Start Date",
"type": "date",
"required": false
}
]
},
{
"linkId": "HL7/ORC-12",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole",
"text": "Healthcare Professional",
"type": "group",
"item": [
{
"linkId": "LN/18705-4",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.display",
"code": [
{
"system": "http://loinc.org",
"code": "18705-4"
}
],
"text": "Referring Clinician Name",
"type": "string",
"required": true
},
{
"linkId": "LN/18707-0",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.specialty.coding.code",
"code": [
{
"system": "http://loinc.org",
"code": "18707-0"
}
],
"text": "Referring Clinician Current Speciality",
"type": "choice",
"required": true,
"answerValueSet": "https://fhir.hl7.org.uk/ValueSet/UKCore-PracticeSettingCode"
},
{
"linkId": "LN/46608-6",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.practitioner.identifier.value",
"code": [
{
"system": "http://loinc.org",
"code": "46608-6"
}
],
"text": "Referring Clinician Professional Identifier",
"type": "string",
"required": true
},
{
"linkId": "LN/89058-2",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "89058-2",
"display": "Contact email address"
}
],
"text": "Email",
"type": "string"
},
{
"linkId": "LN/81230-5",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.telecom.value",
"code": [
{
"system": "http://loinc.org",
"code": "81230-5"
}
],
"text": "Phone",
"type": "string"
},
{
"linkId": "HL7/ORC-21",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/PractitionerRole#PractitionerRole.organization.identifier.value",
"text": "Referring Organisation ODS Code",
"type": "string"
}
]
},
{
"linkId": "HL7/OBR/ORC",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest",
"text": "Referral Details",
"type": "group",
"item": [
{
"linkId": "LN/106194-4",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest.identifier:OriginatingReferralIdentifier",
"code": [
{
"system": "http://loinc.org",
"code": "106194-4"
}
],
"text": "Test request ID/Order ID",
"type": "string",
"required": false,
"readOnly": true
},
{
"linkId": "HL7/OBR-4",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest.code:BARSReferralCode",
"text": "Referral code",
"type": "choice",
"required": true,
"repeats": false
},
{
"linkId": "HL7/DG1",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest.reasonCode",
"text": "Specific disease suspected/reason for testing",
"type": "choice",
"repeats": true,
"answerValueSet": "https://fhir.virtually.healthcare/ValueSet/VHConditionCode"
},
{
"linkId": "eRS/ReferralPathwayStart",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest.authoredOn",
"text": "Referral Pathway Start",
"type": "date",
"repeats": false
},
{
"linkId": "BARS/TriageAssessment",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/ServiceRequest#ServiceRequest.note",
"text": "Triage Assessment",
"type": "text",
"repeats": false
}
]
},
{
"linkId": "AsAtOrderEntry",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation",
"text": "Ask At Order Entry",
"type": "group",
"item": [
{
"linkId": "LN/19826-7",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueCodeableConcept",
"code": [
{
"system": "http://loinc.org",
"code": "19826-7"
}
],
"text": "Has consent has been obtained for tests (Y/N)",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"linkId": "eRS/AgeandGenderAppropriate",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Age and Gender Appropriate",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "d",
"display": "d"
}
}
],
"linkId": "eRS/MaximumWaitTimeForAppointment",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
"text": "Maximum wait time for appointment",
"type": "quantity",
"initial": [
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "d",
"display": "d"
}
}
]
},
{
"linkId": "eRS/IntentionToAddReferralLetter",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueCodeableConcept",
"text": "Intention to add referral letter",
"type": "choice",
"answerOption": [
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA33-6",
"display": "Yes"
}
},
{
"valueCoding": {
"system": "http://loinc.org",
"code": "LA32-8",
"display": "No"
}
}
]
},
{
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/questionnaire-unitOption",
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "d",
"display": "d"
}
}
],
"linkId": "eRS/FirstPatientReminderLetterFollowUp",
"definition": "https://fhir.virtually.healthcare/StructureDefinition/Observation#Observation.valueQuantity",
"text": "First Patient Reminder Letter Follow Up",
"type": "quantity",
"initial": [
{
"valueCoding": {
"system": "http://unitsofmeasure.org",
"code": "d",
"display": "d"
}
}
]
}
]
}
]
}