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
<Bundle xmlns="http://hl7.org/fhir">
<id value="ReferralOrderStatusDeclineMessage"/>
<meta>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://fhir.mft.nhs.uk/Id/message"/>
<value value="MFT-MSG-778901"/>
</identifier>
<type value="message"/>
<timestamp value="2026-09-05T09:30:00+01:00"/>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusDeclineHeader"/>
<resource>
<MessageHeader>
<id value="ReferralOrderStatusDeclineHeader"/>
<meta>
<lastUpdated value="2026-09-05T09:30:00+01:00"/>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/MessageHeader"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<eventCoding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
<code value="O51"/>
</eventCoding>
<destination>
<endpoint
value="https://fhir.example-practice.nhs.uk/R4/$process-message"/>
<receiver>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="P89020"/>
</identifier>
</receiver>
</destination>
<sender>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</sender>
<source>
<endpoint value="https://fhir.mft.nhs.uk/R4"/>
</source>
<focus>🔗
<reference value="Task/CardiologyReferralDeclined"/>
</focus>
<definition
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status"/>
</MessageHeader>
</resource>
</entry>
<entry>
<fullUrl
value="https://fhir.example.nhs.uk/R4/Task/CardiologyReferralDeclined"/>
<resource>
<Task>
<id value="CardiologyReferralDeclined"/>
<meta>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralTask"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<basedOn>🔗
<reference value="ServiceRequest/CardiologyReferral"/>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="https://fhir.example-practice.nhs.uk/Id/referral"/>
<value value="REF-2026-000123"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="P89020"/>
</identifier>
</assigner>
</identifier>
</basedOn>
<status value="rejected"/>
<statusReason>
<coding>
<system
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-status-reason"/>
<code value="service-not-provided"/>
</coding>
<text
value="Please refer to the rapid access chest pain clinic instead."/>
</statusReason>
<businessStatus>
<coding>
<system
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status"/>
<code value="declined"/>
</coding>
</businessStatus>
<intent value="order"/>
<code>
<coding>
<system value="http://hl7.org/fhir/CodeSystem/task-code"/>
<code value="fulfill"/>
</coding>
</code>
<focus>🔗
<reference value="ServiceRequest/CardiologyReferral"/>
</focus>
<for>🔗
<reference value="Patient/Patient-Tameside"/>
<identifier>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383397"/>
</identifier>
</for>
<authoredOn value="2026-09-04T10:15:00+01:00"/>
<lastModified value="2026-09-05T09:30:00+01:00"/>
<requester>🔗
<reference value="PractitionerRole/GPAllenRole"/>
<identifier>
<system value="https://fhir.hl7.org.uk/Id/gmp-number"/>
<value value="G1234567"/>
</identifier>
<display value="Dr Allen, HT PRACTICE (P89020)"/>
</requester>
<owner>🔗
<reference value="HealthcareService/CardiologyService"/>
<identifier>
<system value="http://fhir.nhs.net/Id/ers-service"/>
<value value="1234567"/>
</identifier>
<display
value="General Cardiology Outpatients, Manchester University NHS Foundation Trust (R0A)"/>
</owner>
</Task>
</resource>
</entry>
</Bundle>