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
{
"resourceType" : "Bundle",
"id" : "VirtualWardDischargeReport",
"meta" : {
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🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"
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"identifier" : {
"system" : "https://fhir.mft.nhs.uk/Id/document",
"value" : "DOC-77801"
},
"type" : "document",
"timestamp" : "2026-10-13T12:00:00+01:00",
"entry" : [
{
"fullUrl" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0001",
"resource" : {
"resourceType" : "Composition",
"id" : "VirtualWardDischargeComposition",
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🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"
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"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_VirtualWardDischargeComposition\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Composition VirtualWardDischargeComposition</b></p><a name=\"VirtualWardDischargeComposition\"> </a><a name=\"hcVirtualWardDischargeComposition\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/hdr/1.0.0/StructureDefinition-composition-eu-hdr.html\">Composition (HDR)</a></p></div><p><b>identifier</b>: <code>https://fhir.mft.nhs.uk/Id/document</code>/DOC-77801</p><p><b>status</b>: Final</p><p><b>type</b>: <span title=\"Codes:{http://loinc.org 34105-7}\">Hospital Discharge Summary</span></p><p><b>encounter</b>: <a href=\"Bundle-VirtualWardDischargeReport.html#urn-uuid-5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003\">Encounter: identifier = Account number: VW-20261006-01; status = finished; class = inpatient encounter (ActCode#IMP); serviceType = Pulmonary medicine; period = 2026-10-06 11:00:00+0100 --> 2026-10-13 10:00:00+0100</a></p><p><b>date</b>: 2026-10-13 12:00:00+0100</p><p><b>author</b>: Respiratory Virtual Ward, Manchester University NHS Foundation Trust</p><p><b>title</b>: Virtual ward discharge report</p></div>"
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"status" : "final",
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"subject" : {
"reference" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"
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"encounter" : {
"reference" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003"
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"date" : "2026-10-13T12:00:00+01:00",
"author" : [
{
"display" : "Respiratory Virtual Ward, Manchester University NHS Foundation Trust"
}
],
"title" : "Virtual ward discharge report",
"section" : [
{
"title" : "Hospital course",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "8648-8"
}
]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">Seven days on the respiratory virtual ward with twice-daily SpO2 monitoring. Oral steroids and antibiotics. SpO2 improved to 95% on air. No escalation needed.</div>"
}
},
{
"title" : "Plan of care",
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "18776-5"
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]
},
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">GP review in 2 weeks. Refer to pulmonary rehabilitation.</div>"
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}
]
}
},
{
"fullUrl" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002",
"resource" : {
"resourceType" : "Patient",
"id" : "PatientManchesterInline",
"meta" : {
"profile" : [
🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient"
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},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Patient_PatientManchesterInline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient PatientManchesterInline</b></p><a name=\"PatientManchesterInline\"> </a><a name=\"hcPatientManchesterInline\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient.html\">Patient</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Sansa MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\">M13 9PL </td></tr></table></div>"
},
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"type" : {
"coding" : [
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"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "NH"
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"system" : "https://fhir.nhs.uk/Id/nhs-number",
"value" : "9737383192"
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"name" : [
{
"family" : "MANCHESTER",
"given" : [
"Sansa"
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"gender" : "female",
"birthDate" : "1972-09-21",
"address" : [
{
"postalCode" : "M13 9PL"
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]
}
},
{
"fullUrl" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003",
"resource" : {
"resourceType" : "Encounter",
"id" : "VirtualWardStayInline",
"meta" : {
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🔗 "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"
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},
"language" : "en",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_VirtualWardStayInline\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter VirtualWardStayInline</b></p><a name=\"VirtualWardStayInline\"> </a><a name=\"hcVirtualWardStayInline\"> </a><div style=\"display: inline-block; background-color: #fbffeb; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.eu/fhir/hdr/1.0.0/StructureDefinition-encounter-eu-hdr.html\">Encounter (HDR)</a></p></div><p><b>identifier</b>: Account number/VW-20261006-01</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 418112009}\">Pulmonary medicine</span></p><p><b>subject</b>: <a href=\"Bundle-VirtualWardDischargeReport.html#urn-uuid-5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002\">Sansa MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)</a></p><p><b>basedOn</b>: Identifier: Placer Identifier/REF-2026-000456</p><p><b>period</b>: 2026-10-06 11:00:00+0100 --> 2026-10-13 10:00:00+0100</p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route step-up}\">Step-up</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td>Patient's home</td></tr></table><p><b>serviceProvider</b>: Identifier: <a href=\"NamingSystem-ods-organization-code-namingsystem.html\" title=\"The identifier system for an Organisation registered with the Organisation Data Service (ODS).\">ODS Organisation Code</a>/R0A</p></div>"
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"code" : "AN"
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"system" : "https://fhir.mft.nhs.uk/Id/spell",
"value" : "VW-20261006-01",
"assigner" : {
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"value" : "R0A"
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}
}
],
"status" : "finished",
"class" : {
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "IMP"
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"serviceType" : {
"coding" : [
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"system" : "http://snomed.info/sct",
"code" : "418112009",
"display" : "Pulmonary medicine"
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]
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"subject" : {
"reference" : "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"
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"basedOn" : [
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"identifier" : {
"type" : {
"coding" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
"code" : "PLAC"
}
]
},
"system" : "https://fhir.example-practice.nhs.uk/Id/referral",
"value" : "REF-2026-000456"
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}
],
"period" : {
"start" : "2026-10-06T11:00:00+01:00",
"end" : "2026-10-13T10:00:00+01:00"
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"hospitalization" : {
"admitSource" : {
"coding" : [
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"system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route",
"code" : "step-up",
"display" : "Step-up"
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"location" : [
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"location" : {
"display" : "Patient's home"
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"serviceProvider" : {
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"value" : "R0A"
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