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

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

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/ReferralOrderMessage> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "ReferralOrderMessage"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "https://fhir.example-practice.nhs.uk/Id/message" ] ;
     fhir:Identifier.value [ fhir:value "MSG000124" ]
  ] ;
  fhir:Bundle.type [ fhir:value "message"] ;
  fhir:Bundle.timestamp [ fhir:value "2026-09-04T10:15:00+01:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderMessageHeader" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderMessageHeader>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/ServiceRequest/CardiologyReferral" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/ServiceRequest/CardiologyReferral>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Patient/Patient-Tameside" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Patient/Patient-Tameside>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/PractitionerRole/GPAllenRole" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/PractitionerRole/GPAllenRole>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Practitioner/GPAllen" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Practitioner/GPAllen>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Organization/P89020" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Organization/P89020>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/HealthcareService/CardiologyService" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/HealthcareService/CardiologyService>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Condition/ConditionDyspnoea" ] ;
     fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Condition/ConditionDyspnoea>
  ] .

<https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderMessageHeader> a fhir:MessageHeader ;
  fhir:Resource.id [ fhir:value "ReferralOrderMessageHeader"] ;
  fhir:Resource.meta [
     fhir:Meta.lastUpdated [ fhir:value "2026-09-04T10:15:00+01:00"^^xsd:dateTime ] ;
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/MessageHeader" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/MessageHeader>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:MessageHeader.eventCoding [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0003" ] ;
     fhir:Coding.code [ fhir:value "O19" ]
  ] ;
  fhir:MessageHeader.destination [
     fhir:index -1 ;
     fhir:MessageHeader.destination.endpoint [ fhir:value "https://fhir.mft.nhs.uk/R4/$process-message" ] ;
     fhir:MessageHeader.destination.receiver [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "R0A" ]
       ]
     ]
  ] ;
  fhir:MessageHeader.sender [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "P89020" ]
     ]
  ] ;
  fhir:MessageHeader.source [
     fhir:MessageHeader.source.endpoint [ fhir:value "https://fhir.example-practice.nhs.uk/R4" ]
  ] ;
  fhir:MessageHeader.focus [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/ServiceRequest/CardiologyReferral> ;
     fhir:Reference.reference [ fhir:value "ServiceRequest/CardiologyReferral" ]
  ] ;
  fhir:MessageHeader.definition [
     fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order" ;
     fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order>
  ] .

<http://hl7.org/fhir/ServiceRequest/CardiologyReferral> a fhir:ServiceRequest .

<https://fhir.example.nhs.uk/R4/ServiceRequest/CardiologyReferral> a fhir:ServiceRequest ;
  fhir:Resource.id [ fhir:value "CardiologyReferral"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.example-practice.nhs.uk/Id/referral" ] ;
     fhir:Identifier.value [ fhir:value "REF-2026-000123" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "P89020" ]
       ]
     ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/UBRN" ] ;
     fhir:Identifier.value [ fhir:value "000049637246" ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "active"] ;
  fhir:ServiceRequest.intent [ fhir:value "order"] ;
  fhir:ServiceRequest.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:3457005 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "3457005" ] ;
       fhir:Coding.display [ fhir:value "Patient referral" ]
     ]
  ] ;
  fhir:ServiceRequest.priority [ fhir:value "urgent"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:183519002 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "183519002" ] ;
       fhir:Coding.display [ fhir:value "Referral to cardiology service" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/Patient-Tameside> ;
     fhir:Reference.reference [ fhir:value "Patient/Patient-Tameside" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
           fhir:Coding.code [ fhir:value "NH" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9737383397" ]
     ]
  ] ;
  fhir:ServiceRequest.occurrenceDateTime [ fhir:value "2026-09-11"^^xsd:date] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2026-09-04T10:15:00+01:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/PractitionerRole/GPAllenRole> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/GPAllenRole" ]
  ] ;
  fhir:ServiceRequest.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/HealthcareService/CardiologyService> ;
     fhir:Reference.reference [ fhir:value "HealthcareService/CardiologyService" ]
  ] ;
  fhir:ServiceRequest.reasonCode [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:267036007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "267036007" ] ;
       fhir:Coding.display [ fhir:value "Dyspnea" ]
     ]
  ] ;
  fhir:ServiceRequest.reasonReference [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Condition/ConditionDyspnoea> ;
     fhir:Reference.reference [ fhir:value "Condition/ConditionDyspnoea" ]
  ] ;
  fhir:ServiceRequest.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "Determine the origin of Mr Tameside's shortness of breath. BMI 30, non-smoker, no chest pain, family history of coronary artery disease." ]
  ] .

<http://hl7.org/fhir/Patient/Patient-Tameside> a fhir:Patient .

<http://hl7.org/fhir/PractitionerRole/GPAllenRole> a fhir:PractitionerRole .

<http://hl7.org/fhir/HealthcareService/CardiologyService> a fhir:HealthcareService .

<http://hl7.org/fhir/Condition/ConditionDyspnoea> a fhir:Condition .

