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
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Bundle/ReferralOrderStatusOutcomeMessage> a fhir:Bundle ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "ReferralOrderStatusOutcomeMessage"] ;
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.mft.nhs.uk/Id/message" ] ;
fhir:Identifier.value [ fhir:value "MFT-MSG-779950" ]
] ;
fhir:Bundle.type [ fhir:value "message"] ;
fhir:Bundle.timestamp [ fhir:value "2026-09-24T11:00:00+01:00"^^xsd:dateTime] ;
fhir:Bundle.entry [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusOutcomeHeader" ] ;
fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusOutcomeHeader>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Task/CardiologyReferralCompleted" ] ;
fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Task/CardiologyReferralCompleted>
], [
fhir:index -1 ;
fhir:Bundle.entry.fullUrl [ fhir:value "https://fhir.example.nhs.uk/R4/Composition/CardiologyOutcomeNote" ] ;
fhir:Bundle.entry.resource <https://fhir.example.nhs.uk/R4/Composition/CardiologyOutcomeNote>
] .
<https://fhir.example.nhs.uk/R4/MessageHeader/ReferralOrderStatusOutcomeHeader> a fhir:MessageHeader ;
fhir:Resource.id [ fhir:value "ReferralOrderStatusOutcomeHeader"] ;
fhir:Resource.meta [
fhir:Meta.lastUpdated [ fhir:value "2026-09-24T11:00:00+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_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>"
] ;
fhir:MessageHeader.eventCoding [
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0003" ] ;
fhir:Coding.code [ fhir:value "O51" ]
] ;
fhir:MessageHeader.destination [
fhir:index -1 ;
fhir:MessageHeader.destination.endpoint [ fhir:value "https://fhir.example-practice.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 "P89020" ]
]
]
] ;
fhir:MessageHeader.sender [
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
fhir:Identifier.value [ fhir:value "R0A" ]
]
] ;
fhir:MessageHeader.source [
fhir:MessageHeader.source.endpoint [ fhir:value "https://fhir.mft.nhs.uk/R4" ]
] ;
fhir:MessageHeader.focus [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/Task/CardiologyReferralCompleted> ;
fhir:Reference.reference [ fhir:value "Task/CardiologyReferralCompleted" ]
] ;
fhir:MessageHeader.definition [
fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status" ;
fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status>
] .
<http://hl7.org/fhir/Task/CardiologyReferralCompleted> a fhir:Task .
<https://fhir.example.nhs.uk/R4/Task/CardiologyReferralCompleted> a fhir:Task ;
fhir:Resource.id [ fhir:value "CardiologyReferralCompleted"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralTask" ;
fhir:index -1 ;
fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralTask>
]
] ;
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=\"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>"
] ;
fhir:Task.basedOn [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/ServiceRequest/CardiologyReferral> ;
fhir:Reference.reference [ fhir:value "ServiceRequest/CardiologyReferral" ] ;
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 "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:Task.status [ fhir:value "completed"] ;
fhir:Task.businessStatus [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status" ] ;
fhir:Coding.code [ fhir:value "completed" ]
]
] ;
fhir:Task.intent [ fhir:value "order"] ;
fhir:Task.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "http://hl7.org/fhir/CodeSystem/task-code" ] ;
fhir:Coding.code [ fhir:value "fulfill" ]
]
] ;
fhir:Task.focus [
fhir:link <http://hl7.org/fhir/ServiceRequest/CardiologyReferral> ;
fhir:Reference.reference [ fhir:value "ServiceRequest/CardiologyReferral" ]
] ;
fhir:Task.for [
fhir:link <http://hl7.org/fhir/Patient/Patient-Tameside> ;
fhir:Reference.reference [ fhir:value "Patient/Patient-Tameside" ] ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
fhir:Identifier.value [ fhir:value "9737383397" ]
]
] ;
fhir:Task.authoredOn [ fhir:value "2026-09-04T10:15:00+01:00"^^xsd:dateTime] ;
fhir:Task.lastModified [ fhir:value "2026-09-24T11:00:00+01:00"^^xsd:dateTime] ;
fhir:Task.requester [
fhir:link <http://hl7.org/fhir/PractitionerRole/GPAllenRole> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/GPAllenRole" ] ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "https://fhir.hl7.org.uk/Id/gmp-number" ] ;
fhir:Identifier.value [ fhir:value "G1234567" ]
] ;
fhir:Reference.display [ fhir:value "Dr Allen, HT PRACTICE (P89020)" ]
] ;
fhir:Task.owner [
fhir:link <http://hl7.org/fhir/HealthcareService/CardiologyService> ;
fhir:Reference.reference [ fhir:value "HealthcareService/CardiologyService" ] ;
fhir:Reference.identifier [
fhir:Identifier.system [ fhir:value "http://fhir.nhs.net/Id/ers-service" ] ;
fhir:Identifier.value [ fhir:value "1234567" ]
] ;
fhir:Reference.display [ fhir:value "General Cardiology Outpatients, Manchester University NHS Foundation Trust (R0A)" ]
] ;
fhir:Task.output [
fhir:index -1 ;
fhir:Task.output.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter" ] ;
fhir:Coding.code [ fhir:value "interim-report" ]
]
] ;
fhir:Task.output.valueReference [
fhir:link <http://hl7.org/fhir/Composition/CardiologyInterimNote> ;
fhir:Reference.reference [ fhir:value "Composition/CardiologyInterimNote" ]
]
], [
fhir:index -1 ;
fhir:Task.output.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter" ] ;
fhir:Coding.code [ fhir:value "outcome-report" ]
]
] ;
fhir:Task.output.valueReference [
fhir:link <http://hl7.org/fhir/Composition/CardiologyOutcomeNote> ;
fhir:Reference.reference [ fhir:value "Composition/CardiologyOutcomeNote" ]
]
], [
fhir:index -1 ;
fhir:Task.output.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
fhir:Coding.system [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-task-parameter" ] ;
fhir:Coding.code [ fhir:value "appointment" ]
]
] ;
fhir:Task.output.valueReference [
fhir:link <http://hl7.org/fhir/Appointment/CardiologyAppointment> ;
fhir:Reference.reference [ fhir:value "Appointment/CardiologyAppointment" ]
]
] .
