<status value="active" /> <date value="2026-07-07" /> <publisher value="HL7 UK" /> <contact> <name value="HL7 UK" /> <telecom> <system value="email" /> <value value="ukcore@hl7.org.uk" /> <use value="work" /> <rank value="1" /> </telecom> </contact> <description value="A set of codes that describe the source of the service request. Selected from the Referred by person and Self-referral hierarchies of the SNOMED CT UK coding system: - descendantOf 309013001 | Referred by person | - descendantOf 307834000 | Referral by person |" /> <copyright value="Copyright © 2021+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); you may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0 Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an "AS IS" BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7 The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." /> <compose> <include> <system value="http://snomed.info/sct" /> <filter> <property value="constraint" /> <op value="=" /> <value value="descendantOf 309013001 OR descendantOf 307834000" /> </filter> </include> </compose> <expansion> <identifier value="urn:uuid:b04808bf-5b3a-4ec2-8b79-2ea27a700a49" /> <timestamp value="2026-07-07T10:49:02+00:00" /> <total value="262" /> <parameter> <name value="used-codesystem" /> <valueUri value="http://snomed.info/sct|http://snomed.info/sct/83821000000107/version/20260603" /> </parameter> <parameter> <name value="version" /> <valueUri value="http://snomed.info/sct|http://snomed.info/sct/83821000000107/version/20260603" /> </parameter> <contains> <system value="http://snomed.info/sct" /> <code value="183701009" /> <display value="Dermatology self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183697006" /> <display value="ENT self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183688007" /> <display value="General medical self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183689004" /> <display value="General surgical self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183691007" /> <display value="Geriatric self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183693005" /> <display value="Gynaecological self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183705000" /> <display value="Haematology self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183702002" /> <display value="Neurology self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183695003" /> <display value="Obstetric self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183699009" /> <display value="Ophthalmology self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183696002" /> <display value="Orthopaedic self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183692000" /> <display value="Paediatric self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="760081000000107" /> <display value="Physiotherapy self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183706004" /> <display value="Plastic surgery self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183690008" /> <display value="Psychiatric self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183704001" /> <display value="Radiotherapy self-referral" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305925007" /> <display value="Referral by Accident and Emergency doctor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305941008" /> <display value="Referral by adult intensive care specialist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306722007" /> <display value="Referral by agency nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305926008" /> <display value="Referral by anaesthetist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="92281000000102" /> <display value="Referral by approved social worker" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306059003" /> <display value="Referral by art therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306057001" /> <display value="Referral by arts therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="449191000000102" /> <display value="Referral by assistant general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="449221000000109" /> <display value="Referral by associate general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305914003" /> <display value="Referral by audiological physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305913009" /> <display value="Referral by audiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306064004" /> <display value="Referral by audiology technician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305919008" /> <display value="Referral by bereavement counsellor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305950005" /> <display value="Referral by blood transfusion doctor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306028000" /> <display value="Referral by breast care nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305999009" /> <display value="Referral by breast surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306029008" /> <display value="Referral by cardiac rehabilitation nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306002003" /> <display value="Referral by cardiac surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305958003" /> <display value="Referral by cardiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306000006" /> <display value="Referral by cardiothoracic surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305976005" /> <display value="Referral by care of the elderly physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306099000" /> <display value="Referral by carer" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305951009" /> <display value="Referral by chemical pathologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305959006" /> <display value="Referral by chest physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305986006" /> <display value="Referral by child and adolescent psychiatrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305957008" /> <display value="Referral by clinical allergist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305973002" /> <display value="Referral by clinical cytogeneticist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305972007" /> <display value="Referral by clinical geneticist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="307061004" /> <display value="Referral by clinical haematologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305962009" /> <display value="Referral by clinical immunologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305974008" /> <display value="Referral by clinical molecular geneticist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305963004" /> <display value="Referral by clinical neurophysiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306027005" /> <display value="Referral by clinical nurse specialist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305927004" /> <display value="Referral by clinical oncologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305964005" /> <display value="Referral by clinical pharmacologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305965006" /> <display value="Referral by clinical physiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="407701000000106" /> <display value="Referral by co-operative general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306012005" /> <display value="Referral by colorectal surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305915002" /> <display value="Referral by community doctor in audiology" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="86451000000109" /> <display value="Referral by community mental health nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305944000" /> <display value="Referral by community paediatrician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="242211000000109" /> <display value="Referral by community pharmacist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306046006" /> <display value="Referral by community psychiatric nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306069009" /> <display value="Referral by community-based dietitian" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306053002" /> <display value="Referral by community-based midwife" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306045005" /> <display value="Referral by community-based nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306072002" /> <display value="Referral by community-based occupational therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306080009" /> <display value="Referral by community-based physiotherapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306066002" /> <display value="Referral by community-based podiatrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306087007" /> <display value="Referral by community-based speech and language therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306047002" /> <display value="Referral by company nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305923000" /> <display value="Referral by complementary therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="397671002" /> <display value="Referral by consultant" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="397654003" /> <display value="Referral by consultant - domiciliary visit" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306030003" /> <display value="Referral by contact tracing nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306031004" /> <display value="Referral by continence nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305918000" /> <display value="Referral by counsellor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306060008" /> <display value="Referral by dance therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306003008" /> <display value="Referral by dental surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="437191000000106" /> <display value="Referral by deputising general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305966007" /> <display value="Referral by dermatologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306032006" /> <display value="Referral by diabetic liaison nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306085004" /> <display value="Referral by diagnostic radiographer" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306068001" /> <display value="Referral by