Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

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

Table of Contents

0 Table of Contents
1 Home
2 Clinical Process
3 Closed Loop Referral (360X)
4 Referral Forms
5 Referral Outcome Reports
6 EU Health Data API
7 Virtual Wards (Hospital at Home)
8 Dynamic Care Planning (DCP)
9 Care Services Directory (mCSD)
10 Patient Identity (PDQm)
11 Patient Flags
12 Exchange Options
13 Query Existing Data [PCC-44]
14 Document Sharing [MHD]
15 Audit [BALP]
16 Find Matching Care Services [ITI-90]
17 Patient Demographics Query [ITI-78] and Match [ITI-119]
18 Referral Request [PCC-55]
19 Patient Referral [I12]
20 Referral Decline [PCC-56]
21 Referral Outcome [PCC-57]
22 Referral Cancellation [PCC-58]
23 Interim Consultation Note [PCC-59]
24 Appointment Notification [PCC-60] and No-Show Notification [PCC-61]
25 Overview Model
26 Clinical Referral Domain Model
27 Composition, Archetypes and Templates
28 FDP Canonical Data Model Mapping
29 Patient Administration (Core NHS Resources)
30 PRSB Standards
31 Terminology
32 Order and Report Workflow Pattern
33 NHS England Referral and Report Services
34 Booking and Referral Standard (BaRS)
35 NHS England Diagnostic Order Services
36 Artifacts Summary
36.1 Message Definition - Referral Order (O19)
36.2 Message Definition - Referral Order Status (O51)
36.3 Care Plan and Execution
36.4 Clinical Referral
36.5 Discharge Report
36.6 Patient Summary
36.7 Questionnaire - Care Assessment
36.8 Questionnaire - Exercise on referral: referrer's form
36.9 Questionnaire - Physical activity readiness (PAR-Q+ structure, illustrative)
36.10 Questionnaire - Social Context
36.11 Questionnaire - Vital Signs
36.12 Bundle - FHIR Messaging
36.13 Care Plan
36.14 Document Message (MessageHeader)
36.15 Encounter
36.16 Episode Of Care
36.17 HealthcareService
36.18 Hospital Spell
36.19 Location
36.20 Observation
36.21 Organization
36.22 Patient
36.23 Practitioner
36.24 PractitionerRole
36.25 Referral Appointment
36.26 Referral Request
36.27 Referral Task
36.28 RelatedPerson
36.29 Schedule
36.30 Slot
36.31 Visit
36.32 Attachment
36.33 Correlation Identifier
36.34 Hospital Provider Spell Identifier
36.35 Medical Record Number
36.36 NHS Identifier
36.37 Order Identifier
36.38 Organisation Code
36.39 Organisation Site Identifier
36.40 Patient Identifier
36.41 Practitioner Identifier
36.42 Referral Identifier
36.43 Report Identifier
36.44 Unique Booking Reference Number (UBRN)
36.45 Visit Number
36.46 Discharge Method
36.47 Admission Source
36.48 Discharge Destination
36.49 Discharge Method Value Set
36.50 DocumentEntry mimeType
36.51 NW IdentifierType
36.52 Practitioner Identifiers
36.53 Referral Category
36.54 Referral Document Type
36.55 Referral Service Type
36.56 Referral Status Reason Value Set
36.57 Referral Task Parameter Value Set
36.58 Referral Workflow Status Value Set
36.59 Specialty
36.60 UK National Health Identifiers
36.61 Virtual Ward Admission Route Value Set
36.62 Referral Status Reason
36.63 Referral Task Parameter
36.64 Referral Workflow Status
36.65 UK National Health Identifier Systems
36.66 UK Professional License
36.67 Virtual Ward Admission Route
36.68 GMC Number
36.69 GMP Number
36.70 NHS Number
36.71 ODS Organisation Code
36.72 ODS Organisation Site Code
36.73 Bundle Message - Referral Order (O19), GP to cardiology
36.74 Bundle Message - Referral Order Status (O51), accepted
36.75 Bundle Message - Referral Order Status (O51), declined
36.76 Bundle Message - Referral Order Status (O51), declined after acceptance
36.77 Bundle Message - Referral Order Status (O51), referral outcome
36.78 Care Assessment - completed before virtual ward discharge
36.79 Care Plan - community care and support (from the care assessment)
36.80 Care Plan - virtual ward remote monitoring
36.81 Clinic Letter - Interim (cardiology clinic)
36.82 Condition - Acute exacerbation of COPD
36.83 Condition - Shortness of breath
36.84 EpisodeOfCare - Exercise on referral programme
36.85 HealthcareService - Exercise on Referral Programme
36.86 HealthcareService - MFT General Cardiology Outpatients
36.87 HealthcareService - MFT Respiratory Virtual Ward
36.88 Hospital Discharge Report - Referral Outcome (final)
36.89 Hospital Discharge Report - Respiratory virtual ward
36.90 Hospital Spell - Day case admission for cardiac catheterisation
36.91 Hospital Spell - Respiratory virtual ward (step-up)
36.92 Location - Cardiac day unit
36.93 Location - Cardiology outpatient clinic
36.94 Location - Hospital site
36.95 Location - Patient's home
36.96 Observation - Blood pressure (from the referral form)
36.97 Observation - Exercise Vital Sign (baseline)
36.98 Observation - SpO2 (remote monitoring)
36.99 Organization - ANCOATS URBAN VILLAGE MEDICAL PRACTICE (P84673)
36.100 Organization - Example Leisure Trust
36.101 Organization - HT PRACTICE (P89020)
36.102 Organization - Manchester University NHS Foundation Trust
36.103 Parameters Expansion Profile
36.104 Patient - Hodor TAMESIDE NHS Number: 9737383397
36.105 Patient - Sansa MANCHESTER NHS Number: 9737383192
36.106 Practitioner - Dr Allen (GP)
36.107 Practitioner - Dr Brown (Cardiologist)
36.108 Practitioner - Dr Khan (GP)
36.109 PractitionerRole - Dr Allen at HT PRACTICE
36.110 PractitionerRole - Dr Brown, Cardiology, MFT
36.111 PractitionerRole - Dr Khan at Ancoats Urban Village Medical Practice
36.112 QuestionnaireResponse - Physical activity readiness (completed by the patient)
36.113 QuestionnaireResponse - Referrer's form (completed by the GP)
36.114 Referral Appointment - Cardiology clinic
36.115 Referral Request - GP to Cardiology
36.116 Referral Request - GP to Exercise on Referral Programme
36.117 Referral Request - GP to Respiratory Virtual Ward (step-up)
36.118 Referral Task - Accepted
36.119 Referral Task - Accepted, patient form requested
36.120 Referral Task - Completed
36.121 Referral Task - Declined
36.122 Referral Task - Declined after acceptance (did not attend)
36.123 Referral Task - Form completed, in progress
36.124 Referral Task - Virtual ward accepted
36.125 Referral Task - Virtual ward completed
36.126 Schedule - Dr Brown's cardiology clinic
36.127 Slot - 7 September 2026, 14:00
36.128 Visit - Cardiac day unit stay (part of the spell)
36.129 Visit - Cardiology outpatient attendance