Consolidated CDA Release 2.1 StructureDefinition Publication
2.1 - CI Build United States of America flag

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

Logical Model: GoalObservation - Detailed Descriptions

Draft as of 2023-09-29

Definitions for the GoalObservation logical model.

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

0. Observation
XML FormatIn 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) (CONF:4515-30418).

Fixed ValueOBS
4. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="GOL" Goal (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4515-30419).

Fixed ValueGOL
6. Observation.templateId
Comments

SHALL contain exactly one [1..1] templateId (CONF:4515-8583) such that it

Control1..?
SlicingThis 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:
  • value @ root
  • value @ extension
8. Observation.templateId:templateId1
Slice NametemplateId1
ShorttemplateId
Control1..1
10. Observation.templateId:templateId1.root
Comments

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.121" (CONF:4515-10512).

Control1..?
Pattern Value2.16.840.1.113883.10.20.22.4.121
12. Observation.templateId:templateId1.extension
Comments

SHALL contain exactly one [1..1] @extension="2022-06-01" (CONF:4515-32886).

Control1..?
Pattern Value2022-06-01
14. Observation.id
Comments

SHALL contain at least one [1..*] id (CONF:4515-32332).

Control1..?
16. Observation.code
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-30784).

Invariants4515-32887: When the Goal is Social Determinant of Health Goal, the observation/code **SHOULD** contain exactly one [1..1] code, which **SHOULD** contain exactly one [1..1] @code="8689-2 "History of Social function” This code **SHALL** contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:4515-32887). ()
18. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-32333).

Control1..?
20. Observation.statusCode.code
Comments

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC (CONF:4515-32334).

Control1..?
BindingThe codes SHALL be taken from ActStatus
22. Observation.effectiveTime
Comments

SHOULD contain zero or one [0..1] effectiveTime (CONF:4515-32335).

24. Observation.value
Comments

MAY contain zero or one [0..1] value (CONF:4515-32743).

Control0..1
Invariants4515-32963: When the Goal is Social Determinant of Health Goal, the observation/value **SHOULD** be selected from ValueSet [Social Determinant of Health Goals](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion) **DYNAMIC** (CONF:4515-32963). ()
26. 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:4515-30995).

Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
28. Observation.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31559) such that it

SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ act
  • value @ typeCode
30. Observation.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30701) such that it

Control0..*
32. Observation.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30702).

Fixed ValueREFR
34. Observation.entryRelationship:entryRelationship1.act
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-30703).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
36. Observation.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30704) such that it

Control0..*
38. Observation.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30705).

Fixed ValueCOMP
40. Observation.entryRelationship:entryRelationship2.act
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32879).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
42. Observation.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

SHOULD contain zero or one [0..1] entryRelationship (CONF:4515-30785) such that it

Control0..1
44. Observation.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30786).

Fixed ValueREFR
46. Observation.entryRelationship:entryRelationship3.observation
Comments

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:4515-30787).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
48. Observation.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31448) such that it

Control0..*
50. Observation.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31449).

Fixed ValueCOMP
52. Observation.entryRelationship:entryRelationship4.observation
Comments

SHALL contain exactly one [1..1] Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.121) (CONF:4515-32880).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Goal Observation)
54. Observation.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Control0..*
56. Observation.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Fixed ValueREFR
58. Observation.entryRelationship:entryRelationship5.act
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-31588).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
60. Observation.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
62. Observation.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Fixed ValueREFR
64. Observation.entryRelationship:entryRelationship6.observation
Shortact
Comments

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Progress Toward Goal Observation)
66. Observation.reference
Comments

MAY contain zero or more [0..*] reference (CONF:4515-32754).

68. Observation.reference.typeCode
Comments

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32755).

Fixed ValueREFR
70. Observation.reference.externalDocument
Comments

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:4515-32756).

Control1..?
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument(External Document Reference)

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.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-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) (CONF:4515-30418).

Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
4. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="GOL" Goal (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4515-30419).

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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4515-8583) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
8. Observation.templateId:templateId1
Slice NametemplateId1
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

ShorttemplateId
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
10. Observation.templateId:templateId1.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="2.16.840.1.113883.10.20.22.4.121" (CONF:4515-10512).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.121
12. Observation.templateId:templateId1.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2022-06-01" (CONF:4515-32886).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2022-06-01
14. Observation.id
Definition

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

ShortLogical id of this artifact
Comments

SHALL contain at least one [1..*] id (CONF:4515-32332).


Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

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

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

ShortType of observation (code / type)
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-30784).


All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

Control1..1
This element is affected by the following invariants: obs-7
BindingUnless not suitable, these codes SHALL be taken from For example codes, see ObservationTypehttp://hl7.org/fhir/ValueSet/observation-codes
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
Is Modifierfalse
XML FormatThe type of this property is determined using the xsi:typeattribute.
Requirements

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

Alternate NamesName
Invariants4515-32887: When the Goal is Social Determinant of Health Goal, the observation/code **SHOULD** contain exactly one [1..1] code, which **SHOULD** contain exactly one [1..1] @code="8689-2 "History of Social function” This code **SHALL** contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:4515-32887). ()
ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-32333).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
20. 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, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC (CONF:4515-32334).

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

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

SHOULD contain zero or one [0..1] effectiveTime (CONF:4515-32335).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
38. Observation.value
Comments

MAY contain zero or one [0..1] value (CONF:4515-32743).

Control0..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants4515-32963: When the Goal is Social Determinant of Health Goal, the observation/value **SHOULD** be selected from ValueSet [Social Determinant of Health Goals](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion) **DYNAMIC** (CONF:4515-32963). ()
40. Observation.author
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-30995).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
42. Observation.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31559) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ act
  • value @ typeCode
44. Observation.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30701) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
46. Observation.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30702).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
48. Observation.entryRelationship:entryRelationship1.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-30703).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
50. Observation.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30704) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
52. Observation.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30705).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
54. Observation.entryRelationship:entryRelationship2.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32879).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
56. Observation.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

SHOULD contain zero or one [0..1] entryRelationship (CONF:4515-30785) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
58. Observation.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30786).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
60. Observation.entryRelationship:entryRelationship3.observation
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:4515-30787).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
62. Observation.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31448) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
64. Observation.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31449).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
66. Observation.entryRelationship:entryRelationship4.observation
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.121) (CONF:4515-32880).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Goal Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
68. Observation.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
70. Observation.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
72. Observation.entryRelationship:entryRelationship5.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-31588).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
74. Observation.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
76. Observation.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
78. Observation.entryRelationship:entryRelationship6.observation
Definition

Base definition for all types defined in FHIR type system.

Shortact
Comments

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Progress Toward Goal Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
80. Observation.reference
Comments

MAY contain zero or more [0..*] reference (CONF:4515-32754).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
82. Observation.reference.typeCode
Definition

Element Act.typeCode

Comments

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32755).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipExternalReference
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
84. Observation.reference.externalDocument
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:4515-32756).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument(External Document Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

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.

ShortBase for all types and resources
Control1..1
Is Modifierfalse
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsele-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) (CONF:4515-30418).

Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueOBS
4. Observation.moodCode
Comments

SHALL contain exactly one [1..1] @moodCode="GOL" Goal (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4515-30419).

Control1..1
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueGOL
6. Observation.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
8. Observation.realmCode
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
10. Observation.typeId
Control0..1
Typehttp://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

Comments

SHALL contain exactly one [1..1] templateId (CONF:4515-8583) such that it

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
14. Observation.templateId:templateId1
Slice NametemplateId1
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

ShorttemplateId
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
16. Observation.templateId:templateId1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
18. Observation.templateId:templateId1.assigningAuthorityName
Definition

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

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
20. Observation.templateId:templateId1.displayable
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
22. Observation.templateId:templateId1.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="2.16.840.1.113883.10.20.22.4.121" (CONF:4515-10512).

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Pattern Value2.16.840.1.113883.10.20.22.4.121
24. Observation.templateId:templateId1.extension
Definition

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

Comments

SHALL contain exactly one [1..1] @extension="2022-06-01" (CONF:4515-32886).

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
Pattern Value2022-06-01
26. Observation.id
Comments

SHALL contain at least one [1..*] id (CONF:4515-32332).

Control1..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
28. Observation.code
Comments

SHALL contain exactly one [1..1] code, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-30784).

Control1..1
BindingUnless not suitable, these codes SHALL be taken from ObservationType
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants4515-32887: When the Goal is Social Determinant of Health Goal, the observation/code **SHOULD** contain exactly one [1..1] code, which **SHOULD** contain exactly one [1..1] @code="8689-2 "History of Social function” This code **SHALL** contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.1" (CodeSystem: LOINC 2.16.840.1.113883.6.1) (CONF:4515-32887). ()
30. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
32. Observation.text
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
XML FormatThe type of this property is determined using the xsi:typeattribute.
34. Observation.statusCode
Comments

SHALL contain exactly one [1..1] statusCode (CONF:4515-32333).

Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
36. Observation.statusCode.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
38. 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, which SHALL be selected from ValueSet ActStatus urn:oid:2.16.840.1.113883.1.11.15933 STATIC (CONF:4515-32334).

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

Specifies the code system that defines the code.

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

The common name of the coding system.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

SHOULD contain zero or one [0..1] effectiveTime (CONF:4515-32335).

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
60. Observation.priorityCode
Control0..1
BindingUnless not suitable, these codes SHALL be taken from ActPriority
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
62. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
64. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
66. Observation.value
Comments

MAY contain zero or one [0..1] value (CONF:4515-32743).

Control0..1
TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
XML FormatThe type of this property is determined using the xsi:typeattribute.
Invariants4515-32963: When the Goal is Social Determinant of Health Goal, the observation/value **SHOULD** be selected from ValueSet [Social Determinant of Health Goals](https://vsac.nlm.nih.gov/valueset/2.16.840.1.113762.1.4.1247.71/expansion) **DYNAMIC** (CONF:4515-32963). ()
68. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
70. Observation.methodCode
Control0..*
BindingUnless not suitable, these codes SHALL be taken from ObservationMethod
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
72. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
74. Observation.subject
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
76. Observation.specimen
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
78. Observation.performer
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
80. Observation.author
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-30995).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
82. Observation.informant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
84. Observation.participant
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
86. Observation.entryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31559) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators: , and can be differentiated using the following discriminators:
  • value @ act
  • value @ typeCode
88. Observation.entryRelationship:entryRelationship1
Slice NameentryRelationship1
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30701) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
90. Observation.entryRelationship:entryRelationship1.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
92. Observation.entryRelationship:entryRelationship1.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
94. Observation.entryRelationship:entryRelationship1.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
96. Observation.entryRelationship:entryRelationship1.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
98. Observation.entryRelationship:entryRelationship1.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30702).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
100. Observation.entryRelationship:entryRelationship1.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
102. Observation.entryRelationship:entryRelationship1.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
104. Observation.entryRelationship:entryRelationship1.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
106. Observation.entryRelationship:entryRelationship1.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
108. Observation.entryRelationship:entryRelationship1.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
110. Observation.entryRelationship:entryRelationship1.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-30703).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
112. Observation.entryRelationship:entryRelationship1.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
114. Observation.entryRelationship:entryRelationship1.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
116. Observation.entryRelationship:entryRelationship1.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
118. Observation.entryRelationship:entryRelationship1.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
120. Observation.entryRelationship:entryRelationship1.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
122. Observation.entryRelationship:entryRelationship1.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
124. Observation.entryRelationship:entryRelationship1.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
126. Observation.entryRelationship:entryRelationship1.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
128. Observation.entryRelationship:entryRelationship2
Slice NameentryRelationship2
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-30704) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
130. Observation.entryRelationship:entryRelationship2.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
132. Observation.entryRelationship:entryRelationship2.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
134. Observation.entryRelationship:entryRelationship2.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
136. Observation.entryRelationship:entryRelationship2.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
138. Observation.entryRelationship:entryRelationship2.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30705).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
140. Observation.entryRelationship:entryRelationship2.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
142. Observation.entryRelationship:entryRelationship2.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
144. Observation.entryRelationship:entryRelationship2.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
146. Observation.entryRelationship:entryRelationship2.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
148. Observation.entryRelationship:entryRelationship2.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
150. Observation.entryRelationship:entryRelationship2.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32879).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
152. Observation.entryRelationship:entryRelationship2.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
154. Observation.entryRelationship:entryRelationship2.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
156. Observation.entryRelationship:entryRelationship2.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
158. Observation.entryRelationship:entryRelationship2.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
160. Observation.entryRelationship:entryRelationship2.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
162. Observation.entryRelationship:entryRelationship2.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
164. Observation.entryRelationship:entryRelationship2.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
166. Observation.entryRelationship:entryRelationship2.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
168. Observation.entryRelationship:entryRelationship3
Slice NameentryRelationship3
ShortentryRelationship
Comments

SHOULD contain zero or one [0..1] entryRelationship (CONF:4515-30785) such that it

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
170. Observation.entryRelationship:entryRelationship3.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
172. Observation.entryRelationship:entryRelationship3.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
174. Observation.entryRelationship:entryRelationship3.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
176. Observation.entryRelationship:entryRelationship3.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
178. Observation.entryRelationship:entryRelationship3.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-30786).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
180. Observation.entryRelationship:entryRelationship3.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
182. Observation.entryRelationship:entryRelationship3.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
184. Observation.entryRelationship:entryRelationship3.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
186. Observation.entryRelationship:entryRelationship3.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
188. Observation.entryRelationship:entryRelationship3.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
190. Observation.entryRelationship:entryRelationship3.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
192. Observation.entryRelationship:entryRelationship3.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
194. Observation.entryRelationship:entryRelationship3.observation
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Priority Preference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.143) (CONF:4515-30787).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Priority Preference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
196. Observation.entryRelationship:entryRelationship3.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
198. Observation.entryRelationship:entryRelationship3.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
200. Observation.entryRelationship:entryRelationship3.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
202. Observation.entryRelationship:entryRelationship3.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
204. Observation.entryRelationship:entryRelationship3.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
206. Observation.entryRelationship:entryRelationship3.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
208. Observation.entryRelationship:entryRelationship4
Slice NameentryRelationship4
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship (CONF:4515-31448) such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
210. Observation.entryRelationship:entryRelationship4.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
212. Observation.entryRelationship:entryRelationship4.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
214. Observation.entryRelationship:entryRelationship4.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
216. Observation.entryRelationship:entryRelationship4.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
218. Observation.entryRelationship:entryRelationship4.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="COMP" Has component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31449).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueCOMP
220. Observation.entryRelationship:entryRelationship4.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
222. Observation.entryRelationship:entryRelationship4.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
224. Observation.entryRelationship:entryRelationship4.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
226. Observation.entryRelationship:entryRelationship4.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
228. Observation.entryRelationship:entryRelationship4.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
230. Observation.entryRelationship:entryRelationship4.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
232. Observation.entryRelationship:entryRelationship4.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
234. Observation.entryRelationship:entryRelationship4.observation
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.121) (CONF:4515-32880).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Goal Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
236. Observation.entryRelationship:entryRelationship4.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
238. Observation.entryRelationship:entryRelationship4.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
240. Observation.entryRelationship:entryRelationship4.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
242. Observation.entryRelationship:entryRelationship4.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
244. Observation.entryRelationship:entryRelationship4.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
246. Observation.entryRelationship:entryRelationship4.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
248. Observation.entryRelationship:entryRelationship5
Slice NameentryRelationship5
ShortentryRelationship
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
250. Observation.entryRelationship:entryRelationship5.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
252. Observation.entryRelationship:entryRelationship5.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
254. Observation.entryRelationship:entryRelationship5.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
256. Observation.entryRelationship:entryRelationship5.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
258. Observation.entryRelationship:entryRelationship5.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
260. Observation.entryRelationship:entryRelationship5.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
262. Observation.entryRelationship:entryRelationship5.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
264. Observation.entryRelationship:entryRelationship5.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
266. Observation.entryRelationship:entryRelationship5.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
268. Observation.entryRelationship:entryRelationship5.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
270. Observation.entryRelationship:entryRelationship5.act
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-31588).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
272. Observation.entryRelationship:entryRelationship5.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
274. Observation.entryRelationship:entryRelationship5.observation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
276. Observation.entryRelationship:entryRelationship5.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
278. Observation.entryRelationship:entryRelationship5.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
280. Observation.entryRelationship:entryRelationship5.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
282. Observation.entryRelationship:entryRelationship5.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
284. Observation.entryRelationship:entryRelationship5.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
286. Observation.entryRelationship:entryRelationship5.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
288. Observation.entryRelationship:entryRelationship6
Slice NameentryRelationship6
ShortentryRelationship
Comments

MAY contain zero or more [0..*] entryRelationship such that it

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
290. Observation.entryRelationship:entryRelationship6.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
292. Observation.entryRelationship:entryRelationship6.realmCode
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
294. Observation.entryRelationship:entryRelationship6.typeId
Definition

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
296. Observation.entryRelationship:entryRelationship6.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
298. Observation.entryRelationship:entryRelationship6.typeCode
Comments

SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-31560).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
300. Observation.entryRelationship:entryRelationship6.inversionInd
Definition

The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
302. Observation.entryRelationship:entryRelationship6.contextConductionInd
Definition

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

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Default Valuetrue
304. Observation.entryRelationship:entryRelationship6.negationInd
Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
306. Observation.entryRelationship:entryRelationship6.sequenceNumber
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
308. Observation.entryRelationship:entryRelationship6.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
310. Observation.entryRelationship:entryRelationship6.act
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
312. Observation.entryRelationship:entryRelationship6.encounter
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
314. Observation.entryRelationship:entryRelationship6.observation
Definition

Base definition for all types defined in FHIR type system.

Shortact
Comments

SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Progress Toward Goal Observation)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
316. Observation.entryRelationship:entryRelationship6.observationMedia
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
318. Observation.entryRelationship:entryRelationship6.organizer
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
320. Observation.entryRelationship:entryRelationship6.procedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
322. Observation.entryRelationship:entryRelationship6.regionOfInterest
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
324. Observation.entryRelationship:entryRelationship6.substanceAdministration
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
326. Observation.entryRelationship:entryRelationship6.supply
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
328. Observation.reference
Comments

MAY contain zero or more [0..*] reference (CONF:4515-32754).

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
330. Observation.reference.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
332. Observation.reference.realmCode
Definition

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

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
336. Observation.reference.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
338. Observation.reference.typeCode
Definition

Element Act.typeCode

Comments

The reference, if present, SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32755).

Control1..1
BindingThe codes SHALL be taken from x_ActRelationshipExternalReference
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFR
340. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
342. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalAct
344. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalObservation
346. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalProcedure
348. Observation.reference.externalDocument
Definition

Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Comments

The reference, if present, SHALL contain exactly one [1..1] External Document Reference (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.115:2014-06-09) (CONF:4515-32756).

Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ExternalDocument(External Document Reference)
Is Modifierfalse
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
350. Observation.precondition
Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
352. Observation.referenceRange
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
354. Observation.referenceRange.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
356. Observation.referenceRange.realmCode
Definition

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

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

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

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
360. Observation.referenceRange.templateId
Definition

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

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
362. Observation.referenceRange.typeCode
Control0..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
Fixed ValueREFV
364. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange