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
<Bundle xmlns="http://hl7.org/fhir">
<id value="VirtualWardDischargeReport"/>
<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/bundle-eu-hdr"/>
</meta>
<language value="en"/>
<identifier>
<system value="https://fhir.mft.nhs.uk/Id/document"/>
<value value="DOC-77801"/>
</identifier>
<type value="document"/>
<timestamp value="2026-10-13T12:00:00+01:00"/>
<entry>
<fullUrl value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0001"/>
<resource>
<Composition>
<id value="VirtualWardDischargeComposition"/>
<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/composition-eu-hdr"/>
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<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<system value="https://fhir.mft.nhs.uk/Id/document"/>
<value value="DOC-77801"/>
</identifier>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="34105-7"/>
<display value="Hospital Discharge Summary"/>
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<subject>
<reference value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"/>
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<encounter>
<reference value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003"/>
</encounter>
<date value="2026-10-13T12:00:00+01:00"/>
<author>
<display
value="Respiratory Virtual Ward, Manchester University NHS Foundation Trust"/>
</author>
<title value="Virtual ward discharge report"/>
<section>
<title value="Hospital course"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="8648-8"/>
</coding>
</code>
<text>
<status value="generated"/>
<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>
</text>
</section>
<section>
<title value="Plan of care"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="18776-5"/>
</coding>
</code>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">GP review in 2 weeks. Refer to pulmonary rehabilitation.</div>
</text>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"/>
<resource>
<Patient>
<id value="PatientManchesterInline"/>
<meta>
<profile
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/Patient"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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>
</text>
<identifier>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="NH"/>
</coding>
</type>
<system value="https://fhir.nhs.uk/Id/nhs-number"/>
<value value="9737383192"/>
</identifier>
<name>
<family value="MANCHESTER"/>
<given value="Sansa"/>
</name>
<gender value="female"/>
<birthDate value="1972-09-21"/>
<address>
<postalCode value="M13 9PL"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0003"/>
<resource>
<Encounter>
<id value="VirtualWardStayInline"/>
<meta>
<profile
value="http://hl7.eu/fhir/hdr/StructureDefinition/encounter-eu-hdr"/>
</meta>
<language value="en"/>
<text>
<status value="generated"/>
<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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<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="AN"/>
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</type>
<system value="https://fhir.mft.nhs.uk/Id/spell"/>
<value value="VW-20261006-01"/>
<assigner>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</assigner>
</identifier>
<status value="finished"/>
<class>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
</class>
<serviceType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="418112009"/>
<display value="Pulmonary medicine"/>
</coding>
</serviceType>
<subject>
<reference value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"/>
</subject>
<basedOn>
<identifier>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
<code value="PLAC"/>
</coding>
</type>
<system value="https://fhir.example-practice.nhs.uk/Id/referral"/>
<value value="REF-2026-000456"/>
</identifier>
</basedOn>
<period>
<start value="2026-10-06T11:00:00+01:00"/>
<end value="2026-10-13T10:00:00+01:00"/>
</period>
<hospitalization>
<admitSource>
<coding>
<system
value="https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route"/>
<code value="step-up"/>
<display value="Step-up"/>
</coding>
</admitSource>
</hospitalization>
<location>
<location>
<display value="Patient's home"/>
</location>
</location>
<serviceProvider>
<identifier>
<system value="https://fhir.nhs.uk/Id/ods-organization-code"/>
<value value="R0A"/>
</identifier>
</serviceProvider>
</Encounter>
</resource>
</entry>
</Bundle>