CDA On FHIR England - End of Life Care Document

COFE-PatientDeathInformation-Observation-1

This Observation resource represents information about the death of a patient or related to the death of a patient.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

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

....value1..1StringContains a DCE UUID
Example Value 875c1b91-07e7-457e-ba03-759573718d4a

...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

...code1..1CodeableConceptType of observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 PD

.....display1..1StringRepresentation defined by the system
Fixed Value Patient Death

...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..1DateTimeThe date on which a person died or is officially deemed to have died, as recorded on the death certificate.

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

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

...component (Cause of Death)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 COPD

......display1..1StringRepresentation defined by the system
Fixed Value Cause of Death

....value[x]1..1CodeableConceptThe diagnosis that is the main contributing factor to the persons death.
Binding The diagnosis that is the main contributing factor to the persons death. (http://fhir.nhs.net/ValueSet/finding-snct-1)
Binding Strength Required

...component (Actual Place of Death)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 PODO

......display1..1StringRepresentation defined by the system
Fixed Value Place of Death Observation

....value[x]1..1CodeableConceptThe location where the patient actually died.
Binding The location where the patient actually died. (http://fhir.nhs.net/ValueSet/place-of-death-snct-1)
Binding Strength Required

...component (Reason for Death Place Variance)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 RFDPV

......display1..1StringRepresentation defined by the system
Fixed Value Reason For Death Place Variance

....value[x]1..1StringReason patient died other than at their specified preferred place of death.

...component (Anticipatory Actions Following Death)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 AAFD

......display1..1StringRepresentation defined by the system
Fixed Value Anticipatory Actions Following Death

....value[x]1..1StringA plan that has been agreed to facilitate certification of death and/or funeral arrangements e.g. anticipatory discussions with coroner to arrange funeral within 24 hours etc.

...component (Certification of Death)0..1BackboneElementComponent results

....code1..1CodeableConceptType of component observation (code / 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 A set of codes to identify observation type used in the CDA domains. (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 CODI

......display1..1StringRepresentation defined by the system
Fixed Value Certificate of Death Information

....value[x]1..1StringThe contact details of a doctor where the patient is in their last weeks of life, and there is a doctor who has seen the patient recently who could potentially sign a death certificate.

Path Name Binding Strength ValueSet
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.category.coding coding Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.code code Required http://fhir.nhs.net/ValueSet/cda-observation-type-1
.Observation.component.value[x] value[x] Required http://fhir.nhs.net/ValueSet/finding-snct-1
.Observation.component.value[x] value[x] Required http://fhir.nhs.net/ValueSet/place-of-death-snct-1