Contents


1    Coding and Indexing
     1.1    Discharge
     1.2    Emergency Department
     1.3    Outpatients
     1.4    HealthSpace
     1.5    Refusal To Seal
     1.6    Nullification Document
     1.7    Seal Report
     1.8    UnSeal Report

 

Change History   

 

 

1    Coding and Indexing

This document lists the CRE types and which templates they may contain for each CDA domain.

 

 

For Medications and Allergies, coded entries are required but not mandatory and likewise for indexing against the relevant CRE types for meds and allergies.

For all items other than Medications and Allergies, coding is optional, but CRE types must not be used, except and until CFH provides explicit guidance on their use. These CRE types are greyed out below

 

The Implementation Guidance for Suppliers contains further information  regarding CRE types.

 

1.1    Discharge

CRE Code CRE Template Id Template
163041000000100 Lifestyle COCD_TP146001UK04 Lifestyle
    COCD_TP146002UK04 Smoking
    COCD_TP146003UK04 AlcoholIntake
163021000000107 Social and Personal Circumstances COCD_TP146004UK04 SocialOrPersonalCircumstance
162951000000105 Care Events COCD_TP146005UK04 CareEvent
162991000000102 Problems and Issues COCD_TP146006UK04 Problem
181331000000109 Link Assertion COCD_TP146007UK04 LinkAssertion
    COCD_TP146008UK04 ProblemMemberAssertion
    COCD_TP146009UK04 ProblemLinkAssertion
163241000000109 Risks to Care Professional or Third Party COCD_TP146010UK04 RiskToPerson
163001000000103 Diagnoses COCD_TP146011UK04 Diagnosis
    COCD_TP146022UK04 AllergiesAndAdverseReactionEvent
163131000000108 Clinical Findings and Observations COCD_TP146012UK04 Finding
    COCD_TP146013UK04 BloodPressure
    COCD_TP146014UK04 Weight
    COCD_TP146015UK04 Height
    COCD_TP146016UK04 Temperature
    COCD_TP146017UK04 OrganizedFinding
163141000000104 Investigation Results COCD_TP146012UK04 Finding
    COCD_TP146017UK04 OrganizedFinding
163051000000102 Family History COCD_TP146018UK04 FamilyHistory
163081000000108 Investigations COCD_TP146019UK04 Investigation
162961000000108 Personal Preferences COCD_TP146020UK04 PersonalPreference
163031000000109 Services, Care Professionals and Carers COCD_TP146021UK04 Service
163221000000102 Allergies and Adverse Reactions COCD_TP146025UK04 AllergyPropensity
163101000000102 Provision of Advice and Information to Patients and Carers COCD_TP146023UK04 ProvisionOfAdviceAndInformation
163091000000105 Administrative Procedures COCD_TP146024UK04 AdministrativeProcedure
    COCD_TP146038UK04 Discharge
163231000000100 Risks to Patient COCD_TP146026UK04 RiskToPatient
163071000000106 Treatments COCD_TP146027UK04 Treatment
185361000000102 Medication COCD_TP146029UK04 AdministerMedicationDose
    COCD_TP146030UK04 AdministerMedicationCourse
    COCD_TP146031UK04 PlanMedicationAdministration
    COCD_TP146032UK04 RequestMedicationSupply
    COCD_TP146033UK04 SupplyMedication
    COCD_TP146034UK04 RequestMedicationAdministration

1.2    Emergency Department

CRE Code CRE Template Id Template
163041000000100 Lifestyle COCD_TP146001UK04 Lifestyle
    COCD_TP146002UK04 Smoking
    COCD_TP146003UK04 AlcoholIntake
163021000000107 Social and Personal Circumstances COCD_TP146004UK04 SocialOrPersonalCircumstance
162951000000105 Care Events COCD_TP146005UK04 CareEvent
162991000000102 Problems and Issues COCD_TP146006UK04 Problem
181331000000109 Link Assertion COCD_TP146007UK04 LinkAssertion
    COCD_TP146008UK04 ProblemMemberAssertion
    COCD_TP146009UK04 ProblemLinkAssertion
163241000000109 Risks to Care Professional or Third Party COCD_TP146010UK04 RiskToPerson
163001000000103 Diagnoses COCD_TP146011UK04 Diagnosis
    COCD_TP146022UK04 AllergiesAndAdverseReactionEvent
163131000000108 Clinical Findings and Observations COCD_TP146012UK04 Finding
    COCD_TP146013UK04 BloodPressure
    COCD_TP146014UK04 Weight
    COCD_TP146015UK04 Height
    COCD_TP146016UK04 Temperature
    COCD_TP146017UK04 OrganizedFinding
163141000000104 Investigation Results COCD_TP146012UK04 Finding
    COCD_TP146017UK04 OrganizedFinding
163051000000102 Family History COCD_TP146018UK04 FamilyHistory
163081000000108 Investigations COCD_TP146019UK04 Investigation
162961000000108 Personal Preferences COCD_TP146020UK04 PersonalPreference
163031000000109 Services, Care Professionals and Carers COCD_TP146021UK04 Service
163221000000102 Allergies and Adverse Reactions COCD_TP146025UK04 AllergyPropensity
163101000000102 Provision of Advice and Information to Patients and Carers COCD_TP146023UK04 ProvisionOfAdviceAndInformation
163091000000105 Administrative Procedures COCD_TP146024UK04 AdministrativeProcedure
    COCD_TP146043UK04 SealingEvent
    COCD_TP146045UK04 UnSealingEvent
163231000000100 Risks to Patient COCD_TP146026UK04 RiskToPatient
163071000000106 Treatments COCD_TP146027UK04 Treatment
185361000000102 Medication COCD_TP146029UK04 AdministerMedicationDose
    COCD_TP146030UK04 AdministerMedicationCourse
    COCD_TP146031UK04 PlanMedicationAdministration
    COCD_TP146032UK04 RequestMedicationSupply
    COCD_TP146033UK04 SupplyMedication
    COCD_TP146034UK04 RequestMedicationAdministration

