Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build
Consolidated CDA Release 2.1 StructureDefinition Publication, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.1). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.1-sd/ and changes regularly. See the Directory of published versions
| Draft as of 2023-09-29 |
Definitions for the AdvanceDirectiveObservation logical model.
Guidance on how to interpret the contents of this table can be found here
| 0. Observation | |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| 2. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8648). |
| Fixed Value | OBS |
| 4. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8649). |
| Fixed Value | EVN |
| 6. Observation.templateId | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 8. Observation.templateId:primary | |
| Slice Name | primary |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8655) such that it |
| Control | 1..1 |
| 10. Observation.templateId:primary.root | |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.48" (CONF:1198-10485). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.48 |
| 12. Observation.templateId:primary.extension | |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32496). |
| Control | 1..? |
| Pattern Value | 2015-08-01 |
| 14. Observation.id | |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-8654). |
| Control | 1..? |
| 16. Observation.code | |
| Comments | SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Advance Directive Type Code urn:oid:2.16.840.1.113883.1.11.20.2 DYNAMIC (CONF:1198-8651). |
| Binding | The codes SHOULD be taken from Advance Directive Type Code |
| 18. Observation.code.translation | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 20. Observation.code.translation:advanceDirective | |
| Slice Name | advanceDirective |
| Comments | This code SHALL contain exactly one [1..1] translation (CONF:1198-32842) such that it |
| Control | 1..1 |
| 22. Observation.code.translation:advanceDirective.code | |
| Comments | SHALL contain exactly one [1..1] @code="75320-2" Advance directive (CONF:1198-32843). |
| Control | 1..? |
| Pattern Value | 75320-2 |
| 24. Observation.code.translation:advanceDirective.codeSystem | |
| Comments | SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32844). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 26. Observation.statusCode | |
| Short | SG 20230706: constraint not entered 'properly' deleted fixedCode='Completed here - it's already in the next element and shoudln't be here - entered weird/wrong in TWB |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-8652). |
| Control | 1..? |
| 28. Observation.statusCode.code | |
| Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082). |
| Control | 1..? |
| Fixed Value | completed |
| 30. Observation.effectiveTime | |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8656). |
| Control | 1..? |
| 32. Observation.effectiveTime.low | |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-28719). |
| Control | 1..? |
| 34. Observation.effectiveTime.high | |
| Comments | This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-15521). |
| Control | 1..? |
| Invariants | 1198-32449: If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449). () |
| 36. Observation.value | |
| Comments | SHALL contain exactly one [1..1] value (CONF:1198-30804). |
| Control | 1..1 |
| Invariants | 1198-32493: If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493). () |
| 38. Observation.author | |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32406). |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| 40. Observation.participant | |
| Short | This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. If there is more than one legal representative, a qualifier may be used to designate the legal representative as primary or secondary. |
| Slicing | This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 42. Observation.participant.templateId | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Observation.participant.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 44. Observation.participant.templateId:primary | |
| Slice Name | primary |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it |
| Control | 1..1 |
| 46. Observation.participant.templateId:primary.root | |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486). |
| Control | 1..? |
| Pattern Value | 2.16.840.1.113883.10.20.1.58 |
| 48. Observation.participant.templateId:primary.extension | |
| Comments | SHALL not contain [0..0] extension |
| Control | 0..0 |
| 50. Observation.participant:participant1 | |
| Slice Name | participant1 |
| Short | The participant "VRF" represents the clinician(s) who verified the patient advance directive observation. |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it |
| Control | 0..* |
| 52. Observation.participant:participant1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663). |
| Control | 1..? |
| Fixed Value | VRF |
| 54. Observation.participant:participant1.time | |
| Comments | SHOULD contain zero or one [0..1] time (CONF:1198-8665). |
| Invariants | 1198-8666: The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666). () |
| 56. Observation.participant:participant1.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8825). |
| 58. Observation.participant:participant1.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446). |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| 60. Observation.participant:participant1.participantRole.addr | |
| Comments | This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451). |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| 62. Observation.participant:participant1.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1198-28428). |
| 64. Observation.participant:participant1.participantRole.playingEntity.name | |
| Comments | The playingEntity, if present, MAY contain zero or more [0..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454). |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| 66. Observation.participant:participant2 | |
| Slice Name | participant2 |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it |
| Control | 0..* |
| 68. Observation.participant:participant2.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668). |
| Control | 1..? |
| Fixed Value | CST |
| 70. Observation.participant:participant2.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8669). |
| 72. Observation.participant:participant2.participantRole.classCode | |
| Comments | This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670). |
| Fixed Value | AGNT |
| 74. Observation.participant:participant2.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28440). |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| 76. Observation.participant:participant2.participantRole.addr | |
| Comments | This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| 78. Observation.participant:participant2.participantRole.telecom | |
| Comments | This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672). |
| 80. Observation.participant:participant2.participantRole.playingEntity | |
| Comments | This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824). |
| Control | 1..? |
| 82. Observation.participant:participant2.participantRole.playingEntity.code | |
| Comments | This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent Qualifier urn:oid:2.16.840.1.113883.11.20.9.51 DYNAMIC (CONF:1198-28444). |
| Binding | The codes SHOULD be taken from Healthcare Agent Qualifier |
| 84. Observation.participant:participant2.participantRole.playingEntity.name | |
| Short | Record the name of the agent who can provide a copy of the Advance Directive in the name element. |
| Comments | This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673). |
| Control | 1..1 |
| 86. Observation.reference | |
| Control | 1..? |
| Slicing | This element introduces a set of slices on Observation.reference. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 88. Observation.reference:reference1 | |
| Slice Name | reference1 |
| Comments | SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it |
| Control | 1..* |
| 90. Observation.reference:reference1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694). |
| Fixed Value | REFR |
| 92. Observation.reference:reference1.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693). |
| Control | 1..? |
| 94. Observation.reference:reference1.externalDocument.id | |
| Comments | This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695). |
| Control | 1..? |
| 96. Observation.reference:reference1.externalDocument.text | |
| Comments | This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696). |
| 98. Observation.reference:reference1.externalDocument.text.reference | |
| Comments | The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697). |
| Invariants | 1198-8698: The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698). () 1198-8699: If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). () |
Guidance on how to interpret the contents of this table can be found here
| 0. Observation | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Control | 10..1* |
| Is Modifier | false |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 2. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8648). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassObservation |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 4. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8649). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 6. Observation.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 8. Observation.templateId:primary | |
| Slice Name | primary |
| 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 |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8655) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 10. 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. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.48" (CONF:1198-10485). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.48 |
| 12. Observation.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32496). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2015-08-01 |
| 14. Observation.id | |
| Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. |
| Short | Logical id of this artifact |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-8654). Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case. |
| Control | 10..*1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IIid |
| Is Modifier | false |
| 16. Observation.code | |
| Definition | Describes what was observed. Sometimes this is called the observation "name". |
| Short | Type of observation (code / type) |
| Comments | SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Advance Directive Type Code urn:oid:2.16.840.1.113883.1.11.20.2 DYNAMIC (CONF:1198-8651). All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation. |
| Control | 1..1 This element is affected by the following invariants: obs-7 |
| Binding | The codes SHOULD be taken from For example codes, see Advance Directive Type Codehttp://hl7.org/fhir/ValueSet/observation-codes |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept |
| Is Modifier | false |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Requirements | Knowing what kind of observation is being made is essential to understanding the observation. |
| Alternate Names | Name |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 18. Observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| Slicing | This element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 20. Observation.code.translation:advanceDirective | |
| Slice Name | advanceDirective |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Comments | This code SHALL contain exactly one [1..1] translation (CONF:1198-32842) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 22. Observation.code.translation:advanceDirective.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | SHALL contain exactly one [1..1] @code="75320-2" Advance directive (CONF:1198-32843). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | 75320-2 |
| 24. Observation.code.translation:advanceDirective.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32844). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 26. Observation.statusCode | |
| Short | SG 20230706: constraint not entered 'properly' deleted fixedCode='Completed here - it's already in the next element and shoudln't be here - entered weird/wrong in TWB |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-8652). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 28. Observation.statusCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 30. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 32. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 34. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 36. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 38. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 40. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 42. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 44. Observation.effectiveTime | |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8656). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 46. Observation.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-28719). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 48. Observation.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-15521). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| Invariants | 1198-32449: If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449). () |
| 50. Observation.value | |
| Comments | SHALL contain exactly one [1..1] value (CONF:1198-30804). |
| Control | 1..1 |
| Type | Choice 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/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Invariants | 1198-32493: If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493). () |
| 52. Observation.author | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32406). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 54. Observation.participant | |
| Short | This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. If there is more than one legal representative, a qualifier may be used to designate the legal representative as primary or secondary. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| Slicing | This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 56. Observation.participant.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.participant.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 58. Observation.participant.templateId:primary | |
| Slice Name | primary |
| 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 |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 60. Observation.participant.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. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.1.58 |
| 62. Observation.participant.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL not contain [0..0] extension |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 64. Observation.participant.participantRole | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 66. Observation.participant:participant1 | |
| Slice Name | participant1 |
| Short | The participant "VRF" represents the clinician(s) who verified the patient advance directive observation. |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 68. Observation.participant:participant1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | VRF |
| 70. Observation.participant:participant1.time | |
| Comments | SHOULD contain zero or one [0..1] time (CONF:1198-8665). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| Invariants | 1198-8666: The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666). () |
| 72. Observation.participant:participant1.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8825). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 74. Observation.participant:participant1.participantRole.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| 76. Observation.participant:participant1.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 78. Observation.participant:participant1.participantRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 80. Observation.participant:participant1.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1198-28428). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 82. Observation.participant:participant1.participantRole.playingEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from EntityClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ENT |
| 84. Observation.participant:participant1.participantRole.playingEntity.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The playingEntity, if present, MAY contain zero or more [0..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 86. Observation.participant:participant2 | |
| Slice Name | participant2 |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 88. Observation.participant:participant2.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CST |
| 90. Observation.participant:participant2.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8669). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 92. Observation.participant:participant2.participantRole.classCode | |
| Comments | This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| Fixed Value | AGNT |
| 94. Observation.participant:participant2.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28440). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 96. Observation.participant:participant2.participantRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 98. Observation.participant:participant2.participantRole.telecom | |
| Comments | This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 100. Observation.participant:participant2.participantRole.playingEntity | |
| Comments | This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 102. Observation.participant:participant2.participantRole.playingEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from EntityClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ENT |
| 104. Observation.participant:participant2.participantRole.playingEntity.code | |
| Comments | This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent Qualifier urn:oid:2.16.840.1.113883.11.20.9.51 DYNAMIC (CONF:1198-28444). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Agent Qualifier |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 106. Observation.participant:participant2.participantRole.playingEntity.name | |
| Short | Record the name of the agent who can provide a copy of the Advance Directive in the name element. |
| Comments | This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN |
| 108. Observation.reference | |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| Slicing | This element introduces a set of slices on Observation.reference. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 110. Observation.reference:reference1 | |
| Slice Name | reference1 |
| Comments | SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 112. Observation.reference:reference1.typeCode | |
| Definition | Element Act.typeCode |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipExternalReference |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 114. Observation.reference:reference1.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument |
| 116. Observation.reference:reference1.externalDocument.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassDocument |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | DOC |
| 118. Observation.reference:reference1.externalDocument.id | |
| Comments | This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 120. Observation.reference:reference1.externalDocument.text | |
| Comments | This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 122. Observation.reference:reference1.externalDocument.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. |
| Comments | The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | 1198-8698: The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698). () 1198-8699: If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). () |
Guidance on how to interpret the contents of this table can be found here
| 0. Observation | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Control | 1..1 |
| Is Modifier | false |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:v3. |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 2. Observation.classCode | |
| Comments | SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-8648). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassObservation |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OBS |
| 4. Observation.moodCode | |
| Comments | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-8649). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 6. Observation.negationInd | |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 8. Observation.realmCode | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 10. Observation.typeId | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 12. Observation.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 14. Observation.templateId:primary | |
| Slice Name | primary |
| 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 |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8655) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 16. 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. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 18. 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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 20. 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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 22. 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. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.48" (CONF:1198-10485). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.22.4.48 |
| 24. Observation.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32496). |
| Control | 1..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| Pattern Value | 2015-08-01 |
| 26. Observation.id | |
| Comments | SHALL contain at least one [1..*] id (CONF:1198-8654). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 28. Observation.code | |
| Comments | SHALL contain exactly one [1..1] code, which SHOULD be selected from ValueSet Advance Directive Type Code urn:oid:2.16.840.1.113883.1.11.20.2 DYNAMIC (CONF:1198-8651). |
| Control | 1..1 |
| Binding | The codes SHOULD be taken from Advance Directive Type Code |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 30. Observation.code.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 32. Observation.code.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| 34. Observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 36. Observation.code.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 38. Observation.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 40. Observation.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 42. Observation.code.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 44. Observation.code.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 46. Observation.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 48. Observation.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 50. Observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| Slicing | This element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 52. Observation.code.translation:advanceDirective | |
| Slice Name | advanceDirective |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Comments | This code SHALL contain exactly one [1..1] translation (CONF:1198-32842) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 54. Observation.code.translation:advanceDirective.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 56. Observation.code.translation:advanceDirective.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | SHALL contain exactly one [1..1] @code="75320-2" Advance directive (CONF:1198-32843). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Pattern Value | 75320-2 |
| 58. Observation.code.translation:advanceDirective.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Comments | SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC urn:oid:2.16.840.1.113883.6.1) (CONF:1198-32844). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| Pattern Value | 2.16.840.1.113883.6.1 |
| 60. Observation.code.translation:advanceDirective.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 62. Observation.code.translation:advanceDirective.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 64. Observation.code.translation:advanceDirective.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 66. Observation.code.translation:advanceDirective.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 68. Observation.code.translation:advanceDirective.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 70. Observation.code.translation:advanceDirective.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 72. Observation.code.translation:advanceDirective.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 74. Observation.code.translation:advanceDirective.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 76. Observation.derivationExpr | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ST |
| 78. Observation.text | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| 80. Observation.statusCode | |
| Short | SG 20230706: constraint not entered 'properly' deleted fixedCode='Completed here - it's already in the next element and shoudln't be here - entered weird/wrong in TWB |
| Comments | SHALL contain exactly one [1..1] statusCode (CONF:1198-8652). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActStatus |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 82. Observation.statusCode.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 84. Observation.statusCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. |
| Comments | This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19082). |
| Control | 1..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code |
| Fixed Value | completed |
| 86. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. |
| Control | 0..0 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System |
| 88. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Name |
| 90. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Code System Version |
| 92. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Display Name |
| 94. Observation.statusCode.sdtcValueSet | |
| Definition | The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(oid: ISO Object Identifier) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet. |
| 96. Observation.statusCode.sdtcValueSetVersion | |
| Definition | The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion. |
| 98. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Original Text |
| 100. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CR |
| Label | Qualifier |
| 102. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. |
| Control | 0..0 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Label | Translation |
| 104. Observation.effectiveTime | |
| Comments | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-8656). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 106. Observation.effectiveTime.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 108. Observation.effectiveTime.value | |
| Definition | A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression. |
| Control | 0..1 |
| Type | string(ts: Point in Time) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| Date Format | YYYYMMDDHHMMSS.UUUU[+|-ZZzz] |
| XML Format | In the XML format, this property is represented as an attribute. |
| 110. Observation.effectiveTime.operator | |
| Definition | A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from SetOperator |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | I |
| 112. Observation.effectiveTime.low | |
| Definition | This is the low limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] low (CONF:1198-28719). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | Low Boundary |
| 114. Observation.effectiveTime.center | |
| Definition | The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| Label | Central Value |
| 116. Observation.effectiveTime.width | |
| Definition | The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| Label | Width |
| 118. Observation.effectiveTime.high | |
| Definition | This is the high limit of the interval. |
| Comments | This effectiveTime SHALL contain exactly one [1..1] high (CONF:1198-15521). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS |
| Label | High Boundary |
| Invariants | 1198-32449: If the Advance Directive does not have a specified ending time, the <high> element **SHALL** have the nullFlavor attribute set to *NA* (CONF:1198-32449). () |
| 120. Observation.priorityCode | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from ActPriority |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 122. Observation.repeatNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-INT |
| 124. Observation.languageCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from HumanLanguage |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 126. Observation.value | |
| Comments | SHALL contain exactly one [1..1] value (CONF:1198-30804). |
| Control | 1..1 |
| Type | Choice 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/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ |
| XML Format | The type of this property is determined using the xsi:typeattribute. |
| Invariants | 1198-32493: If type CD, then value will be SNOMED-CT 2.16.840.1.113883.6.96 (CONF:1198-32493). () |
| 128. Observation.interpretationCode | |
| Control | 0..* |
| Binding | The codes SHALL be taken from ObservationInterpretation |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 130. Observation.methodCode | |
| Control | 0..* |
| Binding | Unless not suitable, these codes SHALL be taken from ObservationMethod |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 132. Observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 134. Observation.subject | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Subject |
| 136. Observation.specimen | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Specimen |
| 138. Observation.performer | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Performer2 |
| 140. Observation.author | |
| Definition | Base definition for all types defined in FHIR type system. |
| Short | Base for all types and resources |
| Comments | SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1198-32406). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 142. Observation.informant | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Informant |
| 144. Observation.participant | |
| Short | This custodian (CST) participant identifies a legal representative for the patient's advance directive. Examples of such individuals are called health care agents, substitute decision makers and/or health care proxies. If there is more than one legal representative, a qualifier may be used to designate the legal representative as primary or secondary. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| Slicing | This element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 146. Observation.participant.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 148. Observation.participant.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 150. Observation.participant.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 152. Observation.participant.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 154. Observation.participant.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 156. Observation.participant.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| Slicing | This element introduces a set of slices on Observation.participant.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 158. Observation.participant.templateId:primary | |
| Slice Name | primary |
| 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 |
| Comments | SHALL contain exactly one [1..1] templateId (CONF:1198-8664) such that it |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 160. Observation.participant.templateId:primary.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 162. Observation.participant.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. |
| Control | 0..1 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Assigning Authority Name |
| 164. Observation.participant.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). |
| Control | 0..1 |
| Type | boolean(bl: Boolean) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Displayable |
| 166. Observation.participant.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. |
| Comments | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.1.58" (CONF:1198-10486). |
| Control | 1..1 |
| Type | string(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Root |
| Pattern Value | 2.16.840.1.113883.10.20.1.58 |
| 168. Observation.participant.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. |
| Comments | SHALL not contain [0..0] extension |
| Control | 0..0 |
| Type | string(st: Character String) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Extension |
| 170. Observation.participant.sdtcFunctionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode. |
| 172. Observation.participant.time | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 174. Observation.participant.awarenessCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 176. Observation.participant.participantRole | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 178. Observation.participant:participant1 | |
| Slice Name | participant1 |
| Short | The participant "VRF" represents the clinician(s) who verified the patient advance directive observation. |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8662) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 180. Observation.participant:participant1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 182. Observation.participant:participant1.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="VRF" Verifier (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8663). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | VRF |
| 184. Observation.participant:participant1.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 186. Observation.participant:participant1.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 188. Observation.participant:participant1.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 190. Observation.participant:participant1.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 192. Observation.participant:participant1.sdtcFunctionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode. |
| 194. Observation.participant:participant1.time | |
| Comments | SHOULD contain zero or one [0..1] time (CONF:1198-8665). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| Invariants | 1198-8666: The data type of Observation/participant/time in a verification **SHALL** be *TS* (time stamp) (CONF:1198-8666). () |
| 196. Observation.participant:participant1.awarenessCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 198. Observation.participant:participant1.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8825). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 200. Observation.participant:participant1.participantRole.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| 202. Observation.participant:participant1.participantRole.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 204. Observation.participant:participant1.participantRole.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 206. Observation.participant:participant1.participantRole.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 208. Observation.participant:participant1.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Provider Taxonomy urn:oid:2.16.840.1.114222.4.11.1066 DYNAMIC (CONF:1198-28446). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Provider Taxonomy |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 210. Observation.participant:participant1.participantRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This participantRole MAY contain zero or more [0..*] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-28451). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 212. Observation.participant:participant1.participantRole.telecom | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 214. Observation.participant:participant1.participantRole.playingDevice | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Device |
| 216. Observation.participant:participant1.participantRole.playingEntity | |
| Comments | This participantRole MAY contain zero or one [0..1] playingEntity (CONF:1198-28428). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 218. Observation.participant:participant1.participantRole.playingEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from EntityClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ENT |
| 220. Observation.participant:participant1.participantRole.playingEntity.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 222. Observation.participant:participant1.participantRole.playingEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 224. Observation.participant:participant1.participantRole.playingEntity.code | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from EntityCode |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 226. Observation.participant:participant1.participantRole.playingEntity.quantity | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| 228. Observation.participant:participant1.participantRole.playingEntity.name | |
| Definition | A name for a person. A sequence of name parts, such as given name or family name, prefix, suffix, etc. Examples for person name values are "Jim Bob Walton, Jr.", "Adam Everyman", etc. A person name may be as simple as a character string or may consist of several person name parts, such as, "Jim", "Bob", "Walton", and "Jr.". PN differs from EN because the qualifier type cannot include LS (Legal Status). |
| Short | Base for all types and resources |
| Comments | The playingEntity, if present, MAY contain zero or more [0..*] US Realm Person Name (PN.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.1.1) (CONF:1198-28454). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN(US Realm Person Name (PN.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))pn-no-ls: No PN name part may have a qualifier of LS. ( (delimiter | family | given | prefix | suffix).where(qualifier = 'LS').empty())81-9371: The content of name **SHALL** be either a conformant Patient Name (PTN.US.FIELDED), or a string (CONF:81-9371). () 81-9372: The string **SHALL NOT** contain name parts (CONF:81-9372). () |
| 230. Observation.participant:participant1.participantRole.playingEntity.sdtcBirthTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime. |
| 232. Observation.participant:participant1.participantRole.playingEntity.desc | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 234. Observation.participant:participant1.participantRole.scopingEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Entity |
| 236. Observation.participant:participant2 | |
| Slice Name | participant2 |
| Comments | SHOULD contain zero or more [0..*] participant (CONF:1198-8667) such that it |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Participant2 |
| 238. Observation.participant:participant2.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 240. Observation.participant:participant2.typeCode | |
| Comments | SHALL contain exactly one [1..1] @typeCode="CST" Custodian (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1198-8668). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ParticipationType |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | CST |
| 242. Observation.participant:participant2.contextControlCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ContextControl |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | OP |
| 244. Observation.participant:participant2.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 246. Observation.participant:participant2.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 248. Observation.participant:participant2.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 250. Observation.participant:participant2.sdtcFunctionCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namefunctionCode. |
| 252. Observation.participant:participant2.time | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS |
| 254. Observation.participant:participant2.awarenessCode | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 256. Observation.participant:participant2.participantRole | |
| Comments | SHALL contain exactly one [1..1] participantRole (CONF:1198-8669). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ParticipantRole |
| 258. Observation.participant:participant2.participantRole.classCode | |
| Comments | This participantRole SHALL contain exactly one [1..1] @classCode="AGNT" Agent (CodeSystem: HL7RoleClass urn:oid:2.16.840.1.113883.5.110 STATIC) (CONF:1198-8670). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from RoleClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ROL |
| Fixed Value | AGNT |
| 260. Observation.participant:participant2.participantRole.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 262. Observation.participant:participant2.participantRole.id | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 264. Observation.participant:participant2.participantRole.sdtcIdentifiedBy | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/IdentifiedBy |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameidentifiedBy. |
| 266. Observation.participant:participant2.participantRole.code | |
| Comments | This participantRole SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Personal And Legal Relationship Role Type urn:oid:2.16.840.1.113883.11.20.12.1 DYNAMIC (CONF:1198-28440). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Personal And Legal Relationship Role Type |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 268. Observation.participant:participant2.participantRole.addr | |
| Definition | Mailing and home or office addresses. A sequence of address parts, such as street or post office Box, city, postal code, country, etc. |
| Short | Base for all types and resources |
| Comments | This participantRole SHOULD contain zero or one [0..1] US Realm Address (AD.US.FIELDED) (identifier: urn:oid:2.16.840.1.113883.10.20.22.5.2) (CONF:1198-8671). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/AD(US Realm Address (AD.US.FIELDED)) |
| Is Modifier | false |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))81-7296: **SHALL NOT** have mixed content except for white space (CONF:81-7296). () |
| 270. Observation.participant:participant2.participantRole.telecom | |
| Comments | This participantRole SHOULD contain zero or more [0..*] telecom (CONF:1198-8672). |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| 272. Observation.participant:participant2.participantRole.playingDevice | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Device |
| 274. Observation.participant:participant2.participantRole.playingEntity | |
| Comments | This participantRole SHALL contain exactly one [1..1] playingEntity (CONF:1198-8824). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PlayingEntity |
| 276. Observation.participant:participant2.participantRole.playingEntity.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from EntityClassRoot |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | ENT |
| 278. Observation.participant:participant2.participantRole.playingEntity.determinerCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from EntityDeterminer |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | INSTANCE |
| 280. Observation.participant:participant2.participantRole.playingEntity.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 282. Observation.participant:participant2.participantRole.playingEntity.code | |
| Comments | This playingEntity SHOULD contain zero or one [0..1] code, which SHOULD be selected from ValueSet Healthcare Agent Qualifier urn:oid:2.16.840.1.113883.11.20.9.51 DYNAMIC (CONF:1198-28444). |
| Control | 0..1 |
| Binding | The codes SHOULD be taken from Healthcare Agent Qualifier |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CE |
| 284. Observation.participant:participant2.participantRole.playingEntity.quantity | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PQ |
| 286. Observation.participant:participant2.participantRole.playingEntity.name | |
| Short | Record the name of the agent who can provide a copy of the Advance Directive in the name element. |
| Comments | This playingEntity SHALL contain exactly one [1..1] name (CONF:1198-8673). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/PN |
| 288. Observation.participant:participant2.participantRole.playingEntity.sdtcBirthTime | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TS |
| XML Format | In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namebirthTime. |
| 290. Observation.participant:participant2.participantRole.playingEntity.desc | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 292. Observation.participant:participant2.participantRole.scopingEntity | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Entity |
| 294. Observation.entryRelationship | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship |
| 296. Observation.reference | |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| Slicing | This element introduces a set of slices on Observation.reference. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators: |
| 298. Observation.reference:reference1 | |
| Slice Name | reference1 |
| Comments | SHOULD contain at least one [1..*] reference (CONF:1198-8692) such that it |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Reference |
| 300. Observation.reference:reference1.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 302. Observation.reference:reference1.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 304. Observation.reference:reference1.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 306. Observation.reference:reference1.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 308. Observation.reference:reference1.typeCode | |
| Definition | Element Act.typeCode |
| Comments | SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-8694). |
| Control | 1..1 |
| Binding | The codes SHALL be taken from x_ActRelationshipExternalReference |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFR |
| 310. Observation.reference:reference1.seperatableInd | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/BL |
| 312. Observation.reference:reference1.externalAct | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalAct |
| 314. Observation.reference:reference1.externalObservation | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation |
| 316. Observation.reference:reference1.externalProcedure | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure |
| 318. Observation.reference:reference1.externalDocument | |
| Comments | SHALL contain exactly one [1..1] externalDocument (CONF:1198-8693). |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument |
| 320. Observation.reference:reference1.externalDocument.classCode | |
| Control | 1..1 |
| Binding | The codes SHALL be taken from ActClassDocument |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Default Value | DOC |
| 322. Observation.reference:reference1.externalDocument.moodCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActMood |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | EVN |
| 324. Observation.reference:reference1.externalDocument.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 326. Observation.reference:reference1.externalDocument.id | |
| Comments | This externalDocument SHALL contain at least one [1..*] id (CONF:1198-8695). |
| Control | 1..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 328. Observation.reference:reference1.externalDocument.code | |
| Control | 0..1 |
| Binding | Unless not suitable, these codes SHALL be taken from FHIRDocumentTypeCodes |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CD |
| 330. Observation.reference:reference1.externalDocument.text | |
| Comments | This externalDocument MAY contain zero or one [0..1] text (CONF:1198-8696). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| 332. Observation.reference:reference1.externalDocument.text.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 334. Observation.reference:reference1.externalDocument.text.charset | |
| Definition | For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 []. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Charset |
| 336. Observation.reference:reference1.externalDocument.text.compression | |
| Definition | Indicates whether the raw byte data is compressed, and what compression algorithm was used. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from CompressionAlgorithm |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Compression |
| 338. Observation.reference:reference1.externalDocument.text.integrityCheck | |
| Definition | The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created. |
| Control | 0..1 |
| Type | base64Binary(bin: Binary Data) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check |
| 340. Observation.reference:reference1.externalDocument.text.integrityCheckAlgorithm | |
| Definition | Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from IntegrityCheckAlgorithm |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Integrity Check Algorithm |
| 342. Observation.reference:reference1.externalDocument.text.language | |
| Definition | For character based information the language property specifies the human language of the text. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Language |
| 344. Observation.reference:reference1.externalDocument.text.mediaType | |
| Definition | Identifies the type of the encapsulated data and identifies a method to interpret or render the data. |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Media Type |
| 346. Observation.reference:reference1.externalDocument.text.representation | |
| Control | 0..1 |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| 348. Observation.reference:reference1.externalDocument.text.data[x] | |
| 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.) |
| Control | 0..1 |
| Type | Choice of: string(st: Character String), base64Binary(bin: Binary Data) |
| [x] Note | See Choice of Data Types for further information about how to use [x] |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as unadorned text. |
| 350. Observation.reference:reference1.externalDocument.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. |
| Comments | The text, if present, MAY contain zero or one [0..1] reference (CONF:1198-8697). |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/TEL |
| Label | Reference |
| Invariants | 1198-8698: The URL of a referenced advance directive document **MAY** be present, and **SHALL** be represented in Observation/reference/ExternalDocument/text/reference (CONF:1198-8698). () 1198-8699: If a URL is referenced, then it **SHOULD** have a corresponding linkHTML element in narrative block (CONF:1198-8699). () |
| 352. Observation.reference:reference1.externalDocument.text.thumbnail | |
| Definition | An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ED |
| Label | Thumbnail |
| 354. Observation.reference:reference1.externalDocument.setId | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 356. Observation.reference:reference1.externalDocument.versionNumber | |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/INT |
| 358. Observation.precondition | |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/Precondition |
| 360. Observation.referenceRange | |
| Definition | Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified. |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot |
| Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
| 362. Observation.referenceRange.nullFlavor | |
| Definition | If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing. |
| Control | 0..1 |
| Binding | The codes SHALL be taken from NullFlavor |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Label | Exceptional Value Detail |
| 364. Observation.referenceRange.realmCode | |
| Definition | When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/CS |
| 366. Observation.referenceRange.typeId | |
| Definition | When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question. |
| Control | 0..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 368. Observation.referenceRange.templateId | |
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question |
| Control | 0..* |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/II |
| 370. Observation.referenceRange.typeCode | |
| Control | 0..1 |
| Binding | The codes SHALL be taken from ActRelationshipPertains |
| Type | code(cs: Coded Simple Value) |
| Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
| XML Format | In the XML format, this property is represented as an attribute. |
| Fixed Value | REFV |
| 372. Observation.referenceRange.observationRange | |
| Control | 1..1 |
| Type | http://hl7.org/cda/stds/core/StructureDefinition/ObservationRange |
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
Links: Table of Contents |
QA Report
| Version History 
|
|
Propose a change