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

: Message Definition - Referral Order (O19)

Draft as of 2026-11-01

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<MessageDefinition xmlns="http://hl7.org/fhir">
  <id value="referral-order"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MessageDefinition referral-order</b></p><a name="referral-order"> </a><a name="hcreferral-order"> </a><p><b>url</b>: <a href="MessageDefinition-referral-order.html">MessageDefinition Referral Order (O19)</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: ReferralOrder</p><p><b>title</b>: Referral Order (O19)</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2026-11-01</p><p><b>publisher</b>: Kevin Mayfield</p><p><b>contact</b>: <a href="https://github.com/KevinMayfield/PatientCareCoordination">https://github.com/KevinMayfield/PatientCareCoordination</a></p><p><b>description</b>: </p><div><p>FHIR Message equivalent of the IHE 360X HL7 v2.5.1 <code>OMG^O19^OMG_O19</code> referral order
(ORC-1 <code>NW</code>), used for <a href="PCC-55.html">Referral Request [PCC-55]</a>. The Referral Recipient
replies with a <a href="MessageDefinition-referral-order-status.html">Referral Order Status (O51)</a>
message (accept or decline).</p>
</div><p><b>jurisdiction</b>: <span title="Codes:{urn:iso:std:iso:3166 GB}">United Kingdom of Great Britain and Northern Ireland</span></p><p><b>event</b>: <a href="http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-O19">event: O19</a> (OMG - General clinical order)</p><p><b>category</b>: Consequence</p><h3>Focus</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Code</b></td><td><b>Profile</b></td><td><b>Min</b></td><td><b>Max</b></td></tr><tr><td style="display: none">*</td><td>ServiceRequest</td><td><a href="StructureDefinition-ReferralRequest.html">Referral Request</a></td><td>1</td><td>1</td></tr></table><p><b>responseRequired</b>: Always</p><h3>AllowedResponses</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Message</b></td><td><b>Situation</b></td></tr><tr><td style="display: none">*</td><td><a href="MessageDefinition-referral-order-status.html">Referral Order Status (O51)</a></td><td><div><p>Accept (ORC-1 OK, ORC-5 IP) or decline (ORC-1 UA, ORC-5 CA) [PCC-55].</p>
</div></td></tr></table></div>
  </text>
  <url
       value="https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order"/>
  <version value="0.1.0"/>
  <name value="ReferralOrder"/>
  <title value="Referral Order (O19)"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-01"/>
  <publisher value="Kevin Mayfield"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value
             value="https://github.com/KevinMayfield/PatientCareCoordination"/>
    </telecom>
  </contact>
  <description
               value="FHIR Message equivalent of the IHE 360X HL7 v2.5.1 `OMG^O19^OMG_O19` referral order
(ORC-1 `NW`), used for [Referral Request [PCC-55]](PCC-55.html). The Referral Recipient
replies with a [Referral Order Status (O51)](MessageDefinition-referral-order-status.html)
message (accept or decline)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <eventCoding>
    <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
    <code value="O19"/>
  </eventCoding>
  <category value="consequence"/>
  <focus>
    <code value="ServiceRequest"/>
    <profile
             value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest"/>
    <min value="1"/>
    <max value="1"/>
  </focus>
  <responseRequired value="always"/>
  <allowedResponse>
    <message
             value="https://fhir.acmeexample.org.uk/PatientCareCoordination/MessageDefinition/referral-order-status"/>
    <situation
               value="Accept (ORC-1 OK, ORC-5 IP) or decline (ORC-1 UA, ORC-5 CA) [PCC-55]."/>
  </allowedResponse>
</MessageDefinition>