dietitian" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306048007" /> <display value="Referralby district nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306061007" /> <display value="Referral by drama therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306007009" /> <display value="Referral by ear, nose and throat surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="242181000000108" /> <display value="Referral by emergency care practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306008004" /> <display value="Referral by endocrine surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305967003" /> <display value="Referral by endocrinologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305930006" /> <display value="Referralby family planning doctor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305987002" /> <display value="Referral by forensic psychiatrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305968008" /> <display value="Referral by gastroenterologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306009007" /> <display value="Referralby gastrointestinal surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="397603003" /> <display value="Referral by general dental practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306734004" /> <display value="Referral by general dental surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306010002" /> <display value="Referral by general gastrointestinal surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305952002" /> <display value="Referral by general pathologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305970004" /> <display value="Referral by general physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="395611000000102" /> <display value="Referral by general practitioner registrar" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306013000" /> <display value="Referral by general surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305920002" /> <display value="Referral by genetic counsellor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305971000" /> <display value="Referral by geneticist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305975009" /> <display value="Referral by genitourinary medicine physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306033001" /> <display value="Referral by genitourinary nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305931005" /> <display value="Referral by GP" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305994004" /> <display value="Referral by gynaecologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305953007" /> <display value="Referral by haematologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306014006" /> <display value="Referral by hand surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="1052761000000106" /> <display value="Referral by health visitor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305912004" /> <display value="Referral by health worker" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305916001" /> <display value="Referral by hearing therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306015007" /> <display value="Referral by hepatobiliary surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306054008" /> <display value="Referral by hospital midwife" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306070005" /> <display value="Referral by hospital-based dietitian" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306074001" /> <display value="Referral by hospital-based occupational therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306081008" /> <display value="Referral by hospital-based physiotherapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306067006" /> <display value="Referral by hospital-based podiatrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306088002" /> <display value="Referral by hospital-based speech and language therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305977001" /> <display value="Referral by infectious diseases physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305940009" /> <display value="Referral by intensive care specialist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306723002" /> <display value="Referral by liaison nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305988007" /> <display value="Referral by liaison psychiatrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306094005" /> <display value="Referral by lip/speech-reading teacher" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="461401000000107" /> <display value="Referral by locum general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306036009" /> <display value="Referral by lymphoedema care nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306034007" /> <display value="Referral by Macmillan nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306035008" /> <display value="Referral by Marie Curie nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305921003" /> <display value="Referral by marriage guidance counsellor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305954001" /> <display value="Referral by medical microbiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="310514000" /> <display value="Referral by medical oncologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305922005" /> <display value="Referral by mental health counsellor" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306052007" /> <display value="Referral by midwife" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306062000" /> <display value="Referral by music therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305945004" /> <display value="Referral by neonatologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305978006" /> <display value="Referral by nephrologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305979003" /> <display value="Referral by neurologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305955000" /> <display value="Referral by neuropathologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306016008" /> <display value="Referral by neurosurgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="92271000000104" /> <display value="Referral by non-health worker" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305980000" /> <display value="Referral by nuclear medicine physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="183917008" /> <display value="Referral by nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306037000" /> <display value="Referral by nurse behavioural therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306724008" /> <display value="Referral by nurse practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306038005" /> <display value="Referral bynurse psychotherapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305995003" /> <display value="Referral by obstetrician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305993005" /> <display value="Referral by obstetrician and gynaecologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305996002" /> <display value="Referral by occupational health physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306071009" /> <display value="Referral by occupational therapist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306042008" /> <display value="Referral by oncology nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306017004" /> <display value="Referral by ophthalmologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="387624005" /> <display value="Referral by optician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="387625006" /> <display value="Referral by optometrist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306018009" /> <display value="Referral by oral surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306004002" /> <display value="Referral by orthodontist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306019001" /> <display value="Referral by orthopaedic surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306076004" /> <display value="Referral by orthoptist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306077008" /> <display value="Referral by orthotist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="429709006" /> <display value="Referral by osteopath" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="763351000000109" /> <display value="Referral by out of hours general practitioner" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306725009" /> <display value="Referral by outreach nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305932003" /> <display value="Referral by own GP" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305917005" /> <display value="Referral by paediatric audiologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306005001" /> <display value="Referral by paediatric dentist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305942001" /> <display value="Referral by paediatric intensive care specialist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305946003" /> <display value="Referral by paediatric neurologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306040000" /> <display value="Referral by paediatric nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305947007" /> <display value="Referral by paediatric oncologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306020007" /> <display value="Referral by paediatric surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305943006" /> <display value="Referral by paediatrician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306039002" /> <display value="Referral by pain management nurse" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305948002" /> <display value="Referral by pain management specialist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305981001" /> <display value="Referral by palliative care physician" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306021006" /> <display value="Referral by pancreatic surgeon" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305933008" /> <display value="Referral by partner of GP" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="305949005" /> <display value="Referral by pathologist" /> </contains> <contains> <system value="http://snomed.info/sct" /> <code value="306089005" /> <display value="Referral by pharmacist" /> </contains> <contains> <system 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