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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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix sct: <http://snomed.info/id/> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/VirtualWardReferral> a fhir:ServiceRequest ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "VirtualWardReferral"] ;
  fhir:Resource.meta [
     fhir:Meta.profile [
       fhir:value "https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest" ;
       fhir:index -1 ;
       fhir:link <https://fhir.acmeexample.org.uk/PatientCareCoordination/StructureDefinition/ReferralRequest>
     ]
  ] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.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>"
  ] ;
  fhir:ServiceRequest.identifier [
     fhir:index -1 ;
     fhir:Identifier.type [
       fhir:CodeableConcept.coding [
         fhir:index -1 ;
         fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
         fhir:Coding.code [ fhir:value "PLAC" ]
       ]
     ] ;
     fhir:Identifier.system [ fhir:value "https://fhir.example-practice.nhs.uk/Id/referral" ] ;
     fhir:Identifier.value [ fhir:value "REF-2026-000456" ] ;
     fhir:Identifier.assigner [
       fhir:Reference.identifier [
         fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/ods-organization-code" ] ;
         fhir:Identifier.value [ fhir:value "P84673" ]
       ]
     ]
  ] ;
  fhir:ServiceRequest.status [ fhir:value "completed"] ;
  fhir:ServiceRequest.intent [ fhir:value "order"] ;
  fhir:ServiceRequest.category [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:729021000000108 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "729021000000108" ] ;
       fhir:Coding.display [ fhir:value "Referral to virtual ward" ]
     ]
  ] ;
  fhir:ServiceRequest.priority [ fhir:value "urgent"] ;
  fhir:ServiceRequest.code [
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       a sct:729021000000108 ;
       fhir:Coding.system [ fhir:value "http://snomed.info/sct" ] ;
       fhir:Coding.code [ fhir:value "729021000000108" ] ;
       fhir:Coding.display [ fhir:value "Referral to virtual ward" ]
     ]
  ] ;
  fhir:ServiceRequest.subject [
     fhir:link <http://hl7.org/fhir/Patient/Patient-Manchester> ;
     fhir:Reference.reference [ fhir:value "Patient/Patient-Manchester" ] ;
     fhir:Reference.identifier [
       fhir:Identifier.type [
         fhir:CodeableConcept.coding [
           fhir:index -1 ;
           fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0203" ] ;
           fhir:Coding.code [ fhir:value "NH" ]
         ]
       ] ;
       fhir:Identifier.system [ fhir:value "https://fhir.nhs.uk/Id/nhs-number" ] ;
       fhir:Identifier.value [ fhir:value "9737383192" ]
     ]
  ] ;
  fhir:ServiceRequest.occurrenceDateTime [ fhir:value "2026-10-06"^^xsd:date] ;
  fhir:ServiceRequest.authoredOn [ fhir:value "2026-10-06T09:20:00+01:00"^^xsd:dateTime] ;
  fhir:ServiceRequest.requester [
     fhir:link <http://hl7.org/fhir/PractitionerRole/GPKhanRole> ;
     fhir:Reference.reference [ fhir:value "PractitionerRole/GPKhanRole" ]
  ] ;
  fhir:ServiceRequest.performer [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/HealthcareService/VirtualWardService> ;
     fhir:Reference.reference [ fhir:value "HealthcareService/VirtualWardService" ]
  ] ;
  fhir:ServiceRequest.reasonReference [
     fhir:index -1 ;
     fhir:link <http://hl7.org/fhir/Condition/ConditionCOPDExacerbation> ;
     fhir:Reference.reference [ fhir:value "Condition/ConditionCOPDExacerbation" ]
  ] ;
  fhir:ServiceRequest.note [
     fhir:index -1 ;
     fhir:Annotation.text [ fhir:value "Exacerbation of COPD, SpO2 90% on air. Suitable for hospital at home - please assess for the respiratory virtual ward." ]
  ] .

<http://hl7.org/fhir/Patient/Patient-Manchester> a fhir:Patient .

<http://hl7.org/fhir/PractitionerRole/GPKhanRole> a fhir:PractitionerRole .

<http://hl7.org/fhir/HealthcareService/VirtualWardService> a fhir:HealthcareService .

<http://hl7.org/fhir/Condition/ConditionCOPDExacerbation> a fhir:Condition .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ServiceRequest/VirtualWardReferral.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ServiceRequest/VirtualWardReferral.ttl> .