CDA On FHIR England - End of Life Care Document

COFE-Composition-End-Of-Life-1

End of Life Care FHIR Document profile.

NameCard.TypeDescription & Constraints
..CompositionCompositionA set of resources composed into a single coherent clinical statement with clinical attestation

...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

...Data Enterer Extension0..1ExtensionExtension for data enterer (transcriptionist).
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-data-enterer-1

...Informant Extension0..*ExtensionExtension for informant.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-informant-1

...Information Recipient Extension0..*ExtensionExtension for information recipient.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-information-recipient-1

...Participant Extension0..*ExtensionExtension for participant.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-participant-1

...Performer Extension0..*ExtensionExtension for performer.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-performer-1

...Authorization Extension0..*ExtensionExtension for authorization.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-authorization-1

...CareSettingType0..1ExtensionThe care setting in which the patient was present.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-care-setting-type-1

...identifier1..1IdentifierLogical identifier of composition (version-independent)

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

....value1..1StringContains a DCE UUID
Example Value 871985a7-45f9-435a-89fa-fcedd7afa7a3

...date1..1DateTimeComposition editing time

...type1..1CodeableConceptA set of codes to classify the type of document.
Binding Type of document. (https://fhir.nhs.uk/ValueSet/document-type-1)
Binding Strength Preferred

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

....coding1..1CodingCode defined by a terminology system
Binding Type of a document. (https://fhir.nhs.uk/ValueSet/document-type-1)
Binding Strength Preferred

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

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

.....code1..1CodeA set of codes to classify the type of document.
Binding A set of codes to classify the type of document. (https://fhir.nhs.uk/ValueSet/document-type-1)
Binding Strength Preferred
Example Value 861421000000109

.....display1..1StringRepresentation defined by the system
Example Value End of Life Care Coordination Summary

...title1..1StringHuman Readable name/title

...status1..1Codepreliminary | final | amended | entered-in-error
Binding The workflow/clinical status of the composition. (http://hl7.org/fhir/ValueSet/composition-status)
Binding Strength Required

...confidentiality1..1CodeAs defined by affinity domain
Binding Codes specifying the level of confidentiality of the composition. (http://hl7.org/fhir/ValueSet/v3-Confidentiality)
Binding Strength Required

...subject1..1Reference (CareConnect-Patient-1)Who and/or what the composition is about

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

....reference1..1StringRelative URL reference

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

...author1..*Reference (CareConnect-Practitioner-1 | cofe-device-1)Who and/or what authored the composition

...attester0..*BackboneElementAttests to accuracy of composition

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

....mode1..*Codepersonal | professional | legal | official
Binding The way in which a person authenticated a composition. (http://hl7.org/fhir/ValueSet/composition-attestation-mode)
Binding Strength Required

....time0..1DateTimeWhen composition attested

....party0..1Reference (CareConnect-Practitioner-1 | CareConnect-Patient-1)Who attested the composition

...custodian1..1Reference (CareConnect-Organization-1)Organization which maintains the composition

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

....reference1..1StringRelative URL reference

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

...event0..*BackboneElementThe clinical service(s) being documented

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

....code0..*CodeableConceptCode(s) that apply to the event being documented
Binding This list of codes represents the main clinical acts being documented. It uses a code from any vocabulary to describe the type of service event. The vocabulary SnomedCT is a preferred vocabulary. (http://snomed.info/sct)
Binding Strength Preferred

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

.....coding0..*CodingCode defined by a terminology system
Binding A code defined by SNOMED CT (http://snomed.info/sct)
Binding Strength Preferred

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

......system0..1UriIdentity of the terminology system
Fixed Value http://snomed.info/sct

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

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

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

....period0..1PeriodThe period covered by the documentation

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

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

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

....detail0..*Reference (Resource)The event(s) being documented

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

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

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

...encounter0..1Reference (CareConnect-Encounter-1)Context of the Composition

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

....reference1..1StringRelative URL reference

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

...sectionComposition is broken into sections
Slice: Ordering: Unordered, Discriminator: code.coding.code, Rules: Closed

...section (Individual requirements section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Individual requirements

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 886741000000100

......display1..1StringRepresentation defined by the system
Fixed Value Individual requirements

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (CareConnect-Observation-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Diagnoses section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Diagnoses

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 887161000000102

......display1..1StringRepresentation defined by the system
Fixed Value Diagnoses

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry (Condition)0..*Reference (CareConnect-Condition-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Relevant past medical, surgical and mental health history section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Relevant past medical, surgical and mental health history

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 933271000000106

......display1..1StringRepresentation defined by the system
Fixed Value Relevant past medical, surgical and mental health history

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (CareConnect-Observation-1)A reference to data that supports this section

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

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

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

...section (Problems and issues section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Problems and issues

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 887151000000100

......display1..1StringRepresentation defined by the system
Fixed Value Problems and issues

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (cofe-risk-flag-1)A reference to data that supports this section

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

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

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

...section (Medications and medical devices section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Medications and medical devices

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 933361000000108

......display1..1StringRepresentation defined by the system
Fixed Value Medications and medical devices

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry (Medication list)0..*Reference (COFE-Medication-List-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Allergies and adverse reactions section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Allergies and adverse reactions

