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
| Active as of 2022-05-13 | 
Definitions for the 2.16.840.1.113883.10.20.22.4.143 resource profile.
| 1. Observation | |
| Control | 1..1 | 
| 2. Observation.classCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActClassObservation | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:1098-30949). | 
| Pattern Value | OBS | 
| 3. Observation.moodCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:1098-30950). | 
| Pattern Value | EVN | 
| 4. Observation.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 5. Observation.realmCode | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 6. Observation.typeId | |
| Control | 0..1 | 
| Type | http://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 | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Slicing | This element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators: 
 | 
| 8. Observation.templateId:primary | |
| SliceName | primary | 
| Definition | When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question | 
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain exactly one [1..1] templateId (CONF:1098-30951) 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. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 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. | 
| Control | 0..1 | 
| Type | string | 
| 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). | 
| Control | 0..1 | 
| Type | boolean | 
| 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. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | SHALL contain exactly one [1..1] @root="2.16.840.1.113883.10.20.22.4.143" (CONF:1098-30952). | 
| Pattern Value | 2.16.840.1.113883.10.20.22.4.143 | 
| 13. Observation.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. | 
| Control | 0..1 | 
| Type | string | 
| 14. Observation.id | |
| Control | 1..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain at least one [1..*] id (CONF:1098-30953). | 
| 15. Observation.code | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ObservationType; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | SHALL contain exactly one [1..1] code (CONF:1098-30954). | 
| 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. | 
| Control | 0..1 | 
| Binding | The codes SHALL be taken from NullFlavor | 
| Type | code | 
| 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. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @code="225773000" Preference (CONF:1098-30955). | 
| Pattern Value | 225773000 | 
| 18. Observation.code.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | This code SHALL contain exactly one [1..1] @codeSystem="2.16.840.1.113883.6.96" (CodeSystem: SNOMED CT urn:oid:2.16.840.1.113883.6.96) (CONF:1098-30956). | 
| Pattern Value | 2.16.840.1.113883.6.96 | 
| 19. Observation.code.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..1 | 
| Type | string | 
| 20. Observation.code.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..1 | 
| Type | string | 
| 21. Observation.code.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..1 | 
| Type | string | 
| 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. | 
| Control | 0..1 | 
| Type | string | 
| 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. | 
| Control | 0..1 | 
| Type | string | 
| 24. Observation.code.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 25. Observation.code.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 26. Observation.code.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 27. Observation.derivationExpr | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ST | 
| 28. Observation.text | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 29. Observation.statusCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ActStatus | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 30. Observation.effectiveTime | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| Requirements | SHOULD contain zero or one [0..1] effectiveTime (CONF:1098-32327). | 
| 31. Observation.priorityCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ActPriority; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 32. Observation.repeatNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-INT | 
| 33. Observation.languageCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from HumanLanguage | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| 34. Observation.value | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from Priority Level | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHALL be selected from ValueSet Priority Level urn:oid:2.16.840.1.113883.11.20.9.60 DYNAMIC (CONF:1098-30957). | 
| 35. Observation.interpretationCode | |
| Control | 0..* | 
| Binding | The codes SHALL be taken from ObservationInterpretation | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 36. Observation.methodCode | |
| Control | 0..* | 
| Binding | The codes SHALL be taken from ObservationMethod; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 37. Observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite | 
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 38. Observation.subject | |
| Control | 0..1 | 
| Type | Element | 
| 39. Observation.subject.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationTargetSubject | 
| Type | code | 
| Default Value | SBJ | 
| Fixed Value | SBJ | 
| 40. Observation.subject.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 41. Observation.subject.awarenessCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from TargetAwareness; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| 42. Observation.subject.relatedSubject | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject | 
| 43. Observation.specimen | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen | 
| 44. Observation.performer | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 | 
| 45. Observation.author | |
| Control | 0..* | 
| Type | http://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:1098-30958). | 
| 46. Observation.informant | |
| Control | 0..* | 
| Type | Element | 
| 47. Observation.informant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationInformationGenerator | 
| Type | code | 
| Default Value | INF | 
| Fixed Value | INF | 
| 48. Observation.informant.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 49. Observation.informant.assignedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity | 
| 50. Observation.informant.relatedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity | 
| 51. Observation.participant | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 | 
| 52. Observation.entryRelationship | |
| Control | 0..* | 
| Type | Element | 
| Invariants | Defined 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) | 
| 53. Observation.entryRelationship.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 54. Observation.entryRelationship.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 55. Observation.entryRelationship.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 56. Observation.entryRelationship.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 57. Observation.entryRelationship.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 58. Observation.entryRelationship.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 59. Observation.entryRelationship.observation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| 60. Observation.entryRelationship.regionOfInterest | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 61. Observation.entryRelationship.observationMedia | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 62. Observation.entryRelationship.substanceAdministration | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 63. Observation.entryRelationship.supply | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 64. Observation.entryRelationship.procedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 65. Observation.entryRelationship.encounter | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 66. Observation.entryRelationship.organizer | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 67. Observation.entryRelationship.act | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 68. Observation.reference | |
| Control | 0..* | 
| Type | Element | 
| 69. Observation.reference.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 70. Observation.reference.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 71. Observation.reference.externalAct | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct | 
| 72. Observation.reference.externalObservation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation | 
| 73. Observation.reference.externalProcedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure | 
| 74. Observation.reference.externalDocument | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument | 
| 75. Observation.precondition | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition | 
| 76. Observation.referenceRange | |
| Control | 0..* | 
| Type | Element | 
| 77. Observation.referenceRange.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActRelationshipPertains | 
| Type | code | 
| Default Value | REFV | 
| Fixed Value | REFV | 
| 78. Observation.referenceRange.observationRange | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationRange |