Consolidated CDA (C-CDA)
3.0.0 - STU
Consolidated CDA (C-CDA)
3.0.0 - STU
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
| Draft as of 2024-05-07 |
Definitions for the ProblemObservation logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. Observation | |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instances of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-author: SHOULD contain author ( author.exists()) |
| 2. Observation.templateId | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 4. Observation.templateId:problem-obs | |
| Slice Name | problem-obs |
| Control | 1..1 |
| 6. Observation.templateId:problem-obs.root | |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.4 |
| 8. Observation.templateId:problem-obs.extension | |
| Control | 1..? |
| Pattern Value | 2024-05-01 |
| 10. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041). |
| Fixed Value | OBS |
| 12. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042). |
| Fixed Value | EVN |
| 14. Observation.negationInd | |
| Short | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:1198-10139). |
| 16. Observation.id | |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-9043). |
| Control | 1..? |
| 18. Observation.code | |
| Binding | The codes SHOULD be taken from https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1 (preferred to https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1) |
| 20. Observation.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| 22. Observation.text.reference | |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 24. Observation.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-9049). |
| Control | 1..? |
| 26. Observation.statusCode.code | |
| Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112). |
| Control | 1..? |
| Fixed Value | completed |
| 28. Observation.effectiveTime | |
| Short | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050). |
| Control | 1..? |
| 30. Observation.effectiveTime.low | |
| Short | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603). |
| Control | 1..? |
| 32. Observation.effectiveTime.high | |
| Short | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. |
| Comments | This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604). |
| 34. Observation.value | |
| Short | (USCDI) SDOH Problems/Health Concerns |
| Comments | SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet US Core Condition Codes. |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from US Core Condition Codes (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/SC |
| 36. Observation.value.code | |
| Short | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). |
| Comments | This value MAY contain zero or one [0..1] @code (CONF:1198-31871). |
| Binding | See additional binding |
| 38. Observation.value.qualifier | |
| Short | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. |
| Comments | This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870). |
| 40. Observation.author | |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-31147). |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| 42. Observation.entryRelationship | |
| Slicing | This element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 44. Observation.entryRelationship:age | |
| Slice Name | age |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it |
| Control | 0..1 |
| 46. Observation.entryRelationship:age.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060). |
| Fixed Value | SUBJ |
| 48. Observation.entryRelationship:age.inversionInd | |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069). |
| Control | 1..? |
| Fixed Value | true |
| 50. Observation.entryRelationship:age.observation | |
| Comments | SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Age Observation) |
| 52. Observation.entryRelationship:prognosis | |
| Slice Name | prognosis |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it |
| Control | 0..1 |
| 54. Observation.entryRelationship:prognosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531). |
| Fixed Value | REFR |
| 56. Observation.entryRelationship:prognosis.observation | |
| Comments | SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Prognosis Observation) |
| 58. Observation.entryRelationship:priority | |
| Slice Name | priority |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it |
| Control | 0..* |
| 60. Observation.entryRelationship:priority.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532). |
| Fixed Value | REFR |
| 62. Observation.entryRelationship:priority.observation | |
| Comments | SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference) |
| 64. Observation.entryRelationship:status | |
| Slice Name | status |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it |
| Control | 0..1 |
| 66. Observation.entryRelationship:status.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068). |
| Fixed Value | REFR |
| 68. Observation.entryRelationship:status.observation | |
| Comments | SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status) |
| 70. Observation.entryRelationship:reference | |
| Slice Name | reference |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32968) such that it |
| Control | 0..1 |
| 72. Observation.entryRelationship:reference.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32968). |
| Fixed Value | SPRT |
| 74. Observation.entryRelationship:reference.act | |
| Comments | SHALL contain exactly one [1..1] Entry Reference (identifier: 2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32966). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference) |
| 76. Observation.entryRelationship:assessment | |
| Slice Name | assessment |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32953) such that it |
| Control | 0..1 |
| 78. Observation.entryRelationship:assessment.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32955). |
| Fixed Value | SPRT |
| 80. Observation.entryRelationship:assessment.observation | |
| Comments | SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: 2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32954). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation) |
| 82. Observation.entryRelationship:dateOfDiagnosis | |
| Slice Name | dateOfDiagnosis |
| Short | (USCDI) Date of Diagnosis |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-33012) such that it |
| Control | 0..1 |
| 84. Observation.entryRelationship:dateOfDiagnosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-33014). |
| Fixed Value | COMP |
| 86. Observation.entryRelationship:dateOfDiagnosis.act | |
| Comments | SHALL contain exactly one [1..1] Date of Diagnosis Act (identifier: 2.16.840.1.113883.10.20.22.4.502) (CONF:4515-33013). |
| Control | 1..? |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Date of Diagnosis Act) |
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. |
| Short | Base for all types and resources |
| Control | 10..1* |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instances of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-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 |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 4. Observation.templateId:problem-obs | |
| Slice Name | problem-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 |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 6. Observation.templateId:problem-obs.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.4 |
| 8. Observation.templateId:problem-obs.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2024-05-01 |
| 10. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClassObservation (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 12. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 14. Observation.negationInd | |
| Short | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:1198-10139). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 16. Observation.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Logical id of this artifact |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-9043). 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. |
| Control | 10..*1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IIid |
| Is Modifier | false |
| 18. Observation.code | |
| Definition | Describes what was observed. Sometimes this is called the observation "name". |
| Short | Type of observation (code / type) |
| Comments | 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. |
| Control | 1..1 This element is affected by the following invariants: obs-7 |
| Binding | The codes SHOULD be taken from For example codes, see https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1http://hl7.org/fhir/ValueSet/observation-codes (preferred to https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept |
| Is Modifier | false |
| XML Format | The 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 Names | Name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 20. Observation.text | |
| Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. |
| Short | SHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation |
| Comments | Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. |
| Control | 0..1 This element is affected by the following invariants: dom-6 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EDNarrative |
| Is Modifier | false |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Alternate Names | narrative, html, xhtml, display |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 22. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 24. Observation.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-9049). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 26. 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" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 28. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 30. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 32. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 34. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 36. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 38. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 40. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 42. Observation.effectiveTime | |
| Short | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 44. Observation.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Short | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 46. Observation.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Short | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. |
| Comments | This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| 48. Observation.value | |
| Short | (USCDI) SDOH Problems/Health Concerns |
| Comments | SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet US Core Condition Codes. |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from US Core Condition Codes (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 50. Observation.value.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Short | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). |
| Comments | This value MAY contain zero or one [0..1] @code (CONF:1198-31871). |
| Control | 0..1 |
| Binding | See additional binding |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 52. Observation.value.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Short | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. |
| Comments | This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 54. 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. |
| Short | Base 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:1198-31147). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 56. Observation.entryRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 58. Observation.entryRelationship:age | |
| Slice Name | age |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 60. Observation.entryRelationship:age.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SUBJ |
| 62. Observation.entryRelationship:age.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. |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069). |
| Control | 1..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | true |
| 64. Observation.entryRelationship:age.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Age Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 66. Observation.entryRelationship:prognosis | |
| Slice Name | prognosis |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 68. Observation.entryRelationship:prognosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 70. Observation.entryRelationship:prognosis.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Prognosis Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 72. Observation.entryRelationship:priority | |
| Slice Name | priority |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 74. Observation.entryRelationship:priority.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 76. Observation.entryRelationship:priority.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists())should-author: SHOULD contain author ( author.exists()) |
| 78. Observation.entryRelationship:status | |
| Slice Name | status |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 80. Observation.entryRelationship:status.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 82. Observation.entryRelationship:status.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 84. Observation.entryRelationship:reference | |
| Slice Name | reference |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32968) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 86. Observation.entryRelationship:reference.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32968). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SPRT |
| 88. Observation.entryRelationship:reference.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Entry Reference (identifier: 2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32966). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 90. Observation.entryRelationship:assessment | |
| Slice Name | assessment |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32953) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 92. Observation.entryRelationship:assessment.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32955). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SPRT |
| 94. Observation.entryRelationship:assessment.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: 2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32954). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 96. Observation.entryRelationship:dateOfDiagnosis | |
| Slice Name | dateOfDiagnosis |
| Short | (USCDI) Date of Diagnosis |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-33012) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 98. Observation.entryRelationship:dateOfDiagnosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-33014). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | COMP |
| 100. Observation.entryRelationship:dateOfDiagnosis.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Date of Diagnosis Act (identifier: 2.16.840.1.113883.10.20.22.4.502) (CONF:4515-33013). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Date of Diagnosis Act) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.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. |
| Short | Base for all types and resources |
| Control | 1..1 |
| Is Modifier | false |
| Logical Container | ClinicalDocument (CDA Class) |
| Validation | Instances of this type are validated by templateId |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional 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 |
| Control | 0..* |
| Type | http://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. |
| Control | 0..1 |
| Type | http://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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning 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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 14. Observation.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 16. Observation.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 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 |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 20. Observation.templateId:problem-obs | |
