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
SNOMED CT codes are from the UK Edition; expansions use the UK Edition
(path-expansion-params), as in the NW GMSA IG. Codes were checked on
tx.fhir.org on 2026-11-01.
| Artefact | Binding | Notes |
|---|---|---|
| Referral Workflow Status / value set | Task.businessStatus (required) |
The 360X states, plus information-requested (eRS / BaRS return to referrer), deferred and redirected (provisional) |
| Referral Status Reason / value set | Task.statusReason (example) |
Example only - To confirm eRS / BaRS reject reasons |
| Referral Category | ServiceRequest.category (extensible) |
SNOMED CT referral, virtual ward, hospital at home |
| Referral Service Type | ServiceRequest.code (extensible) |
SNOMED CT descendants of 3457005 Patient referral |
| Referral Document Type | Document type (DocumentReference.type) |
LOINC (360X, HL7 Europe) and SNOMED CT record types (Transfer of Care, NRL) |
| Referral Task Parameter / value set | Task.input.type, Task.output.type (extensible) |
Form to complete, completed form, appointment, observation, interim / outcome report, encounter - To confirm against SDC |
| Virtual Ward Admission Route / value set | Encounter.hospitalization.admitSource (extensible) |
Step-up, step-down - To confirm a national code set |
| Code | System | Display | Use |
|---|---|---|---|
| 3457005 | SNOMED CT | Patient referral | Referral category |
| 729021000000108 | SNOMED CT | Referral to virtual ward | Referral category and code |
| 112951000000109 | SNOMED CT | Referral to intermediate care - hospital at home | Referral category |
| 784431000000109 | SNOMED CT | Admission to virtual ward | Procedure, if recorded |
| 708252004 | SNOMED CT | Discharge from virtual ward | Procedure, if recorded |
| 183519002 | SNOMED CT | Referral to cardiology service | Example referral code |
| 960751000000107 | SNOMED CT | Remote health monitoring care plan | Virtual ward care plan category |
| 25611000000107 | SNOMED CT | Referral letter | Document type |
| 823681000000100 | SNOMED CT | Outpatient letter | Document type |
| 823701000000103 | SNOMED CT | Discharge letter | Document type |
| 57133-1 | LOINC | Referral Note | 360X OBR-4 default; document type |
| 11488-4 | LOINC | Consult Note | Consultation Note type |
| 34105-7 | LOINC | Hospital Discharge Summary | HDR Composition type |
| 18842-5 | LOINC | Discharge summary | Health Data API document type - see Reports Open |
| 18776-5 | LOINC | Plan of Care Note | Plan of care section |
| 526151000000109 | SNOMED CT | Referral to exercise on referral programme | Example referral code |
| 89574-8 | LOINC | Exercise Vital Sign (EVS) | Physical activity observation |
| Table | Values used | Use |
|---|---|---|
| 0119 Order control | NW, OK, UA, SC, CA, CR | ORC-1 |
| 0038 Order status | IP, CA, CM, A | ORC-5 |
| 0203 Identifier type | PLAC, NH, MR | Referral ID, NHS Number, MRN |
| 0003 Event type | O19, O51, S12, S13, S15, S26 | MSH-9 trigger events |