Care Coordination and 360 Referrals (Proof of Concept)
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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

: Referral Status Reason

Draft as of 2026-11-03

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@prefix fhir: <http://hl7.org/fhir/> .
@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/CodeSystem/referral-status-reason> a fhir:CodeSystem ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "referral-status-reason"] ;
  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\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem referral-status-reason</b></p><a name=\"referral-status-reason\"> </a><a name=\"hcreferral-status-reason\"> </a><p>This case-sensitive code system <code>https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-status-reason</code> defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">service-not-provided<a name=\"referral-status-reason-service-not-provided\"> </a></td><td>Service not provided</td><td>The requested service is not provided by the Referral Recipient.</td></tr><tr><td style=\"white-space:nowrap\">not-eligible<a name=\"referral-status-reason-not-eligible\"> </a></td><td>Patient not eligible</td><td>The patient does not meet the service's referral criteria.</td></tr><tr><td style=\"white-space:nowrap\">insufficient-information<a name=\"referral-status-reason-insufficient-information\"> </a></td><td>Insufficient information</td><td>The referral does not contain enough information to triage.</td></tr><tr><td style=\"white-space:nowrap\">no-capacity<a name=\"referral-status-reason-no-capacity\"> </a></td><td>No capacity</td><td>The service cannot see the patient within the required time.</td></tr><tr><td style=\"white-space:nowrap\">patient-declined<a name=\"referral-status-reason-patient-declined\"> </a></td><td>Patient declined</td><td>The patient has declined the referral or the care offered.</td></tr><tr><td style=\"white-space:nowrap\">no-show<a name=\"referral-status-reason-no-show\"> </a></td><td>Patient did not attend</td><td>The patient did not attend, and the service has discharged them back to the referrer.</td></tr><tr><td style=\"white-space:nowrap\">no-longer-required<a name=\"referral-status-reason-no-longer-required\"> </a></td><td>No longer required</td><td>The referral is no longer needed (cancellation).</td></tr><tr><td style=\"white-space:nowrap\">duplicate<a name=\"referral-status-reason-duplicate\"> </a></td><td>Duplicate referral</td><td>The referral duplicates another referral.</td></tr><tr><td style=\"white-space:nowrap\">other<a name=\"referral-status-reason-other\"> </a></td><td>Other</td><td>Another reason, given as text.</td></tr></table></div>"
  ] ;
  fhir:CodeSystem.url [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-status-reason"] ;
  fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
  fhir:CodeSystem.name [ fhir:value "ReferralStatusReason"] ;
  fhir:CodeSystem.title [ fhir:value "Referral Status Reason"] ;
  fhir:CodeSystem.status [ fhir:value "draft"] ;
  fhir:CodeSystem.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.date [ fhir:value "2026-11-03T05:48:20+00:00"^^xsd:dateTime] ;
  fhir:CodeSystem.publisher [ fhir:value "Kevin Mayfield"] ;
  fhir:CodeSystem.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://github.com/KevinMayfield/PatientCareCoordination" ]
     ]
  ] ;
  fhir:CodeSystem.description [ fhir:value "**Example only.** Reasons a referral is declined [PCC-55, PCC-56] or cancelled [PCC-58]\n(HL7 v2 ORC-16). 360X only requires free text (ORC-16.2). NHS England eRS and BaRS\nhave their own reject / return reasons - **To confirm** whether one of those should\nreplace this list."] ;
  fhir:CodeSystem.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "GB" ] ;
       fhir:Coding.display [ fhir:value "United Kingdom of Great Britain and Northern Ireland" ]
     ]
  ] ;
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean] ;
  fhir:CodeSystem.content [ fhir:value "complete"] ;
  fhir:CodeSystem.count [ fhir:value "9"^^xsd:nonNegativeInteger] ;
  fhir:CodeSystem.concept [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "service-not-provided" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Service not provided" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The requested service is not provided by the Referral Recipient." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "not-eligible" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient not eligible" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient does not meet the service's referral criteria." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "insufficient-information" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Insufficient information" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The referral does not contain enough information to triage." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-capacity" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "No capacity" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The service cannot see the patient within the required time." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "patient-declined" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient declined" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient has declined the referral or the care offered." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-show" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Patient did not attend" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The patient did not attend, and the service has discharged them back to the referrer." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "no-longer-required" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "No longer required" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The referral is no longer needed (cancellation)." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "duplicate" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Duplicate referral" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "The referral duplicates another referral." ]
  ], [
     fhir:index -1 ;
     fhir:CodeSystem.concept.code [ fhir:value "other" ] ;
     fhir:CodeSystem.concept.display [ fhir:value "Other" ] ;
     fhir:CodeSystem.concept.definition [ fhir:value "Another reason, given as text." ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/CodeSystem/referral-status-reason.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/CodeSystem/referral-status-reason.ttl> .