Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide
0.1.1-current - ci-build
Patient Care Coordination (PCC) Implementation Guide - Local Development build (v0.1.1-current) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: https://fhir.virtually.healthcare/Questionnaire/PatientReferral | Version: 0.1.1-current | |||
| Draft as of 2025-08-14 | Computable Name: | |||
INITIAL VERSION
Based on a combination of eRS and BARS requirements plus selected elements from North West GMSA
This model is influenced by NHS England Booking and Referral Standard and e-Referral Service, it is designed to work with or without both services. As part of the modelling process, both have been mapped to FHIR Form Definitions:
These represent data that needs to be captured for use with these services. This model also includes elements from NHS England Data Dictionary and Model and PRSB.
eReferral relationships
| LinkID | Text | Cardinality | Type | Flags | Description & Constraints |
|---|---|---|---|---|---|
  | INITIAL VERSION Based on a combination of eRS and BARS requirements plus selected elements from North West GMSA | Questionnaire | https://fhir.virtually.healthcare/Questionnaire/PatientReferral#0.1.1-current | ||
  Patient | Patient | 0..1 | group | Definition: Patient | |
  LN/45394-4 | Patient surname | 1..1 | string | Definition: Patient.name.family | |
| LN/45392-8 | Patient first name | 1..1 | string | Definition: Patient.name.given | |
 LN/21112-8 | Date of birth | 1..1 | date | Definition: Patient.birthDate | |
| LN/56799-0 | Address | 0..1 | group | Definition: Patient.address | |
| HL7/PID-11-1 | Address Line | 0..* | string | Definition: Patient.address.line | |
| HL7/PID-11-3 | City | 0..1 | string | Definition: Patient.address.city | |
 HL7/PID-11- | Postcode | 0..1 | string | Definition: Patient.address.postalCode | |
 LN/46098-0 | Sex registered at birth | 0..1 | choice | Definition: Patient.gender Value Set: https://fhir.virtually.healthcare/ValueSet/administrative-gender | |
| LN/89061-6 | NHS Number | 0..1 | string | Definition: Patient.identifier:nhsNumber | |
| LN/76435-7 | Hospital (EMIS/TPP) Number | 1..1 | string | Definition: Patient.identifier:MedicalRecordNumber | |
| LN/42077-8 | Phone | 0..1 | string | Definition: Patient.telecom | |
| LN/76458-9 | 0..1 | string | Definition: Patient.telecom | ||
| HL7/PD1-3 | GP Surgery (ODS Code) | 0..1 | choice | Definition: Patient.generalPractitioner | |
| Episode/Patient Journey Id | Patient | 0..1 | group | Definition: Encounter | |
| LN/56797-4 | Stay/Problem Number | 0..1 | string | Definition: Encounter.identifier.value | |
| HL7/PV1-44 | Start Date | 0..1 | date | Definition: Encounter.period.start | |
| HL7/ORC-12 | Healthcare Professional | 0..1 | group | Definition: PractitionerRole | |
| LN/18705-4 | Referring Clinician Name | 1..1 | string | Definition: PractitionerRole.practitioner.display | |
| LN/18707-0 | Referring Clinician Current Speciality | 1..1 | choice | Definition: PractitionerRole.specialty.coding.code Value Set: UK Core Practice Setting Code | |
| LN/46608-6 | Referring Clinician Professional Identifier | 1..1 | string | Definition: PractitionerRole.practitioner.identifier.value | |
| LN/89058-2 | 0..1 | string | Definition: PractitionerRole.telecom.value | ||
| LN/81230-5 | Phone | 0..1 | string | Definition: PractitionerRole.telecom.value | |
| HL7/ORC-21 | Referring Organisation ODS Code | 0..1 | string | Definition: PractitionerRole.organization.identifier.value | |
