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
| Draft as of 2026-11-03 |
{
"resourceType" : "CodeSystem",
"id" : "referral-workflow-status",
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CodeSystem referral-workflow-status</b></p><a name=\"referral-workflow-status\"> </a><a name=\"hcreferral-workflow-status\"> </a><p>This case-sensitive code system <code>https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status</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\">requested<a name=\"referral-workflow-status-requested\"> </a></td><td>Referral requested</td><td>The Referral Initiator has sent the referral request [PCC-55].</td></tr><tr><td style=\"white-space:nowrap\">information-requested<a name=\"referral-workflow-status-information-requested\"> </a></td><td>More information requested</td><td>The Referral Recipient has asked for more information or a completed form (Task.input) before deciding or starting (eRS return to referrer, HL7 Physical Activity IG; not in 360X).</td></tr><tr><td style=\"white-space:nowrap\">accepted<a name=\"referral-workflow-status-accepted\"> </a></td><td>Referral accepted</td><td>The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP).</td></tr><tr><td style=\"white-space:nowrap\">deferred<a name=\"referral-workflow-status-deferred\"> </a></td><td>Referral deferred</td><td>The Referral Recipient has put the referral on hold, for example at the patient's request or until it is clinically appropriate; it resumes as accepted (not in 360X; HL7 v2 ORC-1 OH, ORC-5 HD - indicative).</td></tr><tr><td style=\"white-space:nowrap\">redirected<a name=\"referral-workflow-status-redirected\"> </a></td><td>Referral redirected</td><td>The Referral Recipient has not taken the referral on and has redirected it to another service. Ends this referral; the referral to the other service is a new referral (new Referral ID, ServiceRequest.replaces) (not in 360X; HL7 v2 ORC-1 RU, ORC-5 RP - indicative).</td></tr><tr><td style=\"white-space:nowrap\">declined<a name=\"referral-workflow-status-declined\"> </a></td><td>Referral declined</td><td>The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA).</td></tr><tr><td style=\"white-space:nowrap\">appointment-booked<a name=\"referral-workflow-status-appointment-booked\"> </a></td><td>Appointment booked</td><td>An appointment has been booked [PCC-60] (SIU^S12).</td></tr><tr><td style=\"white-space:nowrap\">appointment-rescheduled<a name=\"referral-workflow-status-appointment-rescheduled\"> </a></td><td>Appointment rescheduled</td><td>An appointment has been rescheduled [PCC-60] (SIU^S13).</td></tr><tr><td style=\"white-space:nowrap\">appointment-cancelled<a name=\"referral-workflow-status-appointment-cancelled\"> </a></td><td>Appointment cancelled</td><td>An appointment has been cancelled [PCC-60] (SIU^S15).</td></tr><tr><td style=\"white-space:nowrap\">no-show<a name=\"referral-workflow-status-no-show\"> </a></td><td>Patient did not attend</td><td>The patient did not attend an appointment [PCC-61] (SIU^S26).</td></tr><tr><td style=\"white-space:nowrap\">interim-report<a name=\"referral-workflow-status-interim-report\"> </a></td><td>Interim consultation note sent</td><td>The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A).</td></tr><tr><td style=\"white-space:nowrap\">cancel-requested<a name=\"referral-workflow-status-cancel-requested\"> </a></td><td>Cancellation requested</td><td>The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA).</td></tr><tr><td style=\"white-space:nowrap\">cancelled<a name=\"referral-workflow-status-cancelled\"> </a></td><td>Referral cancelled</td><td>The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral.</td></tr><tr><td style=\"white-space:nowrap\">completed<a name=\"referral-workflow-status-completed\"> </a></td><td>Referral completed</td><td>The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral.</td></tr></table></div>"
},
"url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status",
"version" : "0.1.0",
"name" : "ReferralWorkflowStatus",
"title" : "Referral Workflow Status",
"status" : "draft",
"experimental" : true,
"date" : "2026-11-03T05:48:20+00:00",
"publisher" : "Kevin Mayfield",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "https://github.com/KevinMayfield/PatientCareCoordination"
}
]
}
],
"description" : "Business status of a referral, from the IHE 360X state transitions (PCC TF-1 X.4.1).\nCarried in `Task.businessStatus`; the matching `Task.status` and HL7 v2 ORC-1 / ORC-5\nvalues are on the [Overview Model](DataModel.html#referral-status) page.\n`information-requested`, `deferred` and `redirected` are not in 360X. `information-requested`\ncovers the eRS \"return to referrer\" step. `deferred` and `redirected` are **provisional**:\nthey follow the HL7 v2 order control codes for a held order (ORC-1 OH) and a replaced\norder (ORC-1 RU) and the FHIR Task `on-hold` state; the NHS processes behind them are\n**To confirm** against eRS and provider practice.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "GB",
"display" : "United Kingdom of Great Britain and Northern Ireland"
}
]
}
],
"caseSensitive" : true,
"content" : "complete",
"count" : 14,
"concept" : [
{
"code" : "requested",
"display" : "Referral requested",
"definition" : "The Referral Initiator has sent the referral request [PCC-55]."
},
{
"code" : "information-requested",
"display" : "More information requested",
"definition" : "The Referral Recipient has asked for more information or a completed form (Task.input) before deciding or starting (eRS return to referrer, HL7 Physical Activity IG; not in 360X)."
},
{
"code" : "accepted",
"display" : "Referral accepted",
"definition" : "The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP)."
},
{
"code" : "deferred",
"display" : "Referral deferred",
"definition" : "The Referral Recipient has put the referral on hold, for example at the patient's request or until it is clinically appropriate; it resumes as accepted (not in 360X; HL7 v2 ORC-1 OH, ORC-5 HD - indicative)."
},
{
"code" : "redirected",
"display" : "Referral redirected",
"definition" : "The Referral Recipient has not taken the referral on and has redirected it to another service. Ends this referral; the referral to the other service is a new referral (new Referral ID, ServiceRequest.replaces) (not in 360X; HL7 v2 ORC-1 RU, ORC-5 RP - indicative)."
},
{
"code" : "declined",
"display" : "Referral declined",
"definition" : "The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA)."
},
{
"code" : "appointment-booked",
"display" : "Appointment booked",
"definition" : "An appointment has been booked [PCC-60] (SIU^S12)."
},
{
"code" : "appointment-rescheduled",
"display" : "Appointment rescheduled",
"definition" : "An appointment has been rescheduled [PCC-60] (SIU^S13)."
},
{
"code" : "appointment-cancelled",
"display" : "Appointment cancelled",
"definition" : "An appointment has been cancelled [PCC-60] (SIU^S15)."
},
{
"code" : "no-show",
"display" : "Patient did not attend",
"definition" : "The patient did not attend an appointment [PCC-61] (SIU^S26)."
},
{
"code" : "interim-report",
"display" : "Interim consultation note sent",
"definition" : "The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A)."
},
{
"code" : "cancel-requested",
"display" : "Cancellation requested",
"definition" : "The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA)."
},
{
"code" : "cancelled",
"display" : "Referral cancelled",
"definition" : "The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral."
},
{
"code" : "completed",
"display" : "Referral completed",
"definition" : "The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral."
}
]
}