Observation-CaseNote

{
    "resourceType": "Observation",
    "meta": {
        "profile":  [
            "https://fhir.yhcr.nhs.uk/StructureDefinition/Interweave-Observation",
            "https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1"
        ],
        "tag":  [
            {
                "system": "https://fhir.nottscr.nhs.uk/CodeSystem/GPRCC-ResourceType",
                "code": "Care Plan"
            }
        ]
    },
    "id": "casenote03",
    "status": "final",
    "category":  [
        {
            "coding":  [
                {
                    "system": "http://hl7.org/fhir/observation-category",
                    "code": "social-history",
                    "display": "Social History"
                }
            ]
        },
        {
            "coding":  [
                {
                    "system": "https://fhir.nottscr.nhs.uk/CodeSystem/NottsCareRecord-ObservationCategory",
                    "code": "case-note",
                    "display": "Case Note"
                }
            ]
        }
    ],
    "code": {
        "coding":  [
            {
                "system": "http://snomed.info/sct",
                "code": "37331000000100",
                "display": "Comment note (record artifact)"
            }
        ]
    },
    "subject": {
        "reference": "Patient/101678514"
    },
    "effectiveDateTime": "2023-03-01",
    "comment": "admission with Metastatic anal SCC CT-CAP(25-02-23) showed progressive metastatic disease within the chest; abdomen, pelvis and a large right pleural effusion. MRI whole spine (23-02-23)revealed metastasis in left and lateral mass of C1 as well as a mild pathological fracture in T10. Further small likely metastatic deposits scattered throughout vertebral column and sacrum. Spinal MDT outcomes are as follows: "Palliative radiotherapy" Aspen with OC extension "Transfer back to oncology for radiotherapy . Is under palliative care team."
}