CDA On FHIR England - End of Life Care Document

COFE-SocialorPersonalCircumstances-Observation-1

Social and personal circumstances that the patient may have, including any details of dependants.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

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

....value1..1StringContains a DCE UUID
Example Value a6c1766d-ea25-4cef-b70b-1cdf6baf4239

...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

.....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 SOPC

.....display1..1StringRepresentation defined by the system
Fixed Value Social Or Personal Circumstance

...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..1CodeableConceptSNOMED CT Code.
Binding SNOMED CT Uk code to describes a social or personal circumstance of the patient. (http://fhir.nhs.net/ValueSet/social-or-personal-circumstances-snct-1)
Binding Strength Required

...component0..1BackboneElementContains additional text associated with the social or personal circumstance observation

....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

......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 SOPCAT

......display1..1StringRepresentation defined by the system
Fixed Value Social Or Personal Circumstance Additional Text

....value[x]1..1StringThe value is used to carry additional text.

COFE-SocialorPersonalCircumstances-Observation-1

Examples Description XML File JSON File
COFE-SOP-Circustances-Observation-1-Example-1 Details concerning the patients current socail or personal circumstances.