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" : "ReferralOrderStatusDeclineMessage",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://fhir.mft.nhs.uk/Id/message",
"value" : "MFT-MSG-778901"
},
"type" : "message",
"timestamp" : "2026-09-05T09:30:00+01:00",
"entry" : [
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusDeclineHeader",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "ReferralOrderStatusDeclineHeader",
"meta" : {
"lastUpdated" : "2026-09-05T09:30:00+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_ReferralOrderStatusDeclineHeader\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader ReferralOrderStatusDeclineHeader</b></p><a name=\"ReferralOrderStatusDeclineHeader\"> </a><a name=\"hcReferralOrderStatusDeclineHeader\"> </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: 2026-09-05 09:30:00+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-O51\">event: O51</a> (OSU – Order Status Update)</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.example-practice.nhs.uk/R4/$process-message\">https://fhir.example-practice.nhs.uk/R4/$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>/P89020</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>/R0A</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.mft.nhs.uk/R4\">https://fhir.mft.nhs.uk/R4</a></td></tr></table><p><b>focus</b>: <a href=\"Task-CardiologyReferralDeclined.html\">Task Fulfill the focal request</a></p><p><b>definition</b>: <a href=\"MessageDefinition-referral-order-status.html\">Referral Order Status (O51)</a></p></div>"
},
"eventCoding" : {
"system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
"code" : "O51"
},
"destination" : [
{
"endpoint" : "https://fhir.example-practice.nhs.uk/R4/$process-message",
"receiver" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "P89020"
}
}
}
],
"sender" : {
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/ods-organization-code",
"value" : "R0A"
}
},
"source" : {
"endpoint" : "https://fhir.mft.nhs.uk/R4"
},
"focus" : [
{
🔗 "reference" : "Task/CardiologyReferralDeclined"
}
],
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Task/CardiologyReferralDeclined",
"resource" : {
"resourceType" : "Task",
"id" : "CardiologyReferralDeclined",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralTask"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Task_CardiologyReferralDeclined\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task CardiologyReferralDeclined</b></p><a name=\"CardiologyReferralDeclined\"> </a><a name=\"hcCardiologyReferralDeclined\"> </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-ReferralTask.html\">Referral Task</a></p></div><p><b>basedOn</b>: <a href=\"ServiceRequest-CardiologyReferral.html\">ServiceRequest Referral to cardiology service</a></p><p><b>status</b>: Rejected</p><p><b>statusReason</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-status-reason service-not-provided}\">Please refer to the rapid access chest pain clinic instead.</span></p><p><b>businessStatus</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status declined}\">Referral declined</span></p><p><b>intent</b>: order</p><p><b>code</b>: <span title=\"Codes:{http://hl7.org/fhir/CodeSystem/task-code fulfill}\">Fulfill the focal request</span></p><p><b>focus</b>: <a href=\"ServiceRequest-CardiologyReferral.html\">ServiceRequest Referral to cardiology service</a></p><p><b>for</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>authoredOn</b>: 2026-09-04 10:15:00+0100</p><p><b>lastModified</b>: 2026-09-05 09:30:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-GPAllenRole.html\">Dr Allen, HT PRACTICE (P89020)</a></p><p><b>owner</b>: <a href=\"HealthcareService-CardiologyService.html\">General Cardiology Outpatients, Manchester University NHS Foundation Trust (R0A)</a></p></div>"
},
"basedOn" : [
{
🔗 "reference" : "ServiceRequest/CardiologyReferral",
"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"
}
}
}
}
],
"status" : "rejected",
"statusReason" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-status-reason",
"code" : "service-not-provided"
}
],
"text" : "Please refer to the rapid access chest pain clinic instead."
},
"businessStatus" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status",
"code" : "declined"
}
]
},
"intent" : "order",
"code" : {
"coding" : [
{
"system" : "http://hl7.org/fhir/CodeSystem/task-code",
"code" : "fulfill"
}
]
},
"focus" : {
🔗 "reference" : "ServiceRequest/CardiologyReferral"
},
"for" : {
🔗 "reference" : "Patient/Patient-Tameside",
"identifier" : {
"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737383397"
}
},
"authoredOn" : "2026-09-04T10:15:00+01:00",
"lastModified" : "2026-09-05T09:30:00+01:00",
"requester" : {
🔗 "reference" : "PractitionerRole/GPAllenRole",
"identifier" : {
"system" : "https://fhir.hl7.org.uk/Id/gmp-number",
"value" : "G1234567"
},
"display" : "Dr Allen, HT PRACTICE (P89020)"
},
"owner" : {
🔗 "reference" : "HealthcareService/CardiologyService",
"identifier" : {
"system" : "http://fhir.nhs.net/Id/ers-service",
"value" : "1234567"
},
"display" : "General Cardiology Outpatients, Manchester University NHS Foundation Trust (R0A)"
}
}
}
]
}