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