CDA On FHIR England - End of Life Care Document

COFE-Prognosis-Observation-1

This Observation resource represents a patients prognosis that is part of their crisis care plan.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...identifier1..1IdentifierUnique Id for this particular observation

....value1..1StringShall contain a DCE UUID
Example Value 1abde857-2245-4dbe-b93c-6f896ccd6958

...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

...code1..1CodeableConceptType of observation (code / type)
Binding Codes identifying names of simple observations. (http://snomed.info/sct)
Binding Strength Required

....coding1..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
Fixed Value 170967006

.....display1..1StringRepresentation defined by the system
Fixed Value Prognosis/outlook (observable entity)

...subject0..1Reference (CareConnect-Patient-1)Who and/or what this is about

...encounter0..1Reference (CareConnect-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 (CareConnect-Practitioner-1 | cofe-device-1)Who is responsible for the observation

...value[x]1..1CodeableConceptActual result
Binding A SNOMED CT vocabulary that describes the type of prognosis. (http://fhir.nhs.net/ValueSet/prognosis-type-snct-1)
Binding Strength Required

...component0..*BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / type)
Binding A SNOMED CT vocabulary that describes a set of codes to identify who is aware of the prognosis. (http://fhir.nhs.net/ValueSet/prognosis-awareness-type-snct-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system
Binding A SNOMED CT vocabulary that describes a set of codes to identify who is aware of the prognosis. (http://fhir.nhs.net/ValueSet/prognosis-awareness-type-snct-1)
Binding Strength Required

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

......code1..1CodeSymbol in syntax defined by the system
Binding A SNOMED CT vocabulary that describes a set of codes to identify who is aware of the prognosis. (http://fhir.nhs.net/ValueSet/prognosis-awareness-type-snct-1)
Binding Strength Required

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

....value[x]1..1CodeableConceptActual component result
Binding Element value is fixed to "yes". (http://hl7.org/fhir/ValueSet/v2-0136)
Binding Strength Required

Path Name Binding Strength ValueSet
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.category.coding coding Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.code code Required http://snomed.info/sct
.Observation.value[x] value[x] Required http://fhir.nhs.net/ValueSet/prognosis-type-snct-1
.Observation.referenceRange.low.comparator comparator Required http://hl7.org/fhir/ValueSet/quantity-comparator
.Observation.referenceRange.meaning meaning Example http://hl7.org/fhir/ValueSet/referencerange-meaning
.Observation.related.type type Required http://hl7.org/fhir/ValueSet/observation-relationshiptypes
.Observation.component.code code Required http://fhir.nhs.net/ValueSet/prognosis-awareness-type-snct-1
.Observation.component.code.coding coding Required http://fhir.nhs.net/ValueSet/prognosis-awareness-type-snct-1
.Observation.component.value[x] value[x] Required http://hl7.org/fhir/ValueSet/v2-0136