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
Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.70 | Version: 2.2 | |||
Draft as of 2022-05-13 | Computable Name: PressureUlcerObservation | |||
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.70:2014-06-09 |
The pressure ulcer observation contains details about the pressure ulcer such as the stage of the ulcer, location, and dimensions. If the pressure ulcer is a diagnosis, you may find this on the problem list. An example of how this would appear is in the Problem Section.
THIS TEMPLATE HAS BEEN DEPRECATED IN C-CDA R2 AND MAY BE DELETED FROM A FUTURE RELEASE OF THIS IMPLEMENTATION GUIDE. USE OF THIS TEMPLATE IS NOT RECOMMENDED.
Reason for deprecation: This template has been replaced by Longitudinal Care Wound Observation (2.16.840.1.113883.10.20.22.4.114).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
Summary
Mandatory: 12 elements (25 nested mandatory elements)
Slices
This structure defines the following Slices:
This structure is derived from CDAR2.Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 1..1 | CDAR2.Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
negationInd | 0..1 | boolean | Use negationInd="true" to indicate that the problem was not observed. | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.70 | |
extension | 1..1 | string | Required Pattern: 2014-06-09 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: ASSERTION | |
text | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 1..1 | uri | 1098-15586: 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:1098-15586). |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: completed | |
effectiveTime | 1..1 | IVL_TS | ||
value | 1..1 | CD | Binding: Pressure Ulcer Stage (preferred) Required Pattern: Pressure Ulcer Stage | |
targetSiteCode | 0..* | CD | ||
code | 1..1 | string | Binding: Pressure Point (preferred) | |
qualifier | 0..1 | CR | ||
name | 1..1 | CV | ||
code | 0..1 | string | Required Pattern: 272741003 | |
value | 1..1 | CD | ||
code | 0..1 | string | Binding: TargetSite Qualifiers (preferred) | |
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entryRelationship:entryRelationship1 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 401238003 | |
value | 1..1 | PQ | ||
entryRelationship:entryRelationship2 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 401239006 | |
value | 1..1 | PQ | ||
entryRelationship:entryRelationship3 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 425094009 | |
value | 1..1 | PQ | ||
Documentation for this format |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 12 elements (25 nested mandatory elements)
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CDAR2.Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | 1..1 | CDAR2.Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
negationInd | 0..1 | boolean | Use negationInd="true" to indicate that the problem was not observed. | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root, value:extension | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.70 | |
extension | 1..1 | string | Required Pattern: 2014-06-09 | |
id | 1..* | II | ||
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: ASSERTION | |
text | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 1..1 | uri | 1098-15586: 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:1098-15586). |
statusCode | 1..1 | CS | ||
code | 1..1 | string | Required Pattern: completed | |
effectiveTime | 1..1 | IVL_TS | ||
value | 1..1 | CD | Binding: Pressure Ulcer Stage (preferred) Required Pattern: Pressure Ulcer Stage | |
targetSiteCode | 0..* | CD | ||
code | 1..1 | string | Binding: Pressure Point (preferred) | |
qualifier | 0..1 | CR | ||
name | 1..1 | CV | ||
code | 0..1 | string | Required Pattern: 272741003 | |
value | 1..1 | CD | ||
code | 0..1 | string | Binding: TargetSite Qualifiers (preferred) | |
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entryRelationship:entryRelationship1 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 401238003 | |
value | 1..1 | PQ | ||
entryRelationship:entryRelationship2 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 401239006 | |
value | 1..1 | PQ | ||
entryRelationship:entryRelationship3 | 0..1 | Element | ||
typeCode | 1..1 | code | Required Pattern: COMP | |
observation | 1..1 | Observation | ||
classCode | 1..1 | code | Required Pattern: OBS | |
moodCode | 1..1 | code | Required Pattern: EVN | |
code | 1..1 | CD | ||
code | 1..1 | string | Required Pattern: 425094009 | |
value | 1..1 | PQ | ||
Documentation for this format |
Snapshot View
Other representations of profile: CSV, Excel, Schematron
Path | Conformance | ValueSet / Code |
Observation.classCode | required | Pattern: OBS |
Observation.templateId:primary.nullFlavor | required | NullFlavor |
Observation.code | extensible | ObservationType |
Observation.code.nullFlavor | required | NullFlavor |
Observation.text.nullFlavor | required | NullFlavor |
Observation.text.compression | required | CompressionAlgorithm |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithm |
Observation.text.reference.nullFlavor | required | NullFlavor |
Observation.text.reference.use | required | AddressUse |
Observation.statusCode | required | ActStatus |
Observation.statusCode.nullFlavor | required | NullFlavor |
Observation.priorityCode | extensible | ActPriority |
Observation.languageCode | required | HumanLanguage |
Observation.value | preferred | Pattern: Pressure Ulcer Stage |
Observation.interpretationCode | required | ObservationInterpretation |
Observation.methodCode | extensible | ObservationMethod |
Observation.targetSiteCode.nullFlavor | required | NullFlavor |
Observation.targetSiteCode.code | preferred | Pressure Point |
