Consolidated CDA (C-CDA)
4.0.0 - STU4 United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/CDA-ccda/ and changes regularly. See the Directory of published versions

Logical Model: Assessment Scale Observation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/AssessmentScaleObservation Version: 4.0.0
Draft as of 2025-06-17 Computable Name: AssessmentScaleObservation
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.69:2022-06-01

An assessment scale is a collection of observations that together can yield a calculated or non-calculated summary evaluation of a one or more conditions. Examples include the Braden Scale (assesses pressure ulcer risk), APACHE Score (estimates mortality in critically ill patients), Mini-Mental Status Exam (assesses cognitive function), APGAR Score (assesses the health of a newborn), Glasgow Coma Scale (assesses coma and impaired consciousness), and WE CARE (Well Child Care, Evaluation, Community Resources, Advocacy, Referral, Education - a clinic-based screening and referral system developed for pediatric settings).

When an Assessment Scale Observation is contained in a Problem Observation, a Social History Observation or a Procedure instance that is Social Determinant of Health focused, that Assessment scale MAY contain assessment scale observations that represent question and answer pairs from SDOH screening instruments that are represented in LOINC. Note that guidance on the use of LOINC in assessment scales already exists in Assessment Scale Observation constraints and Assessment Scale Supporting Observations constraints.

The Observation value is used to record a calculated score using an integer. A LOINC answer concept is used when the assessment is non-calculated result.

Templates Used

Although open templates may contain any valid CDA content, the following templates are specifically called out by this template:

Optional EntryRelationships: AssessmentScaleSupportingObservation

Usages:

Changes since version 3.0.0:

  • The resource metadata has changed (description)

    • Formal Views of Template Content

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

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Fixed Value: OBS
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... Slices for sdtcCategory 0..* CD Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    .... sdtcCategory:survey 0..1 CD Survey
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... value 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    ... interpretationCode 0..* CE
    .... translation 0..* CD
    ... author 0..* Author
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @typeCode 1..1 cs Fixed Value: COMP
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206

    Constraints

    IdGradePath(s)DetailsRequirements
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... Slices for sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    XML: category (urn:hl7-org:sdtc)
    .... sdtcCategory:survey 0..1 CD XML Namespace: urn:hl7-org:sdtc
    Survey
    XML: category (urn:hl7-org:sdtc)
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ..... @codeSystemName 0..1 st
    ..... @codeSystemVersion 0..1 st
    ..... @displayName 0..1 st
    ..... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    ..... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ..... originalText 0..1 ED
    ..... qualifier 0..* CR
    ..... translation 0..* CD
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value 1..1 This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    .... value ANY
    .... value BL
    .... value ED
    .... value ST
    .... value CD
    .... value CV
    .... value CE
    .... value CO
    .... value SC
    .... value II
    .... value TEL
    .... value AD
    .... value EN
    .... value INT
    .... value REAL
    .... value PQ
    .... value MO
    .... value TS
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... translation 0..* CD
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* Author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: COMP
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ..... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ..... code 0..1 CD Binding: v3 Code System ActCode (example)
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ...... @integrityCheck 0..1 bin
    ...... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ...... @language 0..1 cs
    ...... @mediaType 0..1 cs Binding: MediaType (example)
    ...... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ...... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ...... thumbnail 0..1 ED
    ..... value 0..1
    ...... value BL
    ...... value ED
    ...... value ST
    ...... value CD
    ...... value CV
    ...... value CE
    ...... value CO
    ...... value SC
    ...... value II
    ...... value TEL
    ...... value AD
    ...... value EN
    ...... value INT
    ...... value REAL
    ...... value PQ
    ...... value MO
    ...... value TS
    ...... value IVL_PQ
    ...... value IVL_TS
    ...... value PIVL_TS
    ...... value EIVL_TS
    ...... value SXPR_TS
    ..... interpretationCode 0..1 CE Binding: CDAObservationInterpretation (required)
    ..... sdtcPrecondition1 0..* InfrastructureRoot XML Namespace: urn:hl7-org:sdtc
    XML: precondition1 (urn:hl7-org:sdtc)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... @assigningAuthorityName 0..1 st
    ....... @displayable 0..1 bl
    ....... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ....... @extension 1..1 st
    ...... templateId 0..* II
    ...... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: PRCN
    ...... conjunctionCode 1..1 CS XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    Binding: RelationshipConjunction (2.0.0) (required)
    ...... criterion1 1..1 Criterion XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.templateId:assessment-scale-obs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.classCoderequiredFixed Value: OBS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.moodCoderequiredFixed Value: EVN
    http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
    Observation.sdtcCategory:survey.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206
    Observation.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Observation.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Observation.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    Observation.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.interpretationCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.methodCodeexampleObservationMethod
    http://terminology.hl7.org/ValueSet/v3-ObservationMethod
    Observation.entryRelationship:supportingObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    Observation.referenceRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeCoderequiredFixed Value: REFV
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.classCoderequiredCDAActClassObservation
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
    http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate
    Observation.referenceRange.observationRange.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Observation.referenceRange.observationRange.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.referenceRange.observationRange.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.referenceRange.observationRange.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.referenceRange.observationRange.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.referenceRange.observationRange.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeCoderequiredFixed Value: PRCN
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCoderequiredRelationshipConjunction
    http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorObservation.typeId, Observation.entryRelationship:supportingObs.typeId, Observation.referenceRange.typeId, Observation.referenceRange.observationRange.typeId, Observation.referenceRange.observationRange.sdtcPrecondition1.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... Slices for sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    XML: category (urn:hl7-org:sdtc)
    .... sdtcCategory:survey 0..1 CD XML Namespace: urn:hl7-org:sdtc
    Survey
    XML: category (urn:hl7-org:sdtc)
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ..... @codeSystemName 0..1 st
    ..... @codeSystemVersion 0..1 st
    ..... @displayName 0..1 st
    ..... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    ..... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ..... originalText 0..1 ED
    ..... qualifier 0..* CR
    ..... translation 0..* CD
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value 1..1 This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    .... value ANY
    .... value BL
    .... value ED
    .... value ST
    .... value CD
    .... value CV
    .... value CE
    .... value CO
    .... value SC
    .... value II
    .... value TEL
    .... value AD
    .... value EN
    .... value INT
    .... value REAL
    .... value PQ
    .... value MO
    .... value TS
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... translation 0..* CD
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* Author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: COMP
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ..... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ..... code 0..1 CD Binding: v3 Code System ActCode (example)
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ...... @integrityCheck 0..1 bin
    ...... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ...... @language 0..1 cs
    ...... @mediaType 0..1 cs Binding: MediaType (example)
    ...... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ...... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ...... thumbnail 0..1 ED
    ..... value 0..1
    ...... value BL
    ...... value ED
    ...... value ST
    ...... value CD
    ...... value CV
    ...... value CE
    ...... value CO
    ...... value SC
    ...... value II
    ...... value TEL
    ...... value AD
    ...... value EN
    ...... value INT
    ...... value REAL
    ...... value PQ
    ...... value MO
    ...... value TS
    ...... value IVL_PQ
    ...... value IVL_TS
    ...... value PIVL_TS
    ...... value EIVL_TS
    ...... value SXPR_TS
    ..... interpretationCode 0..1 CE Binding: CDAObservationInterpretation (required)
    ..... sdtcPrecondition1 0..* InfrastructureRoot XML Namespace: urn:hl7-org:sdtc
    XML: precondition1 (urn:hl7-org:sdtc)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... @assigningAuthorityName 0..1 st
    ....... @displayable 0..1 bl
    ....... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ....... @extension 1..1 st
    ...... templateId 0..* II
    ...... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: PRCN
    ...... conjunctionCode 1..1 CS XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    Binding: RelationshipConjunction (2.0.0) (required)
    ...... criterion1 1..1 Criterion XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.templateId:assessment-scale-obs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.classCoderequiredFixed Value: OBS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.moodCoderequiredFixed Value: EVN
    http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
    Observation.sdtcCategory:survey.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206
    Observation.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Observation.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Observation.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    Observation.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.interpretationCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.methodCodeexampleObservationMethod
    http://terminology.hl7.org/ValueSet/v3-ObservationMethod
    Observation.entryRelationship:supportingObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    Observation.referenceRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeCoderequiredFixed Value: REFV
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.classCoderequiredCDAActClassObservation
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
    http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate
    Observation.referenceRange.observationRange.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Observation.referenceRange.observationRange.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.referenceRange.observationRange.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.referenceRange.observationRange.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.referenceRange.observationRange.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.referenceRange.observationRange.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeCoderequiredFixed Value: PRCN
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCoderequiredRelationshipConjunction
    http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorObservation.typeId, Observation.entryRelationship:supportingObs.typeId, Observation.referenceRange.typeId, Observation.referenceRange.observationRange.typeId, Observation.referenceRange.observationRange.sdtcPrecondition1.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    This structure is derived from Observation

