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10 changes: 5 additions & 5 deletions Examples/Questionnaire for PTS.xml
Original file line number Diff line number Diff line change
Expand Up @@ -24,14 +24,14 @@
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="78064003"/>
<display value="Breathing (observable entity)"/>
<display value="Breathing"/>
</valueCoding>
</answerOption>
<answerOption>
<valueCoding>
<system value="http://snomed.info/sct"/>
<code value="1023001"/>
<display value="Not Breathing (finding)"/>
<display value="Not Breathing"/>
</valueCoding>
</answerOption>
</item>
Expand All @@ -44,7 +44,7 @@
<operator value="="/>
<answerCoding>
<code value="78064003"/>
<display value="Breathing (observable entity)"/>
<display value="Breathing"/>
</answerCoding>
</enableWhen>
<required value="false"/>
Expand Down Expand Up @@ -72,7 +72,7 @@
<operator value="="/>
<answerCoding>
<code value="78064003"/>
<display value="Breathing (observable entity)"/>
<display value="Breathing"/>
</answerCoding>
</enableWhen>
<required value="false"/>
Expand Down Expand Up @@ -100,7 +100,7 @@
<operator value="="/>
<answerCoding>
<code value="78064003"/>
<display value="Breathing (observable entity)"/>
<display value="Breathing"/>
</answerCoding>
</enableWhen>
<required value="false"/>
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2 changes: 1 addition & 1 deletion Examples/QuestionnaireResponse for PTS.xml
Original file line number Diff line number Diff line change
Expand Up @@ -30,7 +30,7 @@
<valueCoding>
<system value="http://snomed.info/sct" />
<code value="78064003" />
<display value="Breathing (observable entity)" />
<display value="Breathing" />
</valueCoding>
</answer>
</item>
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Original file line number Diff line number Diff line change
Expand Up @@ -6,7 +6,7 @@
<name value="BARS Message Definition ServiceRequest - Response Referral Short" />
<title value="BARS Message Definition ServiceRequest - Response Referral Short" />
<status value="active" />
<date value="2025-03-24" />
<date value="2026-03-24" />
<useContext>
<code>
<system value="http://terminology.hl7.org/CodeSystem/usage-context-type" />
Expand All @@ -29,8 +29,8 @@
<coding>
<!-- Use cases supported by this MessageDefinition Application -->
<system value="https://fhir.nhs.uk/CodeSystem/usecases-categories-bars" />
<code value="a6t3" />
<display value="CAD to CAD Mutual Aid Request" />
<code value="a6t1" />
<display value="CAD to CAD Out of Area Referral" />
</coding>
</valueCodeableConcept>
</useContext>
Expand Down Expand Up @@ -71,7 +71,7 @@
<focus>
<code value="Organization" />
<profile value="https://fhir.hl7.org.uk/StructureDefinition/UKCore-Organization" />
<min value="1" />
<min value="2" />
<max value="*" />
</focus>
<focus>
Expand Down
Original file line number Diff line number Diff line change
Expand Up @@ -11,7 +11,7 @@ Implementation Guide | 1.11.0 | v1 | Live | Current Release | 26/03
{{pagelink:application2, text:BaRS-APP2}} | 2.0.0 | v1 | Live | Current Release | 12/11/2025 | Stable |{{pagelink:trn-app2,text:BaRS APP2 Change Log}}
{{pagelink:application3, text:BaRS-APP3}} | 2.0.0 | v1 | Live | Current Release | 12/11/2025 | Stable |{{pagelink:trn-app3,text:BaRS APP3 Change Log}}
{{pagelink:application4, text:BaRS-APP4}} | 2.0.0 | v1 | Live | Current Release | 12/11/2025 | Stable |{{pagelink:trn-app4,text:BaRS APP4 Change Log}}
{{pagelink:application5, text:BaRS-APP5}} | 1.1.4 | v1 | Live | Current Release | 12/11/2025 | Stable |{{pagelink:trn-app5,text:BaRS APP5 Change Log}}
{{pagelink:application5, text:BaRS-APP5}} | 1.2.0 | v1 | Live | Current Release | 26/03/2026 | Stable |{{pagelink:trn-app5,text:BaRS APP5 Change Log}}
{{pagelink:application6, text:BaRS-APP6}} | 1.0.0-beta.7 | beta | | Current Release | 26/03/2026 | Pre-Release |{{pagelink:trn-app6,text:BaRS APP6 Change Log}}
{{pagelink:application7, text:BaRS-APP7}} | 1.0.0-alpha.4 | alpha | | Current Release | 02/07/2025 | Pre-Release |{{pagelink:trn-app7,text:BaRS APP7 Change Log}}
{{pagelink:application8, text:BaRS-APP8}} | 1.0.0-alpha | alpha | | Current Release | 26/03/2026 | Pre-Release |{{pagelink:trn-app8,text:BaRS APP8 Change Log}}
Expand All @@ -20,7 +20,9 @@ Implementation Guide | 1.11.0 | v1 | Live | Current Release | 26/03

