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 |
<CodeSystem xmlns="http://hl7.org/fhir">
<id value="referral-workflow-status"/>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<url
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/referral-workflow-status"/>
<version value="0.1.0"/>
<name value="ReferralWorkflowStatus"/>
<title value="Referral Workflow Status"/>
<status value="draft"/>
<experimental value="true"/>
<date value="2026-11-03T05:48:20+00:00"/>
<publisher value="Kevin Mayfield"/>
<contact>
<telecom>
<system value="url"/>
<value
value="https://github.com/KevinMayfield/PatientCareCoordination"/>
</telecom>
</contact>
<description
value="Business status of a referral, from the IHE 360X state transitions (PCC TF-1 X.4.1).
Carried in `Task.businessStatus`; the matching `Task.status` and HL7 v2 ORC-1 / ORC-5
values are on the [Overview Model](DataModel.html#referral-status) page.
`information-requested`, `deferred` and `redirected` are not in 360X. `information-requested`
covers the eRS "return to referrer" step. `deferred` and `redirected` are **provisional**:
they follow the HL7 v2 order control codes for a held order (ORC-1 OH) and a replaced
order (ORC-1 RU) and the FHIR Task `on-hold` state; the NHS processes behind them are
**To confirm** against eRS and provider practice."/>
<jurisdiction>
<coding>
<system value="urn:iso:std:iso:3166"/>
<code value="GB"/>
<display value="United Kingdom of Great Britain and Northern Ireland"/>
</coding>
</jurisdiction>
<caseSensitive value="true"/>
<content value="complete"/>
<count value="14"/>
<concept>
<code value="requested"/>
<display value="Referral requested"/>
<definition
value="The Referral Initiator has sent the referral request [PCC-55]."/>
</concept>
<concept>
<code value="information-requested"/>
<display value="More information requested"/>
<definition
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)."/>
</concept>
<concept>
<code value="accepted"/>
<display value="Referral accepted"/>
<definition
value="The Referral Recipient has accepted the referral [PCC-55] (ORC-1 OK, ORC-5 IP)."/>
</concept>
<concept>
<code value="deferred"/>
<display value="Referral deferred"/>
<definition
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)."/>
</concept>
<concept>
<code value="redirected"/>
<display value="Referral redirected"/>
<definition
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)."/>
</concept>
<concept>
<code value="declined"/>
<display value="Referral declined"/>
<definition
value="The Referral Recipient has declined the referral, initially [PCC-55] or after acceptance [PCC-56] (ORC-1 UA, ORC-5 CA)."/>
</concept>
<concept>
<code value="appointment-booked"/>
<display value="Appointment booked"/>
<definition value="An appointment has been booked [PCC-60] (SIU^S12)."/>
</concept>
<concept>
<code value="appointment-rescheduled"/>
<display value="Appointment rescheduled"/>
<definition
value="An appointment has been rescheduled [PCC-60] (SIU^S13)."/>
</concept>
<concept>
<code value="appointment-cancelled"/>
<display value="Appointment cancelled"/>
<definition
value="An appointment has been cancelled [PCC-60] (SIU^S15)."/>
</concept>
<concept>
<code value="no-show"/>
<display value="Patient did not attend"/>
<definition
value="The patient did not attend an appointment [PCC-61] (SIU^S26)."/>
</concept>
<concept>
<code value="interim-report"/>
<display value="Interim consultation note sent"/>
<definition
value="The Referral Recipient has sent an interim consultation note [PCC-59] (ORC-1 SC, ORC-5 A)."/>
</concept>
<concept>
<code value="cancel-requested"/>
<display value="Cancellation requested"/>
<definition
value="The Referral Initiator has asked for the referral to be cancelled [PCC-58] (ORC-1 CA, ORC-5 CA)."/>
</concept>
<concept>
<code value="cancelled"/>
<display value="Referral cancelled"/>
<definition
value="The Referral Recipient has confirmed the cancellation [PCC-58] (ORC-1 CR, ORC-5 CA). Ends the referral."/>
</concept>
<concept>
<code value="completed"/>
<display value="Referral completed"/>
<definition
value="The Referral Recipient has sent the referral outcome [PCC-57] (ORC-1 SC, ORC-5 CM). Ends the referral."/>
</concept>
</CodeSystem>