CDA On FHIR England - End of Life Care Document

COFE-CrisisCarePlan-Observation-1

An observation associated with the patients Crisis Care Plan.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...Informant0..1ExtensionRefers to who informed
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-informant-1

...identifier1..1IdentifierUnique Id for this particular observation

....value1..1StringContains a DCE UUID
Example Value 9322a1b5-5264-47ee-a0b6-e30fafa7f1ac

...status1..1Coderegistered | preliminary | final | amended +
Binding Codes providing the status of an observation. (http://hl7.org/fhir/ValueSet/observation-status)
Binding Strength Required
Fixed Value final

...category1..1CodeableConceptClassification of type of observation
Binding Codes for high level observation categories . (http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1)
Binding Strength Example

....coding1..1CodingCode defined by a terminology system
Binding Observation Code (http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1)
Binding Strength Example

.....system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1

.....code1..1CodeSymbol in syntax defined by the system
Example Value CCO

.....display1..1StringRepresentation defined by the system
Example Value Crisis Care Observation

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

...code1..1CodeableConceptType of observation (code / type)
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1)
Binding Strength Example

....coding1..1CodingCode defined by a terminology system
Binding Crisis Care Observation. (http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1)
Binding Strength Example

.....system1..1UriIdentity of the terminology system
Example Value http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1

.....code1..1CodeSymbol in syntax defined by the system
Binding Example Codes (http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1)
Binding Strength Example
Example Value ICOSD

.....display1..1StringRepresentation defined by the system
Example Value In Case of Sudden Deterioration

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

...subject0..1Reference (cofe-patient-1)Who and/or what this is about

...encounter0..1Reference (cofe-encounter-1)Healthcare event during which this observation is made

....reference1..1StringRelative URL reference

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

...effective[x]1..1PeriodClinically relevant time/time-period for observation

...performer0..1Reference (cofe-practitioner-1 | cofe-device-1)Who is responsible for the observation

...value[x]1..1CodeableConceptActual result
Binding SNOMED CT (http://snomed.info/sct)
Binding Strength Example

Name Type Description & Constraints
. . Extension-COFE-Informant-1 Extension Extension for CDA informant.
Path Name Binding Strength ValueSet
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.category category Example http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1
.Observation.category.coding coding Example http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1
.Observation.code code Example http://fhir.nhs.net/ValueSet/crisiscareplan-observation-1
.Observation.value[x] value[x] Example http://snomed.info/sct

COFE-CrisisCarePlan-Observation-1

Examples Description XML File JSON File
COFE-CrisisCarePlan-Observation-1-Example-1 Observable events that may occur within a crisis care plan.