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 Status (O51), declined after acceptance

Language: en

Profile: Bundle - FHIR Messaging

Bundle ReferralOrderStatusLaterDeclineMessage of type message


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

Resource MessageHeader:

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

Profile: Document Message (MessageHeader)

event: event: O51 (OSU – Order Status Update)

Destinations

-Receiver
*Identifier: ODS Organisation Code/P89020

source

focus: Task Fulfill the focal request

definition: Referral Order Status (O51)


Entry 2 - fullUrl = https://fhir.example.nhs.uk/R4/Task/CardiologyReferralDeclinedAfterNoShow

Resource Task:

Language: en

Profile: Referral Task

basedOn: ServiceRequest Referral to cardiology service

status: Rejected

statusReason: No display for Task.statusReason (concept: Patient did not attend on 7 September 2026 and did not respond to the offer to rebook. Discharged to GP care.)

businessStatus: Referral declined

intent: Order

code: Fulfill the focal request

focus: No display for Task.focus (value[x]: ->ServiceRequest Referral to cardiology service)

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

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

lastModified: 2026-09-15 10:00:00+0100

requester: Dr Allen, HT PRACTICE (P89020)

owner: General Cardiology Outpatients, Manchester University NHS Foundation Trust (R0A)