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" : "ReferralOrderStatusOutcomeMessage",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/BundleMessage"
]
},
"language" : "en",
"identifier" : {
"system" : "https://fhir.mft.nhs.uk/Id/message",
"value" : "MFT-MSG-779950"
},
"type" : "message",
"timestamp" : "2026-09-24T11:00:00+01:00",
"entry" : [
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusOutcomeHeader",
"resource" : {
"resourceType" : "MessageHeader",
"id" : "ReferralOrderStatusOutcomeHeader",
"meta" : {
"lastUpdated" : "2026-09-24T11:00:00+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_ReferralOrderStatusOutcomeHeader\"> </a><p class=\"res-header-id\"><b>Generated Narrative: MessageHeader ReferralOrderStatusOutcomeHeader</b></p><a name=\"ReferralOrderStatusOutcomeHeader\"> </a><a name=\"hcReferralOrderStatusOutcomeHeader\"> </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: 2026-09-24 11:00:00+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-CardiologyReferralCompleted.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/CardiologyReferralCompleted"
}
],
"definition" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status"
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Task/CardiologyReferralCompleted",
"resource" : {
"resourceType" : "Task",
"id" : "CardiologyReferralCompleted",
"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_CardiologyReferralCompleted\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Task CardiologyReferralCompleted</b></p><a name=\"CardiologyReferralCompleted\"> </a><a name=\"hcCardiologyReferralCompleted\"> </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>: Completed</p><p><b>businessStatus</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status completed}\">Referral completed</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>: 2026-09-24 11:00:00+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><blockquote><p><b>output</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter interim-report}\">Interim consultation note</span></p><p><b>value</b>: <a href=\"Composition-CardiologyInterimNote.html\">Composition Cardiology clinic letter</a></p></blockquote><blockquote><p><b>output</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter outcome-report}\">Referral outcome</span></p><p><b>value</b>: <a href=\"Composition-CardiologyOutcomeNote.html\">Composition Cardiology discharge report</a></p></blockquote><blockquote><p><b>output</b></p><p><b>type</b>: <span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter appointment}\">Appointment</span></p><p><b>value</b>: <a href=\"Appointment-CardiologyAppointment.html\">Appointment: identifier = https://fhir.mft.nhs.uk/Id/appointment#APT-998877; status = booked; serviceType = Cardiology; start = 2026-09-07 14:00:00+0100; end = 2026-09-07 14:30:00+0100</a></p></blockquote></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" : "completed",
"businessStatus" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status",
"code" : "completed"
}
]
},
"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" : "2026-09-24T11:00:00+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)"
},
"output" : [
{
"type" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter",
"code" : "interim-report"
}
]
},
"valueReference" : {
🔗 "reference" : "Composition/CardiologyInterimNote"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter",
"code" : "outcome-report"
}
]
},
"valueReference" : {
🔗 "reference" : "Composition/CardiologyOutcomeNote"
}
},
{
"type" : {
"coding" : [
{
"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter",
"code" : "appointment"
}
]
},
"valueReference" : {
🔗 "reference" : "Appointment/CardiologyAppointment"
}
}
]
}
},
{
"fullUrl" : "https://fhir.example.nhs.uk/R4/Composition/CardiologyOutcomeNote",
"resource" : {
"resourceType" : "Composition",
"id" : "CardiologyOutcomeNote",
"meta" : {
"profile" : [
🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
]
},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_CardiologyOutcomeNote\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition CardiologyOutcomeNote</b></p><a name=\"CardiologyOutcomeNote\"> </a><a name=\"hcCardiologyOutcomeNote\"> </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=\"http://hl7.eu/fhir/hdr/1.0.0/StructureDefinition-composition-eu-hdr.html\">Composition (HDR)</a></p></div><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id/document</code>/DOC-55777</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge Summary</span></p><p><b>encounter</b>: <a href=\"Encounter-CardiacCatheterisationSpell.html\">Encounter: identifier = Account number: 1001166717; status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Cardiology; period = 2026-09-21 08:00:00+0100 --> 2026-09-21 17:00:00+0100</a></p><p><b>date</b>: 2026-09-24 11:00:00+0100</p><p><b>author</b>: <a href=\"PractitionerRole-CardiologistBrownRole.html\">Brown (https://fhir.hl7.org.uk/Id/gmc-number#GMC Number#7654321) at Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>title</b>: Cardiology discharge report</p><p><b>custodian</b>: <a href=\"Organization-R0A.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p></div>"
},
"identifier" : {
"system" : "https://fhir.mft.nhs.uk/Id/document",
"value" : "DOC-55777"
},
"status" : "final",
"type" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "34105-7",
"display" : "Hospital Discharge Summary"
}
]
},
"subject" : {
🔗 "reference" : "Patient/Patient-Tameside"
},
"encounter" : {
🔗 "reference" : "Encounter/CardiacCatheterisationSpell"
},
"date" : "2026-09-24T11:00:00+01:00",
"author" : [
{
🔗 "reference" : "PractitionerRole/CardiologistBrownRole"
}
],
"title" : "Cardiology discharge report",
"custodian" : {
🔗 "reference" : "Organization/R0A"
},
"section" : [
{
"title" : "Hospital course",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8648-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Cardiac catheterisation on 21 September 2026 confirmed coronary artery disease.</div>"
}
},
{
"title" : "Plan of care",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Medical management. GP to review lipids and blood pressure in 3 months. Discharged from cardiology.</div>"
}
}
]
}
}
]
}