Care Coordination and 360 Referrals (Proof of Concept)
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: Referral Request - GP to Exercise on Referral Programme

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{
  "resourceType" : "ServiceRequest",
  "id" : "ExerciseReferral",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest ExerciseReferral</b></p><a name=\"ExerciseReferral\"> </a><a name=\"hcExerciseReferral\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ReferralRequest.html\">Referral Request</a></p></div><p><b>identifier</b>: Placer Identifier/REF-2026-000789</p><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 3457005}\">Patient referral</span></p><p><b>priority</b>: Routine</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 526151000000109}\">Referral to exercise on referral programme</span></p><p><b>subject</b>: <a href=\"Patient-Patient-Tameside.html\">Hodor TAMESIDE  Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)</a></p><p><b>authoredOn</b>: 2026-10-20 10:00:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-GPAllenRole.html\">Allen (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G1234567): General practitioner at HT PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P89020)</a></p><p><b>performer</b>: <a href=\"HealthcareService-ExerciseReferralService.html\">Exercise on Referral Programme (Referral to exercise on referral programme) by Example Leisure Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#Y00002)</a></p><p><b>reasonCode</b>: <span title=\"Codes:{http://snomed.info/sct 53741008}\">Coronary arteriosclerosis</span></p><p><b>supportingInfo</b>: </p><ul><li><a href=\"QuestionnaireResponse-ExerciseReferralFormResponse.html\">Response to Questionnaire '-&gt;Exercise on referral - referrer's form' about '-&gt;Hodor TAMESIDE  Male, DoB: 1960-07-27 ( National Health Plan Identifier: NHS Number#9737383397)'</a></li><li><a href=\"Observation-ExerciseReferralBloodPressure.html\">Observation Blood pressure panel with all children optional</a></li><li><a href=\"Composition-CardiologyOutcomeNote.html\">Composition Cardiology discharge report</a></li></ul><p><b>note</b>: </p><blockquote><div><p>Coronary artery disease, medically managed after cardiac catheterisation. Supervised exercise to improve fitness and reduce cardiovascular risk.</p>\n</div></blockquote></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }
        ]
      },
      "system" : "https://fhir.example-practice.nhs.uk/Id/referral",
      "value" : "REF-2026-000789",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "P89020"
        }
      }
    }
  ],
  "status" : "active",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "3457005",
          "display" : "Patient referral"
        }
      ]
    }
  ],
  "priority" : "routine",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "526151000000109",
        "display" : "Referral to exercise on referral programme"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Patient-Tameside",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NH"
          }
        ]
      },
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9737383397"
    }
  },
  "authoredOn" : "2026-10-20T10:00:00+01:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/GPAllenRole"
  },
  "performer" : [
    {
      🔗 "reference" : "HealthcareService/ExerciseReferralService"
    }
  ],
  "reasonCode" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "53741008",
          "display" : "Coronary arteriosclerosis"
        }
      ]
    }
  ],
  "supportingInfo" : [
    {
      🔗 "reference" : "QuestionnaireResponse/ExerciseReferralFormResponse"
    },
    {
      🔗 "reference" : "Observation/ExerciseReferralBloodPressure"
    },
    {
      🔗 "reference" : "Composition/CardiologyOutcomeNote"
    }
  ],
  "note" : [
    {
      "text" : "Coronary artery disease, medically managed after cardiac catheterisation. Supervised exercise to improve fitness and reduce cardiovascular risk."
    }
  ]
}