    Summary

    Mandatory: 9 elements(3 nested mandatory elements)
    Fixed: 4 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.templateId
    • The element 2 is sliced based on the values of Observation.sdtcCategory
    • The element 2 is sliced based on the values of Observation.entryRelationship

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Fixed Value: OBS
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... Slices for sdtcCategory 0..* CD Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    .... sdtcCategory:survey 0..1 CD Survey
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... statusCode 1..1 CS
    .... @code 1..1 cs Fixed Value: completed
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... value 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    ... interpretationCode 0..* CE
    .... translation 0..* CD
    ... author 0..* Author
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @typeCode 1..1 cs Fixed Value: COMP
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe

    doco Documentation for this format

    Terminology Bindings (Differential)

    PathConformanceValueSetURI
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206

    Constraints

    IdGradePath(s)DetailsRequirements
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... Slices for sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    XML: category (urn:hl7-org:sdtc)
    .... sdtcCategory:survey 0..1 CD XML Namespace: urn:hl7-org:sdtc
    Survey
    XML: category (urn:hl7-org:sdtc)
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ..... @codeSystemName 0..1 st
    ..... @codeSystemVersion 0..1 st
    ..... @displayName 0..1 st
    ..... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    ..... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ..... originalText 0..1 ED
    ..... qualifier 0..* CR
    ..... translation 0..* CD
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value 1..1 This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    .... value ANY
    .... value BL
    .... value ED
    .... value ST
    .... value CD
    .... value CV
    .... value CE
    .... value CO
    .... value SC
    .... value II
    .... value TEL
    .... value AD
    .... value EN
    .... value INT
    .... value REAL
    .... value PQ
    .... value MO
    .... value TS
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... translation 0..* CD
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* Author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: COMP
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ..... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ..... code 0..1 CD Binding: v3 Code System ActCode (example)
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ...... @integrityCheck 0..1 bin
    ...... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ...... @language 0..1 cs
    ...... @mediaType 0..1 cs Binding: MediaType (example)
    ...... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ...... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ...... thumbnail 0..1 ED
    ..... value 0..1
    ...... value BL
    ...... value ED
    ...... value ST
    ...... value CD
    ...... value CV
    ...... value CE
    ...... value CO
    ...... value SC
    ...... value II
    ...... value TEL
    ...... value AD
    ...... value EN
    ...... value INT
    ...... value REAL
    ...... value PQ
    ...... value MO
    ...... value TS
    ...... value IVL_PQ
    ...... value IVL_TS
    ...... value PIVL_TS
    ...... value EIVL_TS
    ...... value SXPR_TS
    ..... interpretationCode 0..1 CE Binding: CDAObservationInterpretation (required)
    ..... sdtcPrecondition1 0..* InfrastructureRoot XML Namespace: urn:hl7-org:sdtc
    XML: precondition1 (urn:hl7-org:sdtc)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... @assigningAuthorityName 0..1 st
    ....... @displayable 0..1 bl
    ....... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ....... @extension 1..1 st
    ...... templateId 0..* II
    ...... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: PRCN
    ...... conjunctionCode 1..1 CS XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    Binding: RelationshipConjunction (2.0.0) (required)
    ...... criterion1 1..1 Criterion XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.templateId:assessment-scale-obs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.classCoderequiredFixed Value: OBS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.moodCoderequiredFixed Value: EVN
    http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
    Observation.sdtcCategory:survey.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206
    Observation.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Observation.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Observation.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    Observation.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.interpretationCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.methodCodeexampleObservationMethod
    http://terminology.hl7.org/ValueSet/v3-ObservationMethod
    Observation.entryRelationship:supportingObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    Observation.referenceRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeCoderequiredFixed Value: REFV
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.classCoderequiredCDAActClassObservation
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
    http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate
    Observation.referenceRange.observationRange.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Observation.referenceRange.observationRange.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.referenceRange.observationRange.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.referenceRange.observationRange.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.referenceRange.observationRange.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.referenceRange.observationRange.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeCoderequiredFixed Value: PRCN
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCoderequiredRelationshipConjunction
    http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorObservation.typeId, Observation.entryRelationship:supportingObs.typeId, Observation.referenceRange.typeId, Observation.referenceRange.observationRange.typeId, Observation.referenceRange.observationRange.sdtcPrecondition1.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-sdtcCategory, category-survey
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
    .... templateId:assessment-scale-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.69
    ..... @extension 1..1 st Required Pattern: 2022-06-01
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... Slices for sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    Category is optional, but if present it SHALL contain a category with code=survey.
    Slice: Unordered, Open by value:code, value:codeSystem
    XML: category (urn:hl7-org:sdtc)
    .... sdtcCategory:survey 0..1 CD XML Namespace: urn:hl7-org:sdtc
    Survey
    XML: category (urn:hl7-org:sdtc)
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @code 1..1 cs Required Pattern: survey
    ..... @codeSystem 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.4.642.1.1125
    ..... @codeSystemName 0..1 st
    ..... @codeSystemVersion 0..1 st
    ..... @displayName 0..1 st
    ..... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    ..... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ..... originalText 0..1 ED
    ..... qualifier 0..* CR
    ..... translation 0..* CD
    ... code C 1..1 CD For Social Determinant of Health Assessments
    Binding: Screening and Assessment Survey Codes . (required)
    Constraints: should-translation
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... qualifier 0..* CR
    .... translation 0..* CD Binding: Social Determinants of Health Screening Assessments And Questions . (preferred)
    ... derivationExpr 0..1 ST Such derivation expression can contain a text calculation of how the components total up to the summed score
    ... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail 0..1 ED
    ... statusCode 1..1 CS Binding: ActStatus (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 1..1 cs Fixed Value: completed
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    ... effectiveTime 1..1 IVL_TS Represents clinically effective time of the measurement, which may be when the measurement was performed (e.g., a BP measurement), or may be when sample was taken (and measured some time afterwards)
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value 1..1 This is intended to hold the overall assessment score. This could be calculated from the contained Assessment Scale Supporting Observations
    .... value ANY
    .... value BL
    .... value ED
    .... value ST
    .... value CD
    .... value CV
    .... value CE
    .... value CO
    .... value SC
    .... value II
    .... value TEL
    .... value AD
    .... value EN
    .... value INT
    .... value REAL
    .... value PQ
    .... value MO
    .... value TS
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @code 0..1 cs
    .... @codeSystem 0..1 oid, uuid, ruid
    .... @codeSystemName 0..1 st
    .... @codeSystemVersion 0..1 st
    .... @displayName 0..1 st
    .... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
    XML: valueSet (urn:hl7-org:sdtc)
    .... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
    XML: valueSetVersion (urn:hl7-org:sdtc)
    .... originalText 0..1 ED
    .... translation 0..* CD
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author 0..* Author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 0..* EntryRelationship Slice: Unordered, Open by profile:observation, value:typeCode
    .... entryRelationship:supportingObs 0..* EntryRelationship entryRelationship
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: COMP
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 AssessmentScaleSupportingObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot The referenceRange/observationRange/text, if present, MAY contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7 = moderate pain, 8 to 10 = severe pain)
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange C 1..1 ObservationRange Constraints: should-text, should-text-ref-value
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @classCode 0..1 cs Binding: CDAActClassObservation (required)
    ..... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
    Fixed Value: EVN.CRT
    ..... code 0..1 CD Binding: v3 Code System ActCode (example)
    ..... text 0..1 ED The text may contain a description of the scale (e.g., for a Pain Scale 1 to 10: 1 to 3 = little pain, 4 to 7= moderate pain, 8 to 10 = severe pain)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    ...... @integrityCheck 0..1 bin
    ...... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    ...... @language 0..1 cs
    ...... @mediaType 0..1 cs Binding: MediaType (example)
    ...... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    ...... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    ...... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ...... thumbnail 0..1 ED
    ..... value 0..1
    ...... value BL
    ...... value ED
    ...... value ST
    ...... value CD
    ...... value CV
    ...... value CE
    ...... value CO
    ...... value SC
    ...... value II
    ...... value TEL
    ...... value AD
    ...... value EN
    ...... value INT
    ...... value REAL
    ...... value PQ
    ...... value MO
    ...... value TS
    ...... value IVL_PQ
    ...... value IVL_TS
    ...... value PIVL_TS
    ...... value EIVL_TS
    ...... value SXPR_TS
    ..... interpretationCode 0..1 CE Binding: CDAObservationInterpretation (required)
    ..... sdtcPrecondition1 0..* InfrastructureRoot XML Namespace: urn:hl7-org:sdtc
    XML: precondition1 (urn:hl7-org:sdtc)
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... realmCode 0..* CS
    ...... typeId C 0..1 II Constraints: II-1
    ....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ....... @assigningAuthorityName 0..1 st
    ....... @displayable 0..1 bl
    ....... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ....... @extension 1..1 st
    ...... templateId 0..* II
    ...... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: PRCN
    ...... conjunctionCode 1..1 CS XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    Binding: RelationshipConjunction (2.0.0) (required)
    ...... criterion1 1..1 Criterion XML Namespace: urn:hl7-org:sdtc
    XML Namespace: urn:hl7-org:sdtc
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    Observation.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.templateId:assessment-scale-obs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.classCoderequiredFixed Value: OBS
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.moodCoderequiredFixed Value: EVN
    http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
    Observation.sdtcCategory:survey.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.coderequiredScreeningAndAssessmentSurveyCodes .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.13
    Observation.code.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.code.translationpreferredSocialDeterminantsOfHealthScreeningAssessmentsAndQuestions .
    http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1247.206
    Observation.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.statusCoderequiredActStatus
    http://terminology.hl7.org/ValueSet/v3-ActStatus
    Observation.statusCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.priorityCodeexampleActPriority
    http://terminology.hl7.org/ValueSet/v3-ActPriority
    Observation.languageCoderequiredAllLanguages
    http://hl7.org/fhir/ValueSet/all-languages
    From the FHIR Standard
    Observation.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.interpretationCode.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.methodCodeexampleObservationMethod
    http://terminology.hl7.org/ValueSet/v3-ObservationMethod
    Observation.entryRelationship:supportingObs.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.entryRelationship:supportingObs.typeCoderequiredFixed Value: COMP
    http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship
    Observation.referenceRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.typeCoderequiredFixed Value: REFV
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.classCoderequiredCDAActClassObservation
    http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
    Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
    http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate
    Observation.referenceRange.observationRange.codeexampleActCode
    http://terminology.hl7.org/ValueSet/v3-ActCode
    Observation.referenceRange.observationRange.text.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.text.compressionrequiredCDACompressionAlgorithm
    http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
    Observation.referenceRange.observationRange.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
    http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
    Observation.referenceRange.observationRange.text.mediaTypeexampleMediaType
    http://terminology.hl7.org/ValueSet/v3-MediaType
    Observation.referenceRange.observationRange.text.representationrequiredBinaryDataEncoding
    http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
    Observation.referenceRange.observationRange.interpretationCoderequiredCDAObservationInterpretation
    http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
    Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavorrequiredCDANullFlavor
    http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
    Observation.referenceRange.observationRange.sdtcPrecondition1.typeCoderequiredFixed Value: PRCN
    http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
    Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCoderequiredRelationshipConjunction
    http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0

