CDA On FHIR England - End of Life Care Document

COFE-LegalStatus-Observation-1

Legal status observation.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...Informant0..1ExtensionRefers to who informed
Extension http://fhir.nhs.net/StructureDefinition/extension-cofe-informant-1

...identifier1..1IdentifierUUID for this particular observation

....value1..1StringThe value that is unique
Example Value b2acf55d-cf63-43c8-922a-8ff8170309b7

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

....coding1..1CodingCode defined by a terminology system
Binding Observation Code (http://fhir.nhs.net/ValueSet/cda-observation-type-1)
Binding Strength Required

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

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

.....display1..1StringRepresentation defined by the system
Fixed Value Legal Status Observation

...subject0..1Reference (cofe-patient-1)Who and/or what this is about

...encounter0..1Reference (cofe-encounter-1)Healthcare event during which this observation is made

....reference1..1StringRelative URL reference

....display0..1StringText alternative for the resource

...effective[x]1..1PeriodThe time or duration that the legal status was valid.

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

...value[x]1..1CodeableConceptDescription of the legal status.
Binding SNOMED CT UK code to describe the legal status (http://fhir.nhs.net/ValueSet/legal-status-snct-1)
Binding Strength Required

Name Type Description & Constraints
. . Extension-COFE-Informant-1 Extension Extension for CDA informant.
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/cda-observation-type-1
.Observation.code.coding coding Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.value[x] value[x] Required http://fhir.nhs.net/ValueSet/legal-status-snct-1

COFE-LegalStatus-Observation-1

Examples Description XML File JSON File
COFE-LegalStatus-Observation-1-Example-1 The legal status of a patient.