CDA On FHIR England - End of Life Care Document

COFE-LastingPowerofAttorney-Observation-1

Authority to lasting power of attorney observation.

NameCard.TypeDescription & Constraints
..ObservationObservationMeasurements and simple assertions

...Participant1..1ExtensionExtension for CDA participant.
Extension https://fhir.nhs.uk/StructureDefinition/extension-cofe-participant-1

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

....value1..1StringContains a DCE UUID
Example Value 4d70d576-05d4-4beb-b691-f25cfbce1f15

...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 (EOL Observation Type)1..1CodeableConceptEOL Observation Type
Binding Codes identifying names of simple observations. (http://fhir.nhs.net/ValueSet/eol-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/eol-cda-observation-type-1

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

.....display1..1StringRepresentation defined by the system
Fixed Value EOL Authority to Lasting Power of Attorney

...subject0..1Reference (CareConnect-Patient-1)Who and/or what this is about

...encounter0..1Reference (CareConnect-Encounter-1)Healthcare event during which this observation is made

....reference1..1StringRelative URL reference

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

...effective[x]1..1DateTimeClinically relevant time/time-period for observation

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

...value[x]1..1CodeableConceptSNOMED CT UK Code for lasting power of attorney.
Binding SNOMED CT UK code to describe authority to lasting power of attorney. (http://fhir.nhs.net/ValueSet/LPOA-snct-1)
Binding Strength Required

Name Type Description & Constraints
. . Extension-COFE-Participant-1 Extension Extension for CDA participant.
Path Name Binding Strength ValueSet
.Observation.status status Required http://hl7.org/fhir/ValueSet/observation-status
.Observation.code EOL Observation Type Required http://fhir.nhs.net/ValueSet/eol-cda-observation-type-1
.Observation.value[x] value[x] Required http://fhir.nhs.net/ValueSet/LPOA-snct-1
.Observation.referenceRange.low.comparator comparator Required http://hl7.org/fhir/ValueSet/quantity-comparator
.Observation.referenceRange.meaning meaning Example http://hl7.org/fhir/ValueSet/referencerange-meaning
.Observation.related.type type Required http://hl7.org/fhir/ValueSet/observation-relationshiptypes
.Observation.component.code code Example http://hl7.org/fhir/ValueSet/observation-codes
.Observation.component.dataAbsentReason dataAbsentReason Extensible http://hl7.org/fhir/ValueSet/observation-valueabsentreason

COFE-LastingPowerofAttorney-Observation-1

Examples Description XML File JSON File
COFE-LPOA-Observation-1-Example-1 Lasting power of attorney example. Lasting power of attorney property and affairs (observable entity).