Care Coordination and 360 Referrals (Proof of Concept)
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: Hospital Discharge Report - Respiratory virtual ward

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<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"/>
        </meta>
        <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 --&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>
        </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"/>
          </coding>
        </type>
        <subject>
          <reference value="urn:uuid:5c1b1f5e-2d0a-4c41-9a7e-2a0a7c1d0002"/>
        </subject>
        <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 --&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>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="AN"/>
            </coding>
          </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>