Care Coordination and 360 Referrals (Proof of Concept)
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Logical Model: Clinical Referral - Mappings

Draft as of 2026-11-03

Mappings for the Referral logical model.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameHL7 v2.5.1 (IHE 360X)FHIR R4PRSB Clinical Referral Information Standard v1.0doco
Referral
  • GP Practice (M)
  • Patient Demographics (M)
  • Referral Details (M)
  • Reason for referral (M)
  • Allergies and adverse reactions (M)
  • Person completing record (M); Individual requirements
  • Medications and medical devices
  • Safety Alerts
  • Person concerns
  • expectations and wishes
  • Legal Information
  • Information and advice given
  • Participation in research (R); Family History
  • Social Context
  • Examination Findings
  • Assessment Scales
  • Relevant clinical risk factors
  • Investigations and results
  • Distribution list (O). Referral Details sub-elements from the Core Information Standard v2.01. Mapping indicative - To confirm
Referral / referralId
ORC-2 and OBR-2 (OMG^O19); ORC-2 (OSU^O51); SCH-26 (SIU)
referralId; Task.basedOn.identifier; Appointment.basedOn.identifier
Referral / ubrn
ORC-2 or OBR-2 repetition with UBRN assigning authority (To confirm)
ubrn
Referral / patient
PID
ServiceRequest.subject (Patient)
Patient Demographics; GP Practice
Referral / patient / @id
Referral / patient / extension
Referral / patient / modifierExtension
Referral / patient / nhsNumber
PID-3 (assigning authority NHS)
nhsNumber
Referral / patient / localIdentifier
PID-3
MedicalRecordNumber
Referral / patient / demographics
  • PID-5
  • PID-7
  • PID-8
  • PID-11
  • Patient.name
  • birthDate
  • gender
  • address
Referral / referrer
Referrer details; Person completing record
Referral / referrer / @id
Referral / referrer / extension
Referral / referrer / modifierExtension
Referral / referrer / clinician
ORC-12 and OBR-16
ServiceRequest.requester (PractitionerRole.practitioner)
Referral / referrer / organisation
ORC-21 (required in this guide) / MSH-4
ServiceRequest.requester (PractitionerRole.organization)
Referral / recipient
MSH-5 / MSH-6
ServiceRequest.performer; Task.owner
Referral to
Referral / recipient / @id
Referral / recipient / extension
Referral / recipient / modifierExtension
Referral / recipient / service
Referral / recipient / clinician
Referral / recipient / organisation
Referral / serviceRequested
OBR-4 (360X default LOINC 57133-1 Referral note)
ServiceRequest.code
Referral to; Referral criteria
Referral / priority
TQ1-9
ServiceRequest.priority
Clinical urgency of referral
Referral / expectedBy
TQ1-8
ServiceRequest.occurrenceDateTime
Clinical urgency of referral
Referral / validityPeriod
TQ1-6
Task.restriction.period (or ServiceRequest.occurrencePeriod)
Referral / reasonForReferral
OBR-31
ServiceRequest.reasonCode / reasonReference
Reason for referral
Referral / referralQuestion
  • OBX-5 (OBX-11 O
  • OBX-29 QST)
ServiceRequest.note
Reason for referral
Referral / clinicalDocument
  • OBX type ED or RP
  • or MDM^T02
  • ServiceRequest.supportingInfo (Bundle - HL7 Europe HDR
  • or DocumentReference)
Examination Findings; Investigations and results; Relevant clinical risk factors; Information and advice given
Referral / patientSummary
OBX type ED or RP
  • ServiceRequest.supportingInfo (Bundle - HL7 Europe EPS
  • or DocumentReference)
Allergies and adverse reactions; Medications and medical devices; Safety Alerts; Legal Information; Individual requirements; Family History; Social Context
Referral / forms
OBX (ask at order entry)
ServiceRequest.supportingInfo (QuestionnaireResponse)
Assessment Scales
Referral / observations
OBX
ServiceRequest.supportingInfo (Observation)
Examination Findings; Investigations and results
Referral / carePlan
ServiceRequest.basedOn (CarePlan)
Referral / dateOfReferral
ORC-9
ServiceRequest.authoredOn
Date
Referral / status
ORC-1 / ORC-5
  • Task.businessStatus (and Task.status
  • ServiceRequest.status)
Referral / statusReason
ORC-16
Task.statusReason
Referral / appointment
Appointment (basedOn the ServiceRequest)
Referral / appointment / @id
Referral / appointment / extension
Referral / appointment / modifierExtension
Referral / appointment / appointmentId
SCH-2
Appointment.identifier
Referral / appointment / dateTime
TQ1-7
Appointment.start
Referral / appointment / provider
AIP-3
Appointment.participant.actor
Referral / appointment / status
SIU trigger S12 / S13 / S15 / S26 (RGS-2)
Appointment.status
Referral / interimNote
  • OSU^O51 (ORC-1 SC
  • ORC-5 A) with document
Task.output (clinical document - Composition with HL7 Europe HDR section codes)
Referral / outcome
  • OSU^O51 (ORC-1 SC
  • ORC-5 CM) with document
  • Task.output (Discharge Report - HL7 Europe HDR
  • or clinic letter)

doco Documentation for this format