Care Coordination and 360 Referrals (Proof of Concept)
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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

: Hospital Discharge Report - Respiratory virtual ward

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/Bundle/VirtualWardDischargeReport> a fhir:Bundle ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "VirtualWardDischargeReport"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr" ;
       fhir:index -1 ;
       fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:Bundle.identifier [
     fhir:Identifier.system [ fhir:value "https://fhir.mft.nhs.uk/Id/document" ] ;
     fhir:Identifier.value [ fhir:value "DOC-77801" ]
  ] ;
  fhir:Bundle.type [ fhir:value "document"] ;
  fhir:Bundle.timestamp [ fhir:value "2026-10-13T12:00:00+01:00"^^xsd:dateTime] ;
  fhir:Bundle.entry [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0001" ] ;
     fhir:Bundle.entry.resource <urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0001>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002" ] ;
     fhir:Bundle.entry.resource <urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002>
  ], [
     fhir:index -1 ;
     fhir:Bundle.entry.fullUrl [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003" ] ;
     fhir:Bundle.entry.resource <urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003>
  ] .

<urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0001> a fhir:Composition ;
  fhir:Resource.id [ fhir:value "VirtualWardDischargeComposition"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr" ;
       fhir:index -1 ;
       fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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 --&gt; 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>"
  ] ;
  fhir:Composition.identifier [
     fhir:Identifier.system [ fhir:value "https://fhir.mft.nhs.uk/Id/document" ] ;
     fhir:Identifier.value [ fhir:value "DOC-77801" ]
  ] ;
  fhir:Composition.status [ fhir:value "final"] ;
  fhir:Composition.type [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a loinc:34105-7 ;
       fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
       fhir:Coding.code [ fhir:value "34105-7" ] ;
       fhir:Coding.display [ fhir:value "Hospital Discharge Summary" ]
     ]
  ] ;
  fhir:Composition.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002" ]
  ] ;
  fhir:Composition.encounter [
     fhir:Reference.reference [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003" ]
  ] ;
  fhir:Composition.date [ fhir:value "2026-10-13T12:00:00+01:00"^^xsd:dateTime] ;
  fhir:Composition.author [
     fhir:index -1 ;
     fhir:Reference.display [ fhir:value "Respiratory Virtual Ward, Manchester University NHS Foundation Trust" ]
  ] ;
  fhir:Composition.title [ fhir:value "Virtual ward discharge report"] ;
  fhir:Composition.section [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Hospital course" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:8648-8 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "8648-8" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.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>"
     ]
  ], [
     fhir:index -1 ;
     fhir:Composition.section.title [ fhir:value "Plan of care" ] ;
     fhir:Composition.section.code [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         a loinc:18776-5 ;
         fhir:Coding.system [ fhir:value "http://loinc.org" ] ;
         fhir:Coding.code [ fhir:value "18776-5" ]
       ]
     ] ;
     fhir:Composition.section.text [
       fhir:Narrative.status [ fhir:value "generated" ] ;
       fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\">GP review in 2 weeks. Refer to pulmonary rehabilitation.</div>"
     ]
  ] .

<urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002> a fhir:Patient ;
  fhir:Resource.id [ fhir:value "PatientManchesterInline"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:Patient.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "NH" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
     fhir:Identifier.value [ fhir:value "9737383192" ]
  ] ;
  fhir:Patient.name [
     fhir:index -1 ;
     fhir:HumanName.family [ fhir:value "MANCHESTER" ] ;
     fhir:HumanName.given [
       fhir:value "Sansa" ;
       fhir:index -1
     ]
  ] ;
  fhir:Patient.gender [ fhir:value "female"] ;
  fhir:Patient.birthDate [ fhir:value "1972-09-21"^^xsd:date] ;
  fhir:Patient.address [
     fhir:index -1 ;
     fhir:Address.postalCode [ fhir:value "M13 9PL" ]
  ] .

<urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003> a fhir:Encounter ;
  fhir:Resource.id [ fhir:value "VirtualWardStayInline"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr" ;
       fhir:index -1 ;
       fhir:link <http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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 --&gt; 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>"
  ] ;
  fhir:Encounter.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "AN" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.mft.nhs.uk/Id/spell" ] ;
     fhir:Identifier.value [ fhir:value "VW-20261006-01" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "R0A" ]
       ]
     ]
  ] ;
  fhir:Encounter.status [ fhir:value "finished"] ;
  fhir:Encounter.class [
     fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ] ;
     fhir:Coding.code [ fhir:value "IMP" ]
  ] ;
  fhir:Encounter.serviceType [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:418112009 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "418112009" ] ;
       fhir:Coding.display [ fhir:value "Pulmonary medicine" ]
     ]
  ] ;
  fhir:Encounter.subject [
     fhir:Reference.reference [ fhir:value "urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002" ]
  ] ;
  fhir:Encounter.basedOn [
     fhir:index -1 ;
     fhir:Reference.identifier [
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
           fhir:Coding.code [ fhir:value "PLAC" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "https://fhir.example-practice.nhs.uk/Id/referral" ] ;
       fhir:Identifier.value [ fhir:value "REF-2026-000456" ]
     ]
  ] ;
  fhir:Encounter.period [
     fhir:Period.start [ fhir:value "2026-10-06T11:00:00+01:00"^^xsd:dateTime ] ;
     fhir:Period.end [ fhir:value "2026-10-13T10:00:00+01:00"^^xsd:dateTime ]
  ] ;
  fhir:Encounter.hospitalization [
     fhir:Encounter.hospitalization.admitSource [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route" ] ;
         fhir:Coding.code [ fhir:value "step-up" ] ;
         fhir:Coding.display [ fhir:value "Step-up" ]
       ]
     ]
  ] ;
  fhir:Encounter.location [
     fhir:index -1 ;
     fhir:Encounter.location.location [
       fhir:Reference.display [ fhir:value "Patient's home" ]
     ]
  ] ;
  fhir:Encounter.serviceProvider [
     fhir:Reference.identifier [
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
       fhir:Identifier.value [ fhir:value "R0A" ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/Bundle/VirtualWardDischargeReport.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/Bundle/VirtualWardDischargeReport.ttl> .