Consolidated CDA Release 2.2
2.2 - CI Build United States of America flag

Consolidated CDA Release 2.2, published by Health Level Seven. This is not an authorized publication; it is the continuous build for version 2.2). This version is based on the current content of https://github.com/HL7/CDA-ccda-2.2/ and changes regularly. See the Directory of published versions

Resource Profile: ProcedureActivityObservation - Detailed Descriptions

Active as of 2022-05-13

Definitions for the 2.16.840.1.113883.10.20.22.4.13 resource profile.

1. Observation
Control1..1
2. Observation.classCode
Control1..1
BindingThe codes SHALL be taken from ActClassObservation
Typecode
Requirements

SHALL contain exactly one [1..1] @classCode="OBS" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1098-8282).

Pattern ValueOBS
3. Observation.moodCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1098-8237).

Pattern ValueEVN
4. Observation.negationInd
Control0..1
Typeboolean
5. Observation.realmCode
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
6. Observation.typeId
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
7. 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

Control0..*
Typehttp://hl7.org/fhir/cda/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:
  • value @ root
  • ,
  • value @ extension
8. Observation.templateId:primary
SliceNameprimary
Definition

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

Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain exactly one [1..1] templateId (CONF:1098-8238) such that it

9. Observation.templateId:primary.nullFlavor
Definition

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

Control0..1
BindingThe codes SHALL be taken from NullFlavor
Typecode
10. Observation.templateId:primary.assigningAuthorityName
Definition

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

Control0..1
Typestring
11. Observation.templateId:primary.displayable
Definition

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

Control0..1
Typeboolean
12. Observation.templateId:primary.root
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.13" (CONF:1098-10520).

Pattern Value2.16.840.1.113883.10.20.22.4.13
13. Observation.templateId:primary.extension
Definition

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

Control1..1
Typestring
Requirements

SHALL contain exactly one [1..1] @extension="2014-06-09" (CONF:1098-32507).

Pattern Value2014-06-09
14. Observation.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

SHALL contain at least one [1..*] id (CONF:1098-8239).

15. Observation.code
Control1..1
BindingThe codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHALL contain exactly one [1..1] code (CONF:1098-19197).

InvariantsDefined on this element
1098-19202: This @code **SHOULD** be selected from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or SNOMED CT (CodeSystem: 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (CodeSystem: 2.16.840.1.113883.6.12) or ICD10 PCS (CodeSystem: 2.16.840.1.113883.6.4) or CDT-2 (Code System: 2.16.840.1.113883.6.13) (CONF:1098-19202). (: )
16. Observation.code.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
17. Observation.code.code
Definition

The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

Control0..1
Typestring
18. Observation.code.codeSystem
Definition

Specifies the code system that defines the code.

Control0..1
Typestring
19. Observation.code.codeSystemName
Definition

The common name of the coding system.

Control0..1
Typestring
20. Observation.code.codeSystemVersion
Definition

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

Control0..1
Typestring
21. Observation.code.displayName
Definition

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

Control0..1
Typestring
22. Observation.code.sdtcValueSet
Definition

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

Control0..1
Typestring
23. Observation.code.sdtcValueSetVersion
Definition

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

Control0..1
Typestring
24. Observation.code.originalText
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
Requirements

This code SHOULD contain zero or one [0..1] originalText (CONF:1098-19198).

25. Observation.code.originalText.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
26. Observation.code.originalText.charset
Definition

For character-based encoding types, this property specifies the character set and character encoding used. The charset shall be identified by an Internet Assigned Numbers Authority (IANA) Charset Registration [] in accordance with RFC 2978 [].

Control0..1
Typecode
27. Observation.code.originalText.compression
Definition

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

Control0..1
BindingThe codes SHALL be taken from CompressionAlgorithm
Typecode
28. Observation.code.originalText.integrityCheck
Definition

The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

Control0..1
Typebase64Binary
29. Observation.code.originalText.integrityCheckAlgorithm
Definition

Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

Control0..1
BindingThe codes SHALL be taken from IntegrityCheckAlgorithm
Typecode
30. Observation.code.originalText.language
Definition

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

Control0..1
Typecode
31. Observation.code.originalText.mediaType
Definition

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

Control0..1
Typecode
32. Observation.code.originalText.representation
Control0..1
Typecode
33. Observation.code.originalText.data[x]
Definition

Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

Control0..1
TypeChoice of: string, base64Binary
[x] NoteSee Choice of Data Types for further information about how to use [x]
34. Observation.code.originalText.reference
Definition

A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The originalText, if present, SHOULD contain zero or one [0..1] reference (CONF:1098-19199).

35. Observation.code.originalText.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
36. Observation.code.originalText.reference.value
Control0..1
Typeuri
Requirements

The reference, if present, SHOULD contain zero or one [0..1] @value (CONF:1098-19200).

InvariantsDefined on this element
1098-19201: This reference/@value **SHALL** begin with a '#' and **SHALL** point to its corresponding narrative (using the approach defined in CDA Release 2, section 4.3.5.1) (CONF:1098-19201). (: )
37. Observation.code.originalText.reference.useablePeriod
Definition

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

Control0..*
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS
38. Observation.code.originalText.reference.use
Definition

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

Control0..*
BindingThe codes SHALL be taken from AddressUse
Typecode
39. Observation.code.originalText.thumbnail
Definition

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

Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
40. Observation.code.qualifier
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
41. Observation.code.translation
Definition

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

Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
42. Observation.derivationExpr
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ST
43. Observation.text
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
44. Observation.statusCode
Control1..1
BindingThe codes SHALL be taken from ActStatus
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
Requirements

SHALL contain exactly one [1..1] statusCode (CONF:1098-8245).

45. 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
46. 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.

Control1..1
BindingThe codes SHALL be taken from ProcedureAct statusCode
Typestring
Requirements

This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet ProcedureAct statusCode urn:oid:2.16.840.1.113883.11.20.9.22 STATIC 2014-04-23 (CONF:1098-32365).

47. Observation.statusCode.codeSystem
Definition

Specifies the code system that defines the code.

Control0..0
Typestring
48. Observation.statusCode.codeSystemName
Definition

The common name of the coding system.

Control0..0
Typestring
49. Observation.statusCode.codeSystemVersion
Definition

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

Control0..0
Typestring
50. 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
51. 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
52. 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
53. Observation.statusCode.originalText
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ED
54. Observation.statusCode.qualifier
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CR
55. Observation.statusCode.translation
Definition

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

Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
56. Observation.effectiveTime
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
Requirements

SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-8246).

57. Observation.priorityCode
Control0..1
BindingThe codes SHALL be taken from ActPriority
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] priorityCode, which SHALL be selected from ValueSet ActPriority urn:oid:2.16.840.1.113883.1.11.16866 DYNAMIC (CONF:1098-8247).

58. Observation.repeatNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-INT
59. Observation.languageCode
Control0..1
BindingThe codes SHALL be taken from HumanLanguage
Typehttp://hl7.org/fhir/cda/StructureDefinition/CS
60. Observation.value
Control1..1
TypeChoice of: http://hl7.org/fhir/cda/StructureDefinition/BL, http://hl7.org/fhir/cda/StructureDefinition/ED, http://hl7.org/fhir/cda/StructureDefinition/ST, http://hl7.org/fhir/cda/StructureDefinition/CD, http://hl7.org/fhir/cda/StructureDefinition/CV, http://hl7.org/fhir/cda/StructureDefinition/CE, http://hl7.org/fhir/cda/StructureDefinition/SC, http://hl7.org/fhir/cda/StructureDefinition/II, http://hl7.org/fhir/cda/StructureDefinition/TEL, http://hl7.org/fhir/cda/StructureDefinition/AD, http://hl7.org/fhir/cda/StructureDefinition/EN, http://hl7.org/fhir/cda/StructureDefinition/INT, http://hl7.org/fhir/cda/StructureDefinition/REAL, http://hl7.org/fhir/cda/StructureDefinition/PQ, http://hl7.org/fhir/cda/StructureDefinition/MO, http://hl7.org/fhir/cda/StructureDefinition/TS, http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ, http://hl7.org/fhir/cda/StructureDefinition/IVL-TS, http://hl7.org/fhir/cda/StructureDefinition/PIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/EIVL-TS, http://hl7.org/fhir/cda/StructureDefinition/SXPR-TS, http://hl7.org/fhir/cda/StructureDefinition/RTO-PQ-PQ
Requirements

SHALL contain exactly one [1..1] value (CONF:1098-16846).

61. Observation.value.id
Definition

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

Control0..1
Typestring
62. Observation.value.extension
Definition

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

Control0..*
TypeExtension
Alternate Namesextensions, user content
Comments

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

InvariantsDefined on this element
ele-1: All FHIR elements must have a @value or children (: hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (: extension.exists() != value.exists())
SlicingThis element introduces a set of slices on Observation.value.extension. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ url
63. Observation.interpretationCode
Control0..*
BindingThe codes SHALL be taken from ObservationInterpretation
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
64. Observation.methodCode
Control0..1
BindingThe codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
Requirements

MAY contain zero or one [0..1] methodCode (CONF:1098-8248).

InvariantsDefined on this element
1098-8249: MethodCode **SHALL NOT** conflict with the method inherent in Observation / code (CONF:1098-8249). (: )
65. Observation.targetSiteCode
Definition

Drawn from concept domain ActSite

Control0..*
BindingThe codes SHALL be taken from Body Site Value Set
Typehttp://hl7.org/fhir/cda/StructureDefinition/CD
Requirements

SHOULD contain zero or more [0..*] targetSiteCode, which SHALL be selected from ValueSet Body Site Value Set urn:oid:2.16.840.1.113883.3.88.12.3221.8.9 DYNAMIC (CONF:1098-8250).

66. Observation.subject
Control0..1
TypeElement
67. Observation.subject.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationTargetSubject
Typecode
Default ValueSBJ
Fixed ValueSBJ
68. Observation.subject.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
69. Observation.subject.awarenessCode
Control0..1
BindingThe codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
70. Observation.subject.relatedSubject
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedSubject
71. Observation.specimen
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Specimen
72. Observation.performer
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Performer2
Requirements

SHOULD contain zero or more [0..*] performer (CONF:1098-8251).

73. Observation.performer.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
74. Observation.performer.typeCode
Control0..1
BindingThe codes SHALL be taken from ParticipationPhysicalPerformer
Typecode(cs)
Fixed ValuePRF
75. Observation.performer.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/fhir/cda/StructureDefinition/CS
76. Observation.performer.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/fhir/cda/StructureDefinition/II
77. Observation.performer.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/fhir/cda/StructureDefinition/II
78. Observation.performer.functionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
79. Observation.performer.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
80. Observation.performer.modeCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
81. Observation.performer.assignedEntity
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
Requirements

The performer, if present, SHALL contain exactly one [1..1] assignedEntity (CONF:1098-8252).

82. Observation.performer.assignedEntity.classCode
Control1..1
BindingThe codes SHALL be taken from RoleClassAssignedEntity
Typecode
Default ValueASSIGNED
Fixed ValueASSIGNED
83. Observation.performer.assignedEntity.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/fhir/cda/StructureDefinition/II
84. Observation.performer.assignedEntity.id
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

This assignedEntity SHALL contain at least one [1..*] id (CONF:1098-8253).

85. Observation.performer.assignedEntity.sdtcIdentifiedBy
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/IdentifiedBy
86. Observation.performer.assignedEntity.code
Control0..1
BindingThe codes SHALL be taken from v3 Code System RoleCode; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
87. Observation.performer.assignedEntity.addr
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

This assignedEntity SHALL contain at least one [1..*] addr (CONF:1098-8254).

88. Observation.performer.assignedEntity.telecom
Control1..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

This assignedEntity SHALL contain at least one [1..*] telecom (CONF:1098-8255).

