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/2.16.840.1.113883.10.20.6.2.12 | Version: 2.2 | |||
Active as of 2022-05-13 | Computable Name: TextObservation | |||
Other Identifiers: : urn:oid:2.16.840.1.113883.10.20.6.2.12 |
DICOM Template 2000 specifies that Imaging Report Elements of Value Type Text are contained in sections. The Imaging Report Elements are inferred from Basic Diagnostic Imaging Report Observations that consist of image references and measurements (linear, area, volume, and numeric). Text DICOM Imaging Report Elements in this context are mapped to CDA text observations that are section components and are related to the SOP Instance Observations (templateId 2.16.840.1.113883.10.20.6.2.8) or Quantity Measurement Observations (templateId 2.16.840.1.113883.10.20.6.2.14) by the SPRT (Support) act relationship.
A Text Observation is required if the findings in the section text are represented as inferred from SOP Instance Observations.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CDAR2.Observation
Summary
Mandatory: 6 elements (4 nested mandatory elements)
Structures
This structure refers to these other structures:
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 | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.12 | |
code | 1..1 | CD | ||
text | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 0..1 | uri | 81-15940: 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:81-15940). |
effectiveTime | 0..1 | IVL_TS | ||
value | 1..1 | ED | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entryRelationship:SOPInstanceObservation | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: SPRT | |
observation | 1..1 | SOPInstanceObservation | ||
entryRelationship:quantityMeasurementObservation | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: SPRT | |
observation | 1..1 | QuantityMeasurementObservation | ||
Documentation for this format |
This structure is derived from CDAR2.Observation
Summary
Mandatory: 6 elements (4 nested mandatory elements)
Structures
This structure refers to these other structures:
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 | |
Slices for templateId | 0..* | II | Slice: Unordered, Open by value:root | |
templateId:primary | 1..1 | II | ||
root | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.6.2.12 | |
code | 1..1 | CD | ||
text | 0..1 | ED | ||
reference | 0..1 | TEL | ||
value | I | 0..1 | uri | 81-15940: 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:81-15940). |
effectiveTime | 0..1 | IVL_TS | ||
value | 1..1 | ED | ||
Slices for entryRelationship | 0..* | Element | Slice: Unordered, Open by profile:observation | |
entryRelationship:SOPInstanceObservation | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: SPRT | |
observation | 1..1 | SOPInstanceObservation | ||
entryRelationship:quantityMeasurementObservation | 0..* | Element | ||
typeCode | 1..1 | code | Required Pattern: SPRT | |
observation | 1..1 | QuantityMeasurementObservation | ||
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.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.priorityCode | extensible | ActPriority |
Observation.languageCode | required | HumanLanguage |
Observation.interpretationCode | required | ObservationInterpretation |
Observation.methodCode | extensible | ObservationMethod |
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.referenceRange.typeCode | required | Fixed Value: REFV |
Id | Grade | Path | Details | Requirements |
81-15940 | 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:81-15940). : | |
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:SOPInstanceObservation | 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:quantityMeasurementObservation | Only one of observation, regionOfInterest, observationMedia, substanceAdministration, supply, procedure, encounter, organizer, and act : (observation | regionOfInterest | observationMedia | substanceAdministration | supply | procedure | encounter | organizer | act).count() = 1 |