SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

SHALL contain exactly one [1..1] templateId (CONF:4537-32995) such that it

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.503" (CONF:4537-32998).

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32999).

SHALL contain exactly one [1..1] code (CONF:4537-32996).

This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:4537-33003).

SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

SHALL contain exactly one [1..1] value, which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

MAY contain zero or one [0..1] subject (CONF:4537-33058).

The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] templateId (CONF:4537-32995) such that it

• value @ root
• value @ extension

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] templateId (CONF:4515-8550) such that it

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.38" (CONF:4515-10526).

A character string as a unique identifier within the scope of the identifier root.

SHALL contain exactly one [1..1] @extension="2022-06-01" (CONF:4515-32495).

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.503" (CONF:4537-32998).

A character string as a unique identifier within the scope of the identifier root.

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32999).

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

SHALL contain at least one [1..*] id (CONF:4515-8551).

Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

Describes what was observed. Sometimes this is called the observation "name".

SHALL contain exactly one [1..1] code (CONF:4537-32996).

All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Knowing what kind of observation is being made is essential to understanding the observation.

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).

Specifies the code system that defines the code.

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:4537-33003).

SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

Specifies the code system that defines the code.

The common name of the coding system.

If applicable, a version descriptor defined specifically for the given code system.

A name or title for the code, under which the sending system shows the code value to its users.

The text or phrase used as the basis for the coding.

Specifies additional codes that increase the specificity of the the primary code.

A set of other concept descriptors that translate this concept descriptor into other code systems.

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

This is the low limit of the interval.

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

This is the high limit of the interval.

This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

SHALL contain exactly one [1..1] value, which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

MAY contain zero or one [0..1] subject (CONF:4537-33058).

One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

Observations have no value if you don't know who or what they're about.

The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

• value @ act
• value @ observation
• value @ typeCode

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32958) such that it

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32960).

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32959).

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32971).

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32970).

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32969) such that it

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] templateId (CONF:4537-32995) such that it

• value @ root
• value @ extension

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] templateId (CONF:4515-8550) such that it

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.38" (CONF:4515-10526).

A character string as a unique identifier within the scope of the identifier root.

SHALL contain exactly one [1..1] @extension="2022-06-01" (CONF:4515-32495).

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.503" (CONF:4537-32998).

A character string as a unique identifier within the scope of the identifier root.

SHALL contain exactly one [1..1] @extension="2023-05-01" (CONF:4537-32999).

SHALL contain at least one [1..*] id (CONF:4515-8551).

SHALL contain exactly one [1..1] code (CONF:4537-32996).

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).

Specifies the code system that defines the code.

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1 STATIC) (CONF:4537-33003).

The common name of the coding system.

If applicable, a version descriptor defined specifically for the given code system.

A name or title for the code, under which the sending system shows the code value to its users.

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

The text or phrase used as the basis for the coding.

Specifies additional codes that increase the specificity of the the primary code.

A set of other concept descriptors that translate this concept descriptor into other code systems.

SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

Specifies the code system that defines the code.

The common name of the coding system.

If applicable, a version descriptor defined specifically for the given code system.

A name or title for the code, under which the sending system shows the code value to its users.

The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

The text or phrase used as the basis for the coding.

Specifies additional codes that increase the specificity of the the primary code.

A set of other concept descriptors that translate this concept descriptor into other code systems.

SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

This is the low limit of the interval.

This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

This is the high limit of the interval.

This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

SHALL contain exactly one [1..1] value, which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

Drawn from concept domain ActSite

MAY contain zero or one [0..1] subject (CONF:4537-33058).

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Element Act.typeCode

Element Act.contextControlCode

The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

Base definition for all types defined in FHIR type system.

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-31869).

SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

• value @ act
• value @ observation
• value @ typeCode

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32958) such that it

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32960).

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32959).

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32971).

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32970).

MAY contain zero or more [0..*] entryRelationship (CONF:4515-32969) such that it

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

Base definition for all types defined in FHIR type system.

SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question