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 2.16.840.1.113883.10.20.22.4.144 resource profile.
1. Observation | |
Control | 1..1 |
Invariants | Defined on this element 1098-32782: SHALL contain at least one [1..*] entryRelationships (CONF:1098-32782). (: ) |
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:1098-31219). |
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:1098-31220). |
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:1098-31221) 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="2.16.840.1.113883.10.20.22.4.144" (CONF:1098-31222). |
Pattern Value | 2.16.840.1.113883.10.20.22.4.144 |
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:1098-31223). |
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, which SHOULD be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:1098-32746). |
16. Observation.derivationExpr | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ST |
17. Observation.text | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ED |
18. Observation.statusCode | |
Control | 0..1 |
Binding | The codes SHALL be taken from ActStatus |
Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
19. Observation.effectiveTime | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS |
20. 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 |
21. Observation.repeatNumber | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-INT |
22. Observation.languageCode | |
Control | 0..1 |
Binding | The codes SHALL be taken from HumanLanguage |
Type | http://hl7.org/fhir/cda/StructureDefinition/CS |
23. Observation.value | |
Control | 0..1 |
Type | Choice 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 | SHOULD contain zero or one [0..1] value (CONF:1098-32747). |
24. Observation.interpretationCode | |
Control | 0..* |
Binding | The codes SHALL be taken from ObservationInterpretation |
Type | http://hl7.org/fhir/cda/StructureDefinition/CE |
25. 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 |
26. Observation.targetSiteCode | |
Definition | Drawn from concept domain ActSite |
Control | 0..* |
Type | http://hl7.org/fhir/cda/StructureDefinition/CD |
27. Observation.subject | |
Control | 0..1 |
Type | Element |
28. Observation.subject.typeCode | |
Control | 1..1 |
Binding | The codes SHALL be taken from ParticipationTargetSubject |
Type | code |
Default Value | SBJ |
Fixed Value | SBJ |
29. Observation.subject.contextControlCode | |
Control | 1..1 |
Binding | The codes SHALL be taken from ContextControl |
Type | code |
Default Value | OP |
Fixed Value | OP |
30. 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 |
31. Observation.subject.relatedSubject | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject |
32. Observation.specimen | |
Control | 0..* |
Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen |
33. Observation.performer | |
Control | 0..* |
Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 |
34. 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:1098-31553). |
35. Observation.informant | |
Control | 0..* |
Type | Element |
36. Observation.informant.typeCode | |
Control | 1..1 |
Binding | The codes SHALL be taken from ParticipationInformationGenerator |
Type | code |
Default Value | INF |
Fixed Value | INF |
37. Observation.informant.contextControlCode | |
Control | 1..1 |
Binding | The codes SHALL be taken from ContextControl |
Type | code |
Default Value | OP |
Fixed Value | OP |
38. Observation.informant.assignedEntity | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity |
39. Observation.informant.relatedEntity | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity |
40. Observation.participant | |
Control | 0..* |
Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 |
41. 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) |
Slicing | This element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
|
42. Observation.entryRelationship.typeCode | |
Control | 1..1 |
Type | code |
43. Observation.entryRelationship.inversionInd | |
Control | 0..1 |
Type | boolean |
44. Observation.entryRelationship.contextConductionInd | |
Control | 1..1 |
Type | boolean |
Default Value | true |
45. Observation.entryRelationship.sequenceNumber | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/INT |
46. Observation.entryRelationship.negationInd | |
Control | 0..1 |
Type | boolean |
47. Observation.entryRelationship.seperatableInd | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
48. Observation.entryRelationship.observation | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
49. Observation.entryRelationship.regionOfInterest | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
50. Observation.entryRelationship.observationMedia | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
51. Observation.entryRelationship.substanceAdministration | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
52. Observation.entryRelationship.supply | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
53. Observation.entryRelationship.procedure | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
54. Observation.entryRelationship.encounter | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
55. Observation.entryRelationship.organizer | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
56. Observation.entryRelationship.act | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
57. Observation.entryRelationship:entryReference | |
SliceName | entryReference |
Control | 0..* |
Type | Element |
Requirements | SHOULD contain zero or more [0..*] entryRelationship (CONF:1098-31224) such that it |
Invariants | Defined on this element 1098-32461: This entryReference template **SHALL** reference an instance of a Goal Observation template (CONF:1098-32461). (: ) 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) |
58. Observation.entryRelationship:entryReference.typeCode | |
Control | 1..1 |
Type | code |
Requirements | SHALL contain exactly one [1..1] @typeCode="GEVL" Evaluates goal (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31225). |
Pattern Value | GEVL |
59. Observation.entryRelationship:entryReference.inversionInd | |
Control | 0..1 |
Type | boolean |
60. Observation.entryRelationship:entryReference.contextConductionInd | |
Control | 1..1 |
Type | boolean |
Default Value | true |
61. Observation.entryRelationship:entryReference.sequenceNumber | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/INT |
62. Observation.entryRelationship:entryReference.negationInd | |
Control | 0..1 |
Type | boolean |
63. Observation.entryRelationship:entryReference.seperatableInd | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
64. Observation.entryRelationship:entryReference.observation | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
65. Observation.entryRelationship:entryReference.regionOfInterest | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
66. Observation.entryRelationship:entryReference.observationMedia | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
67. Observation.entryRelationship:entryReference.substanceAdministration | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
68. Observation.entryRelationship:entryReference.supply | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