| Slice Name | problem-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 |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 22. Observation.templateId:problem-obs.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 24. Observation.templateId:problem-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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 26. Observation.templateId:problem-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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 28. Observation.templateId:problem-obs.root | |
| Definition | A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier. |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.4 |
| 30. Observation.templateId:problem-obs.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2024-05-01 |
| 32. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-9041). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from CDAActClassObservation (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 34. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-9042). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from XActMoodDocumentObservation (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 36. Observation.negationInd | |
| Short | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. |
| Comments | MAY contain zero or one [0..1] @negationInd (CONF:1198-10139). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 38. Observation.id | |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-9043). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 40. Observation.code | |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1 (preferred to https://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.1) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 42. Observation.derivationExpr | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
| 44. Observation.text | |
| Short | SHOULD reference the portion of section narrative text corresponding to this entry |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 46. Observation.text.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 48. Observation.text.compression | |
| Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDACompressionAlgorithm (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Compression |
| 50. 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. |
| Control | 0..1 |
| Type | base64Binary(bin: Binary Data) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check |
| 52. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0) (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check Algorithm |
| 54. Observation.text.language | |
| Definition | For character based information the language property specifies the human language of the text. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Language |
| 56. Observation.text.mediaType | |
| Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
| Control | 0..1 |
| Binding | For example codes, see MediaType (example to http://terminology.hl7.org/ValueSet/v3-MediaType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Media Type |
| 58. Observation.text.representation | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDABinaryDataEncoding (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 60. 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.) |
| Short | Allows 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as unadorned text. |
| 62. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#')) |
| 64. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Thumbnail |
| 66. Observation.statusCode | |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-9049). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus (required to http://terminology.hl7.org/ValueSet/v3-ActStatus) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 68. Observation.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 70. 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" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19112). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 72. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 74. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 76. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 78. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 80. 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. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 82. 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 84. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 86. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 88. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 90. Observation.effectiveTime | |
| Short | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-9050). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 92. Observation.effectiveTime.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 94. 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. |
| Control | 0..1 |
| Type | dateTime(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| 96. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDASetOperator (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | I |
| 98. Observation.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Short | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-15603). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 100. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Label | Central Value |
| 102. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| Label | Width |
| 104. Observation.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Short | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. |
| Comments | This effectiveTime MAY contain zero or one [0..1] high (CONF:1198-15604). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| 106. Observation.priorityCode | |
| Control | 0..1 |
| Binding | For example codes, see ActPriority (example to http://terminology.hl7.org/ValueSet/v3-ActPriority) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 108. Observation.repeatNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT |
| 110. Observation.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from AllLanguages (required to http://hl7.org/fhir/ValueSet/all-languages) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 112. Observation.value | |
| Short | (USCDI) SDOH Problems/Health Concerns |
| Comments | SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet US Core Condition Codes. |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from US Core Condition Codes (preferred to http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 114. Observation.value.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 116. Observation.value.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Short | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). |
| Comments | This value MAY contain zero or one [0..1] @code (CONF:1198-31871). |
| Control | 0..1 |
| Binding | See additional binding |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 118. Observation.value.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 120. Observation.value.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 122. Observation.value.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 124. Observation.value.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 126. Observation.value.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 128. Observation.value.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In 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. |
| 130. Observation.value.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 132. Observation.value.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Short | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined. In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo - Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. |