    Constraints

    IdGradePath(s)DetailsRequirements
    II-1errorObservation.typeId, Observation.entryRelationship:supportingObs.typeId, Observation.referenceRange.typeId, Observation.referenceRange.observationRange.typeId, Observation.referenceRange.observationRange.sdtcPrecondition1.typeIdAn II instance must have either a root or an nullFlavor.
    : root.exists() or nullFlavor.exists()
    category-surveyerrorObservationIf category is present, then there shall be a category with code 'survey'.
    : sdtcCategory.empty() or sdtcCategory.exists(code = 'survey' and codeSystem = '2.16.840.1.113883.4.642.1.1125')
    should-sdtcCategorywarningObservationSHOULD contain sdtcCategory
    : sdtcCategory.exists()
    should-textwarningObservation.referenceRange.observationRangeSHOULD contain text
    : text.exists()
    should-text-ref-valuewarningObservation, Observation.referenceRange.observationRangeSHOULD contain text/reference/@value
    : text.reference.value.exists()
    should-translationwarningObservation.codeSHOULD contain translation
    : translation.exists()
    value-starts-octothorpeerrorObservation.text.reference, Observation.referenceRange.observationRange.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
    : value.exists() implies value.startsWith('#')

    This structure is derived from Observation

    Summary

    Mandatory: 9 elements(3 nested mandatory elements)
    Fixed: 4 elements

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 2 is sliced based on the values of Observation.templateId
    • The element 2 is sliced based on the values of Observation.sdtcCategory
    • The element 2 is sliced based on the values of Observation.entryRelationship

     

    Other representations of profile: CSV, Excel