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
| Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/GoalObservation | Version: 2.1 | |||
| Draft as of 2023-09-29 | Computable Name: GoalObservation | |||
| Other Identifiers: id: urn:hl7ii:2.16.840.1.113883.10.20.22.4.121:2022-06-01 | ||||
This template represents a patient health goal. A Goal Observation template may have related components that are acts, encounters, observations, procedures, substance administrations, or supplies. A goal identifies a future desired condition or state. Goals are often related to physical or mental health conditions or diseases, but also may be related to a Social Determinant of Health (SDOH) risks or states. For example, to have adequate quality meals and snacks, gain transportation security - able to access health and social needs). SDOH data relate to conditions in which people live, learn, work, and play and their effects on health risks and outcomes. A Goal is established by the patient or provider.
A goal may be a patient or provider goal. If the author is set to the recordTarget (patient), this is a patient goal. If the author is set to a provider, this is a provider goal. If both patient and provider are set as authors, this is a negotiated goal.
A goal usually has a related health concern and/or risk.
A goal may have components consisting of other goals (milestones). These milestones are related to the overall goal through entryRelationships.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Observation | CDAR2.Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, @negationInd, realmCode, typeId, templateId, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, referenceRange | ||
 classCode | 1..1 | cs | Fixed Value: OBS | |
| moodCode | 1..1 | cs | Fixed Value: GOL | |
  Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
   templateId:templateId1 | 1..1 | II | templateId | |
  root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.121 | |
  extension | 1..1 | st | Required Pattern: 2022-06-01 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 4515-32887: 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). |
| statusCode | 1..1 | CS | ||
 code | 1..1 | cs | Binding: ActStatus (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| value | C | 0..1 | ANY, BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | 4515-32963: 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). |
 author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode | |
 entryRelationship:entryRelationship1 | 0..* | EntryRelationship | entryRelationship | |
 typeCode | 1..1 | cs | Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship2 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: COMP | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship3 | 0..1 | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:entryRelationship4 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: COMP | |
| observation | 1..1 | GoalObservation | Base for all types and resources | |
| entryRelationship:entryRelationship5 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship6 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | ProgressTowardGoalObservation | act | |
 reference | 0..* | Reference | ||
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.statusCode.code | required | ActStatus |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | CDAR2.Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, @negationInd, realmCode, typeId, templateId, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, referenceRange Base for all types and resources | |
 @classCode | 1..1 | cs | Binding: ActClassObservation (required) Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Fixed Value: GOL | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:templateId1 | 1..1 | II | templateId | |
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.121 | |
| @extension | 1..1 | st | Required Pattern: 2022-06-01 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | Binding: ObservationType (extensible) 4515-32887: 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). |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Binding: ActStatus (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
 value | C | 0..1 | 4515-32963: 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). | |
 value | ANY | |||
| value | BL | |||
| value | ED | |||
| value | ST | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode | |
| entryRelationship:entryRelationship1 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship2 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship3 | 0..1 | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | 1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:entryRelationship4 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| observation | 1..1 | GoalObservation | Base for all types and resources | |
| entryRelationship:entryRelationship5 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship6 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | 1..1 | ProgressTowardGoalObservation | act | |
| reference | 0..* | Reference | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.code | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR |
| Observation.reference.typeCode | required | Fixed Value: REFR |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:templateId1.nullFlavor | required | NullFlavor |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.statusCode.code | required | ActStatus |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.entryRelationship:entryRelationship1.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship2.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship3.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship4.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship5.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship6.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR |
| Observation.reference.nullFlavor | required | NullFlavor |
| Observation.reference.typeCode | required | Fixed Value: REFR |
| Observation.referenceRange.nullFlavor | required | NullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 7 elements (7 nested mandatory elements)
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Observation
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | CDAR2.Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, @negationInd, realmCode, typeId, templateId, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, referenceRange | ||
| classCode | 1..1 | cs | Fixed Value: OBS | |
| moodCode | 1..1 | cs | Fixed Value: GOL | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:templateId1 | 1..1 | II | templateId | |
| root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.121 | |