1.3    Outpatients

CRE Code CRE Template Id Template
163041000000100 Lifestyle COCD_TP146001UK04 Lifestyle
    COCD_TP146002UK04 Smoking
    COCD_TP146003UK04 AlcoholIntake
163021000000107 Social and Personal Circumstances COCD_TP146004UK04 SocialOrPersonalCircumstance
162951000000105 Care Events COCD_TP146005UK04 CareEvent
162991000000102 Problems and Issues COCD_TP146006UK04 Problem
181331000000109 Link Assertion COCD_TP146007UK04 LinkAssertion
    COCD_TP146008UK04 ProblemMemberAssertion
    COCD_TP146009UK04 ProblemLinkAssertion
163241000000109 Risks to Care Professional or Third Party COCD_TP146010UK04 RiskToPerson
163001000000103 Diagnoses COCD_TP146011UK04 Diagnosis
    COCD_TP146022UK04 AllergiesAndAdverseReactionEvent
163131000000108 Clinical Findings and Observations COCD_TP146012UK04 Finding
    COCD_TP146013UK04 BloodPressure
    COCD_TP146014UK04 Weight
    COCD_TP146015UK04 Height
    COCD_TP146016UK04 Temperature
    COCD_TP146017UK04 OrganizedFinding
163141000000104 Investigation Results COCD_TP146012UK04 Finding
    COCD_TP146017UK04 OrganizedFinding
163051000000102 Family History COCD_TP146018UK04 FamilyHistory
163081000000108 Investigations COCD_TP146019UK04 Investigation
162961000000108 Personal Preferences COCD_TP146020UK04 PersonalPreference
163031000000109 Services, Care Professionals and Carers COCD_TP146021UK04 Service
163221000000102 Allergies and Adverse Reactions COCD_TP146025UK04 AllergyPropensity
163101000000102 Provision of Advice and Information to Patients and Carers COCD_TP146023UK04 ProvisionOfAdviceAndInformation
163091000000105 Administrative Procedures COCD_TP146024UK04 AdministrativeProcedure
    COCD_TP146043UK04 SealingEvent
    COCD_TP146045UK04 UnSealingEvent
163231000000100 Risks to Patient COCD_TP146026UK04 RiskToPatient
163071000000106 Treatments COCD_TP146027UK04 Treatment
185361000000102 Medication COCD_TP146029UK04 AdministerMedicationDose
    COCD_TP146030UK04 AdministerMedicationCourse
    COCD_TP146031UK04 PlanMedicationAdministration
    COCD_TP146032UK04 RequestMedicationSupply
    COCD_TP146033UK04 SupplyMedication
    COCD_TP146034UK04 RequestMedicationAdministration

1.4    HealthSpace

CRE Code CRE Template Id Template
162961000000108 Personal Preferences COCD_TP146020UK04 PersonalPreference
163021000000107 Social and Personal Circumstances COCD_TP146004UK04 SocialOrPersonalCircumstance

1.5    Refusal To Seal

CRE Code CRE Template Id Template
163091000000105 Administrative Procedures COCD_TP146044UK04 RefusalToSeal

1.6    Nullification Document

CRE Code CRE Template Id Template
163091000000105 Administrative Procedures COCD_TP146049UK04 NullifyDocument

1.7    Seal Report

CRE Code CRE Template Id Template
163091000000105 Administrative Procedures COCD_TP146043UK04 SealingEvent

1.8    UnSeal Report

CRE Code CRE Template Id Template
163091000000105 Administrative Procedures COCD_TP146045UK04 UnSealingEvent