International Patient Summary (IPS)
1.1.0-ballot - CI Build

International Patient Summary (IPS), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 1.1.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-IPS/ and changes regularly. See the Directory of published versions

Logical Model: IPSAdverseReactionMFST - Detailed Descriptions

Draft as of 2024-08-04

Definitions for the 2.16.840.1.113883.10.22.4.6--20240804101847 logical model.

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

0. Observation
Control0..*
Must Supporttrue
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
2. Observation.classCode
Control0..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
4. Observation.moodCode
Control1..1
Typecode
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueEVN
6. Observation.templateId
Control1..?
SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 8. Observation.templateId:primary
    Slice Nameprimary
    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    Must Supporttrue
    10. Observation.templateId:primary.root
    Control1..1
    Typestring
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed Value2.16.840.1.113883.10.22.4.6
    12. Observation.id
    Control0..*
    Must Supporttrue
    14. Observation.code
    Definition

    This element describes the type of condition this observation is referring to.

    Control1..1
    BindingThe codes SHALL be taken from IPS Problem Type
    (required to http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips)

    Problem Type

    Must Supporttrue
    16. Observation.text
    Definition

    The <text> element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

    Control0..1
    Must Supporttrue
    18. Observation.text.reference
    Control1..1
    Must Supporttrue
    20. Observation.text.reference.value
    Definition

    When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

    Control1..1
    Typeurl
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    22. Observation.statusCode
    Definition

    A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.

    Control0..1
    Must Supporttrue
    24. Observation.statusCode.code
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed Valuecompleted
    26. Observation.effectiveTime
    Definition

    The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.

    The <low> and <high> values should be no more precise than known, but as precise as possible.

    Control1..1
    Must Supporttrue
    28. Observation.effectiveTime.low
    Definition

    The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.

    Control1..1
    Must Supporttrue
    30. Observation.effectiveTime.high
    Definition

    The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

    Control0..1
    32. Observation.value
    Definition

    The <value> is the condition that was found. While the value may be a coded or an un-coded string, the type is always a coded value.  If uncoded, it shall contain a <reference> to the <originalText> in the narrative where the reaction is described.

    Control1..1
    BindingThe codes SHOULD be taken from IPS Allergy Reaction
    (preferred to http://hl7.org/fhir/ips/ValueSet/allergy-reaction-uv-ips)

    IPS Allergy Reaction

    Must Supporttrue
    XML FormatThe type of this property is determined using the xsi:typeattribute.
    34. Observation.value.type
    Control1..1
    Typecode
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace http://www.w3.org/2001/XMLSchema-instance.In the XML format, this property has the actual namexsi.
    Fixed ValueCD
    36. Observation.value.originalText
    Definition

    The <originalText> element within the <code> element described above is used as follows: the <value> contains a <reference> to the <originalText> in order to link the coded value to the problem narrative text (minus any dates, comments, et cetera). The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

    Control0..1
    Must Supporttrue
    38. Observation.value.originalText.reference
    Definition

    The URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication. In a CDA document, the URI given in the value attribute of the element points to an element in the narrative content that contains the complete text describing the medication.

    Control0..1
    Must Supporttrue
    40. Observation.value.translation
    Control0..*
    42. Observation.entryRelationship
    Control1..?
    SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ profile
    • 44. Observation.entryRelationship:entryRelationship-1
      Slice NameentryRelationship-1
      Definition

      Severity
      The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

      Control0..1
      Must Supporttrue
      InvariantsentryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07) ()
      46. Observation.entryRelationship:entryRelationship-1.observation:entryRelationship-1
      Slice NameentryRelationship-1
      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(IPS Severity Observation)
      Must Supporttrue
      48. Observation.entryRelationship:entryRelationship-1.typeCode
      Control1..1
      Typecode
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed ValueSUBJ
      50. Observation.entryRelationship:entryRelationship-1.inversionInd
      Control1..1
      Typeboolean
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      Fixed Valuetrue

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

      0. Observation
      Definition

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

      ShortBase for all types and resources
      Control0..*
      Is Modifierfalse
      Must Supporttrue
      Logical ContainerClinicalDocument (CDA Class)
      ValidationInstance of this type are validated by templateId
      XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
      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

      Control1..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
      SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ root
      • value @ extension
      • 4. Observation.templateId:primary
        Slice Nameprimary
        Definition

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

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        Must Supporttrue
        6. Observation.templateId:primary.root
        Definition

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

        Control1..1
        Typestring
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Fixed Value2.16.840.1.113883.10.22.4.6
        8. Observation.classCode
        Control1..1
        BindingThe codes SHALL be taken from CDAActClassObservation
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        10. Observation.moodCode
        Control1..1
        BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
        (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        12. Observation.id
        Definition

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

        ShortLogical id of this artifact
        Comments

        The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

        Control0..*1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIstring
        Is Modifierfalse
        Must Supporttrue
        14. Observation.code
        Definition

        This element describes the type of condition this observation is referring to.


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

        ShortType 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.

        Control1..1
        BindingThe codes SHALL be taken from For example codes, see IPS Problem Typehttp://hl7.org/fhir/ValueSet/observation-codes
        (required to http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips)

        Problem Type


        Codes identifying names of simple observations.

        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        Requirements

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

        Alternate NamesName
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. Observation.text
        Definition

        The <text> element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.


        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.

        ShortText summary of the resource, for human interpretation
        Comments

        Contained resources do not have 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.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
        Is Modifierfalse
        Must Supporttrue
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        Alternate Namesnarrative, html, xhtml, display
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        18. 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.

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
        Must Supporttrue
        LabelReference
        20. Observation.text.reference.value
        Definition

        When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

        Control1..1
        Typeurl
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        22. Observation.statusCode
        Definition

        A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.

        Control0..1
        BindingThe codes SHALL be taken from ActStatus
        (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        Must Supporttrue
        24. 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.

        Control0..1
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelCode
        Fixed Valuecompleted
        26. Observation.statusCode.codeSystem
        Definition

        Specifies the code system that defines the code.

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

        The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

        The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.

        The <low> and <high> values should be no more precise than known, but as precise as possible.

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

        The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.

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

        The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
        LabelHigh Boundary
        46. Observation.value
        Definition

        The <value> is the condition that was found. While the value may be a coded or an un-coded string, the type is always a coded value.  If uncoded, it shall contain a <reference> to the <originalText> in the narrative where the reaction is described.

        Control1..1
        BindingThe codes SHOULD be taken from IPS Allergy Reaction
        (preferred to http://hl7.org/fhir/ips/ValueSet/allergy-reaction-uv-ips)

        IPS Allergy Reaction

        TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
        Must Supporttrue
        Must Support TypesNo must-support rules about the choice of types/profiles
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        48. Observation.entryRelationship
        Control1..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • value @ profile
        • 50. Observation.entryRelationship:entryRelationship-1
          Slice NameentryRelationship-1
          Definition

          Severity
          The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          Must Supporttrue
          InvariantsentryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07) ()
          52. Observation.entryRelationship:entryRelationship-1.typeCode
          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSUBJ
          54. Observation.entryRelationship:entryRelationship-1.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.

          Control1..1
          Typeboolean
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed Valuetrue

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

          0. Observation
          Definition

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

          ShortBase for all types and resources
          Control0..*
          Is Modifierfalse
          Must Supporttrue
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstance of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          2. Observation.nullFlavor
          Definition

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

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

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

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          6. Observation.typeId
          Definition

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

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          8. Observation.typeId.nullFlavor
          Definition

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

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

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

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          12. Observation.typeId.displayable
          Definition

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

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

          Identifies the type as an HL7 Registered model

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

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

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

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

          Control1..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • value @ extension
          • 20. Observation.templateId:primary
            Slice Nameprimary
            Definition

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            Must Supporttrue
            22. Observation.templateId:primary.nullFlavor
            Definition

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

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

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

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelAssigning Authority Name
            26. Observation.templateId:primary.displayable
            Definition

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

            Control0..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelDisplayable
            28. Observation.templateId:primary.root
            Definition

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

            Control1..1
            Typestring
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Fixed Value2.16.840.1.113883.10.22.4.6
            30. Observation.templateId:primary.extension
            Definition

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

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            32. Observation.classCode
            Control1..1
            BindingThe codes SHALL be taken from CDAActClassObservation
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            34. Observation.moodCode
            Control1..1
            BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
            (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            36. Observation.negationInd
            Control0..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            38. Observation.id
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            Must Supporttrue
            40. Observation.code
            Definition

            This element describes the type of condition this observation is referring to.

            Control1..1
            BindingThe codes SHALL be taken from IPS Problem Type
            (required to http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips)

            Problem Type

            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            Must Supporttrue
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            42. Observation.derivationExpr
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
            44. Observation.text
            Definition

            The <text> element if present points to the text describing the problem being recorded; including any dates, comments, et cetera. The <reference> contains a URI in value attribute. This URI points to the free text description of the problem in the document that is being described.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
            Must Supporttrue
            XML FormatThe 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.

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

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

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

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

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

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

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

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

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

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

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

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

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
            Must Supporttrue
            LabelReference
            64. Observation.text.reference.nullFlavor
            Definition

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

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

            When used it shall refer to the narrative, typically #{label}-{generated-id}, e.g. #xxx-1

            Control1..1
            Typeurl
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            68. Observation.text.reference.useablePeriod
            Definition

            Specifies the periods of time during which the telecommunication address can be used. For a telephone number, this can indicate the time of day in which the party can be reached on that telephone. For a web address, it may specify a time range in which the web content is promised to be available under the given address.

            Control0..*
            TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
            Default Typehttp://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            LabelUseable Period
            70. Observation.text.reference.use
            Definition

            One or more codes advising a system or user which telecommunication address in a set of like addresses to select for a given telecommunication need.

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

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

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

            A clinical document normally records only those condition observation events that have been completed, not observations that are in any other state. Therefore, the <statusCode> shall always have code='completed'.

            Control0..1
            BindingThe codes SHALL be taken from ActStatus
            (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
            Must Supporttrue
            76. Observation.statusCode.nullFlavor
            Definition

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

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            78. 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.

            Control0..1
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelCode
            Fixed Valuecompleted
            80. Observation.statusCode.codeSystem
            Definition

            Specifies the code system that defines the code.

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

            The common name of the coding system.

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

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

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

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

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

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

            Control0..1
            Typestring(oid: ISO Object Identifier)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
            90. Observation.statusCode.sdtcValueSetVersion
            Definition

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

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
            92. Observation.statusCode.originalText
            Definition

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

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

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

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

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

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

            The effectiveTime, also referred to as the “biologically relevant time” is the time at which the observation holds for the patient. For a provider seeing a patient in the clinic today, observing a history of heart attack that occurred five years ago, the effectiveTime is five years ago.

            The <low> and <high> values should be no more precise than known, but as precise as possible.

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
            Must Supporttrue
            100. Observation.effectiveTime.nullFlavor
            Definition

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

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

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

            Control0..1
            TypedateTime(ts: Point in Time)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
            XML FormatIn the XML format, this property is represented as an attribute.
            104. Observation.effectiveTime.operator
            Definition

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

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

            The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active.

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
            Must Supporttrue
            LabelLow Boundary
            108. Observation.effectiveTime.center
            Definition

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
            LabelCentral Value
            110. Observation.effectiveTime.width
            Definition

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

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
            LabelWidth
            112. Observation.effectiveTime.high
            Definition

            The effectiveTime/high (a.k.a. "resolution date") asserts when the condition e became biologically resolved. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of "UNK".If this condition is known to be resolved, then the effectiveTime/high would be present.

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
            LabelHigh Boundary
            114. Observation.priorityCode
            Control0..1
            BindingFor example codes, see ActPriority
            (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
            116. Observation.repeatNumber
            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
            118. Observation.languageCode
            Control0..1
            BindingThe codes SHALL be taken from AllLanguages
            (required to http://hl7.org/fhir/ValueSet/all-languages)
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
            120. Observation.value
            Definition

            The <value> is the condition that was found. While the value may be a coded or an un-coded string, the type is always a coded value.  If uncoded, it shall contain a <reference> to the <originalText> in the narrative where the reaction is described.

            Control1..1
            BindingThe codes SHOULD be taken from IPS Allergy Reaction
            (preferred to http://hl7.org/fhir/ips/ValueSet/allergy-reaction-uv-ips)

            IPS Allergy Reaction

            TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
            Must Supporttrue
            Must Support TypesNo must-support rules about the choice of types/profiles
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            122. Observation.value.id
            Definition

            Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

            ShortUnique id for inter-element referencing
            Control0..1
            Typestring
            Is Modifierfalse
            XML FormatIn the XML format, this property is represented as an attribute.
            Summaryfalse
            124. Observation.value.extension
            Definition

            May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

            ShortAdditional content defined by implementations
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifierfalse
            Summaryfalse
            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            SlicingThis element introduces a set of slices on Observation.value.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ url
            • 126. Observation.interpretationCode
              Control0..*
              BindingThe codes SHALL be taken from CDAObservationInterpretation
              (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              128. Observation.methodCode
              Control0..*
              BindingFor example codes, see ObservationMethod
              (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              130. Observation.targetSiteCode
              Definition

              Drawn from concept domain ActSite

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              132. Observation.subject
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
              134. Observation.specimen
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
              136. Observation.performer
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
              138. Observation.author
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
              140. Observation.informant
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
              142. Observation.participant
              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
              144. Observation.entryRelationship
              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ profile
              • 146. Observation.entryRelationship:entryRelationship-1
                Slice NameentryRelationship-1
                Definition

                Severity
                The contained entry describes a subjective assessment of the severity of the condition as evaluated by the clinician.

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                Must Supporttrue
                InvariantsentryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07) ()
                148. Observation.entryRelationship:entryRelationship-1.nullFlavor
                Definition

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

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

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

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                152. Observation.entryRelationship:entryRelationship-1.typeId
                Definition

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

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                154. Observation.entryRelationship:entryRelationship-1.typeId.nullFlavor
                Definition

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

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

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

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelAssigning Authority Name
                158. Observation.entryRelationship:entryRelationship-1.typeId.displayable
                Definition

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

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

                Identifies the type as an HL7 Registered model

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

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

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

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

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                166. Observation.entryRelationship:entryRelationship-1.typeCode
                Control1..1
                BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                Typecode
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueSUBJ
                168. Observation.entryRelationship:entryRelationship-1.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.

                Control1..1
                Typeboolean
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed Valuetrue
                170. Observation.entryRelationship:entryRelationship-1.contextConductionInd
                Definition

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

                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Default Valuetrue
                172. Observation.entryRelationship:entryRelationship-1.negationInd
                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                174. Observation.entryRelationship:entryRelationship-1.sequenceNumber
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                176. Observation.entryRelationship:entryRelationship-1.seperatableInd
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                178. Observation.entryRelationship:entryRelationship-1.act
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                180. Observation.entryRelationship:entryRelationship-1.encounter
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                182. Observation.entryRelationship:entryRelationship-1.observation
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                184. Observation.entryRelationship:entryRelationship-1.observationMedia
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                186. Observation.entryRelationship:entryRelationship-1.organizer
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                188. Observation.entryRelationship:entryRelationship-1.procedure
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                190. Observation.entryRelationship:entryRelationship-1.regionOfInterest
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                192. Observation.entryRelationship:entryRelationship-1.substanceAdministration
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                194. Observation.entryRelationship:entryRelationship-1.supply
                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                196. Observation.reference
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                198. Observation.precondition
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                200. Observation.sdtcPrecondition2
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                202. Observation.referenceRange
                Definition

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

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                204. Observation.referenceRange.nullFlavor
                Definition

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

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

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

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                208. Observation.referenceRange.typeId
                Definition

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

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                210. Observation.referenceRange.typeId.nullFlavor
                Definition

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

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

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

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelAssigning Authority Name
                214. Observation.referenceRange.typeId.displayable
                Definition

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

                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelDisplayable
                216. Observation.referenceRange.typeId.root
                Definition

                Identifies the type as an HL7 Registered model

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

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

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

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

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