Consolidated CDA Release 2.1 StructureDefinition Publication
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Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions

Logical Model: Vital Signs Organizer

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/VitalSignsOrganizer Version: 2.1
Draft as of 2023-09-29 Computable Name: VitalSignsOrganizer
Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.26:2015-08-01

This template provides a mechanism for grouping vital signs (e.g., grouping systolic blood pressure and diastolic blood pressure).

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CDAR2.Organizer

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
... classCode 1..1csFixed Value: CLUSTER
... moodCode 1..1cs
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
.... code 1..1csRequired Pattern: 46680005
.... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... code 1..1csRequired Pattern: 74728-7
...... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CS
.... code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... author 0..*AuthorParticipationBase for all types and resources
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... observation 1..1VitalSignObservationBase for all types and resources

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
Base for all types and resources
... @classCode 1..1csBinding: ActClass (required)
Fixed Value: CLUSTER
... @moodCode 1..1csBinding: ActMood (required)
Fixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... @extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
Binding: v3 Code System ActCode (extensible)
.... @code 1..1csRequired Pattern: 46680005
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 74728-7
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... author 0..*AuthorParticipationBase for all types and resources
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... observation 1..1VitalSignObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Organizer.classCoderequiredFixed Value: CLUSTER
Organizer.moodCoderequiredFixed Value: EVN
Organizer.codeextensibleActCode
Organizer.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
Base for all types and resources
... @classCode 1..1csBinding: ActClass (required)
Fixed Value: CLUSTER
... @moodCode 1..1csBinding: ActMood (required)
Fixed Value: EVN
... realmCode 0..*CS
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... @extension 1..1stRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
Binding: v3 Code System ActCode (extensible)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csRequired Pattern: 46680005
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @nullFlavor 0..1csBinding: NullFlavor (required)
...... @code 1..1csRequired Pattern: 74728-7
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... reference 0..*Reference
... precondition 0..*Precondition
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 0..1csBinding: ActRelationshipHasComponent (required)
..... @contextConductionInd 0..1blFixed Value: true
..... sequenceNumber 0..1INT
..... priorityNumber 0..1INTXML Namespace: urn:hl7-org:sdtc
XML Namespace: urn:hl7-org:sdtc
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1VitalSignObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Organizer.classCoderequiredFixed Value: CLUSTER
Organizer.moodCoderequiredFixed Value: EVN
Organizer.templateId:primary.nullFlavorrequiredNullFlavor
Organizer.codeextensibleActCode
Organizer.code.nullFlavorrequiredNullFlavor
Organizer.code.translation:translation1.nullFlavorrequiredNullFlavor
Organizer.statusCoderequiredActStatus
Organizer.statusCode.nullFlavorrequiredNullFlavor
Organizer.component:component1.nullFlavorrequiredNullFlavor
Organizer.component:component1.typeCoderequiredActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 17 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Organizer.templateId is sliced based on the values of value:extension, value:root
  • The element Organizer.code.translation is sliced based on the values of value:codeSystem, value:code
  • The element Organizer.component is sliced based on the value of value:observation

Differential View

This structure is derived from CDAR2.Organizer

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
... classCode 1..1csFixed Value: CLUSTER
... moodCode 1..1cs
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
.... code 1..1csRequired Pattern: 46680005
.... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... code 1..1csRequired Pattern: 74728-7
...... codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CS
.... code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... author 0..*AuthorParticipationBase for all types and resources
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... observation 1..1VitalSignObservationBase for all types and resources

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
Base for all types and resources
... @classCode 1..1csBinding: ActClass (required)
Fixed Value: CLUSTER
... @moodCode 1..1csBinding: ActMood (required)
Fixed Value: EVN
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... @extension 1..1stRequired Pattern: 2015-08-01
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
Binding: v3 Code System ActCode (extensible)
.... @code 1..1csRequired Pattern: 46680005
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @code 1..1csRequired Pattern: 74728-7
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
... statusCode 1..1CSBinding: ActStatus (required)
.... @code 1..1csFixed Value: completed
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... author 0..*AuthorParticipationBase for all types and resources
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... observation 1..1VitalSignObservationBase for all types and resources

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Organizer.classCoderequiredFixed Value: CLUSTER
Organizer.moodCoderequiredFixed Value: EVN
Organizer.codeextensibleActCode
Organizer.statusCoderequiredActStatus

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Organizer 1..1CDAR2.OrganizerXML Namespace: urn:hl7-org:v3
Elements defined in Ancestors: @classCode, @moodCode, realmCode, typeId, templateId, id, code, statusCode, effectiveTime, subject, specimen, performer, author, informant, participant, reference, precondition, component
Base for all types and resources
... @classCode 1..1csBinding: ActClass (required)
Fixed Value: CLUSTER
... @moodCode 1..1csBinding: ActMood (required)
Fixed Value: EVN
... realmCode 0..*CS
... Slices for templateId 1..*IISlice: Unordered, Open by value:extension, value:root
.... templateId:primary 1..1II
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... @assigningAuthorityName 0..1st
..... @displayable 0..1bl
..... @root 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.10.20.22.4.26
..... @extension 1..1stRequired Pattern: 2015-08-01
... id 1..*II
... code 1..1CDCompatibility support for C-CDA R1.1 and C-CDA 2.1: A vitals organizer conformant to both C-CDA 1.1 and C-CDA 2.1 would contain the SNOMED code (46680005) from R1.1 in the root code and a LOINC code in the translation. A vitals organizer conformant to only C-CDA 2.1 would only contain the LOINC code in the root code.
Binding: v3 Code System ActCode (extensible)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csRequired Pattern: 46680005
.... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.96
.... @codeSystemName 0..1st
.... @codeSystemVersion 0..1st
.... @displayName 0..1st
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1ED
.... qualifier 0..*CR
.... Slices for translation 1..*CDSlice: Unordered, Open by value:codeSystem, value:code
..... translation:translation1 1..1CD
...... @nullFlavor 0..1csBinding: NullFlavor (required)
...... @code 1..1csRequired Pattern: 74728-7
...... @codeSystem 1..1oid, uuid, ruidRequired Pattern: 2.16.840.1.113883.6.1
...... @codeSystemName 0..1st
...... @codeSystemVersion 0..1st
...... @displayName 0..1st
...... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
...... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
...... originalText 0..1ED
...... qualifier 0..*CR
...... translation 0..*CD
... statusCode 1..1CSBinding: ActStatus (required)
.... @nullFlavor 0..1csBinding: NullFlavor (required)
.... @code 1..1csFixed Value: completed
.... @sdtcValueSet 0..1oidXML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1stXML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1IVL_TSThe effectiveTime may be a timestamp or an interval that spans the effectiveTimes of the contained vital signs observations.
... subject 0..1Subject
... specimen 0..*Specimen
... performer 0..*Performer2
... author 0..*AuthorParticipationBase for all types and resources
... informant 0..*Informant
... participant 0..*Participant2
... reference 0..*Reference
... precondition 0..*Precondition
... Slices for component 1..*OrganizerComponentSlice: Unordered, Open by value:observation
.... component:component1 1..*OrganizerComponent
..... @nullFlavor 0..1csBinding: NullFlavor (required)
..... realmCode 0..*CS
..... typeId 0..1II
..... templateId 0..*II
..... @typeCode 0..1csBinding: ActRelationshipHasComponent (required)
..... @contextConductionInd 0..1blFixed Value: true
..... sequenceNumber 0..1INT
..... priorityNumber 0..1INTXML Namespace: urn:hl7-org:sdtc
XML Namespace: urn:hl7-org:sdtc
..... seperatableInd 0..1BL
..... act 0..1Act
..... encounter 0..1Encounter
..... observation 1..1VitalSignObservationBase for all types and resources
..... observationMedia 0..1ObservationMedia
..... organizer 0..1Organizer
..... procedure 0..1Procedure
..... regionOfInterest 0..1RegionOfInterest
..... substanceAdministration 0..1SubstanceAdministration
..... supply 0..1Supply

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Organizer.classCoderequiredFixed Value: CLUSTER
Organizer.moodCoderequiredFixed Value: EVN
Organizer.templateId:primary.nullFlavorrequiredNullFlavor
Organizer.codeextensibleActCode
Organizer.code.nullFlavorrequiredNullFlavor
Organizer.code.translation:translation1.nullFlavorrequiredNullFlavor
Organizer.statusCoderequiredActStatus
Organizer.statusCode.nullFlavorrequiredNullFlavor
Organizer.component:component1.nullFlavorrequiredNullFlavor
Organizer.component:component1.typeCoderequiredActRelationshipHasComponent

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 17 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element Organizer.templateId is sliced based on the values of value:extension, value:root
  • The element Organizer.code.translation is sliced based on the values of value:codeSystem, value:code
  • The element Organizer.component is sliced based on the value of value:observation

 

Other representations of profile: CSV, Excel