Consolidated CDA Release 2.2
2.2 - CI Build

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

## Resource Profile: Result Organizer

Official URL: http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.1 | Version: 2.2
Active as of 2022-05-13 | Computable Name: ResultOrganizer
Other Identifiers: : urn:hl7ii:2.16.840.1.113883.10.20.22.4.1:2015-08-01

This template provides a mechanism for grouping result observations. It contains information applicable to all of the contained result observations. The Result Organizer code categorizes the contained results into one of several commonly accepted values (e.g., Hematology, Chemistry, Nuclear Medicine).

If any Result Observation within the organizer has a statusCode of “active”, the Result Organizer must also have a statusCode of “active”.

Usage:

- Use this Resource Profile: Results Section (entries required), Results Section (entries optional), Health Concern Act, Risk Concern Act

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Text Summary
- Differential Table
- Snapshot Table
- Snapshot Table (Must Support)
- All

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 11 elements (2 nested mandatory elements)

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119)
- Result Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.2)

Slices

This structure defines the following Slices:

- The element Organizer.templateId is sliced based on the values of value:root, value:extension
- The element Organizer.component is sliced based on the value of value:observation

This structure is derived from CDAR2.Organizer

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Organizer |  | 1..1 | CDAR2.Organizer |
classCode |  | 1..1 | code |
moodCode |  | 1..1 | code |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.1
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code | I | 1..1 | CD | 1198-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:1198-19218). 1198-19219: Laboratory results **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or other constrained terminology named by the US Department of Health and Human Services Office of National Coordinator or other federal agency (CONF:1198-19219).
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: Result Status (required)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
low |  | 1..1 | TS |
high |  | 1..1 | TS |
author |  | 0..* | AuthorParticipation |
Slices for component |  | 0..* | Element | Slice: Unordered, Open by value:observation
component:result |  | 1..* | Element |
observation |  | 1..1 | ResultObservation |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Organizer |  | 1..1 | CDAR2.Organizer |
classCode |  | 1..1 | code | Binding: ActClass (required)
moodCode |  | 1..1 | code | Binding: ActMood (required) Fixed Value: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.1
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code | I | 1..1 | CD | Binding: v3 Code System ActCode (extensible) 1198-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:1198-19218). 1198-19219: Laboratory results **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or other constrained terminology named by the US Department of Health and Human Services Office of National Coordinator or other federal agency (CONF:1198-19219).
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Binding: Result Status (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
value |  | 0..1 | dateTime |
inclusive |  | 0..1 | boolean |
operator |  | 0..1 | code |
low |  | 1..1 | TS |
high |  | 1..1 | TS |
width |  | 0..1 | PQ |
center |  | 0..1 | TS |
subject |  | 0..1 | Element |
typeCode |  | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
awarenessCode |  | 0..1 | CE | Binding: TargetAwareness (extensible)
relatedSubject |  | 1..1 | RelatedSubject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | AuthorParticipation |
informant |  | 0..* | Element |
typeCode |  | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
assignedEntity |  | 0..1 | AssignedEntity |
relatedEntity |  | 0..1 | RelatedEntity |
participant |  | 0..* | Participant2 |
reference |  | 0..* | Element |
typeCode |  | 1..1 | code |
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 0..1 | ExternalDocument |
precondition |  | 0..* | Precondition |
Slices for component |  | 0..* | Element | Slice: Unordered, Open by value:observation
component:All Slices |  |  |  | Content/Rules for all slices
typeCode |  | 1..1 | code | Fixed Value: COMP
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
observation |  | 0..1 | Observation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
component:result |  | 1..* | Element |
typeCode |  | 1..1 | code | Fixed Value: COMP
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ResultObservation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Organizer |  | 1..1 | CDAR2.Organizer |
Documentation for this format

This structure is derived from CDAR2.Organizer

Summary

Mandatory: 11 elements (2 nested mandatory elements)

Structures

This structure refers to these other structures:

- Author Participation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.119)
- Result Observation (http://hl7.org/fhir/cda/ccda/StructureDefinition/2.16.840.1.113883.10.20.22.4.2)

Slices

This structure defines the following Slices:

- The element Organizer.templateId is sliced based on the values of value:root, value:extension
- The element Organizer.component is sliced based on the value of value:observation

