Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept
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
{
"resourceType" : "Bundle",
"id" : "ReferralOrderMessage",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://fhir.example-practice.nhs.uk/Id/message",
"value" : "MSG000124"
},
"type" : "message",
"timestamp" : "2026-09-04T10:15:00+01:00",
"entry" : [
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderMessageHeader",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "ReferralOrderMessageHeader",
"meta" : {
"lastUpdated" : "2026-09-04T10:15:00+01:00",
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/MessageHeader"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MessageHeader_ReferralOrderMessageHeader\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader ReferralOrderMessageHeader</b></p><a name=\"ReferralOrderMessageHeader\"> </a><a name=\"hcReferralOrderMessageHeader\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2026-09-04 10:15:00+0100</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-MessageHeader.html\">Document Message (MessageHeader)</a></p></div><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-O19\">event: O19</a> (OMG - General clinical order)</p><h3>Destinations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td><td><b>Receiver</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://fhir.mft.nhs.uk/R4/$process-message\">https://fhir.mft.nhs.uk/R4/$process-message</a></td><td>Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/R0A</td></tr></table><p><b>sender</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/P89020</p><h3>Sources</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Endpoint</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://fhir.example-practice.nhs.uk/R4\">https://fhir.example-practice.nhs.uk/R4</a></td></tr></table><p><b>focus</b>: <a href=\"ServiceRequest-CardiologyReferral.html\">ServiceRequest Referral to cardiology service</a></p><p><b>definition</b>: <a href=\"MessageDefinition-referral-order.html\">Referral Order (O19)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O19"
},
"destination" : [
{
"endpoint" : "https://fhir.mft.nhs.uk/R4/$process-message",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
}
},
"source" : {
"endpoint" : "https://fhir.example-practice.nhs.uk/R4"
},
"focus" : [
{
🔗 "reference" : "ServiceRequest/CardiologyReferral"
}
],
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/ServiceRequest/CardiologyReferral",
"resource" : {
"resourceType" : "ServiceRequest",
"id" : "CardiologyReferral",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"ServiceRequest_CardiologyReferral\"> </a><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest CardiologyReferral</b></p><a name=\"CardiologyReferral\"> </a><a name=\"hcCardiologyReferral\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ReferralRequest.html\">Referral Request</a></p></div><p><b>identifier</b>: Placer Identifier/REF-2026-000123, <code>https://fhir.nhs.uk/Id/UBRN</code>/000049637246</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 3457005}\">Patient referral</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 183519002}\">Referral to cardiology service</span></p><p><b>subject</b>: <a href=\"Patient-Patient-Tameside.html\">Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)</a></p><p><b>occurrence</b>: 2026-09-11</p><p><b>authoredOn</b>: 2026-09-04 10:15:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-GPAllenRole.html\">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)</a></p><p><b>performer</b>: <a href=\"HealthcareService-CardiologyService.html\">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)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 267036007}\">Dyspnea</span></p><p><b>reasonReference</b>: <a href=\"Condition-ConditionDyspnoea.html\">Condition Dyspnea</a></p><p><b>note</b>: </p><blockquote><div><p>Determine the origin of Mr Tameside's shortness of breath. BMI 30, non-smoker, no chest pain, family history of coronary artery disease.</p>\n</div></blockquote></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "https://fhir.example-practice.nhs.uk/Id/referral",
"value" : "REF-2026-000123",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
}
}
},
{
"system" : "https://fhir.nhs.uk/Id/UBRN",
"value" : "000049637246"
}
],
"status" : "active",
"intent" : "order",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "3457005",
"display" : "Patient referral"
}
]
}
],
"priority" : "urgent",
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "183519002",
"display" : "Referral to cardiology service"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-Tameside",
"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
}
]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737383397"
}
},
"occurrenceDateTime" : "2026-09-11",
"authoredOn" : "2026-09-04T10:15:00+01:00",
"requester" : {
🔗 "reference" : "PractitionerRole/GPAllenRole"
},
"performer" : [
{
🔗 "reference" : "HealthcareService/CardiologyService"
}
],
"reasonCode" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "267036007",
"display" : "Dyspnea"
}
]
}
],
"reasonReference" : [
{
🔗 "reference" : "Condition/ConditionDyspnoea"
}
],
"note" : [
{
"text" : "Determine the origin of Mr Tameside's shortness of breath. BMI 30, non-smoker, no chest pain, family history of coronary artery disease."
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Patient/Patient-Tameside",
"resource" : {
"resourceType" : "Patient",
"id" : "Patient-Tameside",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_Patient-Tameside\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient Patient-Tameside</b></p><a name=\"Patient-Tameside\"> </a><a name=\"hcPatient-Tameside\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Other Id (see the one above)\">Other Id:</td><td colspan=\"3\">Medical record number/B6789012</td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">Stockport Road Tameside OL7 0NS </td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Patient Links\">Links:</td><td colspan=\"3\"><ul><li>General Practitioner: HT PRACTICE (Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/P89020)</li></ul></td></tr></table></div>"
},
"identifier" : [
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
}
]
},
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737383397"
},
{
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "MR"
}
]
},
"system" : "https://fhir.mft.nhs.uk/Id/mrn",
"value" : "B6789012",
"assigner" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
}
}
],
"name" : [
{
"family" : "TAMESIDE",
"given" : [
"Hodor"
]
}
],
"gender" : "male",
"birthDate" : "1960-07-27",
"address" : [
{
"line" : [
"Stockport Road"
],
"city" : "Tameside",
"postalCode" : "OL7 0NS"
}
],
"generalPractitioner" : [
{
"type" : "Organization",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
},
"display" : "HT PRACTICE"
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/PractitionerRole/GPAllenRole",
"resource" : {
"resourceType" : "PractitionerRole",
"id" : "GPAllenRole",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"PractitionerRole_GPAllenRole\"> </a><p class=\"res-header-id\"><b>Generated Narrative: PractitionerRole GPAllenRole</b></p><a name=\"GPAllenRole\"> </a><a name=\"hcGPAllenRole\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-PractitionerRole.html\">PractitionerRole</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">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)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The practitioner who is able to provide the services in this role\">Practitioner:</td><td colspan=\"3\"><a href=\"Practitioner-GPAllen.html\">Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The organization where the practitioner performs the roles\">Organization:</td><td colspan=\"3\"><a href=\"Organization-P89020.html\">HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Roles which this practitioner is authorized to perform for the organization\">Role:</td><td colspan=\"3\"><span title=\"Codes:{http://snomed.info/sct 62247001}\">General practitioner</span></td></tr></table></div>"
},
"practitioner" : {
🔗 "reference" : "Practitioner/GPAllen"
},
"organization" : {
🔗 "reference" : "Organization/P89020",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
}
},
"code" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "62247001",
"display" : "General practitioner"
}
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Practitioner/GPAllen",
"resource" : {
"resourceType" : "Practitioner",
"id" : "GPAllen",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Practitioner_GPAllen\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Practitioner GPAllen</b></p><a name=\"GPAllen\"> </a><a name=\"hcGPAllen\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Practitioner.html\">Practitioner</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.hl7.org.uk/Id/gmp-number",
"value" : "G1234567"
}
],
"name" : [
{
"family" : "Allen",
"prefix" : [
"Dr"
]
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Organization/P89020",
"resource" : {
"resourceType" : "Organization",
"id" : "P89020",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Organization_P89020\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Organization P89020</b></p><a name=\"P89020\"> </a><a name=\"hcP89020\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Organization.html\">Organization</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)</p><hr/></div>"
},
"identifier" : [
{
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
}
],
"name" : "HT PRACTICE"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/HealthcareService/CardiologyService",
"resource" : {
"resourceType" : "HealthcareService",
"id" : "CardiologyService",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HealthcareService"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"HealthcareService_CardiologyService\"> </a><p class=\"res-header-id\"><b>Generated Narrative: HealthcareService CardiologyService</b></p><a name=\"CardiologyService\"> </a><a name=\"hcCardiologyService\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-HealthcareService.html\">HealthcareService</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">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)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"The organization that provides this service\">Provided By:</td><td colspan=\"3\"><a href=\"Organization-R0A.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"The specialties of the services that are provided\">Specialty:</td><td colspan=\"3\"><span title=\"Codes:{http://snomed.info/sct 394579002}\">Cardiology</span></td></tr></table></div>"
},
"identifier" : [
{
"system" : "http://fhir.nhs.net/Id/ers-service",
"value" : "1234567"
}
],
"providedBy" : {
🔗 "reference" : "Organization/R0A"
},
"specialty" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "394579002",
"display" : "Cardiology"
}
]
}
],
"name" : "General Cardiology Outpatients"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Condition/ConditionDyspnoea",
"resource" : {
"resourceType" : "Condition",
"id" : "ConditionDyspnoea",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_ConditionDyspnoea\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Condition ConditionDyspnoea</b></p><a name=\"ConditionDyspnoea\"> </a><a name=\"hcConditionDyspnoea\"> </a><p><b>clinicalStatus</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-clinical active}\">Active</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/condition-category problem-list-item}\">Problem List Item</span></p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 267036007}\">Dyspnea</span></p><p><b>subject</b>: <a href=\"Patient-Patient-Tameside.html\">Hodor TAMESIDE Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)</a></p><p><b>recordedDate</b>: 2026-09-04</p></div>"
},
"clinicalStatus" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
"code" : "active"
}
]
},
"category" : [
{
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/condition-category",
"code" : "problem-list-item"
}
]
}
],
"code" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "267036007",
"display" : "Dyspnea"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-Tameside"
},
"recordedDate" : "2026-09-04"
}
}
]
}