<http://hl7.org/fhir/ServiceRequest/CardiologyReferral> a fhir:ServiceRequest .
<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/Composition/CardiologyInterimNote> a fhir:Composition .
<http://hl7.org/fhir/Composition/CardiologyOutcomeNote> a fhir:Composition .
<http://hl7.org/fhir/Appointment/CardiologyAppointment> a fhir:Appointment .
<https://fhir.example.nhs.uk/R4/Composition/CardiologyOutcomeNote> a fhir:Composition ;
fhir:Resource.id [ fhir:value "CardiologyOutcomeNote"] ;
fhir:Resource.meta [
fhir:Meta.profile [
fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr" ;
fhir:index -1 ;
fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr>
]
] ;
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=\"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>"
] ;
fhir:Composition.identifier [
fhir:Identifier.system [ fhir:value "https://fhir.mft.nhs.uk/Id/document" ] ;
fhir:Identifier.value [ fhir:value "DOC-55777" ]
] ;
fhir:Composition.status [ fhir:value "final"] ;
fhir:Composition.type [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a loinc:34105-7 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "34105-7" ] ;
fhir:Coding.display [ fhir:value "Hospital Discharge Summary" ]
]
] ;
fhir:Composition.subject [
fhir:link <http://hl7.org/fhir/Patient/Patient-Tameside> ;
fhir:Reference.reference [ fhir:value "Patient/Patient-Tameside" ]
] ;
fhir:Composition.encounter [
fhir:link <http://hl7.org/fhir/Encounter/CardiacCatheterisationSpell> ;
fhir:Reference.reference [ fhir:value "Encounter/CardiacCatheterisationSpell" ]
] ;
fhir:Composition.date [ fhir:value "2026-09-24T11:00:00+01:00"^^xsd:dateTime] ;
fhir:Composition.author [
fhir:index -1 ;
fhir:link <http://hl7.org/fhir/PractitionerRole/CardiologistBrownRole> ;
fhir:Reference.reference [ fhir:value "PractitionerRole/CardiologistBrownRole" ]
] ;
fhir:Composition.title [ fhir:value "Cardiology discharge report"] ;
fhir:Composition.custodian [
fhir:link <http://hl7.org/fhir/Organization/R0A> ;
fhir:Reference.reference [ fhir:value "Organization/R0A" ]
] ;
fhir:Composition.section [
fhir:index -1 ;
fhir:Composition.section.title [ fhir:value "Hospital course" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a loinc:8648-8 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "8648-8" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">Cardiac catheterisation on 21 September 2026 confirmed coronary artery disease.</div>"
]
], [
fhir:index -1 ;
fhir:Composition.section.title [ fhir:value "Plan of care" ] ;
fhir:Composition.section.code [
fhir:CodeableConcept.coding [
fhir:index -1 ;
a loinc:18776-5 ;
fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
fhir:Coding.code [ fhir:value "18776-5" ]
]
] ;
fhir:Composition.section.text [
fhir:Narrative.status [ fhir:value "generated" ] ;
fhir:Narrative.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>"
]
] .
<http://hl7.org/fhir/Encounter/CardiacCatheterisationSpell> a fhir:Encounter .
<http://hl7.org/fhir/PractitionerRole/CardiologistBrownRole> a fhir:PractitionerRole .
<http://hl7.org/fhir/Organization/R0A> a fhir:Organization .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Bundle/ReferralOrderStatusOutcomeMessage.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/Bundle/ReferralOrderStatusOutcomeMessage.ttl> .
IG © 2026+ Kevin Mayfield.
Package fhir.acmeexample.org.uk.patientcarecoordination#0.1.0 based on FHIR 4.0.1.
Generated
2026-11-03
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