69. Observation.entryRelationship:entryReference.procedure | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
70. Observation.entryRelationship:entryReference.encounter | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
71. Observation.entryRelationship:entryReference.organizer | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
72. Observation.entryRelationship:entryReference.act | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Act(EntryReference) |
Requirements | SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-32465). |
73. Observation.entryRelationship:progressTowardGoalObservation | |
SliceName | progressTowardGoalObservation |
Control | 0..1 |
Type | Element |
Requirements | SHOULD contain zero or one [0..1] entryRelationship (CONF:1098-31427) such that it |
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) |
74. Observation.entryRelationship:progressTowardGoalObservation.typeCode | |
Control | 1..1 |
Type | code |
Requirements | SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31428). |
Pattern Value | SPRT |
75. Observation.entryRelationship:progressTowardGoalObservation.inversionInd | |
Control | 1..1 |
Type | boolean |
Requirements | SHALL contain exactly one [1..1] @inversionInd="true" (CONF:1098-31429). |
Pattern Value | true |
76. Observation.entryRelationship:progressTowardGoalObservation.contextConductionInd | |
Control | 1..1 |
Type | boolean |
Default Value | true |
77. Observation.entryRelationship:progressTowardGoalObservation.sequenceNumber | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/INT |
78. Observation.entryRelationship:progressTowardGoalObservation.negationInd | |
Control | 0..1 |
Type | boolean |
79. Observation.entryRelationship:progressTowardGoalObservation.seperatableInd | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
80. Observation.entryRelationship:progressTowardGoalObservation.observation | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Observation(ProgressTowardGoalObservation) |
Requirements | SHALL contain exactly one [1..1] Progress Toward Goal Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.110) (CONF:1098-31430). |
81. Observation.entryRelationship:progressTowardGoalObservation.regionOfInterest | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
82. Observation.entryRelationship:progressTowardGoalObservation.observationMedia | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
83. Observation.entryRelationship:progressTowardGoalObservation.substanceAdministration | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
84. Observation.entryRelationship:progressTowardGoalObservation.supply | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
85. Observation.entryRelationship:progressTowardGoalObservation.procedure | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
86. Observation.entryRelationship:progressTowardGoalObservation.encounter | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
87. Observation.entryRelationship:progressTowardGoalObservation.organizer | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
88. Observation.entryRelationship:progressTowardGoalObservation.act | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Act |
89. Observation.entryRelationship:entryReference | |
SliceName | entryReference |
Control | 0..* |
Type | Element |
Requirements | MAY contain zero or more [0..*] entryRelationship (CONF:1098-31688) such that it |
Invariants | Defined on this element 1098-32462: This entryReference template **SHALL** reference an instance of a Intervention Act template (CONF:1098-32462). (: ) 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) |
90. Observation.entryRelationship:entryReference.typeCode | |
Control | 1..1 |
Type | code |
Requirements | SHALL contain exactly one [1..1] @typeCode="RSON" Has reason (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:1098-31689). |
Pattern Value | RSON |
91. Observation.entryRelationship:entryReference.inversionInd | |
Control | 0..1 |
Type | boolean |
92. Observation.entryRelationship:entryReference.contextConductionInd | |
Control | 1..1 |
Type | boolean |
Default Value | true |
93. Observation.entryRelationship:entryReference.sequenceNumber | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/INT |
94. Observation.entryRelationship:entryReference.negationInd | |
Control | 0..1 |
Type | boolean |
95. Observation.entryRelationship:entryReference.seperatableInd | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
96. Observation.entryRelationship:entryReference.observation | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Observation |
97. Observation.entryRelationship:entryReference.regionOfInterest | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest |
98. Observation.entryRelationship:entryReference.observationMedia | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia |
99. Observation.entryRelationship:entryReference.substanceAdministration | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration |
100. Observation.entryRelationship:entryReference.supply | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Supply |
101. Observation.entryRelationship:entryReference.procedure | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure |
102. Observation.entryRelationship:entryReference.encounter | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter |
103. Observation.entryRelationship:entryReference.organizer | |
Control | 0..0 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer |
104. Observation.entryRelationship:entryReference.act | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/Act(EntryReference) |
Requirements | SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:1098-31690). |
105. Observation.reference | |
Control | 0..* |
Type | Element |
Requirements | MAY contain zero or more [0..*] reference (CONF:1098-32763). |
106. Observation.reference.typeCode | |
Control | 1..1 |
Type | code |
Requirements | 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:1098-32764). |
Pattern Value | REFR |
107. Observation.reference.seperatableInd | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/BL |
108. Observation.reference.externalAct | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct |
109. Observation.reference.externalObservation | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation |
110. Observation.reference.externalProcedure | |
Control | 0..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure |
111. Observation.reference.externalDocument | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument(ExternalDocumentReference) |
Requirements | 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:1098-32765). |
112. Observation.precondition | |
Control | 0..* |
Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition |
113. Observation.referenceRange | |
Control | 0..* |
Type | Element |
114. Observation.referenceRange.typeCode | |
Control | 1..1 |
Binding | The codes SHALL be taken from ActRelationshipPertains |
Type | code |
Default Value | REFV |
Fixed Value | REFV |
115. Observation.referenceRange.observationRange | |
Control | 1..1 |
Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationRange |