Current:

This profile represents a person’s care preferences during their care and treatment. Examples include, but are not limited to religious preferences, dislikes and fears, and thoughts and feelings to be shared. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient’s care experience preferences. This profile identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.

Proposed:

This profile represents a person’s care preferences during  for 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. To promote interoperability and adoption through common implementation, this profile sets minimum expectations for the Observation resource to record, search, and fetch for a patient’s care experience preferences. This profile identifies which core elements, extensions, vocabularies, and value sets SHALL be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.

Rationale:

This is a new profile with a lot of potential uses.  Providing a range of examples that is exclusive focused on the Advance Directive use case obscures the possibilities.  Adding other types of examples is more instructive about the range of possible uses.