description: The US Core Care Experience Preference Profile inherits from the FHIR [Observation](https://hl7.org/fhir/R4/observation.html) resource; refer to This profile provides guidance on how to record a care experience preference expressed by the patient regarding their care and treatment. Examples include, but are not limited to, religious preferences, dislikes and fears, preferred place for birth, preferred pharmacy, and thoughts and feelings to be shared. This profile does not represent an actual order, but it can guide caregivers and medical personnel about what is important for the person. This profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient care experience preferences. It specifies which core elements, extensions,  vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption.
package_name: hl7.fhir.us.core
derivation: constraint
name: USCoreCareExperiencePreferenceProfile
type: Observation
elements:
  category:
    mustSupport: true
    index: 1
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: null
      slices:
        us-core:
          match:
            coding:
            - {code: care-experience-preference, system: 'http://hl7.org/fhir/us/core/CodeSystem/us-core-category'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: care-experience-preference, system: 'http://hl7.org/fhir/us/core/CodeSystem/us-core-category'}
            index: 2
          min: 0
          max: 1
  valueTime: {type: time, mustSupport: true, choiceOf: value, index: 21}
  valueQuantity: {type: Quantity, mustSupport: true, choiceOf: value, index: 15}
  value:
    mustSupport: true
    choices: [valueString, valueCodeableConcept, valueQuantity, valueBoolean, valueInteger, valueRange, valueRatio, valueSampledData, valueTime, valueDateTime, valuePeriod]
    index: 12
  valueString: {type: string, mustSupport: true, choiceOf: value, index: 13}
  valueRatio: {type: Ratio, mustSupport: true, choiceOf: value, index: 19}
  valueBoolean: {type: boolean, mustSupport: true, choiceOf: value, index: 16}
  valueDateTime: {type: dateTime, mustSupport: true, choiceOf: value, index: 22}
  valueSampledData: {type: SampledData, mustSupport: true, choiceOf: value, index: 20}
  effectiveDateTime: {type: dateTime, mustSupport: true, choiceOf: effective, index: 7}
  status: {mustSupport: true, index: 0}
  effective:
    mustSupport: true
    choices: [effectiveDateTime, effectivePeriod, effectiveTiming, effectiveInstant]
    index: 6
  code:
    type: CodeableConcept
    short: Care experience preferences code
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 95541-9, system: 'http://loinc.org'}
    index: 3
  effectiveTiming: {type: Timing, mustSupport: true, choiceOf: effective, index: 9}
  valueCodeableConcept: {type: CodeableConcept, mustSupport: true, choiceOf: value, index: 14}
  valuePeriod: {type: Period, mustSupport: true, choiceOf: value, index: 23}
  effectiveInstant: {type: instant, mustSupport: true, choiceOf: effective, index: 10}
  valueRange: {type: Range, mustSupport: true, choiceOf: value, index: 18}
  valueInteger: {type: integer, mustSupport: true, choiceOf: value, index: 17}
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  effectivePeriod: {type: Period, mustSupport: true, choiceOf: effective, index: 8}
package_version: 7.0.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/core/StructureDefinition/us-core-care-experience-preference
base: http://hl7.org/fhir/StructureDefinition/Observation
version: 7.0.0
required: [subject]