Consolidated CDA (C-CDA)
3.0.0 - STU United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: BasicOccupationObservation - Detailed Descriptions

Draft as of 2024-05-07

Definitions for the BasicOccupationObservation logical model.

Guidance on how to interpret the contents of this table can be found here

0. Observation
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.templateId
Control2..?
4. Observation.templateId:basic-occupation-obs
Slice Namebasic-occupation-obs
Control1..1
6. Observation.templateId:basic-occupation-obs.root
Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.503
8. Observation.templateId:basic-occupation-obs.extension
Control1..?
Pattern Value2023-05-01
10. Observation.classCode
Comments

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

12. Observation.moodCode
Comments

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

14. Observation.code
ShortHistory of Occupation
Comments

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

16. Observation.code.code
Control1..?
Pattern Value11341-5
18. Observation.code.codeSystem
ShortLOINC
Control1..?
Pattern Value2.16.840.1.113883.6.1
20. Observation.statusCode
Comments

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

22. Observation.statusCode.code
Comments

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

24. Observation.effectiveTime
Comments

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

26. Observation.effectiveTime.low
ShortThe low value reflects the start date of the recorded occupation.
Comments

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

Control1..?
28. Observation.effectiveTime.high
ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
Comments

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

30. Observation.value
Control1..?
32. Observation.value:physical-quantity
Slice Namephysical-quantity
Control0..0
34. Observation.value:coded
Slice Namecoded
Comments

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

Control1..?
BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
(required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
36. Observation.subject
ShortIndicates that this observation is for a related person whose occupation may affect the patient.
Comments

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

38. Observation.subject.relatedSubject
Comments

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

40. Observation.entryRelationship:basic-industry
Slice Namebasic-industry
ShortentryRelationship
Comments

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

Control0..1
42. Observation.entryRelationship:basic-industry.typeCode
Comments

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

Fixed ValueREFR
44. Observation.entryRelationship:basic-industry.observation
Comments

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).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)

Guidance on how to interpret the contents of this table can be found here

0. Observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-value: SHOULD contain value (value.exists())
4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
should-sh-author: SHOULD contain author (author.exists())
2. 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

Control2..*
Typehttp://hl7.org/cda/stds/core/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
  • 4. Observation.templateId:social-history-obs
    Slice Namesocial-history-obs
    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/cda/stds/core/StructureDefinition/II
    6. Observation.templateId:social-history-obs.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.4.38
    8. Observation.templateId:social-history-obs.extension
    Definition

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

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2022-06-01
    10. Observation.templateId:basic-occupation-obs
    Slice Namebasic-occupation-obs
    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/cda/stds/core/StructureDefinition/II
    12. Observation.templateId:basic-occupation-obs.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.4.503
    14. Observation.templateId:basic-occupation-obs.extension
    Definition

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

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2023-05-01
    16. Observation.classCode
    Comments

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

    Control1..1
    BindingThe codes SHALL be taken from CDAActClassObservation
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueOBS
    18. Observation.moodCode
    Comments

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

    Control1..1
    BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
    (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueEVN
    20. Observation.id
    Definition

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

    ShortLogical id of this artifact
    Comments

    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.

    Control10..*1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
    Is Modifierfalse
    22. Observation.code
    Definition

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

    ShortHistory of OccupationType of observation (code / type)
    Comments

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


    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.

    Control1..1
    This element is affected by the following invariants: obs-7
    BindingThe codes SHOULD be taken from For example codes, see Social History Type .http://hl7.org/fhir/ValueSet/observation-codes
    (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
    Is Modifierfalse
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    Requirements

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

    Alternate NamesName
    Invariants4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). (codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists())
    ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    24. 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
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    Pattern Value11341-5
    26. Observation.code.codeSystem
    Definition

    Specifies the code system that defines the code.

    ShortLOINC
    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    Pattern Value2.16.840.1.113883.6.1
    28. Observation.statusCode
    Comments

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

    Control1..1
    BindingThe codes SHALL be taken from ActStatus
    (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
    30. 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.

