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
{
"resourceType" : "CarePlan",
"id" : "VirtualWardPlan",
"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 VirtualWardPlan</b></p><a name=\"VirtualWardPlan\"> </a><a name=\"hcVirtualWardPlan\"> </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>: Completed</p><p><b>intent</b>: Plan</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 960751000000107}\">Remote health monitoring care plan</span></p><p><b>title</b>: Respiratory virtual ward plan</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>encounter</b>: <a href=\"Encounter-VirtualWardStay.html\">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</a></p><p><b>period</b>: 2026-10-06 --> 2026-10-13</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><blockquote><p><b>activity</b></p><h3>Details</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Status</b></td><td><b>Description</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://loinc.org 59408-5}\">Oxygen saturation in Arterial blood by Pulse oximetry</span></td><td>Completed</td><td>Patient records SpO2 twice daily; escalate to the virtual ward clinician if below 88%.</td></tr></table></blockquote></div>"
},
"status" : "completed",
"intent" : "plan",
"category" : [
{
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "960751000000107",
"display" : "Remote health monitoring care plan"
}
]
}
],
"title" : "Respiratory virtual ward plan",
"subject" : {
🔗 "reference" : "Patient/Patient-Manchester"
},
"encounter" : {
🔗 "reference" : "Encounter/VirtualWardStay"
},
"period" : {
"start" : "2026-10-06",
"end" : "2026-10-13"
},
"author" : {
🔗 "reference" : "Organization/R0A"
},
"addresses" : [
{
🔗 "reference" : "Condition/ConditionCOPDExacerbation"
}
],
"activity" : [
{
"detail" : {
"code" : {
"coding" : [
{
"system" : "http://loinc.org",
"code" : "59408-5",
"display" : "Oxygen saturation in Arterial blood by Pulse oximetry"
}
]
},
"status" : "completed",
"description" : "Patient records SpO2 twice daily; escalate to the virtual ward clinician if below 88%."
}
}
]
}