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: IPS Problem Entry

Official URL: http://art-decor.org/fhir/StructureDefinition/2.16.840.1.113883.10.22.4.8--20240804110603 Version: 1.1.0-ballot
Draft as of 2024-08-04 Computable Name: IPSProblemEntry
Other Identifiers: OID:2.16.840.1.113883.10.22.4.8 (use: official, )

This template reflects a discrete observation about a patient’s problem. Because it is a discrete observation, it will have a statusCode of “completed”. 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 effectiveTime of the Problem Observation is the definitive indication of whether or not the underlying condition is resolved. If the problem is known to be resolved, then an effectiveTime/high would be present. If the date of resolution is not known, then effectiveTime/high will be present with a nullFlavor of “UNK”.

Usage:

Formal Views of Template Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 code Fixed Value: OBS
... @moodCode 1..1 code Fixed Value: EVN
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... text S 0..1 ED
.... reference S 1..1 TEL
..... @value 1..1 url
... statusCode S 1..1 CS
.... @code 0..1 cs Fixed Value: completed
... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... value S 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ Binding: IPS Problems (preferred): IPS Problems

​.... @type 0..1 code XML Namespace: http://www.w3.org/2001/XMLSchema-instance
XML: xsi (http://www.w3.org/2001/XMLSchema-instance)
Fixed Value: CD
​.... originalText S 0..*
​..... reference S 0..1
​.... qualifier 0..*
​.... translation 0..*
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... Slices for observation Content/Rules for all slices
​...... observation:entryRelationship-1 S 1..1 EntrySeverity
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @typeCode 1..1 code Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... text S 0..1 ED
.... reference S 1..1 TEL
..... @value 1..1 url
... statusCode S 1..1 CS Binding: ActStatus (required)
.... @code 0..1 cs Fixed Value: completed
... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... value S 1..1 Binding: IPS Problems (preferred): IPS Problems


.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.classCoderequiredCDAActClassObservation
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredXActMoodDocumentObservation
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG
Observation.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-2.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-3.typeCoderequiredFixed Value: REFR
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
..... @extension 0..1 st
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
... @negationInd 0..1 bl
... id S 0..* II
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... derivationExpr 0..1 ST
... text S 0..1 ED
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
.... @integrityCheck 0..1 bin
.... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs
.... @mediaType 0..1 cs Binding: MediaType (example)
.... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference S 1..1 TEL
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @value 1..1 url
..... useablePeriod 0..*
...... useablePeriod IVL_TS
...... useablePeriod EIVL_TS
...... useablePeriod PIVL_TS
...... useablePeriod SXPR_TS
..... @use 0..* cs Binding: TelecommunicationAddressUse (2.0.0) (required)
.... thumbnail 0..1 ED
... statusCode S 1..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Fixed Value: completed
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime S 1..1 IVL_TS
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @value 0..1 ts Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1 cs Binding: CDASetOperator (required)
.... low S 1..1 IVXB_TS
.... center 0..1 TS
.... width 0..1 PQ
.... high 0..1 IVXB_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 Binding: IPS Problems (preferred): IPS Problems


.... valueAll Types Content/Rules for all Types
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId 0..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.templateId:primary.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.classCoderequiredCDAActClassObservation
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredXActMoodDocumentObservation
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Observation.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Observation.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Observation.text.reference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.reference.userequiredTelecommunicationAddressUse
http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Observation.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Observation.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG
Observation.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.methodCodeexampleObservationMethod
http://terminology.hl7.org/ValueSet/v3-ObservationMethod
Observation.entryRelationship:entryRelationship-1.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-1.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-2.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-2.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-2.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-3.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-3.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-3.typeCoderequiredFixed Value: REFR
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.referenceRange.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeCoderequiredFixed Value: REFV
http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Observation

Summary

Mandatory: 14 elements(6 nested mandatory elements)
Must-Support: 15 elements
Fixed: 11 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.templateId
  • The element 1 is sliced based on the value of Observation.entryRelationship

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @classCode 0..1 code Fixed Value: OBS
... @moodCode 1..1 code Fixed Value: EVN
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... text S 0..1 ED
.... reference S 1..1 TEL
..... @value 1..1 url
... statusCode S 1..1 CS
.... @code 0..1 cs Fixed Value: completed
... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... value S 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ Binding: IPS Problems (preferred): IPS Problems

​.... @type 0..1 code XML Namespace: http://www.w3.org/2001/XMLSchema-instance
XML: xsi (http://www.w3.org/2001/XMLSchema-instance)
Fixed Value: CD
​.... originalText S 0..*
​..... reference S 0..1
​.... qualifier 0..*
​.... translation 0..*
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... Slices for observation Content/Rules for all slices
​...... observation:entryRelationship-1 S 1..1 EntrySeverity
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @typeCode 1..1 code Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @typeCode 1..1 code Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... text S 0..1 ED
.... reference S 1..1 TEL
..... @value 1..1 url
... statusCode S 1..1 CS Binding: ActStatus (required)
.... @code 0..1 cs Fixed Value: completed
... effectiveTime S 1..1 IVL_TS
.... low S 1..1 IVXB_TS
.... high 0..1 IVXB_TS
... value S 1..1 Binding: IPS Problems (preferred): IPS Problems


.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.classCoderequiredCDAActClassObservation
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredXActMoodDocumentObservation
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG
Observation.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-2.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-3.typeCoderequiredFixed Value: REFR
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship

Constraints

IdGradePath(s)DetailsRequirements
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation S 0..* Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:primary S 1..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 string Fixed Value: 2.16.840.1.113883.10.22.4.8
..... @extension 0..1 st
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
... @negationInd 0..1 bl
... id S 0..* II
... code S 1..1 CD Binding: IPS Problem Type (required): Problem Type

... derivationExpr 0..1 ST
... text S 0..1 ED
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
.... @integrityCheck 0..1 bin
.... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs
.... @mediaType 0..1 cs Binding: MediaType (example)
.... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference S 1..1 TEL
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @value 1..1 url
..... useablePeriod 0..*
...... useablePeriod IVL_TS
...... useablePeriod EIVL_TS
...... useablePeriod PIVL_TS
...... useablePeriod SXPR_TS
..... @use 0..* cs Binding: TelecommunicationAddressUse (2.0.0) (required)
.... thumbnail 0..1 ED
... statusCode S 1..1 CS Binding: ActStatus (required)
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @code 0..1 cs Fixed Value: completed
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime S 1..1 IVL_TS
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @value 0..1 ts Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz]
.... @operator 0..1 cs Binding: CDASetOperator (required)
.... low S 1..1 IVXB_TS
.... center 0..1 TS
.... width 0..1 PQ
.... high 0..1 IVXB_TS
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... value S 1..1 Binding: IPS Problems (preferred): IPS Problems


.... valueAll Types Content/Rules for all Types
..... @id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
... methodCode 0..* CE Binding: ObservationMethod (example)
... targetSiteCode 0..* CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* Author
... informant 0..* Informant
... participant 0..* Participant2
... Slices for entryRelationship 1..* EntryRelationship Slice: Unordered, Open by value:profile
.... entryRelationship:entryRelationship-1 SC 0..1 EntryRelationship entryRelationship-1: contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:entryRelationship-2 SC 1..1 EntryRelationship entryRelationship-2: contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: SUBJ
..... @inversionInd 1..1 boolean Fixed Value: true
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
.... entryRelationship:entryRelationship-3 SC 1..1 EntryRelationship entryRelationship-3: contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @typeCode 1..1 code Binding: x_ActRelationshipEntryRelationship (required)
Fixed Value: REFR
..... @inversionInd 0..1 boolean Fixed Value: false
..... @contextConductionInd 0..1 bl
..... @negationInd 0..1 bl
..... sequenceNumber 0..1 INT
..... seperatableInd 0..1 BL
..... act 0..1 Act
..... encounter 0..1 Encounter
..... observation 0..1 Observation
..... observationMedia 0..1 ObservationMedia
..... organizer 0..1 Organizer
..... procedure 0..1 Procedure
..... regionOfInterest 0..1 RegionOfInterest
..... substanceAdministration 0..1 SubstanceAdministration
..... supply 0..1 Supply
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId 0..1 II
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @assigningAuthorityName 0..1 st
..... @displayable 0..1 bl
..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
..... @extension 1..1 st
.... templateId 0..* II
.... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Fixed Value: REFV
.... observationRange 1..1 ObservationRange
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.templateId:primary.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.classCoderequiredCDAActClassObservation
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredXActMoodDocumentObservation
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.coderequiredIPSProblemType
http://hl7.org/fhir/uv/ips/ValueSet/problem-type-uv-ips
from this IG
Observation.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Observation.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Observation.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Observation.text.reference.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.reference.userequiredTelecommunicationAddressUse
http://terminology.hl7.org/ValueSet/v3-TelecommunicationAddressUse|2.0.0
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.statusCode.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.effectiveTime.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.effectiveTime.operatorrequiredCDASetOperator
http://hl7.org/cda/stds/core/ValueSet/CDASetOperator
Observation.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Observation.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
Observation.valuepreferredIPSProblems
http://art-decor.org/fhir/ValueSet/2.16.840.1.113883.11.22.73--20240802094107
from this IG
Observation.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.methodCodeexampleObservationMethod
http://terminology.hl7.org/ValueSet/v3-ObservationMethod
Observation.entryRelationship:entryRelationship-1.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-1.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-1.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-2.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-2.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-2.typeCoderequiredFixed Value: SUBJ
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.entryRelationship:entryRelationship-3.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-3.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.entryRelationship:entryRelationship-3.typeCoderequiredFixed Value: REFR
http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
Observation.referenceRange.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeCoderequiredFixed Value: REFV
http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType

Constraints

IdGradePath(s)DetailsRequirements
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
entryRelationship-1nullObservation.entryRelationship:entryRelationship-1contains IPS Severity Observation 2.16.840.1.113883.10.22.4.25 (2017-04-07)
:
entryRelationship-2nullObservation.entryRelationship:entryRelationship-2contains IPS Certainty Observation 2.16.840.1.113883.10.22.4.19 (2024-06-10)
:
entryRelationship-3nullObservation.entryRelationship:entryRelationship-3contains IPS Problem Status Observation 2.16.840.1.113883.10.22.4.20 (2017-03-29)
:
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Observation

Summary

Mandatory: 14 elements(6 nested mandatory elements)
Must-Support: 15 elements
Fixed: 11 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.templateId
  • The element 1 is sliced based on the value of Observation.entryRelationship

 

Other representations of profile: CSV, Excel