CDA On FHIR England - End of Life Care Document

COFE-DocumentParticipantUniversal-1

DocumentPersonUniversal is a DRAFT profile only for use with the generic participation on the CDA document header.

This profile constrains the generic participants of the CDA document to ones suitable for the CDA document header.

This DRAFT profile supports a very limited subset of generic participations on the CDA document header i.e Practitioner participants. It is published as a 'work in progress' and as such is subject to change.

NameCard.TypeDescription & Constraints
..PractitionerPractitionerA person with a formal responsibility in the provisioning of healthcare or related services

...Participant Type0..1ExtensionExtension to represent participant type.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-participant-type-1

...Participant Function Code0..1ExtensionExtension to represent participant function code.
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-participant-function-code-1

...Role Class Associative0..1ExtensionExtension to represent role class associative.
Extension http://fhir.nhs.net/StructureDefinition/extension-roleclassassociative-1-0

...identifierA identifier for the person as this agent
Slice: Ordering: Ordered, Rules: Open at End

...identifier (SDS Identifier)0..1IdentifierSDS identifier that uniquely identifies the person

....system1..1UriSDS identifier that uniquely identifies the person
Fixed Value http://fhir.nhs.net/Id/sds-user-id

....value1..1StringShall contain the SDS User ID
Example Value 200009876204

...identifier (SDS Role Profile Identifier)0..1IdentifierShall carry the SDS identifier that uniquely identifies the role profile of the person

....system1..1UriShall carry the SDS identifier that uniquely identifies the role profile of the person
Fixed Value http://fhir.nhs.net/Id/sds-role-profile-id

....value1..1StringShall contain the SDS Role Profile ID
Example Value 100077650987

...identifier (Alternative Identifier)0..1IdentifierAn alternative identifier where a national code system can not be identified.

....system1..1UriThe element shall contain the Local Person Identifier
Fixed Value http://fhir.nhs.net/Id/local-person-identifier

....value1..1StringShall contain the author's identifier
Example Value 123456

....assigner (assigningAuthorityName)1..1Reference (Organization)Organization that issued id (may be just text)

.....display1..1StringShall contain the assigning organisation in the format of ODSCode:ODSName
Example Value RA9:SOUTH DEVON HEALTHCARE NHS TRUST

...name1..1HumanNameA name associated with the person

....use0..1CodeA vocabulary that may be used to give further information about the type of contact details contained in the value element.
Binding The use of a human name (http://hl7.org/fhir/ValueSet/name-use)
Binding Strength Required

....family0..1StringFamily name (often called 'Surname')

....given0..*StringGiven names (not always 'first'). Includes middle names

....prefix0..1StringParts that come before the name

....suffix0..*StringParts that come after the name

....period0..1PeriodTime period when name was/is in use

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

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

...telecom0..*ContactPointA contact detail for the practitioner

....system0..1Codephone | fax | email | pager | other
Binding Telecommunications form for contact point (http://hl7.org/fhir/ValueSet/contact-point-system)
Binding Strength Required

....value1..1StringThe actual contact point details

....use0..1CodeA vocabulary that may be used to give further information about the type of contact details contained in the value element
Binding Use of contact point (http://hl7.org/fhir/ValueSet/contact-point-use)
Binding Strength Required

....period0..1PeriodTime period when the contact point was/is in use

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

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

...address0..1AddressWhere practitioner can be found/visited

....use0..1CodeA vocabulary that should be used to further define the organisation address when required.
Binding The use of an address (http://hl7.org/fhir/ValueSet/address-use)
Binding Strength Required
Example Value home

....type0..1Codepostal | physical | both
Binding The type of an address (physical / postal) (http://hl7.org/fhir/ValueSet/address-type)
Binding Strength Required
Example Value both

....text0..1StringText representation of the address
Example Value 137 Nowhere Street, Erewhon 9132

....line0..*StringStreet name, number, direction & P.O. Box etc.
Example Value 137 Nowhere Street

....city0..1StringName of city, town etc.
Example Value Erewhon

....district0..1StringDistrict name (aka county)
Example Value Madison

....postalCode0..1StringPostal code for area
Example Value 9132

....country0..1StringCountry (can be ISO 3166 3 letter code)

....period0..1PeriodTime period when address was/is in use
Example Value Hl7.Fhir.Model.Period

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

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

...practitionerRole0..1BackboneElementRoles/organizations the practitioner is associated with

....managingOrganization0..1Reference (cofe-organization-ods-1)Organization where the roles are performed

.....reference1..1StringRelative URL reference

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

....role0..1CodeableConceptRoles which this practitioner may perform
Binding The role a person plays representing an organization (http://snomed.info/sct)
Binding Strength Example

.....coding0..1CodingCode defined by a terminology system
Binding Code defined by SnomedCT (http://snomed.info/sct)
Binding Strength Example

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

......code1..1CodeSymbol in syntax defined by the system
Binding Code defined by SnomedCT (http://snomed.info/sct)
Binding Strength Example
Example Value 158997000

......display1..1StringRepresentation defined by the system
Example Value District nurse

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

Name Type Description & Constraints
. . Extension-COFE-Participant-Type-1 Extension Extension to represent participant type.
. . Extension-COFE-Participant-Function-Code-1 Extension Extension to represent participant function code.
. . Extension-RoleClassAssociative-1-0 Extension Extension to represent role class associative.
Path Name Binding Strength ValueSet
.Practitioner.name.use use Required http://hl7.org/fhir/ValueSet/name-use
.Practitioner.telecom.use use Required http://hl7.org/fhir/ValueSet/contact-point-use
.Practitioner.address.use use Required http://hl7.org/fhir/ValueSet/address-use
.Practitioner.practitionerRole.role role Example http://snomed.info/sct
.Practitioner.practitionerRole.role.coding coding Example http://snomed.info/sct
.Practitioner.practitionerRole.role.coding.code code Example http://snomed.info/sct

COFE-DocumentParticipantUniversal-1

Examples Description XML File JSON File
COFE-DocumentParticipant-Example-1 Example of document participant universal; General Practitioner
COFE-DocumentParticipant-Example-10 Example of document participant universal; Berwick Surgery (GP daytime)
COFE-DocumentParticipant-Example-11 Example of document participant universal; Berwick Surgery (GP Bypass)
COFE-DocumentParticipant-Example-12 Example of document participant universal; London Borough of Bromley
COFE-DocumentParticipant-Example-13 Example of document participant universal; Care Contact
COFE-DocumentParticipant-Example-2 Example of document participant universal; District Nurse
COFE-DocumentParticipant-Example-3 Example of document participant universal; Brent Community Health
COFE-DocumentParticipant-Example-4 Example of document participant universal; Ealing
COFE-DocumentParticipant-Example-5 Example of document participant universal; St Joseph's Hospice
COFE-DocumentParticipant-Example-6 Example of document participant universal; St Luke's Hospice
COFE-DocumentParticipant-Example-7 Example of document participant universal; Barnet and Chase Farm
COFE-DocumentParticipant-Example-8 Example of document participant universal; Royal Marsden
COFE-DocumentParticipant-Example-9 Example of document participant universal; Care Team