Observation.targetSiteCode.qualifier.nullFlavor | required | NullFlavor |
Observation.targetSiteCode.qualifier.name.nullFlavor | required | NullFlavor |
Observation.targetSiteCode.qualifier.value.nullFlavor | required | NullFlavor |
Observation.targetSiteCode.qualifier.value.code | preferred | TargetSite Qualifiers |
Observation.subject.typeCode | required | Fixed Value: SBJ |
Observation.subject.contextControlCode | required | Fixed Value: OP |
Observation.subject.awarenessCode | extensible | TargetAwareness |
Observation.informant.typeCode | required | Fixed Value: INF |
Observation.informant.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship1.observation.classCode | required | Pattern: OBS |
Observation.entryRelationship:entryRelationship1.observation.code | extensible | ObservationType |
Observation.entryRelationship:entryRelationship1.observation.code.nullFlavor | required | NullFlavor |
Observation.entryRelationship:entryRelationship1.observation.statusCode | required | ActStatus |
Observation.entryRelationship:entryRelationship1.observation.priorityCode | extensible | ActPriority |
Observation.entryRelationship:entryRelationship1.observation.languageCode | required | HumanLanguage |
Observation.entryRelationship:entryRelationship1.observation.interpretationCode | required | ObservationInterpretation |
Observation.entryRelationship:entryRelationship1.observation.methodCode | extensible | ObservationMethod |
Observation.entryRelationship:entryRelationship1.observation.subject.typeCode | required | Fixed Value: SBJ |
Observation.entryRelationship:entryRelationship1.observation.subject.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship1.observation.subject.awarenessCode | extensible | TargetAwareness |
Observation.entryRelationship:entryRelationship1.observation.informant.typeCode | required | Fixed Value: INF |
Observation.entryRelationship:entryRelationship1.observation.informant.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship1.observation.referenceRange.typeCode | required | Fixed Value: REFV |
Observation.entryRelationship:entryRelationship2.observation.classCode | required | Pattern: OBS |
Observation.entryRelationship:entryRelationship2.observation.code | extensible | ObservationType |
Observation.entryRelationship:entryRelationship2.observation.code.nullFlavor | required | NullFlavor |
Observation.entryRelationship:entryRelationship2.observation.statusCode | required | ActStatus |
Observation.entryRelationship:entryRelationship2.observation.priorityCode | extensible | ActPriority |
Observation.entryRelationship:entryRelationship2.observation.languageCode | required | HumanLanguage |
Observation.entryRelationship:entryRelationship2.observation.interpretationCode | required | ObservationInterpretation |
Observation.entryRelationship:entryRelationship2.observation.methodCode | extensible | ObservationMethod |
Observation.entryRelationship:entryRelationship2.observation.subject.typeCode | required | Fixed Value: SBJ |
Observation.entryRelationship:entryRelationship2.observation.subject.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship2.observation.subject.awarenessCode | extensible | TargetAwareness |
Observation.entryRelationship:entryRelationship2.observation.informant.typeCode | required | Fixed Value: INF |
Observation.entryRelationship:entryRelationship2.observation.informant.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship2.observation.referenceRange.typeCode | required | Fixed Value: REFV |
Observation.entryRelationship:entryRelationship3.observation.classCode | required | Pattern: OBS |
Observation.entryRelationship:entryRelationship3.observation.code | extensible | ObservationType |
Observation.entryRelationship:entryRelationship3.observation.code.nullFlavor | required | NullFlavor |
Observation.entryRelationship:entryRelationship3.observation.statusCode | required | ActStatus |
Observation.entryRelationship:entryRelationship3.observation.priorityCode | extensible | ActPriority |
Observation.entryRelationship:entryRelationship3.observation.languageCode | required | HumanLanguage |
Observation.entryRelationship:entryRelationship3.observation.interpretationCode | required | ObservationInterpretation |
Observation.entryRelationship:entryRelationship3.observation.methodCode | extensible | ObservationMethod |
Observation.entryRelationship:entryRelationship3.observation.subject.typeCode | required | Fixed Value: SBJ |
Observation.entryRelationship:entryRelationship3.observation.subject.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship3.observation.subject.awarenessCode | extensible | TargetAwareness |
Observation.entryRelationship:entryRelationship3.observation.informant.typeCode | required | Fixed Value: INF |
Observation.entryRelationship:entryRelationship3.observation.informant.contextControlCode | required | Fixed Value: OP |
Observation.entryRelationship:entryRelationship3.observation.referenceRange.typeCode | required | Fixed Value: REFV |
Observation.referenceRange.typeCode | required | Fixed Value: REFV |
Id | Grade | Path | Details | Requirements |
1098-15586 | error | Observation.text.reference.value | 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:1098-15586). : | |
obs-er-1 | error | Observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship1 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship1.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship2 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship2.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship3 | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 | |
obs-er-1 | error | Observation.entryRelationship:entryRelationship3.observation.entryRelationship | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |