CDA On FHIR England - End of Life Care Document

COFE-Safeguarding-Observation-1

Safeguarding observation.

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 f9010e04-8b9e-4154-82be-52a2c37e8c64

...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

...code (Observation Type)1..1CodeableConceptType of observation (code / type)
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/cda-observation-type-1)
Binding Strength Required

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

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

.....code1..1CodeSymbol in syntax defined by the system
Binding Observation Type Code (http://fhir.nhs.net/ValueSet/cda-observation-type-1)
Binding Strength Required
Fixed Value SGO

.....display1..1StringRepresentation defined by the system
Fixed Value Safeguarding Observation

...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..1CodeableConceptSNOMED CT UK safeguarding code.
Binding SNOMED CT UK code to describe if a person has safeguarding issues (http://fhir.nhs.net/ValueSet/safeguarding-snct-1)
Binding Strength Required

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.code Observation Type Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.code.coding coding Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.code.coding.code code Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.value[x] value[x] Required http://fhir.nhs.net/ValueSet/safeguarding-snct-1
.Observation.component.code EOL Document Location Example http://hl7.org/fhir/ValueSet/observation-codes

COFE-Safeguarding-Observation-1

Examples Description XML File JSON File
COFE-Safeguarding-Observation-1-Example-1 Safeguarding observation example.