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 2.16.840.1.113883.10.20.22.4.2 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" Observation (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-7130). | 
| Pattern Value | OBS | 
| 3. Observation.moodCode | |
| Control | 1..1 | 
| Type | code | 
| Requirements | SHALL contain exactly one [1..1] @moodCode="EVN" Event (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-7131). | 
| 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:1198-7136) 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="2.16.840.1.113883.10.20.22.4.2" (CONF:1198-9138). | 
| Pattern Value | 2.16.840.1.113883.10.20.22.4.2 | 
| 13. Observation.templateId:primary.extension | |
| Definition | A character string as a unique identifier within the scope of the identifier root. | 
| Control | 1..1 | 
| Type | string | 
| Requirements | SHALL contain exactly one [1..1] @extension="2015-08-01" (CONF:1198-32575). | 
| Pattern Value | 2015-08-01 | 
| 14. Observation.id | |
| Control | 1..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/II | 
| Requirements | SHALL contain at least one [1..*] id (CONF:1198-7137). | 
| 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:1198-7133). | 
| Invariants | Defined on this element 1198-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:1198-19212). (: ) | 
| 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 | 1..1 | 
| Binding | The codes SHALL be taken from ActStatus | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CS | 
| Requirements | SHALL contain exactly one [1..1] statusCode (CONF:1198-7134). | 
| 19. Observation.statusCode.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 | 
| 20. Observation.statusCode.code | |
| Definition | The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache. | 
| Control | 1..1 | 
| Binding | The codes SHALL be taken from Result Status | 
| Type | string | 
| Requirements | This statusCode SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Result Status urn:oid:2.16.840.1.113883.11.20.9.39 STATIC (CONF:1198-14849). | 
| 21. Observation.statusCode.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 0..0 | 
| Type | string | 
| 22. Observation.statusCode.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..0 | 
| Type | string | 
| 23. Observation.statusCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..0 | 
| Type | string | 
| 24. Observation.statusCode.displayName | |
| Definition | A name or title for the code, under which the sending system shows the code value to its users. | 
| Control | 0..0 | 
| Type | string | 
| 25. 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. | 
| Control | 0..1 | 
| Type | string | 
| 26. 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. | 
| Control | 0..1 | 
| Type | string | 
| 27. Observation.statusCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 28. Observation.statusCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 29. Observation.statusCode.translation | |
| Definition | A set of other concept descriptors that translate this concept descriptor into other code systems. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| 30. Observation.effectiveTime | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/IVL-TS | 
| Requirements | SHALL contain exactly one [1..1] effectiveTime (CONF:1198-7140). | 
| 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 | 
| 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 | SHALL contain exactly one [1..1] value (CONF:1198-7143). | 
| Invariants | Defined on this element 1198-31484: If Observation/value is a physical quantity (**xsi:type="PQ"**), the unit of measure **SHALL** be selected from ValueSet UnitsOfMeasureCaseSensitive 2.16.840.1.113883.1.11.12839 **DYNAMIC** (CONF:1198-31484). (: ) 1198-31866: A coded or physical quantity value **MAY** contain zero or more [0..*] translations, which can be used to represent the original results as output by the lab (CONF:1198-31866). (: ) 1198-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT (CONF:1198-32610). (: ) | 
| 35. Observation.interpretationCode | |
| Control | 0..* | 
| Binding | The codes SHALL be taken from ObservationInterpretation | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE | 
| Requirements | SHOULD contain zero or more [0..*] interpretationCode (CONF:1198-7147). | 
| 36. Observation.interpretationCode.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 | 
| 37. Observation.interpretationCode.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 | 
| Binding | The codes SHALL be taken from Observation Interpretation (HL7) | 
| Type | string | 
| Requirements | The interpretationCode, if present, SHALL contain exactly one [1..1] @code, which SHALL be selected from ValueSet Observation Interpretation (HL7) urn:oid:2.16.840.1.113883.1.11.78 DYNAMIC (CONF:1198-32476). | 
| 38. Observation.interpretationCode.codeSystem | |
| Definition | Specifies the code system that defines the code. | 
| Control | 0..1 | 
| Type | string | 
| 39. Observation.interpretationCode.codeSystemName | |
| Definition | The common name of the coding system. | 
| Control | 0..1 | 
| Type | string | 
| 40. Observation.interpretationCode.codeSystemVersion | |
| Definition | If applicable, a version descriptor defined specifically for the given code system. | 
| Control | 0..1 | 
| Type | string | 
| 41. Observation.interpretationCode.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 | 
| 42. Observation.interpretationCode.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 | 
| 43. Observation.interpretationCode.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 | 
| 44. Observation.interpretationCode.originalText | |
| Definition | The text or phrase used as the basis for the coding. | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 45. Observation.interpretationCode.qualifier | |
| Definition | Specifies additional codes that increase the specificity of the the primary code. | 
| Control | 0..0 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CR | 
| 46. Observation.interpretationCode.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 | 
| 47. Observation.methodCode | |
| Control | 0..1 | 
| 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 | 
| Requirements | MAY contain zero or one [0..1] methodCode (CONF:1198-7148). | 
