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

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

Raw json | Download

{
  "resourceType" : "CarePlan",
  "id" : "CommunitySupportPlan",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientCarePlan"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: CarePlan CommunitySupportPlan</b></p><a name=\"CommunitySupportPlan\"> </a><a name=\"hcCommunitySupportPlan\"> </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-PatientCarePlan.html\">Care Plan</a></p></div><p><b>status</b>: Active</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:\">Community care and support plan</span></p><p><b>title</b>: Care and support after the virtual ward</p><p><b>subject</b>: <a href=\"Patient-Patient-Manchester.html\">Sansa MANCHESTER  Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)</a></p><p><b>period</b>: 2026-10-13 --&gt; (ongoing)</p><p><b>author</b>: <a href=\"Organization-R0A.html\">Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>addresses</b>: <a href=\"Condition-ConditionCOPDExacerbation.html\">Condition Acute exacerbation of chronic obstructive airways disease</a></p><p><b>supportingInfo</b>: <a href=\"QuestionnaireResponse-CareAssessmentResponse.html\">Response to Questionnaire '-&gt;Care Assessment' about '-&gt;Sansa MANCHESTER  Female, DoB: 1972-09-21 ( National Health Plan Identifier: NHS Number#9737383192)'</a></p><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Scheduled</td><td>Home care: help with washing and dressing each morning for 2 weeks (local authority reablement).</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Not Started</td><td>Referral to pulmonary rehabilitation.</td></tr></table></blockquote><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td>Scheduled</td><td>GP review in 2 weeks, including inhaler technique.</td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "intent" : "plan",
  "category" : [
    {
      "text" : "Community care and support plan"
    }
  ],
  "title" : "Care and support after the virtual ward",
  "subject" : {
    🔗 "reference" : "Patient/Patient-Manchester"
  },
  "period" : {
    "start" : "2026-10-13"
  },
  "author" : {
    🔗 "reference" : "Organization/R0A"
  },
  "addresses" : [
    {
      🔗 "reference" : "Condition/ConditionCOPDExacerbation"
    }
  ],
  "supportingInfo" : [
    {
      🔗 "reference" : "QuestionnaireResponse/CareAssessmentResponse"
    }
  ],
  "activity" : [
    {
      "detail" : {
        "status" : "scheduled",
        "description" : "Home care: help with washing and dressing each morning for 2 weeks (local authority reablement)."
      }
    },
    {
      "detail" : {
        "status" : "not-started",
        "description" : "Referral to pulmonary rehabilitation."
      }
    },
    {
      "detail" : {
        "status" : "scheduled",
        "description" : "GP review in 2 weeks, including inhaler technique."
      }
    }
  ]
}