89. Observation.performer.assignedEntity.assignedPerson
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Person
90. Observation.performer.assignedEntity.representedOrganization
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organization
Requirements

This assignedEntity SHOULD contain zero or one [0..1] representedOrganization (CONF:1098-8256).

91. Observation.performer.assignedEntity.representedOrganization.classCode
Control1..1
BindingThe codes SHALL be taken from EntityClassOrganization
Typecode
Default ValueORG
Fixed ValueORG
92. Observation.performer.assignedEntity.representedOrganization.determinerCode
Control1..1
BindingThe codes SHALL be taken from EntityDeterminer
Typecode
Default ValueINSTANCE
Fixed ValueINSTANCE
93. Observation.performer.assignedEntity.representedOrganization.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/fhir/cda/StructureDefinition/II
94. Observation.performer.assignedEntity.representedOrganization.id
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/II
Requirements

The representedOrganization, if present, SHOULD contain zero or more [0..*] id (CONF:1098-8257).

95. Observation.performer.assignedEntity.representedOrganization.name
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/ON
Requirements

The representedOrganization, if present, MAY contain zero or more [0..*] name (CONF:1098-8258).

96. Observation.performer.assignedEntity.representedOrganization.telecom
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/TEL
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] telecom (CONF:1098-8260).

97. Observation.performer.assignedEntity.representedOrganization.addr
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AD
Requirements

The representedOrganization, if present, SHALL contain exactly one [1..1] addr (CONF:1098-8259).

98. Observation.performer.assignedEntity.representedOrganization.standardIndustryClassCode
Control0..1
BindingThe codes SHALL be taken from OrganizationIndustryClassNAICS; other codes may be used where these codes are not suitable
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
99. Observation.performer.assignedEntity.representedOrganization.asOrganizationPartOf
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf
100. Observation.author
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Author(AuthorParticipation)
Requirements

SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:1098-32478).

Comments

201810 Errata STU Comment 1619: Updated cardinality from incorrect [1..] to correct [0..]

101. Observation.informant
Control0..*
TypeElement
102. Observation.informant.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationInformationGenerator
Typecode
Default ValueINF
Fixed ValueINF
103. Observation.informant.contextControlCode
Control1..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Default ValueOP
Fixed ValueOP
104. Observation.informant.assignedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/AssignedEntity
105. Observation.informant.relatedEntity
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RelatedEntity
106. Observation.participant
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
SlicingThis element introduces a set of slices on Observation.participant. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ typeCode
  • ,
  • value @ participantRole
107. Observation.participant:location
SliceNamelocation
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Participant2
Requirements

MAY contain zero or more [0..*] participant (CONF:1098-8261) such that it

108. Observation.participant:location.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
109. Observation.participant:location.typeCode
Control1..1
BindingThe codes SHALL be taken from ParticipationType
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="LOC" Location (CodeSystem: HL7ParticipationType urn:oid:2.16.840.1.113883.5.90 STATIC) (CONF:1098-8262).

Pattern ValueLOC
110. Observation.participant:location.contextControlCode
Control0..1
BindingThe codes SHALL be taken from ContextControl
Typecode
Fixed ValueOP
111. Observation.participant:location.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/fhir/cda/StructureDefinition/CS
112. Observation.participant:location.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/fhir/cda/StructureDefinition/II
113. Observation.participant:location.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/fhir/cda/StructureDefinition/II
114. Observation.participant:location.sdtcFunctionCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
115. Observation.participant:location.time
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/IVL-TS
116. Observation.participant:location.awarenessCode
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/CE
117. Observation.participant:location.participantRole
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ParticipantRole(ServiceDeliveryLocation)
Requirements

SHALL contain exactly one [1..1] Service Delivery Location (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.32) (CONF:1098-15904).