| HL7/OBR/ORC | Referral Details | 0..1 | group | Definition: ServiceRequest | |
| LN/106194-4 | Test request ID/Order ID | 0..1 | string |  | Definition: ServiceRequest.identifier:PatientPathwayIdentifier |
| HL7/OBR-4 | Referral code | 1..1 | choice | Definition: ServiceRequest.code:BARSReferralCode | |
| HL7/DG1 | Specific disease suspected/reason for testing | 0..* | choice | Definition: ServiceRequest.reasonCode Value Set: VH Condition Code | |
| eRS/ReferralPathwayStart | Referral Pathway Start | 0..1 | date | Definition: ServiceRequest.authoredOn | |
 BARS/TriageAssessment | Triage Assessment | 0..1 | text | Definition: ServiceRequest.note | |
| AsAtOrderEntry | Ask At Order Entry | 0..1 | group | Definition: | |
 LN/19826-7 | Has consent has been obtained for tests (Y/N) | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
| eRS/AgeandGenderAppropriate | Age and Gender Appropriate | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
 eRS/MaximumWaitTimeForAppointment | Maximum wait time for appointment | 0..1 | quantity | Definition: Observation.valueQuantity Initial Value: Coding = UCUM#d "d" | |
| eRS/IntentionToAddReferralLetter | Intention to add referral letter | 0..1 | choice | Definition: Observation.valueCodeableConcept Options: 2 options | |
| eRS/FirstPatientReminderLetterFollowUp | First Patient Reminder Letter Follow Up | 0..1 | quantity | Definition: Observation.valueQuantity Initial Value: Coding = UCUM#d "d" | |
| Documentation for this format | |||||
Options Sets
Answer options for LN/19826-7
Answer options for eRS/AgeandGenderAppropriate
Answer options for eRS/IntentionToAddReferralLetter
eReferral Model
| Name | eReferral HL7 FHIR | BARS | eRS | REF_I12 |
|---|---|---|---|---|
| Originating Referral Identifier | ServiceRequest.identifier[PatientPathwayIdentifier] and [UBRN] | ServiceRequest.identifier[UBRN] | RF1-6 and RF1-11 | |
| Authored On | ServiceRequest.authoredOn | RF1-7 | ||
| Service Code | ServiceRequest.code | Task.code | RF1-3 (or OBR-4?) | |
| Priority | ServiceRequest.priority | RF1-2 | ||
| Patient Identifier | ServiceRequest.subject.identifier[NHSNumber] and/or ServiceRequest.subject.reference | ServiceRequest.subject.reference | ServiceRequest.subject.identifier[NHSNumber] | PID-3 |
| Stay/Episode Number | ServiceRequest.encounter.identifier (PV1-19) | n/a - reference to clinical encounter required | n/a | PV1-19 |
| Requester | ServiceRequest.requester (PractitionerRole) | ServiceRequest.requester | ServiceRequest.requester (PractitionerRole) | PV1 |
| Performer (Service Id) | ServiceRequest.performer.identifier (HealthcareService) | ServiceRequest.performer.reference (HealthcareService) \n Directory of Service Id | Relates to Service Search and eRS Service Id | |
| Performer Type | ServiceRequest.performerType | n/a | ServiceRequest.performerType (eRS Specialty) | |
| Occurrence Period | ServiceRequest.occurrencePeriod | ServiceRequest.occurrencePeriod | n/a | RF1-8 |
| Referral Letter | ServiceRequest.supportingInfo[ReferralLetter] - pointer to DocumentReference | n/a | ServiceRequest.supportingInfo | OBX (type = ED) |
| Patient Summary | ServiceRequest.supportingInfo (automatically generate if required) | n/a | ServiceRequest.supportingInfo | OBX (type = ED) |
| Consent | ServiceRequest.supportingInfo | Consent | ||
| ReasonCode | ServiceRequest.reasonCode (Condition or SNOMED CT Condition code) | CarePlan.addresses (Condition) | n/a | RF1-10 |
| Notes | ServiceRequest.note | CarePlan.activity and Task.description | n/a | NTE |