CDA On FHIR England - End of Life Care Document

COFE-ADTRT-Observation-1

Advanced decision to refuse treatment observation.

NameCard.TypeDescription & Constraints
..ObservationObservationAdvanced Decision to Refuse Treatment

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

....value1..1StringContains a DCE UUID
Example Value 4d70d576-05d4-4beb-b691-f25cfbce1f15

...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

...code (Observation Type)1..1CodeableConceptType of observation (code / type)
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1)
Binding Strength Required

....coding1..1CodingCode defined by a terminology system

.....system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1

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

.....display1..1StringRepresentation defined by the system
Fixed Value EOL Patient Advance Decision to Refuse Treatment

...subject0..1Reference (cofe-patient-1)The subject of the ADTRT observation

...encounter0..1Reference (Encounter)Healthcare event during which this observation is made

....reference1..1StringRelative URL reference

....display0..1StringNarrative text for the resource

...effective[x]1..1DateTimeClinically relevant time/time-period for observation

...performer0..1Reference (cofe-practitioner-1 | cofe-device-1)Who is responsible for the observation

...value[x]1..1CodeableConceptActual result
Binding ADRT preferences of patient. (http://fhir.nhs.net/ValueSet/ADTRT-snct-1)
Binding Strength Required

...componentComponent results
Slice: Ordering: Ordered, Rules: Closed

...component (DocumentLocation)1..1BackboneElementThe location of the ADTRT documentation

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1

......code1..1CodeCDA EOL Observation Code
Fixed Value EOLADL

......display1..1StringRepresentation defined by the system
Fixed Value EOL Patient Advance Decision to Refuse Treatment Docs Location

....value[x]1..1StringLocation of ADTRT documentation.

...component (ADTRTDisccusion)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / type)
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1)
Binding Strength Required

.....coding1..1CodingCode defined by a terminology system

......system1..1UriIdentity of the terminology system
Fixed Value http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1

......code1..1CodeCDA EOL Observation Code
Fixed Value EOLADS

......display1..1StringRepresentation defined by the system
Fixed Value EOL Patient Advance Decision to Refuse Treatment Discussed

....value[x]1..1CodeableConceptADTRT discussion value.
Binding ADRT preferences being discussed with healthcare professional. (http://fhir.nhs.net/ValueSet/ADTRT-Discussed-snct-1)
Binding Strength Required

Path Name Binding Strength ValueSet
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.code Observation Type Required http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1
.Observation.value[x] value[x] Required http://fhir.nhs.net/ValueSet/ADTRT-snct-1
.Observation.component.code EOL Document Location Example http://hl7.org/fhir/ValueSet/observation-codes
.Observation.component.code code Required http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1
.Observation.component.value[x] value[x] Required http://fhir.nhs.net/ValueSet/ADTRT-Discussed-snct-1

COFE-ADTRT-Observation-1

Examples Description XML File JSON File
COFE-ADTRT-Observation-1-Example-1 Details of the patient's advanced decision to refuse treatment.