Care Coordination and 360 Referrals (Proof of Concept)
0.1.0 - proof-of-concept United Kingdom flag

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

Example CarePlan: Care Plan - community care and support (from the care assessment)

Profile: Care Plan

status: Active

intent: Plan

category: Community care and support plan

title: Care and support after the virtual ward

subject: Sansa MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)

period: 2026-10-13 --> (ongoing)

author: Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)

addresses: Condition Acute exacerbation of chronic obstructive airways disease

supportingInfo: Response to Questionnaire '->Care Assessment' about '->Sansa MANCHESTER Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)'

activity

Details

-StatusDescription
*ScheduledHome care: help with washing and dressing each morning for 2 weeks (local authority reablement).

activity

Details

-StatusDescription
*Not StartedReferral to pulmonary rehabilitation.

activity

Details

-StatusDescription
*ScheduledGP review in 2 weeks, including inhaler technique.