<?xml version="1.0" encoding="UTF-8"?>

<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="virtual-ward-admission-route"/>
  <language value="en"/>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CodeSystem virtual-ward-admission-route</b></p><a name="virtual-ward-admission-route"> </a><a name="hcvirtual-ward-admission-route"> </a><p>This case-sensitive code system <code>https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route</code> defines the following codes:</p><table class="codes"><tr><td style="white-space:nowrap"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style="white-space:nowrap">step-up<a name="virtual-ward-admission-route-step-up"> </a></td><td>Step-up</td><td>Admitted to the virtual ward instead of an acute hospital admission (from home, GP, community, urgent care or ambulance service).</td></tr><tr><td style="white-space:nowrap">step-down<a name="virtual-ward-admission-route-step-down"> </a></td><td>Step-down</td><td>Admitted to the virtual ward on early discharge from an acute hospital ward.</td></tr></table></div>
  </text>
  <url value="https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route"/>
  <version value="0.1.0"/>
  <name value="VirtualWardAdmissionRoute"/>
  <title value="Virtual Ward Admission Route"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-03T05:48:20+00:00"/>
  <publisher value="Kevin Mayfield"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://github.com/KevinMayfield/PatientCareCoordination"/>
    </telecom>
  </contact>
  <description value="How a patient is admitted to a virtual ward, as described by NHS England: **step-up**&#xA;(instead of admission, from the community, GP, urgent care or ambulance) or&#xA;**step-down** (early supported discharge from an acute ward). **To confirm** whether&#xA;an NHS Data Dictionary or SNOMED CT code set exists for this."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <caseSensitive value="true"/>
  <content value="complete"/>
  <count value="2"/>
  <concept>
    <code value="step-up"/>
    <display value="Step-up"/>
    <definition value="Admitted to the virtual ward instead of an acute hospital admission (from home, GP, community, urgent care or ambulance service)."/>
  </concept>
  <concept>
    <code value="step-down"/>
    <display value="Step-down"/>
    <definition value="Admitted to the virtual ward on early discharge from an acute hospital ward."/>
  </concept>
</CodeSystem>