118. Observation.entryRelationship
Control0..*
TypeElement
InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • profile @ encounter
  • ,
  • profile @ act
  • ,
  • profile @ observation
  • ,
  • profile @ substanceAdministration
119. Observation.entryRelationship.typeCode
Control1..1
Typecode
120. Observation.entryRelationship.inversionInd
Control0..1
Typeboolean
121. Observation.entryRelationship.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
122. Observation.entryRelationship.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
123. Observation.entryRelationship.negationInd
Control0..1
Typeboolean
124. Observation.entryRelationship.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
125. Observation.entryRelationship.observation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
126. Observation.entryRelationship.regionOfInterest
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
127. Observation.entryRelationship.observationMedia
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
128. Observation.entryRelationship.substanceAdministration
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
129. Observation.entryRelationship.supply
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
130. Observation.entryRelationship.procedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
131. Observation.entryRelationship.encounter
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
132. Observation.entryRelationship.organizer
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
133. Observation.entryRelationship.act
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
134. Observation.entryRelationship:encounter
SliceNameencounter
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8264) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
135. Observation.entryRelationship:encounter.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8265).

Pattern ValueCOMP
136. Observation.entryRelationship:encounter.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8266).

Pattern Valuetrue
137. Observation.entryRelationship:encounter.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
138. Observation.entryRelationship:encounter.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
139. Observation.entryRelationship:encounter.negationInd
Control0..1
Typeboolean
140. Observation.entryRelationship:encounter.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
141. Observation.entryRelationship:encounter.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
142. Observation.entryRelationship:encounter.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
143. Observation.entryRelationship:encounter.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
144. Observation.entryRelationship:encounter.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
145. Observation.entryRelationship:encounter.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
146. Observation.entryRelationship:encounter.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
147. Observation.entryRelationship:encounter.encounter
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
Requirements

SHALL contain exactly one [1..1] encounter (CONF:1098-8267).

148. Observation.entryRelationship:encounter.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
149. Observation.entryRelationship:encounter.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
150. Observation.entryRelationship:instruction
SliceNameinstruction
Control0..1
TypeElement
Requirements

MAY contain zero or one [0..1] entryRelationship (CONF:1098-8272) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
151. Observation.entryRelationship:instruction.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="SUBJ" Has Subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8273).

Pattern ValueSUBJ
152. Observation.entryRelationship:instruction.inversionInd
Control1..1
Typeboolean
Requirements

SHALL contain exactly one [1..1] @inversionInd="true" true (CONF:1098-8274).

Pattern Valuetrue
153. Observation.entryRelationship:instruction.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
154. Observation.entryRelationship:instruction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
155. Observation.entryRelationship:instruction.negationInd
Control0..1
Typeboolean
156. Observation.entryRelationship:instruction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
157. Observation.entryRelationship:instruction.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
158. Observation.entryRelationship:instruction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
159. Observation.entryRelationship:instruction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
160. Observation.entryRelationship:instruction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
161. Observation.entryRelationship:instruction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
162. Observation.entryRelationship:instruction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
163. Observation.entryRelationship:instruction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
164. Observation.entryRelationship:instruction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
165. Observation.entryRelationship:instruction.act
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act(Instruction)
Requirements

SHALL contain exactly one [1..1] Instruction (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.20:2014-06-09) (CONF:1098-31394).

166. Observation.entryRelationship:indication
SliceNameindication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8276) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
167. Observation.entryRelationship:indication.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="RSON" Has Reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8277).

Pattern ValueRSON
168. Observation.entryRelationship:indication.inversionInd
Control0..1
Typeboolean
169. Observation.entryRelationship:indication.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
170. Observation.entryRelationship:indication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
171. Observation.entryRelationship:indication.negationInd
Control0..1
Typeboolean
172. Observation.entryRelationship:indication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
173. Observation.entryRelationship:indication.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(Indication)
Requirements

SHALL contain exactly one [1..1] Indication (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.19:2014-06-09) (CONF:1098-15906).

