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

: Referral Request - GP to Respiratory Virtual Ward (step-up)

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{
  "resourceType" : "ServiceRequest",
  "id" : "VirtualWardReferral",
  "meta" : {
    "profile" : [
      🔗 "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest"
    ]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ServiceRequest VirtualWardReferral</b></p><a name=\"VirtualWardReferral\"> </a><a name=\"hcVirtualWardReferral\"> </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-ReferralRequest.html\">Referral Request</a></p></div><p><b>identifier</b>: Placer Identifier/REF-2026-000456</p><p><b>status</b>: Completed</p><p><b>intent</b>: Order</p><p><b>category</b>: <span title=\"Codes:{http://snomed.info/sct 729021000000108}\">Referral to virtual ward</span></p><p><b>priority</b>: Urgent</p><p><b>code</b>: <span title=\"Codes:{http://snomed.info/sct 729021000000108}\">Referral to virtual ward</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>occurrence</b>: 2026-10-06</p><p><b>authoredOn</b>: 2026-10-06 09:20:00+0100</p><p><b>requester</b>: <a href=\"PractitionerRole-GPKhanRole.html\">Khan (https://fhir.hl7.org.uk/Id/gmp-number#GMP Number#G7654321): General practitioner at ANCOATS URBAN VILLAGE MEDICAL PRACTICE (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#P84673)</a></p><p><b>performer</b>: <a href=\"HealthcareService-VirtualWardService.html\">Respiratory Virtual Ward by Manchester University NHS Foundation Trust (https://fhir.nhs.uk/Id/ods-organization-code#ODS Organisation Code#R0A)</a></p><p><b>reasonReference</b>: <a href=\"Condition-ConditionCOPDExacerbation.html\">Condition Acute exacerbation of chronic obstructive airways disease</a></p><p><b>note</b>: </p><blockquote><div><p>Exacerbation of COPD, SpO2 90% on air. Suitable for hospital at home - please assess for the respiratory virtual ward.</p>\n</div></blockquote></div>"
  },
  "identifier" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "PLAC"
          }
        ]
      },
      "system" : "https://fhir.example-practice.nhs.uk/Id/referral",
      "value" : "REF-2026-000456",
      "assigner" : {
        "identifier" : {
          "system" : "https://fhir.nhs.uk/Id/ods-organization-code",
          "value" : "P84673"
        }
      }
    }
  ],
  "status" : "completed",
  "intent" : "order",
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://snomed.info/sct",
          "code" : "729021000000108",
          "display" : "Referral to virtual ward"
        }
      ]
    }
  ],
  "priority" : "urgent",
  "code" : {
    "coding" : [
      {
        "system" : "http://snomed.info/sct",
        "code" : "729021000000108",
        "display" : "Referral to virtual ward"
      }
    ]
  },
  "subject" : {
    🔗 "reference" : "Patient/Patient-Manchester",
    "identifier" : {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v2-0203",
            "code" : "NH"
          }
        ]
      },
      "system" : "https://fhir.nhs.uk/Id/nhs-number",
      "value" : "9737383192"
    }
  },
  "occurrenceDateTime" : "2026-10-06",
  "authoredOn" : "2026-10-06T09:20:00+01:00",
  "requester" : {
    🔗 "reference" : "PractitionerRole/GPKhanRole"
  },
  "performer" : [
    {
      🔗 "reference" : "HealthcareService/VirtualWardService"
    }
  ],
  "reasonReference" : [
    {
      🔗 "reference" : "Condition/ConditionCOPDExacerbation"
    }
  ],
  "note" : [
    {
      "text" : "Exacerbation of COPD, SpO2 90% on air. Suitable for hospital at home - please assess for the respiratory virtual ward."
    }
  ]
}