### Overview of the release

Release 1.11.0 of the BaRS Implementation Guide introduces BaRS Application 8 "Referrals to a broker for Healthcare Service selection" as an alpha release. BaRS Application 8 is designed to create interoperability for referrals between NHS England products. The next phase of content and navigation changes in the Implementation Guide are delivered. They are focussed on: the Home page, the Analysis section (formerly About BaRS) and relocation of content from this area. These changes are based on user feedback. Also included in this release are minor changes to BaRS Application 6 and bug fixes and corrections throughout the guide.
Release 1.11.0 of the BaRS Implementation Guide introduces BaRS Application 8 "Referrals to a broker for Healthcare Service selection" as an alpha release. BaRS Application 8 is designed to create interoperability for referrals between NHS England products. The next phase of content and navigation changes in the Implementation Guide are delivered. They are focussed on: the Home page, the Analysis section (formerly About BaRS) and relocation of content from this area. These changes are based on user feedback.

Application 5 is updated with the withdrawl of use cases for GP to Blood Pressure Check Service and GP to Pharmacy Contraception (Oral Contraception). Also included in this release are minor changes to BaRS Application 6 and bug fixes and corrections throughout the guide.

A clinical safety assessment of the scope of this release has determined that it has not significantly changed the clinical safety profile of the BaRS. No new hazards have been identified in this release. The latest version of the BaRS clinical safety case and hazard log can be downloaded from the <a href= "https://digital.nhs.uk/developer/api-catalogue/booking-and-referral-fhir/onboarding-support-information#hazard-log-and-clinical-safety-case-report-cscr-" target="_blank"> BaRS FHIR API onboarding support information page </a>.

Expand Down Expand Up @@ -177,6 +179,10 @@ Table detailing active versions of the latest Applications in Production (or cur
<td>Application 5 v1.1.4</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.10.0" target="_blank">v1.10.0</a></td>
</tr>
<tr>
<td>Application 5 v1.2.0</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.10.0" target="_blank">v1.11.0</a></td>
</tr>
<tr>
<td>Application 6 v1.0.0-beta.7</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.11.0" target="_blank">v1.11.0</a></td>
Expand All @@ -190,8 +196,8 @@ Table detailing active versions of the latest Applications in Production (or cur
<tr>
<td>Application 8 v1.0.0-alpha</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.11.0" target="_blank">v1.11.0</a></td>
<td rowspan=1 style="text-align: center; vertical-align: middle;"><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/Home/Core?version=1.11.0" target="_blank">v1.4.0</a></td>
<td rowspan=1 style="text-align: center; vertical-align: middle;"><a href="https://digital.nhs.uk/developer/api-catalogue/booking-and-referral-fhir/v1.3.0" target="_blank">1.4.0</a></td>
<td rowspan=1 style="text-align: center; vertical-align: middle;"><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/Home/Core?version=1.11.0" target="_blank">v1.1.0</a></td>
<td rowspan=1 style="text-align: center; vertical-align: middle;"><a href="https://digital.nhs.uk/developer/api-catalogue/booking-and-referral-fhir/v1.3.0" target="_blank">1.1.0</a></td>
</tr>
<tr>
<td></td>
Expand Down
Original file line number Diff line number Diff line change
@@ -1,3 +1,5 @@
<div class="bars-blg-expander">
<div class="bars-blg-expander-entry" id="v1.1.4">
## {{page-title}}

<br>
Expand All @@ -23,8 +25,11 @@ This stable release (v1.1.4) of Application 5 sees minor corrections.
| Patient.identifier.extension.valueCodeableConcept.coding.code | This SHOULD be populated. Where used this MUST either be number-present-and-verified or no NHS number MUST be sent, no other status is valid | This SHOULD be populated. Where used this MUST be 'number-present-and-verified' or 'number-present-but-not-traced', else no NHS number MUST be sent. No other statuses are permitted. | Update | Referral Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> |
| Patient.identifier.extension.valueCodeableConcept.coding.display | This SHOULD be populated. Where used this MUST either be populated with 'Number present and-verified' no other status is valid | This SHOULD be populated. Where used this MUST be populated with 'Number present and verified' or 'Number present but not traced'. No other statuses are permitted. | Update | Referral Request |Accommodate NHS No. Requirement | <mark style="background-color: Red">breaking</mark> |

</div>
</div>

<br>
<hr>

### Previous Releases


Original file line number Diff line number Diff line change
@@ -0,0 +1,30 @@
## {{page-title}}