174. Observation.entryRelationship:indication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
175. Observation.entryRelationship:indication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
176. Observation.entryRelationship:indication.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
177. Observation.entryRelationship:indication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
178. Observation.entryRelationship:indication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
179. Observation.entryRelationship:indication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
180. Observation.entryRelationship:indication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
181. Observation.entryRelationship:indication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
182. Observation.entryRelationship:medication
SliceNamemedication
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-8279) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
183. Observation.entryRelationship:medication.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1098-8280).

Pattern ValueCOMP
184. Observation.entryRelationship:medication.inversionInd
Control0..1
Typeboolean
185. Observation.entryRelationship:medication.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
186. Observation.entryRelationship:medication.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
187. Observation.entryRelationship:medication.negationInd
Control0..1
Typeboolean
188. Observation.entryRelationship:medication.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
189. Observation.entryRelationship:medication.observation
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation
190. Observation.entryRelationship:medication.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
191. Observation.entryRelationship:medication.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
192. Observation.entryRelationship:medication.substanceAdministration
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration(MedicationActivity)
Requirements

SHALL contain exactly one [1..1] Medication Activity (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.16:2014-06-09) (CONF:1098-15907).

InvariantsDefined on this element
1098-30800: Medication Activity **SHOULD** include doseQuantity **OR** rateQuantity (CONF:1098-30800). (: )
193. Observation.entryRelationship:medication.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
194. Observation.entryRelationship:medication.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
195. Observation.entryRelationship:medication.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
196. Observation.entryRelationship:medication.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
197. Observation.entryRelationship:medication.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
198. Observation.entryRelationship:reaction
SliceNamereaction
Control0..*
TypeElement
Requirements

MAY contain zero or more [0..*] entryRelationship (CONF:1098-32470) such that it

InvariantsDefined on this element
obs-er-1: Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act (: (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1)
199. Observation.entryRelationship:reaction.typeCode
Control1..1
Typecode
Requirements

SHALL contain exactly one [1..1] @typeCode="COMP" Has Component (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-32471).

Pattern ValueCOMP
200. Observation.entryRelationship:reaction.inversionInd
Control0..1
Typeboolean
201. Observation.entryRelationship:reaction.contextConductionInd
Control1..1
Typeboolean
Default Valuetrue
202. Observation.entryRelationship:reaction.sequenceNumber
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/INT
203. Observation.entryRelationship:reaction.negationInd
Control0..1
Typeboolean
204. Observation.entryRelationship:reaction.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
205. Observation.entryRelationship:reaction.observation
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/Observation(ReactionObservation)
Requirements

SHALL contain exactly one [1..1] Reaction Observation (V2) (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.9:2014-06-09) (CONF:1098-32472).

206. Observation.entryRelationship:reaction.regionOfInterest
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest
207. Observation.entryRelationship:reaction.observationMedia
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationMedia
208. Observation.entryRelationship:reaction.substanceAdministration
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration
209. Observation.entryRelationship:reaction.supply
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Supply
210. Observation.entryRelationship:reaction.procedure
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Procedure
211. Observation.entryRelationship:reaction.encounter
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Encounter
212. Observation.entryRelationship:reaction.organizer
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Organizer
213. Observation.entryRelationship:reaction.act
Control0..0
Typehttp://hl7.org/fhir/cda/StructureDefinition/Act
214. Observation.reference
Control0..*
TypeElement
215. Observation.reference.typeCode
Control1..1
Typecode
216. Observation.reference.seperatableInd
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/BL
217. Observation.reference.externalAct
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalAct
218. Observation.reference.externalObservation
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalObservation
219. Observation.reference.externalProcedure
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure
220. Observation.reference.externalDocument
Control0..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ExternalDocument
221. Observation.precondition
Control0..*
Typehttp://hl7.org/fhir/cda/StructureDefinition/Precondition
222. Observation.referenceRange
Control0..*
TypeElement
223. Observation.referenceRange.typeCode
Control1..1
BindingThe codes SHALL be taken from ActRelationshipPertains
Typecode
Default ValueREFV
Fixed ValueREFV
224. Observation.referenceRange.observationRange
Control1..1
Typehttp://hl7.org/fhir/cda/StructureDefinition/ObservationRange