CDA On FHIR England - End of Life Care Document

COFE-Allergy-Flag-1

Prospective warnings of potential issues related to the patient's allergies.

NameCard.TypeDescription & Constraints
..FlagDomainResourceFlags related to the patient's medications

...id0..1IdLogical id of this artifact

...meta0..1MetaMetadata about the resource

...implicitRules0..1UriA set of rules under which this content was created

...language0..1CodeLanguage of the resource content
Binding A human language. (http://tools.ietf.org/html/bcp47)
Binding Strength Required

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

...contained0..*ResourceContained, inline Resources

...allergy1..*ExtensionAssociated allergy
Extension https://fhir.nhs.uk/StructureDefinition/extension-COFE-AllergyFlagAssociation-1

...identifier0..*IdentifierBusiness identifier

....id0..1Idxml:id (or equivalent in JSON)

....use0..1Codeusual | official | temp | secondary (If known)
Binding Identifies the purpose for this identifier, if known . (http://hl7.org/fhir/ValueSet/identifier-use)
Binding Strength Required

....type0..1CodeableConceptDescription of identifier
Binding A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. (http://hl7.org/fhir/ValueSet/identifier-type)
Binding Strength Extensible

.....id0..1Idxml:id (or equivalent in JSON)

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

......id0..1Idxml:id (or equivalent in JSON)

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

......version0..1StringVersion of the system - if relevant

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

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

......userSelected0..1BooleanIf this coding was chosen directly by the user

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

....system1..1UriThe namespace for the identifier
Example Value http://www.acme.com/identifiers/patient or urn:ietf:rfc:3986 if the Identifier.value itself is a full uri

....value1..1StringThe value that is unique
Example Value 123456

....period0..1PeriodTime period when id is/was valid for use

.....id0..1Idxml:id (or equivalent in JSON)

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

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

....assigner0..1Reference (CareConnect-Organization-1)Organization that issued id (may be just text)

.....id0..1Idxml:id (or equivalent in JSON)

.....reference0..1StringRelative, internal or absolute URL reference

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

...category1..1CodeableConceptClinical, administrative, etc.
Binding A general category for flags for filtering/display purposes. (http://hl7.org/fhir/ValueSet/flag-category)
Binding Strength Example

....id0..1Idxml:id (or equivalent in JSON)

....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the category (http://snomed.info/sct)
Binding Strength Required

.....id0..1Idxml:id (or equivalent in JSON)

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

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

.....display1..1StringRepresentation defined by the system
Fixed Value Allergies and adverse reactions

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

...status1..1Codeactive | inactive | entered-in-error
Binding Indicates whether this flag is active and needs to be displayed to a user, or whether it is no longer needed or entered in error. (http://hl7.org/fhir/ValueSet/flag-status)
Binding Strength Required

...period0..1PeriodTime period when flag is active

....id0..1Idxml:id (or equivalent in JSON)

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

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

...subject1..1Reference (CareConnect-Patient-1)Who/What is flag about?

...encounter0..1Reference (CareConnect-Encounter-1)Alert relevant during encounter

....id0..1Idxml:id (or equivalent in JSON)

....reference0..1StringRelative, internal or absolute URL reference

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

...author0..1Reference (CareConnect-Practitioner-1)Flag creator

...code1..1CodeableConceptPartially deaf, Requires easy open caps, No permanent address, etc.
Binding A code from the SNOMED Clinical Terminology UK coding system which represent an allergy or adverse reaction propensity. (https://fhir.nhs.uk/ValueSet/allergy-flag-code-1)
Binding Strength Required

....id0..1Idxml:id (or equivalent in JSON)

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

.....id0..1Idxml:id (or equivalent in JSON)

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

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

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

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

Name Type Description & Constraints
. . Extension-COFE-AllergyFlagAssociation-1 Extension This Extension is used to specify the links between an Allergy Flag and its associated AllergyIntolerence resource(s).