Differential View

This structure is derived from CDAR2.Organizer

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Organizer |  | 1..1 | CDAR2.Organizer |
classCode |  | 1..1 | code |
moodCode |  | 1..1 | code |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.1
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code | I | 1..1 | CD | 1198-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:1198-19218). 1198-19219: Laboratory results **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or other constrained terminology named by the US Department of Health and Human Services Office of National Coordinator or other federal agency (CONF:1198-19219).
statusCode |  | 1..1 | CS |
code |  | 1..1 | string | Binding: Result Status (required)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
low |  | 1..1 | TS |
high |  | 1..1 | TS |
author |  | 0..* | AuthorParticipation |
Slices for component |  | 0..* | Element | Slice: Unordered, Open by value:observation
component:result |  | 1..* | Element |
observation |  | 1..1 | ResultObservation |
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints
--- | --- | --- | --- | ---
Organizer |  | 1..1 | CDAR2.Organizer |
classCode |  | 1..1 | code | Binding: ActClass (required)
moodCode |  | 1..1 | code | Binding: ActMood (required) Fixed Value: EVN
realmCode |  | 0..* | CS |
typeId |  | 0..1 | II |
Slices for templateId |  | 0..* | II | Slice: Unordered, Open by value:root, value:extension
templateId:primary |  | 1..1 | II |
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
assigningAuthorityName |  | 0..1 | string |
displayable |  | 0..1 | boolean |
root |  | 1..1 | string | Required Pattern: 2.16.840.1.113883.10.20.22.4.1
extension |  | 1..1 | string | Required Pattern: 2015-08-01
id |  | 1..* | II |
code | I | 1..1 | CD | Binding: v3 Code System ActCode (extensible) 1198-19218: **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:1198-19218). 1198-19219: Laboratory results **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or other constrained terminology named by the US Department of Health and Human Services Office of National Coordinator or other federal agency (CONF:1198-19219).
statusCode |  | 1..1 | CS | Binding: ActStatus (required)
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
code |  | 1..1 | string | Binding: Result Status (required)
sdtcValueSet |  | 0..1 | string | XML: valueSet (urn:hl7-org:sdtc)
sdtcValueSetVersion |  | 0..1 | string | XML: valueSetVersion (urn:hl7-org:sdtc)
effectiveTime |  | 0..1 | IVL_TS | The effectiveTime is an interval that spans the effectiveTimes of the contained result observations. Because all contained result observations have a required time stamp, it is not required that this effectiveTime be populated.
nullFlavor |  | 0..1 | code | Binding: NullFlavor (required)
value |  | 0..1 | dateTime |
inclusive |  | 0..1 | boolean |
operator |  | 0..1 | code |
low |  | 1..1 | TS |
high |  | 1..1 | TS |
width |  | 0..1 | PQ |
center |  | 0..1 | TS |
subject |  | 0..1 | Element |
typeCode |  | 1..1 | code | Binding: ParticipationTargetSubject (required) Fixed Value: SBJ
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
awarenessCode |  | 0..1 | CE | Binding: TargetAwareness (extensible)
relatedSubject |  | 1..1 | RelatedSubject |
specimen |  | 0..* | Specimen |
performer |  | 0..* | Performer2 |
author |  | 0..* | AuthorParticipation |
informant |  | 0..* | Element |
typeCode |  | 1..1 | code | Binding: ParticipationInformationGenerator (required) Fixed Value: INF
contextControlCode |  | 1..1 | code | Binding: ContextControl (required) Fixed Value: OP
assignedEntity |  | 0..1 | AssignedEntity |
relatedEntity |  | 0..1 | RelatedEntity |
participant |  | 0..* | Participant2 |
reference |  | 0..* | Element |
typeCode |  | 1..1 | code |
seperatableInd |  | 0..1 | BL |
externalAct |  | 0..1 | ExternalAct |
externalObservation |  | 0..1 | ExternalObservation |
externalProcedure |  | 0..1 | ExternalProcedure |
externalDocument |  | 0..1 | ExternalDocument |
precondition |  | 0..* | Precondition |
Slices for component |  | 0..* | Element | Slice: Unordered, Open by value:observation
component:All Slices |  |  |  | Content/Rules for all slices
typeCode |  | 1..1 | code | Fixed Value: COMP
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
observation |  | 0..1 | Observation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
component:result |  | 1..* | Element |
typeCode |  | 1..1 | code | Fixed Value: COMP
contextConductionInd |  | 1..1 | boolean |
sequenceNumber |  | 0..1 | INT |
seperatableInd |  | 0..1 | BL |
observation |  | 1..1 | ResultObservation |
regionOfInterest |  | 0..1 | RegionOfInterest |
observationMedia |  | 0..1 | ObservationMedia |
substanceAdministration |  | 0..1 | SubstanceAdministration |
supply |  | 0..1 | Supply |
procedure |  | 0..1 | Procedure |
encounter |  | 0..1 | Encounter |
organizer |  | 0..1 | Organizer |
act |  | 0..1 | Act |
Documentation for this format

Other representations of profile: CSV, Excel, Schematron

#### Terminology Bindings

Path | Conformance | ValueSet / Code
Organizer.classCode | required | ActClass
Organizer.moodCode | required | Fixed Value: EVN
Organizer.templateId:primary.nullFlavor | required | NullFlavor
Organizer.code | extensible | ActCode
Organizer.statusCode | required | ActStatus
Organizer.statusCode.nullFlavor | required | NullFlavor
Organizer.statusCode.code | required | Result Status
Organizer.effectiveTime.nullFlavor | required | NullFlavor
Organizer.subject.typeCode | required | Fixed Value: SBJ
Organizer.subject.contextControlCode | required | Fixed Value: OP
Organizer.subject.awarenessCode | extensible | TargetAwareness
Organizer.informant.typeCode | required | Fixed Value: INF
Organizer.informant.contextControlCode | required | Fixed Value: OP

#### Constraints

Id | Grade | Path | Details | Requirements
1198-19218 | warning | Organizer.code | **SHOULD** be selected from LOINC (codeSystem 2.16.840.1.113883.6.1) **OR** SNOMED CT (codeSystem 2.16.840.1.113883.6.96), and **MAY** be selected from CPT-4 (codeSystem 2.16.840.1.113883.6.12) (CONF:1198-19218). : |
1198-19219 | warning | Organizer.code | Laboratory results **SHOULD** be from LOINC (CodeSystem: 2.16.840.1.113883.6.1) or other constrained terminology named by the US Department of Health and Human Services Office of National Coordinator or other federal agency (CONF:1198-19219). : |