CDA On FHIR England - End of Life Care Document

COFE-Composition-End-Of-Life-1

End of Life Care FHIR Document profile.

NameCard.TypeDescription & Constraints
..CompositionCompositionA set of resources composed into a single coherent clinical statement with clinical attestation

...Data Enterer Extension0..1ExtensionExtension for CDA data enterer (transcriptionist).
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-data-enterer-1

...Informant Extension0..*ExtensionExtension for CDA informant.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-informant-1

...Information Recipient Extension0..*ExtensionExtension for CDA information recipient.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-information-recipient-1

...Participant Extension0..*ExtensionExtension for CDA participant.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-participant-1

...Performer Extension0..*ExtensionExtension for CDA performer.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-performer-1

...Authorization Extension0..*ExtensionExtension for CDA authorization.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-authorization-1

...identifier1..1IdentifierLogical identifier of composition (version-independent)

....value1..1StringContains a DCE UUID
Example Value 871985a7-45f9-435a-89fa-fcedd7afa7a3

...date1..1DateTimeComposition editing time

...type1..1CodeableConceptA set of codes to classify the type of document.
Binding Type of a composition. (http://fhir.nhs.net/ValueSet/correspondence-document-type-1)
Binding Strength Required

....coding0..1CodingCode defined by a terminology system

.....system0..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

.....code0..1CodeA set of codes to classify the type of document.
Example Value 861421000000109

.....display0..1StringRepresentation defined by the system
Example Value End of Life Care Coordination Summary

....text0..1StringPlain text representation of the concept

...class0..1CodeableConceptCategorization of Composition
Binding High-level kind of a clinical document at a macro level. (http://hl7.org/fhir/ValueSet/doc-classcodes)
Binding Strength Example

...title1..1StringHuman Readable name/title

...status1..1Codepreliminary | final | amended | entered-in-error
Binding The workflow/clinical status of the composition. (http://hl7.org/fhir/ValueSet/composition-status)
Binding Strength Required

...confidentiality1..1CodeAs defined by affinity domain
Binding Codes specifying the level of confidentiality of the composition. (http://hl7.org/fhir/ValueSet/v3-Confidentiality)
Binding Strength Required

...subject1..1Reference (cofe-patient-1)Who and/or what the composition is about

....reference1..1StringRelative URL reference

....display0..1StringNarrative text for the resource

...author1..1Reference (cofe-practitioner-1 | cofe-device-1)Who and/or what authored the composition

...attester0..1BackboneElementAttests to accuracy of composition

....mode1..*Codepersonal | professional | legal | official
Binding The way in which a person authenticated a composition. (http://hl7.org/fhir/ValueSet/composition-attestation-mode)
Binding Strength Required

....time1..1DateTimeWhen composition attested

....party1..1Reference (cofe-practitioner-1)Who attested the composition

...custodian1..1Reference (cofe-organization-ods-1)Organization which maintains the composition

....reference1..1StringRelative URL reference

....display0..1StringNarrative text for the resource

...event0..*BackboneElementThe clinical service(s) being documented

....code0..*CodeableConceptCode(s) that apply to the event being documented
Binding This list of codes represents the main clinical acts being documented. (http://hl7.org/fhir/ValueSet/v3-ActCode)
Binding Strength Example

.....coding0..*CodingCode defined by a terminology system

......system0..1UriIdentity of the terminology system

......code0..1CodeSymbol in syntax defined by the system

......display0..1StringRepresentation defined by the system

.....text0..1StringPlain text representation of the concept

....period1..1PeriodThe period covered by the documentation

.....start1..1DateTimeStarting time with inclusive boundary

....detail0..*Reference (Resource)The event(s) being documented

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...encounter0..1Reference (cofe-encounter-1)Context of the Composition

....reference1..1StringRelative URL reference

....display0..1StringNarrative text for the resource

...sectionComposition is broken into sections
Slice: Ordering: Ordered, Rules: Open

...section (Individual Requirements)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Individual requirements

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 1052901000000109

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Diagnoses)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Diagnoses

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 887161000000102

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-diagnosis-condition-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Relevant Past Medical, Surgical and Mental Health History)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Relevant past medical, surgical and mental health history

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 933271000000106

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-SPMH-observation-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Problems and Issues)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Problems and issues

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 887151000000100

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

...section (Medications and Medical Devices)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Medications and medical devices

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 933361000000108

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-medicaldevices-device-1 | cofe-medicationsadministered-medicationstatement-1 | cofe-medicationorder-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Allergies and Adverse Reactions)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Allergies and adverse reactions

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 886921000000105

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-allergicoradversereactions-allergyintolerance-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Safety Alerts)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Safety alerts

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 886931000000107

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-risk-flag-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Legal Information)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Legal information

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 886961000000102

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-lastingpowerofattorney-observation-1 | cofe-adtrt-observation-1 | cofe-legalstatus-observation-1 | cofe-organdonation-observation-1 | cofe-safeguarding-observation-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Social Context)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Social context

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 887051000000101

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-accommodation-observation-1 | cofe-socialorpersonalcircumstances-observation-1 | cofe-services-careplan-1 | cofe-housing-observation-1 | cofe-mobility-observation-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Person and Carer Concerns, Expectations and Wishes)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Person and carer concerns, expectations and wishes

....code0..1CodeableConceptSNOMED CT used to code section.
Binding SNOMED CT (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 1052941000000107

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-personalcarepreference-observation-1 | cofe-advance-statement-observation-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Crisis Care Plan)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Crisis care plan

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 325681000000102

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-crisiscareplan-observation-1 | cofe-issueofanticipatorymeds-procedure-1 | cofe-dnacprdecision-questionnaireresponse-1 | cofe-prognosis-observation-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (End of Life)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value End of life

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 935921000000102

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....entry0..*Reference (cofe-patientdeathinformation-observation-1 | cofe-endoflifecareplan-careplan-1)A reference to data that supports this section

.....reference1..1StringRelative URL reference

.....display0..1StringText alternative for the resource

...section (Person Completing Record)0..1BackboneElementComposition is broken into sections

....title1..1StringLabel for section (e.g. for ToC)
Fixed Value Person completing record

....code0..1CodeableConceptClassification of section (recommended)
Binding Classification of a section of a composition/document. (http://snomed.info/sct)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

......code1..1CodeSymbol in syntax defined by the system
Fixed Value 887231000000104

....text0..1NarrativeText summary of the section, for human interpretation

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

Name Type Description & Constraints
. . Extension-COFE-Data-Enterer-1 Extension Extension for CDA data enterer (transcriptionist).
. . Extension-COFE-Informant-1 Extension Extension for CDA informant.
. . Extension-COFE-Information-Recipient-1 Extension Extension for CDA information recipient.
. . Extension-COFE-Participant-1 Extension Extension for CDA participant.
. . Extension-COFE-Performer-1 Extension Extension for CDA performer.
. . Extension-COFE-Authorization-1 Extension Extension for CDA authorization.
Path Name Binding Strength ValueSet
.Composition.type type Required http://fhir.nhs.net/ValueSet/correspondence-document-type-1
.Composition.confidentiality confidentiality Required http://hl7.org/fhir/ValueSet/v3-Confidentiality
.Composition.section.code code Required http://snomed.info/sct

COFE-Composition-End-Of-Life-1

Examples Description XML File JSON File
COFE-EOL-Composition-1-Example-1 EOL Document Composition