    Comments

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

    Control1..1
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode
    Fixed Valuecompleted
    32. Observation.statusCode.codeSystem
    Definition

    Specifies the code system that defines the code.

    Control0..0
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System
    34. Observation.statusCode.codeSystemName
    Definition

    The common name of the coding system.

    Control0..0
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Name
    36. Observation.statusCode.codeSystemVersion
    Definition

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

    Control0..0
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelCode System Version
    38. 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(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplay Name
    40. Observation.statusCode.originalText
    Definition

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

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
    LabelOriginal Text
    42. Observation.statusCode.qualifier
    Definition

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

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
    LabelQualifier
    44. Observation.statusCode.translation
    Definition

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

    Control0..0
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    LabelTranslation
    46. Observation.effectiveTime
    Comments

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

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
    48. Observation.effectiveTime.low
    Definition

    This is the low limit of the interval.

    ShortThe low value reflects the start date of the recorded occupation.
    Comments

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

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
    LabelLow Boundary
    50. Observation.effectiveTime.high
    Definition

    This is the high limit of the interval.

    ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
    Comments

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

    Control0..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
    LabelHigh Boundary
    52. Observation.value
    Short(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns
    Comments

    SHOULD contain zero or one [0..1] value (CONF:4515-8559).

    Control1..1
    TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    SlicingThis element introduces a set of slices on Observation.value. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • type @ $this
    • 54. Observation.value:physical-quantity
      Slice Namephysical-quantity
      Control0..0
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      57. Observation.value:coded
      Slice Namecoded
      Comments

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

      Control1..1
      BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
      (required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      59. Observation.subject
      Definition

      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.

      ShortIndicates that this observation is for a related person whose occupation may affect the patient.Who and/or what the observation is about
      Comments

      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).

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
      Is Modifierfalse
      Requirements

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

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      61. Observation.subject.relatedSubject
      Comments

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

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject
      63. Observation.entryRelationship
      Comments

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

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
      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 @ act
      • profile @ observation
      • 65. Observation.entryRelationship:supportingObs
        Slice NamesupportingObs
        ShortWhen an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments.
        Comments

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

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        67. Observation.entryRelationship:supportingObs.typeCode
        Comments

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

        Control1..1
        BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
        (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueSPRT
        69. Observation.entryRelationship:supportingObs.observation
        Definition

        Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

        ShortBase for all types and resources
        Comments

        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).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
        Is Modifierfalse
        Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        71. Observation.entryRelationship:entryReference
        Slice NameentryReference
        ShortWhen an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments.
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        73. Observation.entryRelationship:entryReference.typeCode
        Comments

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

        Control1..1
        BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
        (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueSPRT
        75. Observation.entryRelationship:entryReference.act
        Definition

        Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

        ShortBase for all types and resources
        Comments

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

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
        Is Modifierfalse
        Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        77. Observation.entryRelationship:basic-industry
        Slice Namebasic-industry
        ShortentryRelationship
        Comments

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

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        79. Observation.entryRelationship:basic-industry.typeCode
        Comments

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

        Control1..1
        BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
        (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueREFR
        81. Observation.entryRelationship:basic-industry.observation
        Definition

        Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

        ShortBase for all types and resources
        Comments

        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).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)
        Is Modifierfalse
        Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        should-value: SHOULD contain value (value.exists())
        4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
        should-sh-author: SHOULD contain author (author.exists())

        Guidance on how to interpret the contents of this table can be found here

        0. Observation
        Definition

        Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

        ShortBase for all types and resources
        Control1..1
        Is Modifierfalse
        Logical ContainerClinicalDocument (CDA Class)
        ValidationInstances of this type are validated by templateId
        XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
        Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
        should-value: SHOULD contain value (value.exists())
        4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
        should-sh-author: SHOULD contain author (author.exists())
        2. Observation.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 CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        4. Observation.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/cda/stds/core/StructureDefinition/CS
        6. Observation.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/cda/stds/core/StructureDefinition/II
        8. Observation.typeId.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 CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        10. Observation.typeId.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(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        12. Observation.typeId.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(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        14. Observation.typeId.root
        Definition

        Identifies the type as an HL7 Registered model

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Fixed Value2.16.840.1.113883.1.3
        16. Observation.typeId.extension
        Definition

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

        Control1..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        18. 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

        Control2..*
        Typehttp://hl7.org/cda/stds/core/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
        • 20. Observation.templateId:social-history-obs
          Slice Namesocial-history-obs
          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/cda/stds/core/StructureDefinition/II
          22. Observation.templateId:social-history-obs.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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          24. Observation.templateId:social-history-obs.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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          26. Observation.templateId:social-history-obs.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(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          28. Observation.templateId:social-history-obs.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Pattern Value2.16.840.1.113883.10.20.22.4.38
          30. Observation.templateId:social-history-obs.extension
          Definition

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

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          Pattern Value2022-06-01
          32. Observation.templateId:basic-occupation-obs
          Slice Namebasic-occupation-obs
          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/cda/stds/core/StructureDefinition/II
          34. Observation.templateId:basic-occupation-obs.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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          36. Observation.templateId:basic-occupation-obs.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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          38. Observation.templateId:basic-occupation-obs.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(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          40. Observation.templateId:basic-occupation-obs.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(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Pattern Value2.16.840.1.113883.10.20.22.4.503
          42. Observation.templateId:basic-occupation-obs.extension
          Definition

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

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          Pattern Value2023-05-01
          44. Observation.classCode
          Comments

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

          Control1..1
          BindingThe codes SHALL be taken from CDAActClassObservation
          (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueOBS
          46. Observation.moodCode
          Comments

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

          Control1..1
          BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
          (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueEVN
          48. Observation.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          50. Observation.id
          Comments

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

          Control1..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          52. Observation.code
          ShortHistory of Occupation
          Comments

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

          Control1..1
          BindingThe codes SHOULD be taken from Social History Type .
          (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.3.88.12.80.60)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          Invariants4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). (codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists())
          54. 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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          56. 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
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode
          Pattern Value11341-5
          58. Observation.code.codeSystem
          Definition

          Specifies the code system that defines the code.

          ShortLOINC
          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System
          Pattern Value2.16.840.1.113883.6.1
          60. Observation.code.codeSystemName
          Definition

          The common name of the coding system.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System Name
          62. Observation.code.codeSystemVersion
          Definition

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

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System Version
          64. 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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplay Name
          66. 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(oid: ISO Object Identifier)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
          68. 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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
          70. Observation.code.originalText
          Definition

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

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
          LabelOriginal Text
          72. Observation.code.qualifier
          Definition

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

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
          LabelQualifier
          74. Observation.code.translation
          Definition

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

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          LabelTranslation
          76. Observation.derivationExpr
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
          78. Observation.text
          ShortSHOULD reference the portion of section narrative text corresponding to this entry
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          80. Observation.text.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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          82. Observation.text.compression
          Definition

          Indicates whether the raw byte data is compressed, and what compression algorithm was used.

          Control0..1
          BindingThe codes SHALL be taken from CDACompressionAlgorithm
          (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCompression
          84. Observation.text.integrityCheck
          Definition

          The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

          Control0..1
          Typebase64Binary(bin: Binary Data)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelIntegrity Check
          86. Observation.text.integrityCheckAlgorithm
          Definition

          Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

          Control0..1
          BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
          (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelIntegrity Check Algorithm
          88. Observation.text.language
          Definition

          For character based information the language property specifies the human language of the text.

          Control0..1
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelLanguage
          90. Observation.text.mediaType
          Definition

          Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

          Control0..1
          BindingFor example codes, see MediaType
          (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelMedia Type
          92. Observation.text.representation
          Control0..1
          BindingThe codes SHALL be taken from CDABinaryDataEncoding
          (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          94. Observation.text.xmlText
          Definition

          Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

          ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
          Comments

          This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as unadorned text.
          96. Observation.text.reference
          Definition

          A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
          LabelReference
          Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
          98. Observation.text.thumbnail
          Definition

          An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
          LabelThumbnail
          100. Observation.statusCode
          Comments

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

          Control1..1
          BindingThe codes SHALL be taken from ActStatus
          (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          102. 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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          104. 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.

