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."
}