| extension | 1..1 | st | Required Pattern: 2022-06-01 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | 4515-32887: 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). |
| statusCode | 1..1 | CS | ||
| code | 1..1 | cs | Binding: ActStatus (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| value | C | 0..1 | ANY, BL, ED, ST, CD, CV, CE, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ | 4515-32963: 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). |
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode | |
| entryRelationship:entryRelationship1 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship2 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: COMP | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship3 | 0..1 | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:entryRelationship4 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: COMP | |
| observation | 1..1 | GoalObservation | Base for all types and resources | |
| entryRelationship:entryRelationship5 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship6 | 0..* | EntryRelationship | entryRelationship | |
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| observation | 1..1 | ProgressTowardGoalObservation | act | |
| reference | 0..* | Reference | ||
| typeCode | 1..1 | cs | Fixed Value: REFR | |
| externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Observation.statusCode.code | required | ActStatus |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Observation | 1..1 | CDAR2.Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors: @classCode, @moodCode, @negationInd, realmCode, typeId, templateId, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, referenceRange Base for all types and resources | |
| @classCode | 1..1 | cs | Binding: ActClassObservation (required) Fixed Value: OBS | |
| @moodCode | 1..1 | cs | Fixed Value: GOL | |
| Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root, value:extension | |
| templateId:templateId1 | 1..1 | II | templateId | |
| @root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.121 | |
| @extension | 1..1 | st | Required Pattern: 2022-06-01 | |
| id | 1..* | II | ||
| code | C | 1..1 | CD | Binding: ObservationType (extensible) 4515-32887: 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). |
| statusCode | 1..1 | CS | Binding: ActStatus (required) | |
| @code | 1..1 | cs | Binding: ActStatus (required) | |
| effectiveTime | 0..1 | IVL_TS | ||
| value | C | 0..1 | 4515-32963: 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). | |
| value | ANY | |||
| value | BL | |||
| value | ED | |||
| value | ST | |||
| value | CD | |||
| value | CV | |||
| value | CE | |||
| value | SC | |||
| value | II | |||
| value | TEL | |||
| value | AD | |||
| value | EN | |||
| value | INT | |||
| value | REAL | |||
| value | PQ | |||
| value | MO | |||
| value | TS | |||
| value | IVL_PQ | |||
| value | IVL_TS | |||
| value | PIVL_TS | |||
| value | EIVL_TS | |||
| value | SXPR_TS | |||
| value | RTO_PQ_PQ | |||
| author | 0..* | AuthorParticipation | Base for all types and resources | |
| Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by value:act, value:typeCode | |
| entryRelationship:entryRelationship1 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship2 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship3 | 0..1 | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | 1..1 | PriorityPreference | Base for all types and resources | |
| entryRelationship:entryRelationship4 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
| observation | 1..1 | GoalObservation | Base for all types and resources | |
| entryRelationship:entryRelationship5 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| act | 1..1 | EntryReference | Base for all types and resources | |
| entryRelationship:entryRelationship6 | 0..* | EntryRelationship | entryRelationship | |
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: REFR | |
| observation | 1..1 | ProgressTowardGoalObservation | act | |
| reference | 0..* | Reference | ||
| @typeCode | 1..1 | cs | Binding: x_ActRelationshipExternalReference (required) Fixed Value: REFR | |
| externalDocument | 1..1 | ExternalDocumentReference | Base for all types and resources | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.code | required | ActStatus |
| Observation.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR |
| Observation.reference.typeCode | required | Fixed Value: REFR |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
Snapshot View
| Path | Conformance | ValueSet / Code |
| Observation.classCode | required | Fixed Value: OBS |
| Observation.templateId:templateId1.nullFlavor | required | NullFlavor |
| Observation.code | extensible | ObservationType |
| Observation.statusCode | required | ActStatus |
| Observation.statusCode.nullFlavor | required | NullFlavor |
| Observation.statusCode.code | required | ActStatus |
| Observation.priorityCode | extensible | ActPriority |
| Observation.languageCode | required | HumanLanguage (a valid code from http://terminology.hl7.org/CodeSystem/ietf3066) |
| Observation.interpretationCode | required | ObservationInterpretation |
| Observation.methodCode | extensible | ObservationMethod |
| Observation.entryRelationship:entryRelationship1.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship1.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship2.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship2.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship3.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship3.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship4.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship4.typeCode | required | Fixed Value: COMP |
| Observation.entryRelationship:entryRelationship5.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship5.typeCode | required | Fixed Value: REFR |
| Observation.entryRelationship:entryRelationship6.nullFlavor | required | NullFlavor |
| Observation.entryRelationship:entryRelationship6.typeCode | required | Fixed Value: REFR |
| Observation.reference.nullFlavor | required | NullFlavor |
| Observation.reference.typeCode | required | Fixed Value: REFR |
| Observation.referenceRange.nullFlavor | required | NullFlavor |
| Observation.referenceRange.typeCode | required | Fixed Value: REFV |
| Id | Grade | Path(s) | Details | Requirements |
| 4515-32887 | warning | Observation.code | 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). : | |
| 4515-32963 | warning | Observation.value | 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). : | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 7 elements (7 nested mandatory elements)
Fixed Value: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
IG © 2019+ Health Level Seven. Package hl7.cda.us.ccda#2.1 based on FHIR 5.0.0. Generated 2023-09-29
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