Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

Care Coordination and 360 Referrals (Proof of Concept) - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Bundle Message - Referral Order (O19), GP to cardiology

Language: en

Profile: Bundle - FHIR Messaging

Bundle ReferralOrderMessage of type message


Entry 1 - fullUrl = https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderMessageHeader

Resource MessageHeader:

Last updated: 2026-09-04 10:15:00+0100; Language: en

Profile: Document Message (MessageHeader)

event: event: O19 (OMG - General clinical order)

Destinations

-Receiver
*Identifier: ODS Organisation Code/R0A

source

focus: ServiceRequest Referral to cardiology service

definition: Referral Order (O19)


Entry 2 - fullUrl = https://fhir.example.nhs.uk/R4/ServiceRequest/CardiologyReferral

Resource ServiceRequest:

Language: en

Profile: Referral Request

identifier: Placer Identifier/REF-2026-000123, https://fhir.nhs.uk/Id/UBRN/000049637246

status: Active

intent: Order

category: Patient referral

priority: Urgent

code: No display for ServiceRequest.code (concept: Referral to cardiology service)

subject: Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)

occurrence: 2026-09-11

authoredOn: 2026-09-04 10:15:00+0100

requester: Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567): General practitioner at HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)

performer: General Cardiology Outpatients by Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A) (http://fhir.nhs.net/Id/ers-service#1234567)

note:

Determine the origin of Mr Tameside's shortness of breath. BMI 30, non-smoker, no chest pain, family history of coronary artery disease.


Entry 3 - fullUrl = https://fhir.example.nhs.uk/R4/Patient/Patient-Tameside

Resource Patient:

Language: en

Profile: Patient

Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)


Other Id:Medical record number/B6789012
Contact DetailStockport Road Tameside OL7 0NS
Links:

Entry 4 - fullUrl = https://fhir.example.nhs.uk/R4/PractitionerRole/GPAllenRole

Resource PractitionerRole:

Language: en

Profile: PractitionerRole

Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567): General practitioner at HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)


Practitioner:Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)
Organization:HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)
Role:General practitioner

Entry 5 - fullUrl = https://fhir.example.nhs.uk/R4/Practitioner/GPAllen

Resource Practitioner:

Language: en

Profile: Practitioner

Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)



Entry 6 - fullUrl = https://fhir.example.nhs.uk/R4/Organization/P89020

Resource Organization:

Language: en

Profile: Organization

HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)



Entry 7 - fullUrl = https://fhir.example.nhs.uk/R4/HealthcareService/CardiologyService

Resource HealthcareService:

Language: en

Profile: HealthcareService

General Cardiology Outpatients by Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A) (http://fhir.nhs.net/Id/ers-service#1234567)


Provided By:Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)
Specialty:Cardiology

Entry 8 - fullUrl = https://fhir.example.nhs.uk/R4/Condition/ConditionDyspnoea

Resource Condition:

Language: en

clinicalStatus: Active

category: Problem List Item

code: Dyspnea

subject: Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)

recordedDate: 2026-09-04