CDA On FHIR England - End of Life Care Document

COFE-Encounter-1

This Encounter resource in most but not all cases covers an episode of care.

NameCard.TypeDescription & Constraints
..EncounterEncounterAn interaction during which services are provided to the patient

...identifier1..1IdentifierIdentifier(s) by which this encounter is known

....value1..1StringContains a DCE UUID
Example Value d848a037-d2a8-48d7-9092-4b6855c0b54f

...status1..1Codeplanned | arrived | in-progress | onleave | finished | cancelled
Binding Current state of the encounter (http://hl7.org/fhir/ValueSet/encounter-state)
Binding Strength Required

...type0..1CodeableConceptSpecific type of encounter
Binding The type of encounter (http://fhir.nhs.net/ValueSet/cda-encounter-type-snct-1)
Binding Strength Example

....codingCode defined by a terminology system
Slice: Ordering: Unordered, Rules: Open at End

....coding (Alternative Vocabulary)0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/Id/local-encounter-type-code

.....code1..1CodeShall contain a code from the alternative vocabulary

.....display1..1StringShall carry a description associated with the code in the subset stated in the alternative vocabulary

....coding (CDAEncounterSnCT)0..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/cda-encounter-type-snct-1

.....code1..1CodeSymbol in syntax defined by the system
Binding Describes an encounter between a care professional and the patient (or patient's record). (http://fhir.nhs.net/ValueSet/cda-encounter-type-snct-1)
Binding Strength Required

.....display1..1StringRepresentation defined by the system

....text0..1StringMay be used if required to carry the text or phrase used as the basis for the coding

...patient0..1Reference (cofe-patient-1)The patient present at the encounter

....reference1..1StringRelative URL reference

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

...participant ((Including Responsible Party))0..*BackboneElementList of participants involved in the encounter

....type0..1CodeableConceptRole of participant in encounter
Binding Role of participant in encounter (http://hl7.org/fhir/ValueSet/encounter-participant-type)
Binding Strength Extensible

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

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

......code1..1CodeSymbol in syntax defined by the system

......display1..1StringRepresentation defined by the system

....period0..1PeriodPeriod of time during the encounter participant was present

.....start0..1DateTimeStarting time with inclusive boundary

.....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

....individual0..1Reference (cofe-related-person-1 | cofe-practitioner-1)Persons involved in the encounter other than the patient

...period1..1PeriodThe start and end time of the encounter

....start0..1DateTimeStarting time with inclusive boundary

....end0..1DateTimeEnd time with inclusive boundary, if not ongoing

...hospitalization1..1BackboneElementDetails about the admission to a healthcare service

....dischargeDisposition0..1CodeableConceptCategory or kind of location after discharge
Binding Discharge Disposition (http://fhir.nhs.net/ValueSet/encounter-disposition-snct-1)
Binding Strength Preferred

.....codingCode defined by a terminology system
Slice: Ordering: Unordered, Rules: Open at End

.....coding (EncounterDispositionSnCT)0..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
Binding Describes the way in which the encounter ended. (http://fhir.nhs.net/ValueSet/encounter-disposition-snct-1)
Binding Strength Required

......display1..1StringShall carry a description associated with the code in the subset stated in the EncounterDispositionSnCT vocabulary

.....coding (Alternative Vocabulary)0..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/Id/alternative-coded-entry-code-in-discharge-disposition

......code1..1CodeShall contain a code from the subset stated in the alternative vocabulary

......display1..1StringShall carry a description associated with the code

.....text0..1StringMay be used if required to carry the text or phrase used as the basis for the coding

...location (Healthcare Facility)1..1BackboneElementList of locations where the patient has been

....location1..1Reference (cofe-location-1)Location the encounter takes place

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

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

Path Name Binding Strength ValueSet
.Encounter.type type Example http://fhir.nhs.net/ValueSet/cda-encounter-type-snct-1
.Encounter.type.coding.code code Required http://fhir.nhs.net/ValueSet/cda-encounter-type-snct-1
.Encounter.participant.type type Extensible http://hl7.org/fhir/ValueSet/encounter-participant-type
.Encounter.hospitalization.dischargeDisposition dischargeDisposition Preferred http://fhir.nhs.net/ValueSet/encounter-disposition-snct-1
.Encounter.hospitalization.dischargeDisposition.coding.code code Required http://fhir.nhs.net/ValueSet/encounter-disposition-snct-1