Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: SubstanceOrDeviceAllergyIntoleranceObservation - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.24.3.90 resource profile.

1. Observation
Control1..1
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-16303).

Pattern ValueOBS
3. Observation.moodCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-16304).

Pattern ValueEVN
4. Observation.negationInd
Control0..1
Typeboolean
5. Observation.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
6. Observation.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. Observation.templateId
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • ,
  • value @ extension
8. Observation.templateId:primary
SliceNameprimary
Definition

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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-16305) such that it

9. Observation.templateId:primary.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
10. Observation.templateId:primary.assigningAuthorityName
Definition

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.

Control0..1
Typestring
11. Observation.templateId:primary.displayable
Definition

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

Control0..1
Typeboolean
12. Observation.templateId:primary.root
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.24.3.90" (CONF:1098-16306).

Pattern Value2.16.840.1.113883.10.20.24.3.90
13. Observation.templateId:primary.extension
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32527).

Pattern Value2014-06-09
14. Observation.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-16307).

15. Observation.code
Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-16345).

16. Observation.code.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
17. Observation.code.code
Definition

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.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @code="ASSERTION" Assertion (CONF:1098-16346).

Pattern ValueASSERTION
18. Observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control1..1
Typestring
Requirements

This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.5.4" (CodeSystem: HL7ActCode urn:oid:2.16.840.1.113883.5.4) (CONF:1098-32171).

Pattern Value2.16.840.1.113883.5.4
19. Observation.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
20. Observation.code.codeSystemVersion
Definition

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

Control0..1
Typestring
21. Observation.code.displayName
Definition

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

Control0..1
Typestring
22. Observation.code.sdtcValueSet
Definition

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

Control0..1
Typestring
23. Observation.code.sdtcValueSetVersion
Definition

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.

Control0..1
Typestring
24. Observation.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
25. Observation.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
26. Observation.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
27. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
28. Observation.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
29. Observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-16308).

30. Observation.statusCode.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
31. Observation.statusCode.code
Definition

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.

Control1..1
Typestring
Requirements

This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:1098-26354).

Pattern Valuecompleted
32. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
33. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
34. Observation.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring
35. Observation.statusCode.displayName
Definition

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

Control0..0
Typestring
36. Observation.statusCode.sdtcValueSet
Definition

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

Control0..1
Typestring
37. Observation.statusCode.sdtcValueSetVersion
Definition

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.

Control0..1
Typestring
38. Observation.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
39. Observation.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
40. Observation.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
41. Observation.effectiveTime
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHALL contain exactly one [1..1] effectiveTime (CONF:1098-16309).

42. Observation.effectiveTime.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
43. Observation.effectiveTime.value
Definition

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

Control0..1
TypedateTime
44. Observation.effectiveTime.inclusive
Definition

Specifies whether the limit is included in the interval (interval is closed) or excluded from the interval (interval is open).

Control0..1
Typeboolean
45. Observation.effectiveTime.operator
Definition

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.

Control0..1
Typecode
46. Observation.effectiveTime.low
Definition

This is the low limit of the interval.

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

This effectiveTime SHALL contain exactly one [1..1] low (CONF:1098-31536).

47. Observation.effectiveTime.high
Definition

This is the high limit of the interval.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
Requirements

This effectiveTime MAY contain zero or one [0..1] high (CONF:1098-31537).

48. Observation.effectiveTime.width
Definition

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
49. Observation.effectiveTime.center
Definition

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TS
50. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
51. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
52. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
53. Observation.value
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] value with @xsi:type="CD" (CONF:1098-16312).

54. Observation.value.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
55. Observation.value.code
Definition

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.

Control1..1
BindingThe codes SHALL be taken from Allergy and Intolerance Type
Typestring
Requirements

This value SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Allergy and Intolerance Type urn:oid:2.16.840.1.113883.3.88.12.3221.6.2 DYNAMIC (CONF:1098-16317).

56. Observation.value.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
57. Observation.value.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
58. Observation.value.codeSystemVersion
Definition

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

Control0..1
Typestring
59. Observation.value.displayName
Definition

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

Control0..1
Typestring
60. Observation.value.sdtcValueSet
Definition

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

Control0..1
Typestring
61. Observation.value.sdtcValueSetVersion
Definition

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.

Control0..1
Typestring
62. Observation.value.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
63. Observation.value.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
64. Observation.value.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
65. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
66. Observation.methodCode
Control0..*
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
67. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
68. Observation.subject
Control0..1
TypeElement
69. Observation.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
70. Observation.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
71. Observation.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
72. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
73. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
74. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
75. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-31144).

76. Observation.informant
Control0..*
TypeElement
77. Observation.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
78. Observation.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
79. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
80. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
81. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
82. Observation.participant:participant1
SliceNameparticipant1
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

SHOULD contain zero or more [0..*] participant (CONF:1098-16318) such that it

83. Observation.participant:participant1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
84. Observation.participant:participant1.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="CSM" Consumable (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-16319).

Pattern ValueCSM
85. Observation.participant:participant1.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
86. Observation.participant:participant1.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
87. Observation.participant:participant1.typeId
Definition

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.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
88. Observation.participant:participant1.templateId
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
89. Observation.participant:participant1.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
90. Observation.participant:participant1.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
91. Observation.participant:participant1.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
92. Observation.participant:participant1.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole
Requirements

SHALL contain exactly one [1..1] participantRole (CONF:1098-16320).

93. Observation.participant:participant1.participantRole.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassRoot
Typecode
Requirements

This participantRole SHALL contain exactly one [1..1] @classCode="MANU" Manufactured Product (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1098-16321).

Default ValueROL
Pattern ValueMANU
94. Observation.participant:participant1.participantRole.templateId
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
95. Observation.participant:participant1.participantRole.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
96. Observation.participant:participant1.participantRole.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
97. Observation.participant:participant1.participantRole.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
98. Observation.participant:participant1.participantRole.addr
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
99. Observation.participant:participant1.participantRole.telecom
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
100. Observation.participant:participant1.participantRole.playingDevice
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Device
101. Observation.participant:participant1.participantRole.playingEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/PlayingEntity
Requirements

This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1098-16322).

102. Observation.participant:participant1.participantRole.playingEntity.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassRoot
Typecode
Requirements

This playingEntity SHALL contain exactly one [1..1] @classCode="MMAT" Manufactured Material (CodeSystem: HL7EntityClass urn:oid:2.16.840.1.113883.5.41 STATIC) (CONF:1098-16323).

Default ValueENT
Pattern ValueMMAT
103. Observation.participant:participant1.participantRole.playingEntity.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
Default ValueINSTANCE
Fixed ValueINSTANCE
104. Observation.participant:participant1.participantRole.playingEntity.templateId
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
105. Observation.participant:participant1.participantRole.playingEntity.code
Control1..1
BindingFor example codes, see Substance Reactant for Intolerance
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

This playingEntity SHALL contain exactly one [1..1] code, which MAY be selected from ValueSet Substance Reactant for Intolerance urn:oid:2.16.840.1.113762.1.4.1010.1 DYNAMIC (CONF:1098-16324).

106. Observation.participant:participant1.participantRole.playingEntity.quantity
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/PQ
107. Observation.participant:participant1.participantRole.playingEntity.name
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/EN
108. Observation.participant:participant1.participantRole.playingEntity.desc
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
109. Observation.participant:participant1.participantRole.scopingEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Entity
110. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ observation
111. Observation.entryRelationship.typeCode
Control1..1
Typecode
112. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
113. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
114. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
115. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
116. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
117. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
118. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
119. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
120. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
121. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
122. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
123. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
124. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
125. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
126. Observation.entryRelationship:allergyStatus
SliceNameallergyStatus
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-16333) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
127. Observation.entryRelationship:allergyStatus.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16335).

Pattern ValueSUBJ
128. Observation.entryRelationship:allergyStatus.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16334).

Pattern Valuetrue
129. Observation.entryRelationship:allergyStatus.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
130. Observation.entryRelationship:allergyStatus.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
131. Observation.entryRelationship:allergyStatus.negationInd
Control0..1
Typeboolean
132. Observation.entryRelationship:allergyStatus.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
133. Observation.entryRelationship:allergyStatus.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(AllergyStatusObservation)
Requirements

SHALL contain exactly one [1..1] Allergy Status Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.28:2019-06-20) (CONF:1098-16336).

134. Observation.entryRelationship:allergyStatus.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
135. Observation.entryRelationship:allergyStatus.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
136. Observation.entryRelationship:allergyStatus.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
137. Observation.entryRelationship:allergyStatus.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
138. Observation.entryRelationship:allergyStatus.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
139. Observation.entryRelationship:allergyStatus.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
140. Observation.entryRelationship:allergyStatus.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
141. Observation.entryRelationship:allergyStatus.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
142. Observation.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-16337) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
143. Observation.entryRelationship:reaction.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="MFST" Is Manifestation of (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16339).

Pattern ValueMFST
144. Observation.entryRelationship:reaction.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16338).

Pattern Valuetrue
145. Observation.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
146. Observation.entryRelationship:reaction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
147. Observation.entryRelationship:reaction.negationInd
Control0..1
Typeboolean
148. Observation.entryRelationship:reaction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
149. Observation.entryRelationship:reaction.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-16340).

150. Observation.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
151. Observation.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
152. Observation.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
153. Observation.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
154. Observation.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
155. Observation.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
156. Observation.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
157. Observation.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
158. Observation.entryRelationship:severity
SliceNameseverity
Control0..1
TypeElement
Requirements

SHOULD NOT contain zero or one [0..1] entryRelationship (CONF:1098-16341) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
159. Observation.entryRelationship:severity.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-16342).

Pattern ValueSUBJ
160. Observation.entryRelationship:severity.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-16343).

Pattern Valuetrue
161. Observation.entryRelationship:severity.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
162. Observation.entryRelationship:severity.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
163. Observation.entryRelationship:severity.negationInd
Control0..1
Typeboolean
164. Observation.entryRelationship:severity.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
165. Observation.entryRelationship:severity.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(SeverityObservation)
Requirements

SHALL contain exactly one [1..1] Severity Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.8:2014-06-09) (CONF:1098-16344).

166. Observation.entryRelationship:severity.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
167. Observation.entryRelationship:severity.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
168. Observation.entryRelationship:severity.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
169. Observation.entryRelationship:severity.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
170. Observation.entryRelationship:severity.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
171. Observation.entryRelationship:severity.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
172. Observation.entryRelationship:severity.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
173. Observation.entryRelationship:severity.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
174. Observation.entryRelationship:criticality
SliceNamecriticality
Control0..1
TypeElement
Requirements

SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-32935) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
175. Observation.entryRelationship:criticality.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32936).

Pattern ValueSUBJ
176. Observation.entryRelationship:criticality.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1098-32937).

Pattern Valuetrue
177. Observation.entryRelationship:criticality.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
178. Observation.entryRelationship:criticality.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
179. Observation.entryRelationship:criticality.negationInd
Control0..1
Typeboolean
180. Observation.entryRelationship:criticality.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
181. Observation.entryRelationship:criticality.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(CriticalityObservation)
Requirements

SHALL contain exactly one [1..1] Criticality Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.145) (CONF:1098-32938).

182. Observation.entryRelationship:criticality.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
183. Observation.entryRelationship:criticality.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
184. Observation.entryRelationship:criticality.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
185. Observation.entryRelationship:criticality.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
186. Observation.entryRelationship:criticality.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
187. Observation.entryRelationship:criticality.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
188. Observation.entryRelationship:criticality.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
189. Observation.entryRelationship:criticality.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
190. Observation.reference
Control0..*
TypeElement
191. Observation.reference.typeCode
Control1..1
Typecode
192. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
193. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
194. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
195. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
196. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
197. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
198. Observation.referenceRange
Control0..*
TypeElement
199. Observation.referenceRange.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode
Default ValueREFV
Fixed ValueREFV
200. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange