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

: Hospital Spell - Respiratory virtual ward (step-up)

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{
  "resourceType" : "Encounter",
  "id" : "VirtualWardStay",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/HospitalSpell"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Encounter VirtualWardStay</b></p><a name=\"VirtualWardStay\"> </a><a name=\"hcVirtualWardStay\"> </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-HospitalSpell.html\">Hospital Spell</a></p></div><p><b>Discharge Method</b>: <span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethodEngland 1}\">Discharged on clinical advice</span></p><p><b>identifier</b>: Account number/VW-20261006-01</p><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-IMP\">ActCode: IMP</a> (inpatient encounter)</p><p><b>serviceType</b>: <span title=\"Codes:{http://snomed.info/sct 418112009}\">Pulmonary medicine</span></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>basedOn</b>: <a href=\"ServiceRequest-VirtualWardReferral.html\">ServiceRequest Referral to virtual ward</a></p><p><b>period</b>: 2026-10-06 11:00:00+0100 --&gt; 2026-10-13 10:00:00+0100</p><p><b>reasonReference</b>: <a href=\"Condition-ConditionCOPDExacerbation.html\">Condition Acute exacerbation of chronic obstructive airways disease</a></p><h3>Hospitalizations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>AdmitSource</b></td><td><b>DischargeDisposition</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route step-up}\">Step-up</span></td><td><span title=\"Codes:{https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestinationEngland 19}\">Usual place of residence - care returned to the GP</span></td></tr></table><h3>Locations</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Location</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"Location-PatientManchesterHome.html\">Patient's home (Patient's Residence)</a></td></tr></table><p><b>serviceProvider</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></div>"
  },
  "extension" : [
    {
      "url" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/DischargeMethod",
      "valueCodeableConcept" : {
        "coding" : [
          {
            "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeMethodEngland",
            "code" : "1"
          }
        ],
        "text" : "Discharged on clinical advice"
      }
    }
  ],
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "AN"
          }
        ]
      },
      "value" : "VW-20261006-01",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "R0A"
        }
      }
    }
  ],
  "status" : "finished",
  "class" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
    "code" : "IMP"
  },
  "serviceType" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "418112009",
        "display" : "Pulmonary medicine"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Patient-Manchester"
  },
  "basedOn" : [
    {
      🔗 "reference" : "ServiceRequest/VirtualWardReferral"
    }
  ],
  "period" : {
    "start" : "2026-10-06T11:00:00+01:00",
    "end" : "2026-10-13T10:00:00+01:00"
  },
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/ConditionCOPDExacerbation"
    }
  ],
  "hospitalization" : {
    "admitSource" : {
      "coding" : [
        {
          "system" : "https://fhir.acmeexample.org.uk/PatientCareCoordination/CodeSystem/virtual-ward-admission-route",
          "code" : "step-up",
          "display" : "Step-up"
        }
      ]
    },
    "dischargeDisposition" : {
      "coding" : [
        {
          "system" : "https://fhir.hl7.org.uk/CodeSystem/UKCore-DischargeDestinationEngland",
          "code" : "19"
        }
      ],
      "text" : "Usual place of residence - care returned to the GP"
    }
  },
  "location" : [
    {
      "location" : {
        🔗 "reference" : "Location/PatientManchesterHome"
      }
    }
  ],
  "serviceProvider" : {
    🔗 "reference" : "Organization/R0A"
  }
}