| 48. Observation.targetSiteCode | |
| Definition | Drawn from concept domain ActSite | 
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | MAY contain zero or one [0..1] targetSiteCode (CONF:1198-7153). | 
| 49. Observation.subject | |
| Control | 0..1 | 
| Type | Element | 
| 50. Observation.subject.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationTargetSubject | 
| Type | code | 
| Default Value | SBJ | 
| Fixed Value | SBJ | 
| 51. Observation.subject.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 52. 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 | 
| 53. Observation.subject.relatedSubject | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedSubject | 
| 54. Observation.specimen | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Specimen | 
| 55. Observation.performer | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Performer2 | 
| 56. 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:1198-7149). | 
| 57. Observation.informant | |
| Control | 0..* | 
| Type | Element | 
| 58. Observation.informant.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ParticipationInformationGenerator | 
| Type | code | 
| Default Value | INF | 
| Fixed Value | INF | 
| 59. Observation.informant.contextControlCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ContextControl | 
| Type | code | 
| Default Value | OP | 
| Fixed Value | OP | 
| 60. Observation.informant.assignedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity | 
| 61. Observation.informant.relatedEntity | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RelatedEntity | 
| 62. Observation.participant | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Participant2 | 
| 63. 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) | 
| 64. Observation.entryRelationship.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 65. Observation.entryRelationship.inversionInd | |
| Control | 0..1 | 
| Type | boolean | 
| 66. Observation.entryRelationship.contextConductionInd | |
| Control | 1..1 | 
| Type | boolean | 
| Default Value | true | 
| 67. Observation.entryRelationship.sequenceNumber | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/INT | 
| 68. Observation.entryRelationship.negationInd | |
| Control | 0..1 | 
| Type | boolean | 
| 69. Observation.entryRelationship.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 70. Observation.entryRelationship.observation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Observation | 
| 71. Observation.entryRelationship.regionOfInterest | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/RegionOfInterest | 
| 72. Observation.entryRelationship.observationMedia | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia | 
| 73. Observation.entryRelationship.substanceAdministration | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/SubstanceAdministration | 
| 74. Observation.entryRelationship.supply | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Supply | 
| 75. Observation.entryRelationship.procedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Procedure | 
| 76. Observation.entryRelationship.encounter | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Encounter | 
| 77. Observation.entryRelationship.organizer | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Organizer | 
| 78. Observation.entryRelationship.act | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Act | 
| 79. Observation.reference | |
| Control | 0..* | 
| Type | Element | 
| 80. Observation.reference.typeCode | |
| Control | 1..1 | 
| Type | code | 
| 81. Observation.reference.seperatableInd | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/BL | 
| 82. Observation.reference.externalAct | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalAct | 
| 83. Observation.reference.externalObservation | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalObservation | 
| 84. Observation.reference.externalProcedure | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalProcedure | 
| 85. Observation.reference.externalDocument | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ExternalDocument | 
| 86. Observation.precondition | |
| Control | 0..* | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/Precondition | 
| 87. Observation.referenceRange | |
| Control | 0..* | 
| Type | Element | 
| Requirements | SHOULD contain zero or more [0..*] referenceRange (CONF:1198-7150). | 
| 88. Observation.referenceRange.typeCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActRelationshipPertains | 
| Type | code | 
| Default Value | REFV | 
| Fixed Value | REFV | 
| 89. Observation.referenceRange.observationRange | |
| Control | 1..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ObservationRange | 
| Requirements | The referenceRange, if present, SHALL contain exactly one [1..1] observationRange (CONF:1198-7151). | 
| 90. Observation.referenceRange.observationRange.classCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActClassObservation | 
| Type | code | 
| Default Value | OBS | 
| 91. Observation.referenceRange.observationRange.moodCode | |
| Control | 1..1 | 
| Binding | The codes SHALL be taken from ActMoodPredicate | 
| Type | code | 
| Default Value | EVN.CRT | 
| Fixed Value | EVN.CRT | 
| 92. Observation.referenceRange.observationRange.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 | 
| 93. Observation.referenceRange.observationRange.code | |
| Control | 0..0 | 
| Binding | The codes SHALL be taken from v3 Code System ActCode; other codes may be used where these codes are not suitable | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CD | 
| Requirements | This observationRange SHALL NOT contain [0..0] code (CONF:1198-7152). | 
| 94. Observation.referenceRange.observationRange.text | |
| Control | 0..1 | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/ED | 
| 95. Observation.referenceRange.observationRange.value | |
| Control | 1..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 | 
| Requirements | This observationRange SHALL contain exactly one [1..1] value (CONF:1198-32175). | 
| 96. Observation.referenceRange.observationRange.interpretationCode | |
| Control | 0..1 | 
| Binding | The codes SHALL be taken from ObservationInterpretation | 
| Type | http://hl7.org/fhir/cda/StructureDefinition/CE |