| Comments | This value MAY contain zero or more [0..*] qualifier (CONF:1198-31870). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 134. Observation.value.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 136. Observation.interpretationCode | |
| Control | 0..* |
| Binding | The codes SHALL be taken from CDAObservationInterpretation (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 138. Observation.methodCode | |
| Control | 0..* |
| Binding | For example codes, see ObservationMethod (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod) |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 140. Observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 142. Observation.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 144. Observation.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 146. Observation.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 148. 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. |
| Short | Base 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:1198-31147). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| 150. Observation.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 152. Observation.participant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 154. Observation.entryRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| Slicing | This element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: |
| 156. Observation.entryRelationship:age | |
| Slice Name | age |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9059) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 158. Observation.entryRelationship:age.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 160. Observation.entryRelationship:age.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 162. Observation.entryRelationship:age.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 164. Observation.entryRelationship:age.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 166. Observation.entryRelationship:age.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 168. Observation.entryRelationship:age.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 170. Observation.entryRelationship:age.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 172. Observation.entryRelationship:age.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 174. Observation.entryRelationship:age.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 176. Observation.entryRelationship:age.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-9060). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SUBJ |
| 178. Observation.entryRelationship:age.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. |
| Comments | SHALL contain exactly one [1..1] @inversionInd="true" True (CONF:1198-9069). |
| Control | 1..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | true |
| 180. Observation.entryRelationship:age.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 182. Observation.entryRelationship:age.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 184. Observation.entryRelationship:age.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 186. Observation.entryRelationship:age.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 188. Observation.entryRelationship:age.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 190. Observation.entryRelationship:age.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 192. Observation.entryRelationship:age.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Age Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.31) (CONF:1198-15590). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Age Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 194. Observation.entryRelationship:age.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 196. Observation.entryRelationship:age.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 198. Observation.entryRelationship:age.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 200. Observation.entryRelationship:age.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 202. Observation.entryRelationship:age.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 204. Observation.entryRelationship:age.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 206. Observation.entryRelationship:prognosis | |
| Slice Name | prognosis |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-29951) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 208. Observation.entryRelationship:prognosis.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 210. Observation.entryRelationship:prognosis.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 212. Observation.entryRelationship:prognosis.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 214. Observation.entryRelationship:prognosis.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 216. Observation.entryRelationship:prognosis.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 218. Observation.entryRelationship:prognosis.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 220. Observation.entryRelationship:prognosis.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 222. Observation.entryRelationship:prognosis.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 224. Observation.entryRelationship:prognosis.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 226. Observation.entryRelationship:prognosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31531). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 228. Observation.entryRelationship:prognosis.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 230. Observation.entryRelationship:prognosis.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 232. Observation.entryRelationship:prognosis.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 234. Observation.entryRelationship:prognosis.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 236. Observation.entryRelationship:prognosis.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 238. Observation.entryRelationship:prognosis.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 240. Observation.entryRelationship:prognosis.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 242. Observation.entryRelationship:prognosis.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Prognosis Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.113) (CONF:1198-29952). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Prognosis Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 244. Observation.entryRelationship:prognosis.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 246. Observation.entryRelationship:prognosis.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 248. Observation.entryRelationship:prognosis.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 250. Observation.entryRelationship:prognosis.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 252. Observation.entryRelationship:prognosis.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 254. Observation.entryRelationship:prognosis.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 256. Observation.entryRelationship:priority | |
| Slice Name | priority |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:1198-31063) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 258. Observation.entryRelationship:priority.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 260. Observation.entryRelationship:priority.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 262. Observation.entryRelationship:priority.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 264. Observation.entryRelationship:priority.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 266. Observation.entryRelationship:priority.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 268. Observation.entryRelationship:priority.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 270. Observation.entryRelationship:priority.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 272. Observation.entryRelationship:priority.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 274. Observation.entryRelationship:priority.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 276. Observation.entryRelationship:priority.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-31532). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 278. Observation.entryRelationship:priority.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 280. Observation.entryRelationship:priority.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 282. Observation.entryRelationship:priority.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 284. Observation.entryRelationship:priority.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 286. Observation.entryRelationship:priority.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 288. Observation.entryRelationship:priority.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 290. Observation.entryRelationship:priority.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 292. Observation.entryRelationship:priority.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:1198-31064). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())should-effectiveTime: SHOULD contain effectiveTime ( effectiveTime.exists())should-author: SHOULD contain author ( author.exists()) |
| 294. Observation.entryRelationship:priority.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 296. Observation.entryRelationship:priority.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 298. Observation.entryRelationship:priority.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 300. Observation.entryRelationship:priority.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 302. Observation.entryRelationship:priority.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 304. Observation.entryRelationship:priority.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 306. Observation.entryRelationship:status | |
| Slice Name | status |
| Comments | MAY contain zero or one [0..1] entryRelationship (CONF:1198-9063) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 308. Observation.entryRelationship:status.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 310. Observation.entryRelationship:status.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 312. Observation.entryRelationship:status.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 314. Observation.entryRelationship:status.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 316. Observation.entryRelationship:status.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 318. Observation.entryRelationship:status.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 320. Observation.entryRelationship:status.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 322. Observation.entryRelationship:status.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 324. Observation.entryRelationship:status.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 326. Observation.entryRelationship:status.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1198-9068). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 328. Observation.entryRelationship:status.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 330. Observation.entryRelationship:status.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 332. Observation.entryRelationship:status.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 334. Observation.entryRelationship:status.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 336. Observation.entryRelationship:status.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 338. Observation.entryRelationship:status.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 340. Observation.entryRelationship:status.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 342. Observation.entryRelationship:status.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Problem Status (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.6:2019-06-20) (CONF:1198-15591). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Problem Status) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 344. Observation.entryRelationship:status.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 346. Observation.entryRelationship:status.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 348. Observation.entryRelationship:status.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 350. Observation.entryRelationship:status.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 352. Observation.entryRelationship:status.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 354. Observation.entryRelationship:status.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 356. Observation.entryRelationship:reference | |
| Slice Name | reference |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32968) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 358. Observation.entryRelationship:reference.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 360. Observation.entryRelationship:reference.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 362. Observation.entryRelationship:reference.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 364. Observation.entryRelationship:reference.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 366. Observation.entryRelationship:reference.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 368. Observation.entryRelationship:reference.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 370. Observation.entryRelationship:reference.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 372. Observation.entryRelationship:reference.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 374. Observation.entryRelationship:reference.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 376. Observation.entryRelationship:reference.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32968). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SPRT |
| 378. Observation.entryRelationship:reference.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 380. Observation.entryRelationship:reference.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 382. Observation.entryRelationship:reference.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 384. Observation.entryRelationship:reference.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 386. Observation.entryRelationship:reference.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 388. Observation.entryRelationship:reference.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Entry Reference (identifier: 2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32966). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 390. Observation.entryRelationship:reference.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 392. Observation.entryRelationship:reference.observation | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| 394. Observation.entryRelationship:reference.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 396. Observation.entryRelationship:reference.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 398. Observation.entryRelationship:reference.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 400. Observation.entryRelationship:reference.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 402. Observation.entryRelationship:reference.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 404. Observation.entryRelationship:reference.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 406. Observation.entryRelationship:assessment | |
| Slice Name | assessment |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-32953) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 408. Observation.entryRelationship:assessment.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 410. Observation.entryRelationship:assessment.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 412. Observation.entryRelationship:assessment.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 414. Observation.entryRelationship:assessment.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 416. Observation.entryRelationship:assessment.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 418. Observation.entryRelationship:assessment.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 420. Observation.entryRelationship:assessment.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 422. Observation.entryRelationship:assessment.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 424. Observation.entryRelationship:assessment.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 426. Observation.entryRelationship:assessment.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="SPRT" Has Support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32955). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | SPRT |
| 428. Observation.entryRelationship:assessment.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 430. Observation.entryRelationship:assessment.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 432. Observation.entryRelationship:assessment.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 434. Observation.entryRelationship:assessment.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 436. Observation.entryRelationship:assessment.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 438. Observation.entryRelationship:assessment.act | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act |
| 440. Observation.entryRelationship:assessment.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 442. Observation.entryRelationship:assessment.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: 2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32954). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 444. Observation.entryRelationship:assessment.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 446. Observation.entryRelationship:assessment.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 448. Observation.entryRelationship:assessment.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 450. Observation.entryRelationship:assessment.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 452. Observation.entryRelationship:assessment.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 454. Observation.entryRelationship:assessment.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 456. Observation.entryRelationship:dateOfDiagnosis | |
| Slice Name | dateOfDiagnosis |
| Short | (USCDI) Date of Diagnosis |
| Comments | MAY contain zero or more [0..*] entryRelationship (CONF:4515-33012) such that it |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 458. Observation.entryRelationship:dateOfDiagnosis.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 460. Observation.entryRelationship:dateOfDiagnosis.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 462. Observation.entryRelationship:dateOfDiagnosis.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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 464. Observation.entryRelationship:dateOfDiagnosis.typeId.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 466. Observation.entryRelationship:dateOfDiagnosis.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 468. Observation.entryRelationship:dateOfDiagnosis.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 470. Observation.entryRelationship:dateOfDiagnosis.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 472. Observation.entryRelationship:dateOfDiagnosis.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 474. Observation.entryRelationship:dateOfDiagnosis.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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 476. Observation.entryRelationship:dateOfDiagnosis.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="COMP" has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-33014). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipEntryRelationship (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | COMP |
| 478. Observation.entryRelationship:dateOfDiagnosis.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 480. Observation.entryRelationship:dateOfDiagnosis.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. |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | true |
| 482. Observation.entryRelationship:dateOfDiagnosis.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 484. Observation.entryRelationship:dateOfDiagnosis.sequenceNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 486. Observation.entryRelationship:dateOfDiagnosis.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 488. Observation.entryRelationship:dateOfDiagnosis.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. |
| Short | Base for all types and resources |
| Comments | SHALL contain exactly one [1..1] Date of Diagnosis Act (identifier: 2.16.840.1.113883.10.20.22.4.502) (CONF:4515-33013). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Act(Date of Diagnosis Act) |
| Is Modifier | false |
| Invariants | should-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists()) |
| 490. Observation.entryRelationship:dateOfDiagnosis.encounter | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Encounter |
| 492. Observation.entryRelationship:dateOfDiagnosis.observation | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Observation |
| 494. Observation.entryRelationship:dateOfDiagnosis.observationMedia | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia |
| 496. Observation.entryRelationship:dateOfDiagnosis.organizer | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Organizer |
| 498. Observation.entryRelationship:dateOfDiagnosis.procedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Procedure |
| 500. Observation.entryRelationship:dateOfDiagnosis.regionOfInterest | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest |
| 502. Observation.entryRelationship:dateOfDiagnosis.substanceAdministration | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration |
| 504. Observation.entryRelationship:dateOfDiagnosis.supply | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Supply |
| 506. Observation.reference | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 508. Observation.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 510. Observation.sdtcPrecondition2 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition2 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2. |
| 512. Observation.referenceRange | |
| Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
| 514. Observation.referenceRange.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 516. 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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 518. 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. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 520. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDANullFlavor (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 522. 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 524. 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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 526. Observation.referenceRange.typeId.root | |
| Definition | Identifies the type as an HL7 Registered model |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Fixed Value | 2.16.840.1.113883.1.3 |
| 528. Observation.referenceRange.typeId.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 530. 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 |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 532. Observation.referenceRange.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CDAActRelationshipType (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType) |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFV |
| 534. Observation.referenceRange.observationRange | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange |
| 536. Observation.sdtcInFulfillmentOf1 | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1 |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1. |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#3.0.0 based on FHIR 5.0.0. Generated 2024-05-07
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