Care Coordination and 360 Referrals (Proof of Concept)
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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 - virtual ward remote monitoring

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<CarePlan xmlns="http://hl7.org/fhir">
  <id value="VirtualWardPlan"/>
  <meta>
    <profile
             value="https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/PatientCarePlan"/>
  </meta>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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 --&gt; 2026-10-13 10:00:00+0100</a></p><p><b>period</b>: 2026-10-06 --&gt; 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>
  </text>
  <status value="completed"/>
  <intent value="plan"/>
  <category>
    <coding>
      <system value="http://snomed.info/sct"/>
      <code value="960751000000107"/>
      <display value="Remote health monitoring care plan"/>
    </coding>
  </category>
  <title value="Respiratory virtual ward plan"/>
  <subject>🔗 
    <reference value="Patient/Patient-Manchester"/>
  </subject>
  <encounter>🔗 
    <reference value="Encounter/VirtualWardStay"/>
  </encounter>
  <period>
    <start value="2026-10-06"/>
    <end value="2026-10-13"/>
  </period>
  <author>🔗 
    <reference value="Organization/R0A"/>
  </author>
  <addresses>🔗 
    <reference value="Condition/ConditionCOPDExacerbation"/>
  </addresses>
  <activity>
    <detail>
      <code>
        <coding>
          <system value="http://loinc.org"/>
          <code value="59408-5"/>
          <display
                   value="Oxygen saturation in Arterial blood by Pulse oximetry"/>
        </coding>
      </code>
      <status value="completed"/>
      <description
                   value="Patient records SpO2 twice daily; escalate to the virtual ward clinician if below 88%."/>
    </detail>
  </activity>
</CarePlan>