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 |
@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-workflow-status> a fhir:CodeSystem ;
fhir:nodeRole fhir:treeRoot ;
fhir:Resource.id [ fhir:value "referral-workflow-status"] ;
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-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>"
] ;
fhir:CodeSystem.url [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status"] ;
fhir:CodeSystem.version [ fhir:value "0.1.0"] ;
fhir:CodeSystem.name [ fhir:value "ReferralWorkflowStatus"] ;
fhir:CodeSystem.title [ fhir:value "Referral Workflow Status"] ;
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 "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."] ;
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 "14"^^xsd:nonNegativeInteger] ;
fhir:CodeSystem.concept [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "requested" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral requested" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Initiator has sent the referral request [PCC-55]." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "information-requested" ] ;
fhir:CodeSystem.concept.display [ fhir:value "More information requested" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "accepted" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral accepted" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "deferred" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral deferred" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "redirected" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral redirected" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "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)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "declined" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral declined" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "appointment-booked" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Appointment booked" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "An appointment has been booked [PCC-60] (SIU^S12)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "appointment-rescheduled" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Appointment rescheduled" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "An appointment has been rescheduled [PCC-60] (SIU^S13)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "appointment-cancelled" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Appointment cancelled" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "An appointment has been cancelled [PCC-60] (SIU^S15)." ]
], [
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 an appointment [PCC-61] (SIU^S26)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "interim-report" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Interim consultation note sent" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "cancel-requested" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Cancellation requested" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA)." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "cancelled" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral cancelled" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral." ]
], [
fhir:index -1 ;
fhir:CodeSystem.concept.code [ fhir:value "completed" ] ;
fhir:CodeSystem.concept.display [ fhir:value "Referral completed" ] ;
fhir:CodeSystem.concept.definition [ fhir:value "The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral." ]
] .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/CodeSystem/referral-workflow-status.ttl> a owl:Ontology ;
owl:imports fhir:fhir.ttl ;
owl:versionIRI <http://build.fhir.org/CodeSystem/referral-workflow-status.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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