CDA On FHIR England - End of Life Care Document

COFE-Services-CarePlan-1

Details about any care provision or services that are currently being provided to the patient.

NameCard.TypeDescription & Constraints
..CarePlanCarePlanHealthcare plan for patient or group

...identifier1..1IdentifierExternal Ids for this plan

....value1..1StringContains a DCE UUID
Example Value 531b66a5-b209-4f14-856f-4120dfa68a04

...subject0..1Reference (cofe-patient-1)Who care plan is for

...status1..1Codeproposed | draft | active | completed | cancelled
Binding Indicates whether the plan is currently being acted upon, represents future intentions or is now a historical record. (http://hl7.org/fhir/ValueSet/care-plan-status)
Binding Strength Required
Fixed Value completed

...context0..1Reference (Encounter | EpisodeOfCare)Created in context of

...period1..1PeriodTime period plan covers

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

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

...author0..1Reference (cofe-practitioner-1 | cofe-device-1)Who is responsible for contents of the plan

...modified0..1DateTimeWhen last updated

...description0..1StringSummary of nature of plan

...participant0..1BackboneElementWho's involved in plan?

....member1..1Reference (cofe-practitioner-1 | cofe-related-person-1)Who is involved

...activity1..1BackboneElementAction to occur as part of plan

....detail1..1BackboneElementIn-line definition of activity

.....code1..1CodeableConceptType of service
Binding SNOMED CT UK code used to description of the type of service provided to the patient. (http://fhir.nhs.net/ValueSet/service-snct-1)
Binding Strength Example

......coding0..1CodingCode defined by a terminology system
Binding SNOMED CT Subset (http://fhir.nhs.net/ValueSet/service-snct-1)
Binding Strength Example

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

.......code1..1CodeSNOMED CT service code
Example Value 2817906016

.......display1..1StringRepresentation defined by the system
Example Value Seen by palliative care service

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

.....prohibited1..1BooleanDo NOT do

Path Name Binding Strength ValueSet
.CarePlan.status status Required http://hl7.org/fhir/ValueSet/care-plan-status
.CarePlan.category.coding.code code Example http://snomed.info./sct
.CarePlan.activity.detail.code code Example http://fhir.nhs.net/ValueSet/service-snct-1
.CarePlan.activity.detail.code.coding coding Example http://fhir.nhs.net/ValueSet/service-snct-1