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 - virtual ward remote monitoring

Profile: Care Plan

status: Completed

intent: Plan

category: Remote health monitoring care plan

title: Respiratory virtual ward plan

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

encounter: Encounter: extension = Discharged on clinical advice; 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

period: 2026-10-06 --> 2026-10-13

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

activity

Details

-CodeStatusDescription
*Oxygen saturation in Arterial blood by Pulse oximetryCompletedPatient records SpO2 twice daily; escalate to the virtual ward clinician if below 88%.