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 886921000000105

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

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry (Allergies list)0..*Reference (COFE-Allergies-List-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Safety alerts section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Safety alerts

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 886931000000107

......display1..1StringRepresentation defined by the system
Fixed Value Safety alerts

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (cofe-risk-flag-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Legal information section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Legal information

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 886961000000102

......display1..1StringRepresentation defined by the system
Fixed Value Legal information

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (cofe-lastingpowerofattorney-observation-1 | cofe-legalstatus-observation-1 | CareConnect-Observation-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Social context section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Social context

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 887051000000101

......display1..1StringRepresentation defined by the system
Fixed Value Social context

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Required

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

....entry0..*Reference (CareConnect-Observation-1 | cofe-services-careplan-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Person and carer concerns, expectations and wishes section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Person and carer concerns, expectations and wishes

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 1052941000000107

......display1..1StringRepresentation defined by the system
Fixed Value Person and carer concerns, expectations and wishes

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (CareConnect-Encounter-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Crisis care plan section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Crisis care plan

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 325681000000102

......display1..1StringRepresentation defined by the system
Fixed Value Crisis care plan

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (CareConnect-Observation-1 | CareConnect-Procedure-1 | cofe-prognosis-observation-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (End of life section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value End of life

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 887191000000108

......display1..1StringRepresentation defined by the system
Fixed Value End of life

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

....orderedBy0..1CodeableConceptOrder of section entries
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

.....coding0..1CodingCode defined by a terminology system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

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

......code0..1CodeSymbol in syntax defined by the system
Binding What order applies to the items in the entry. (http://hl7.org/fhir/ValueSet/list-order)
Binding Strength Preferred

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

....entry0..*Reference (CareConnect-Observation-1 | cofe-endoflifecareplan-careplan-1)A reference to data that supports this section

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

.....reference1..1StringRelative, internal or absolute URL reference

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

...section (Person completing record section)0..1BackboneElementComposition is broken into sections

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

....title1..1StringLabel for section
Fixed Value Person completing record

....code1..1CodeableConceptClassification of section (recommended)
Binding A code from the SNOMED Clinical Terminology UK coding system which represent the type of section. (http://snomed.info/sct)
Binding Strength Required

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

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT Code to indicate the type of section. (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
Binding A SNOMED CT Code to indicate the type of section. (http://snomed.info/sct)
Binding Strength Required
Fixed Value 887231000000104

......display1..1StringRepresentation defined by the system
Fixed Value Person completing record

....text1..1NarrativeText summary of the section, for human interpretation

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

.....status1..1Codegenerated | extensions | additional | empty
Binding The status of a resource narrative (http://hl7.org/fhir/ValueSet/narrative-status)
Binding Strength Required

.....div1..1XhtmlLimited xhtml content

Name Type Description & Constraints
. . Extension-COFE-Data-Enterer-1 Extension Extension for CDA data enterer (transcriptionist).
. . Extension-COFE-Informant-1 Extension Extension for CDA informant.
. . Extension-COFE-Information-Recipient-1 Extension Extension for CDA information recipient.
. . Extension-COFE-Participant-1 Extension Extension for CDA participant.
. . Extension-COFE-Performer-1 Extension Extension for CDA performer.
. . Extension-COFE-Authorization-1 Extension Extension for CDA authorization.
. . Extension-COFE-Care-Setting-Type-1 Extension Extension for a Care Setting.
Path Name Binding Strength ValueSet
.Composition.language language Required http://tools.ietf.org/html/bcp47
.Composition.type type Preferred https://fhir.nhs.uk/ValueSet/document-type-1
.Composition.type.coding coding Preferred https://fhir.nhs.uk/ValueSet/document-type-1
.Composition.type.coding.code code Preferred https://fhir.nhs.uk/ValueSet/document-type-1
.Composition.status status Required http://hl7.org/fhir/ValueSet/composition-status
.Composition.confidentiality confidentiality Required http://hl7.org/fhir/ValueSet/v3-Confidentiality
.Composition.attester.mode mode Required http://hl7.org/fhir/ValueSet/composition-attestation-mode
.Composition.event.code code Preferred http://snomed.info/sct
.Composition.event.code.coding coding Preferred http://snomed.info/sct
.Composition.section.code code Preferred https://fhir.nhs.uk/ValueSet/section-type-snct-1
.Composition.section.code.coding coding Preferred https://fhir.nhs.uk/ValueSet/section-type-snct-1
.Composition.section.text.status status Required http://hl7.org/fhir/ValueSet/narrative-status
.Composition.section.mode mode Required http://hl7.org/fhir/ValueSet/list-mode
.Composition.section.orderedBy orderedBy Preferred http://hl7.org/fhir/ValueSet/list-order
.Composition.section.emptyReason emptyReason Preferred http://hl7.org/fhir/ValueSet/list-empty-reason
.Composition.section.code code Required http://snomed.info/sct
.Composition.section.code.coding coding Required http://snomed.info/sct
.Composition.section.orderedBy.coding coding Preferred http://hl7.org/fhir/ValueSet/list-order
.Composition.section.orderedBy.coding.code code Preferred http://hl7.org/fhir/ValueSet/list-order
.Composition.section.orderedBy.coding.code code Required http://hl7.org/fhir/ValueSet/list-order