          Comments

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

          Control1..1
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode
          Fixed Valuecompleted
          106. Observation.statusCode.codeSystem
          Definition

          Specifies the code system that defines the code.

          Control0..0
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System
          108. Observation.statusCode.codeSystemName
          Definition

          The common name of the coding system.

          Control0..0
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System Name
          110. Observation.statusCode.codeSystemVersion
          Definition

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

          Control0..0
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelCode System Version
          112. 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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplay Name
          114. 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(oid: ISO Object Identifier)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
          116. 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(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
          118. Observation.statusCode.originalText
          Definition

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

          Control0..0
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
          LabelOriginal Text
          120. Observation.statusCode.qualifier
          Definition

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

          Control0..0
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
          LabelQualifier
          122. Observation.statusCode.translation
          Definition

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

          Control0..0
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          LabelTranslation
          124. Observation.effectiveTime
          Comments

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

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
          126. 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 CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          128. 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(ts: Point in Time)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
          XML FormatIn the XML format, this property is represented as an attribute.
          130. 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
          BindingThe codes SHALL be taken from CDASetOperator
          (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default ValueI
          132. Observation.effectiveTime.low
          Definition

          This is the low limit of the interval.

          ShortThe low value reflects the start date of the recorded occupation.
          Comments

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

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
          LabelLow Boundary
          134. 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/cda/stds/core/StructureDefinition/TS
          LabelCentral Value
          136. 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/cda/stds/core/StructureDefinition/PQ
          LabelWidth
          138. Observation.effectiveTime.high
          Definition

          This is the high limit of the interval.

          ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
          Comments

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

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
          LabelHigh Boundary
          140. Observation.priorityCode
          Control0..1
          BindingFor example codes, see ActPriority
          (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
          142. Observation.repeatNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
          144. Observation.languageCode
          Control0..1
          BindingThe codes SHALL be taken from AllLanguages
          (required to http://hl7.org/fhir/ValueSet/all-languages)
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          146. Observation.value
          Short(USCDI) Alcohol Use, Substance Use, SDOH Problems/Health Concerns
          Comments

          SHOULD contain zero or one [0..1] value (CONF:4515-8559).

          Control1..1
          TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          SlicingThis element introduces a set of slices on Observation.value. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • type @ $this
          • 148. Observation.value:physical-quantity
            Slice Namephysical-quantity
            Control0..0
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            154. Observation.value:coded
            Slice Namecoded
            Comments

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

            Control1..1
            BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
            (required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            156. Observation.interpretationCode
            Control0..*
            BindingThe codes SHALL be taken from CDAObservationInterpretation
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            158. Observation.methodCode
            Control0..*
            BindingFor example codes, see ObservationMethod
            (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            160. Observation.targetSiteCode
            Definition

            Drawn from concept domain ActSite

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            162. Observation.subject
            ShortIndicates that this observation is for a related person whose occupation may affect the patient.
            Comments

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
            164. Observation.subject.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 CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            166. Observation.subject.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/cda/stds/core/StructureDefinition/CS
            168. Observation.subject.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/cda/stds/core/StructureDefinition/II
            170. Observation.subject.typeId.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 CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            172. Observation.subject.typeId.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(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelAssigning Authority Name
            174. Observation.subject.typeId.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(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelDisplayable
            176. Observation.subject.typeId.root
            Definition

            Identifies the type as an HL7 Registered model

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Fixed Value2.16.840.1.113883.1.3
            178. Observation.subject.typeId.extension
            Definition

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

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            180. Observation.subject.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/cda/stds/core/StructureDefinition/II
            182. Observation.subject.typeCode
            Control0..1
            BindingThe codes SHALL be taken from ParticipationTargetSubject
            (required to http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueSBJ
            184. Observation.subject.contextControlCode
            Control0..1
            BindingThe codes SHALL be taken from CDAContextControl
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueOP
            186. Observation.subject.awarenessCode
            Control0..1
            BindingFor example codes, see TargetAwareness
            (example to http://terminology.hl7.org/ValueSet/v3-TargetAwareness)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            188. Observation.subject.relatedSubject
            Comments

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject
            190. Observation.specimen
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
            192. Observation.performer
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
            194. Observation.author
            Definition

            Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

            ShortBase for all types and resources
            Comments

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

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
            Is Modifierfalse
            196. Observation.informant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
            198. Observation.participant
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
            200. Observation.entryRelationship
            Comments

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

            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
            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 @ act
            • profile @ observation
            • 202. Observation.entryRelationship:supportingObs
              Slice NamesupportingObs
              ShortWhen an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments.
              Comments

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              204. Observation.entryRelationship:supportingObs.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              206. Observation.entryRelationship:supportingObs.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/cda/stds/core/StructureDefinition/CS
              208. Observation.entryRelationship:supportingObs.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/cda/stds/core/StructureDefinition/II
              210. Observation.entryRelationship:supportingObs.typeId.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              212. Observation.entryRelationship:supportingObs.typeId.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(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelAssigning Authority Name
              214. Observation.entryRelationship:supportingObs.typeId.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(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplayable
              216. Observation.entryRelationship:supportingObs.typeId.root
              Definition

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              218. Observation.entryRelationship:supportingObs.typeId.extension
              Definition

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

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              220. Observation.entryRelationship:supportingObs.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/cda/stds/core/StructureDefinition/II
              222. Observation.entryRelationship:supportingObs.typeCode
              Comments

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

              Control1..1
              BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueSPRT
              224. Observation.entryRelationship:supportingObs.inversionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              226. Observation.entryRelationship:supportingObs.contextConductionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Default Valuetrue
              228. Observation.entryRelationship:supportingObs.negationInd
              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              230. Observation.entryRelationship:supportingObs.sequenceNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
              232. Observation.entryRelationship:supportingObs.seperatableInd
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
              234. Observation.entryRelationship:supportingObs.act
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
              236. Observation.entryRelationship:supportingObs.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              238. Observation.entryRelationship:supportingObs.observation
              Definition

              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

              ShortBase for all types and resources
              Comments

              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).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
              Is Modifierfalse
              Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
              240. Observation.entryRelationship:supportingObs.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              242. Observation.entryRelationship:supportingObs.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              244. Observation.entryRelationship:supportingObs.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              246. Observation.entryRelationship:supportingObs.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              248. Observation.entryRelationship:supportingObs.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              250. Observation.entryRelationship:supportingObs.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              252. Observation.entryRelationship:entryReference
              Slice NameentryReference
              ShortWhen an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments.
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              254. Observation.entryRelationship:entryReference.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              256. Observation.entryRelationship:entryReference.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/cda/stds/core/StructureDefinition/CS
              258. Observation.entryRelationship:entryReference.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/cda/stds/core/StructureDefinition/II
              260. Observation.entryRelationship:entryReference.typeId.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              262. Observation.entryRelationship:entryReference.typeId.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(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelAssigning Authority Name
              264. Observation.entryRelationship:entryReference.typeId.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(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplayable
              266. Observation.entryRelationship:entryReference.typeId.root
              Definition

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              268. Observation.entryRelationship:entryReference.typeId.extension
              Definition

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

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              270. Observation.entryRelationship:entryReference.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/cda/stds/core/StructureDefinition/II
              272. Observation.entryRelationship:entryReference.typeCode
              Comments

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

              Control1..1
              BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueSPRT
              274. Observation.entryRelationship:entryReference.inversionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              276. Observation.entryRelationship:entryReference.contextConductionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Default Valuetrue
              278. Observation.entryRelationship:entryReference.negationInd
              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              280. Observation.entryRelationship:entryReference.sequenceNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
              282. Observation.entryRelationship:entryReference.seperatableInd
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
              284. Observation.entryRelationship:entryReference.act
              Definition

              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

              ShortBase for all types and resources
              Comments

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

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
              Is Modifierfalse
              Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
              286. Observation.entryRelationship:entryReference.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              288. Observation.entryRelationship:entryReference.observation
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
              290. Observation.entryRelationship:entryReference.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              292. Observation.entryRelationship:entryReference.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              294. Observation.entryRelationship:entryReference.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              296. Observation.entryRelationship:entryReference.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              298. Observation.entryRelationship:entryReference.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              300. Observation.entryRelationship:entryReference.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              302. Observation.entryRelationship:basic-industry
              Slice Namebasic-industry
              ShortentryRelationship
              Comments

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

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              304. Observation.entryRelationship:basic-industry.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              306. Observation.entryRelationship:basic-industry.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/cda/stds/core/StructureDefinition/CS
              308. Observation.entryRelationship:basic-industry.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/cda/stds/core/StructureDefinition/II
              310. Observation.entryRelationship:basic-industry.typeId.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              312. Observation.entryRelationship:basic-industry.typeId.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(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelAssigning Authority Name
              314. Observation.entryRelationship:basic-industry.typeId.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(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplayable
              316. Observation.entryRelationship:basic-industry.typeId.root
              Definition

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              318. Observation.entryRelationship:basic-industry.typeId.extension
              Definition

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

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              320. Observation.entryRelationship:basic-industry.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/cda/stds/core/StructureDefinition/II
              322. Observation.entryRelationship:basic-industry.typeCode
              Comments

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

              Control1..1
              BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
              (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueREFR
              324. Observation.entryRelationship:basic-industry.inversionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              326. Observation.entryRelationship:basic-industry.contextConductionInd
              Definition

              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.

              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Default Valuetrue
              328. Observation.entryRelationship:basic-industry.negationInd
              Control0..1
              Typeboolean(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              330. Observation.entryRelationship:basic-industry.sequenceNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
              332. Observation.entryRelationship:basic-industry.seperatableInd
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
              334. Observation.entryRelationship:basic-industry.act
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
              336. Observation.entryRelationship:basic-industry.encounter
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
              338. Observation.entryRelationship:basic-industry.observation
              Definition

              Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

              ShortBase for all types and resources
              Comments

              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).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)
              Is Modifierfalse
              Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
              should-value: SHOULD contain value (value.exists())
              4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
              should-sh-author: SHOULD contain author (author.exists())
              340. Observation.entryRelationship:basic-industry.observationMedia
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
              342. Observation.entryRelationship:basic-industry.organizer
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
              344. Observation.entryRelationship:basic-industry.procedure
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
              346. Observation.entryRelationship:basic-industry.regionOfInterest
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
              348. Observation.entryRelationship:basic-industry.substanceAdministration
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
              350. Observation.entryRelationship:basic-industry.supply
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
              352. Observation.reference
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
              354. Observation.precondition
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
              356. Observation.sdtcPrecondition2
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
              358. Observation.referenceRange
              Definition

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

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
              360. Observation.referenceRange.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              362. Observation.referenceRange.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/cda/stds/core/StructureDefinition/CS
              364. Observation.referenceRange.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/cda/stds/core/StructureDefinition/II
              366. Observation.referenceRange.typeId.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 CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              368. Observation.referenceRange.typeId.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(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelAssigning Authority Name
              370. Observation.referenceRange.typeId.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(bl: Boolean)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplayable
              372. Observation.referenceRange.typeId.root
              Definition

              Identifies the type as an HL7 Registered model

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelRoot
              Fixed Value2.16.840.1.113883.1.3
              374. Observation.referenceRange.typeId.extension
              Definition

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

              Control1..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExtension
              376. Observation.referenceRange.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/cda/stds/core/StructureDefinition/II
              378. Observation.referenceRange.typeCode
              Control0..1
              BindingThe codes SHALL be taken from CDAActRelationshipType
              (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Fixed ValueREFV
              380. Observation.referenceRange.observationRange
              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
              382. Observation.sdtcInFulfillmentOf1
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.