CDA On FHIR England - End of Life Care Document

COFE-PersonalCarePreference-Observation-1

This Observation Resource regards a patients personal care preference.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

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

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

....value1..1StringShall contain a DCE UUID
Example Value 2c3c0bc5-2d3b-4ac4-b57f-4d451ad130b0

...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 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

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

.....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 PCP

.....display1..1StringRepresentation defined by the system
Fixed Value Personal Care Preference

...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..1PeriodClinically 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 A code from the SNOMED Clinical Terminology UK coding system that describes the personal preferences of the patient. This can include items such as prefered place of care, patients diet and communication method. (http://fhir.nhs.net/ValueSet/personal-preferences-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.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.value[x] value[x] Required http://fhir.nhs.net/ValueSet/personal-preferences-snct-1