<br>
This stable release (v1.2.0) of Application 5 sees the withdrawl of Blood Pressure and Oral Contraception use cases.
<br>


### Application Change Log


<br>


| Change | Description | Impact |
|-------------------------------------------|-------------------------------------------------|-------------------------------------------------------------------------|
| Update to use case status | Withdrawl of Blood Pressure Check Service and Pharmacy Contraception (Oral Contraception) use cases | <mark style="background-color: LightGreen">non-breaking</mark> |


### Payload Change Log

| FHIR Element | Previous | Current | Other | Referral/Booking | Rationale | Impact |
|------------------------------------------------------|----------|------------|---------|------------------|-------------------------------------------------------------------------------------------------|----------|

|

<br>
<hr>

### Previous Releases

Original file line number Diff line number Diff line change
@@ -1,5 +1,7 @@
- name: Index
filename: Index.page.md
- name: 1.2.0
filename: 1.2.0.page.md
- name: 1.1.4
filename: 1.1.4.page.md
- name: 1.1.3
Expand Down
Original file line number Diff line number Diff line change
Expand Up @@ -20,8 +20,10 @@ This is a minor "patch" with clarifications to limited areas of the Implementati
|------------------------------------------------------|----------|------------|---------|------------------|-------------------------------------------------------------------------------------------------|----------|
| 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 | <mark style="background-color: Yellow">correction</mark> |
| 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 | <mark style="background-color: Yellow">correction</mark> |


| 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 | <mark style="background-color: Yellow">correction</mark> |
| 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 | <mark style="background-color: Yellow">correction</mark> |
| 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 | <mark style="background-color: Yellow">correction</mark> |
| 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 | <mark style="background-color: Yellow">correction</mark> |

<br>
<hr>
Expand Down
Original file line number Diff line number Diff line change
Expand Up @@ -17,9 +17,9 @@ topic: Application5
</thead>
<tbody>
<tr>
<td>Application 5 v1.1.4</td>
<td>Application 5 v1.2.0</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/Home/Core?version=1.10.0" target="_blank">v1.1.x</a></td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.10.0" target="_blank">v1.10.0</td>
<td><a href="https://simplifier.net/guide/nhsbookingandreferralstandard/home?version=1.10.0" target="_blank">v1.11.0</td>
<td><a href="https://digital.nhs.uk/developer/api-catalogue/booking-and-referral-fhir/v1_1_0" target="_blank">v1.1.0</a></td>
</tr>
</tbody>
Expand All @@ -30,6 +30,8 @@ topic: Application5
<div markdown="span" class="alert alert-warning" role="alert"><i class="fa fa-warning"></i><b> Important: Notice for suppliers</b>
<p>
Any suppliers building to this application (Application 5) must engage with NHS England's Pharmacy First/Digital Services for Integrated Care teams prior to building Application 5.

The only use case suppliers can develop to in Application 5 is Primary Care to Community Pharmacy (Pharmacy First).
</p>

</div>
Expand All @@ -39,12 +41,12 @@ topic: Application5

This application supports the use of the following use cases:

| Use Case | Name | Code |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------|-------|
| Deprecated - Primary Care to Community Pharmacy (Pharmacy First) | Primary Care to Community Pharmacy | referraltopharmacy |
| Primary Care to Community Pharmacy (Pharmacy First) | Primary Care to Community Pharmacy| A5T1 |
| Primary Care to Pharmacy Contraception (Oral Contraception for supply of initial or repeat prescriptions for Combined Oral Contraceptive (COC) or Proestogen Only Pill (POP)) | Primary Care to Pharmacy Contraception | A5T2 |
| Primary Care to Pharmacy Blood Pressure Check Service | Primary Care to Pharmacy Blood Pressure Check Service | A5T3 |
| Use Case | Name | Code | Status |
|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|------|-------|-------|
| Deprecated - Primary Care to Community Pharmacy (Pharmacy First) | Primary Care to Community Pharmacy | referraltopharmacy | Deprecated |
| Primary Care to Community Pharmacy (Pharmacy First) | Primary Care to Community Pharmacy| A5T1 | Live |
| Primary Care to Pharmacy Contraception (Oral Contraception for supply of initial or repeat prescriptions for Combined Oral Contraceptive (COC) or Proestogen Only Pill (POP)) | Primary Care to Pharmacy Contraception | A5T2 | Withdrawn |
| Primary Care to Pharmacy Blood Pressure Check Service | Primary Care to Pharmacy Blood Pressure Check Service | A5T3 | Withdrawn |


NB - 'Primary Care' currently includes GP Practice and Online Consultation, as described in the [BaRS Clinical Safety Case Report (CSCR)](https://digital.nhs.uk/developer/api-catalogue/booking-and-referral-fhir/onboarding-support-information#downloads)
Expand Down
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