<https://fhir.example.nhs.uk/R4/Patient/Patient-Tameside> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "Patient-Tameside"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "NH" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
     fhir:Identifier.value [ fhir:value "9737383397" ]
  ], [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "MR" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.mft.nhs.uk/Id/mrn" ] ;
     fhir:Identifier.value [ fhir:value "B6789012" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "R0A" ]
       ]
     ]
  ] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "TAMESIDE" ] ;
     fhir:HumanName.given [
       fhir:value "Hodor" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "male"] ;
  fhir:Patient.birthDate [ fhir:value "1960-07-27"^^xsd:date] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Address.line [
       fhir:value "Stockport Road" ;
       fhir:index -1
     ] ;
     fhir:Address.city [ fhir:value "Tameside" ] ;
     fhir:Address.postalCode [ fhir:value "OL7 0NS" ]
  ] ;
  fhir:Patient.generalPractitioner [
     fhir:index -1 ;
     fhir:Reference.type [ fhir:value "Organization" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "P89020" ]
     ] ;
     fhir:Reference.display [ fhir:value "HT PRACTICE" ]
  ] .

<https://fhir.example.nhs.uk/R4/PractitionerRole/GPAllenRole> a fhir:PractitionerRole ;
  fhir:Resource.id [ fhir:value "GPAllenRole"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PractitionerRole>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:PractitionerRole.practitioner [
     fhir:link <http://hl7.org/fhir/Practitioner/GPAllen> ;
     fhir:Reference.reference [ fhir:value "Practitioner/GPAllen" ]
  ] ;
  fhir:PractitionerRole.organization [
     fhir:link <http://hl7.org/fhir/Organization/P89020> ;
     fhir:Reference.reference [ fhir:value "Organization/P89020" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "P89020" ]
     ]
  ] ;
  fhir:PractitionerRole.code [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:62247001 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "62247001" ] ;
       fhir:Coding.display [ fhir:value "General practitioner" ]
     ]
  ] .

<http://hl7.org/fhir/Practitioner/GPAllen> a fhir:Practitioner .

<http://hl7.org/fhir/Organization/P89020> a fhir:Organization .

<https://fhir.example.nhs.uk/R4/Practitioner/GPAllen> a fhir:Practitioner ;
  fhir:Resource.id [ fhir:value "GPAllen"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Practitioner>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Practitioner.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "https://fhir.hl7.org.uk/Id/gmp-number" ] ;
     fhir:Identifier.value [ fhir:value "G1234567" ]
  ] ;
  fhir:Practitioner.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "Allen" ] ;
     fhir:HumanName.prefix [
       fhir:value "Dr" ;
       fhir:index -1
     ]
  ] .

<https://fhir.example.nhs.uk/R4/Organization/P89020> a fhir:Organization ;
  fhir:Resource.id [ fhir:value "P89020"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Organization>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Organization.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
     fhir:Identifier.value [ fhir:value "P89020" ]
  ] ;
  fhir:Organization.name [ fhir:value "HT PRACTICE"] .

<https://fhir.example.nhs.uk/R4/HealthcareService/CardiologyService> a fhir:HealthcareService ;
  fhir:Resource.id [ fhir:value "CardiologyService"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HealthcareService" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HealthcareService>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:HealthcareService.identifier [
     fhir:index -1 ;
     fhir:Identifier.system [ fhir:value "http://fhir.nhs.net/Id/ers-service" ] ;
     fhir:Identifier.value [ fhir:value "1234567" ]
  ] ;
  fhir:HealthcareService.providedBy [
     fhir:link <http://hl7.org/fhir/Organization/R0A> ;
     fhir:Reference.reference [ fhir:value "Organization/R0A" ]
  ] ;
  fhir:HealthcareService.specialty [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:394579002 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "394579002" ] ;
       fhir:Coding.display [ fhir:value "Cardiology" ]
     ]
  ] ;
  fhir:HealthcareService.name [ fhir:value "General Cardiology Outpatients"] .

<http://hl7.org/fhir/Organization/R0A> a fhir:Organization .

<https://fhir.example.nhs.uk/R4/Condition/ConditionDyspnoea> a fhir:Condition ;
  fhir:Resource.id [ fhir:value "ConditionDyspnoea"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Condition.clinicalStatus [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-clinical" ] ;
       fhir:Coding.code [ fhir:value "active" ]
     ]
  ] ;
  fhir:Condition.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/condition-category" ] ;
       fhir:Coding.code [ fhir:value "problem-list-item" ]
     ]
  ] ;
  fhir:Condition.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:267036007 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "267036007" ] ;
       fhir:Coding.display [ fhir:value "Dyspnea" ]
     ]
  ] ;
  fhir:Condition.subject [
     fhir:link <http://hl7.org/fhir/Patient/Patient-Tameside> ;
     fhir:Reference.reference [ fhir:value "Patient/Patient-Tameside" ]
  ] ;
  fhir:Condition.recordedDate [ fhir:value "2026-09-04"^^xsd:date] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/ReferralOrderMessage.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/ReferralOrderMessage.ttl> .