Consolidated CDA (C-CDA)
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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: BasicOccupationObservation - Detailed Descriptions

Draft as of 2025-08-21

Definitions for the BasicOccupationObservation logical model.

Guidance on how to interpret the contents of this table can be foundhere

0. Observation
Definition

Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.


Base definition for all types defined in FHIR type system.

ShortBase for all types and resources
Control10..1*
Is Modifierfalse
Logical ContainerClinicalDocument (CDA Class)
ValidationInstance of this type are validated by templateId
XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
should-sdtcCategory: SHOULD contain sdtcCategory (sdtcCategory.exists())
category-social-history: If category is present, then there shall be a category with code 'social-history'. (sdtcCategory.empty() or sdtcCategory.exists(code = 'social-history' and codeSystem = 'http://terminology.hl7.org/CodeSystem/observation-category'))
should-value: SHOULD contain value (value.exists())
4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
should-sh-author: SHOULD contain author (author.exists())
2. Observation.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
4. Observation.realmCode
Definition

When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

Control0..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
6. Observation.typeId
Definition

When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

Control0..1
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
8. Observation.typeId.nullFlavor
Definition

If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

Control0..1
BindingThe codes SHALL be taken from CDANullFlavor
(required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
Typecode(cs: Coded Simple Value)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExceptional Value Detail
10. Observation.typeId.assigningAuthorityName
Definition

A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

Control0..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelAssigning Authority Name
12. Observation.typeId.displayable
Definition

Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

Control0..1
Typeboolean(bl: Boolean)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelDisplayable
14. Observation.typeId.root
Definition

Identifies the type as an HL7 Registered model

Control1..1
Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelRoot
Fixed Value2.16.840.1.113883.1.3
16. Observation.typeId.extension
Definition

A character string as a unique identifier within the scope of the identifier root.

Control1..1
Typestring(st: Character String)
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
XML FormatIn the XML format, this property is represented as an attribute.
LabelExtension
18. Observation.templateId
Definition

When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

Control2..*
Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 20. Observation.templateId:social-history-obs
    Slice Namesocial-history-obs
    Definition

    When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    22. Observation.templateId:social-history-obs.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    24. Observation.templateId:social-history-obs.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    26. Observation.templateId:social-history-obs.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    28. Observation.templateId:social-history-obs.root
    Definition

    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.4.38
    30. Observation.templateId:social-history-obs.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2022-06-01
    32. Observation.templateId:basic-occupation-obs
    Slice Namebasic-occupation-obs
    Definition

    When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

    Control1..1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
    34. Observation.templateId:basic-occupation-obs.nullFlavor
    Definition

    If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

    Control0..1
    BindingThe codes SHALL be taken from CDANullFlavor
    (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExceptional Value Detail
    36. Observation.templateId:basic-occupation-obs.assigningAuthorityName
    Definition

    A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

    Control0..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelAssigning Authority Name
    38. Observation.templateId:basic-occupation-obs.displayable
    Definition

    Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelDisplayable
    40. Observation.templateId:basic-occupation-obs.root
    Definition

    A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

    Control1..1
    Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelRoot
    Pattern Value2.16.840.1.113883.10.20.22.4.503
    42. Observation.templateId:basic-occupation-obs.extension
    Definition

    A character string as a unique identifier within the scope of the identifier root.

    Control1..1
    Typestring(st: Character String)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    LabelExtension
    Pattern Value2023-05-01
    44. Observation.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

    Control1..1
    BindingThe codes SHALL be taken from CDAActClassObservation
    (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueOBS
    46. Observation.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

    Control1..1
    BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
    (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
    Typecode(cs: Coded Simple Value)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    Fixed ValueEVN
    48. Observation.negationInd
    Control0..1
    Typeboolean(bl: Boolean)
    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
    XML FormatIn the XML format, this property is represented as an attribute.
    50. Observation.id
    Definition

    The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

    ShortLogical id of this artifact
    Comments

    SHALL contain at least one [1..*] id (CONF:4515-8551).


    Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.

    Control10..*1
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IIid
    Is Modifierfalse
    52. Observation.sdtcCategory
    ShortCategory is optional, but if present it SHALL contain a category with code=social-history.
    Control0..*
    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
    XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
    SlicingThis element introduces a set of slices on Observation.sdtcCategory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • value @ code
    • value @ codeSystem
    • 54. Observation.sdtcCategory:social-history
      Slice Namesocial-history
      ShortSocial History
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
      56. Observation.sdtcCategory:social-history.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      58. Observation.sdtcCategory:social-history.code
      Definition

      The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

      Control1..1
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode
      Pattern Valuesocial-history
      60. Observation.sdtcCategory:social-history.codeSystem
      Definition

      Specifies the code system that defines the code.

      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System
      Pattern Valuehttp://terminology.hl7.org/CodeSystem/observation-category
      62. Observation.sdtcCategory:social-history.codeSystemName
      Definition

      The common name of the coding system.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Name
      64. Observation.sdtcCategory:social-history.codeSystemVersion
      Definition

      If applicable, a version descriptor defined specifically for the given code system.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Version
      66. Observation.sdtcCategory:social-history.displayName
      Definition

      A name or title for the code, under which the sending system shows the code value to its users.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplay Name
      68. Observation.sdtcCategory:social-history.sdtcValueSet
      Definition

      The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

      Control0..1
      Typestring(oid: ISO Object Identifier)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
      70. Observation.sdtcCategory:social-history.sdtcValueSetVersion
      Definition

      The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
      72. Observation.sdtcCategory:social-history.originalText
      Definition

      The text or phrase used as the basis for the coding.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
      LabelOriginal Text
      74. Observation.sdtcCategory:social-history.qualifier
      Definition

      Specifies additional codes that increase the specificity of the the primary code.

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
      LabelQualifier
      76. Observation.sdtcCategory:social-history.translation
      Definition

      A set of other concept descriptors that translate this concept descriptor into other code systems.

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      78. Observation.code
      Definition

      Describes what was observed. Sometimes this is called the observation "name".

      ShortHistory of OccupationType of observation (code / type)
      Comments

      This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).


      All code-value and, if present, component.code-component.value pairs need to be taken into account to correctly understand the meaning of the observation.

      Control1..1
      This element is affected by the following invariants: obs-7
      BindingThe codes SHOULD be taken from For example codes, see Social History Type .http://hl7.org/fhir/ValueSet/observation-codes
      (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.28)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CDCodeableConcept
      Is Modifierfalse
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      Requirements

      Knowing what kind of observation is being made is essential to understanding the observation.

      Alternate NamesName
      Invariants4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). (codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists())
      ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      80. Observation.code.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      82. Observation.code.code
      Definition

      The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

      Control1..1
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode
      Pattern Value11341-5
      84. Observation.code.codeSystem
      Definition

      Specifies the code system that defines the code.

      ShortLOINC
      Control1..1
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System
      Pattern Value2.16.840.1.113883.6.1
      86. Observation.code.codeSystemName
      Definition

      The common name of the coding system.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Name
      88. Observation.code.codeSystemVersion
      Definition

      If applicable, a version descriptor defined specifically for the given code system.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Version
      90. Observation.code.displayName
      Definition

      A name or title for the code, under which the sending system shows the code value to its users.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplay Name
      92. Observation.code.sdtcValueSet
      Definition

      The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

      Control0..1
      Typestring(oid: ISO Object Identifier)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
      94. Observation.code.sdtcValueSetVersion
      Definition

      The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
      96. Observation.code.originalText
      Definition

      The text or phrase used as the basis for the coding.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
      LabelOriginal Text
      98. Observation.code.qualifier
      Definition

      Specifies additional codes that increase the specificity of the the primary code.

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
      LabelQualifier
      100. Observation.code.translation
      Definition

      A set of other concept descriptors that translate this concept descriptor into other code systems.

      Control0..*
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      102. Observation.derivationExpr
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
      104. Observation.text
      Definition

      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

      ShortSHOULD reference the portion of section narrative text corresponding to this entryText summary of the resource, for human interpretation
      Comments

      Contained resources do not have a narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

      Control0..1
      This element is affected by the following invariants: dom-6
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/EDNarrative
      Is Modifierfalse
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      Alternate Namesnarrative, html, xhtml, display
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      106. Observation.text.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      108. Observation.text.compression
      Definition

      Indicates whether the raw byte data is compressed, and what compression algorithm was used.

      Control0..1
      BindingThe codes SHALL be taken from CDACompressionAlgorithm
      (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCompression
      110. Observation.text.integrityCheck
      Definition

      The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

      Control0..1
      Typebase64Binary(bin: Binary Data)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelIntegrity Check
      112. Observation.text.integrityCheckAlgorithm
      Definition

      Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

      Control0..1
      BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
      (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelIntegrity Check Algorithm
      114. Observation.text.language
      Definition

      For character based information the language property specifies the human language of the text.

      Control0..1
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelLanguage
      116. Observation.text.mediaType
      Definition

      Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

      Control0..1
      BindingFor example codes, see MediaType
      (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelMedia Type
      118. Observation.text.representation
      Control0..1
      BindingThe codes SHALL be taken from CDABinaryDataEncoding
      (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      120. Observation.text.xmlText
      Definition

      Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

      ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
      Comments

      This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as unadorned text.
      122. Observation.text.reference
      Definition

      A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
      LabelReference
      Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
      124. Observation.text.thumbnail
      Definition

      An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
      LabelThumbnail
      126. Observation.statusCode
      Comments

      SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

      Control1..1
      BindingThe codes SHALL be taken from ActStatus
      (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      128. Observation.statusCode.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      130. Observation.statusCode.code
      Definition

      The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

      Comments

      This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

      Control1..1
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode
      Fixed Valuecompleted
      132. Observation.statusCode.codeSystem
      Definition

      Specifies the code system that defines the code.

      Control0..0
      Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System
      134. Observation.statusCode.codeSystemName
      Definition

      The common name of the coding system.

      Control0..0
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Name
      136. Observation.statusCode.codeSystemVersion
      Definition

      If applicable, a version descriptor defined specifically for the given code system.

      Control0..0
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelCode System Version
      138. Observation.statusCode.displayName
      Definition

      A name or title for the code, under which the sending system shows the code value to its users.

      Control0..0
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelDisplay Name
      140. Observation.statusCode.sdtcValueSet
      Definition

      The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

      Control0..1
      Typestring(oid: ISO Object Identifier)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
      142. Observation.statusCode.sdtcValueSetVersion
      Definition

      The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

      Control0..1
      Typestring(st: Character String)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
      144. Observation.statusCode.originalText
      Definition

      The text or phrase used as the basis for the coding.

      Control0..0
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
      LabelOriginal Text
      146. Observation.statusCode.qualifier
      Definition

      Specifies additional codes that increase the specificity of the the primary code.

      Control0..0
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
      LabelQualifier
      148. Observation.statusCode.translation
      Definition

      A set of other concept descriptors that translate this concept descriptor into other code systems.

      Control0..0
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      LabelTranslation
      150. Observation.effectiveTime
      Comments

      SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
      152. Observation.effectiveTime.nullFlavor
      Definition

      If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

      Control0..1
      BindingThe codes SHALL be taken from CDANullFlavor
      (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      LabelExceptional Value Detail
      154. Observation.effectiveTime.value
      Definition

      A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

      Control0..1
      TypedateTime(ts: Point in Time)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
      XML FormatIn the XML format, this property is represented as an attribute.
      156. Observation.effectiveTime.operator
      Definition

      A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

      Control0..1
      BindingThe codes SHALL be taken from CDASetOperator
      (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
      Typecode(cs: Coded Simple Value)
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      XML FormatIn the XML format, this property is represented as an attribute.
      Default ValueI
      158. Observation.effectiveTime.low
      Definition

      This is the low limit of the interval.

      ShortThe low value reflects the start date of the recorded occupation.
      Comments

      This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
      LabelLow Boundary
      160. Observation.effectiveTime.center
      Definition

      The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
      LabelCentral Value
      162. Observation.effectiveTime.width
      Definition

      The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
      LabelWidth
      164. Observation.effectiveTime.high
      Definition

      This is the high limit of the interval.

      ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
      Comments

      This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
      LabelHigh Boundary
      166. Observation.priorityCode
      Control0..1
      BindingFor example codes, see ActPriority
      (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
      168. Observation.repeatNumber
      Control0..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
      170. Observation.languageCode
      Control0..1
      BindingThe codes SHALL be taken from AllLanguages
      (required to http://hl7.org/fhir/ValueSet/all-languages)
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
      172. Observation.value
      Shorticon Changed:𝗨𝗦𝗖𝗗𝗜: Alcohol Use, Substance Use, SDOH Problems/Health Concerns
      Comments

      SHOULD contain zero or one [0..1] value (CONF:4515-8559).

      Control1..1
      TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
      XML FormatThe type of this property is determined using the xsi:typeattribute.
      SlicingThis element introduces a set of slices on Observation.value. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • type @ $this
      • 174. Observation.value:physical-quantity
        Slice Namephysical-quantity
        Control0..0
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        180. Observation.value:coded
        Slice Namecoded
        Comments

        SHALL contain exactly one [1..1] value with @xsi:type="CD", which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

        Control1..1
        BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
        (required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        XML FormatThe type of this property is determined using the xsi:typeattribute.
        182. Observation.interpretationCode
        Control0..*
        BindingThe codes SHALL be taken from CDAObservationInterpretation
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        184. Observation.methodCode
        Control0..*
        BindingFor example codes, see ObservationMethod
        (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        186. Observation.targetSiteCode
        Definition

        Drawn from concept domain ActSite

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
        188. Observation.subject
        Definition

        The patient, or group of patients, location, device, organization, procedure or practitioner this observation is about and into whose or what record the observation is placed. If the actual focus of the observation is different from the subject (or a sample of, part, or region of the subject), the focus element or the code itself specifies the actual focus of the observation.

        ShortIndicates that this observation is for a related person whose occupation may affect the patient.Who and/or what the observation is about
        Comments

        MAY contain zero or one [0..1] subject (CONF:4537-33058).


        One would expect this element to be a cardinality of 1..1. The only circumstance in which the subject can be missing is when the observation is made by a device that does not know the patient. In this case, the observation SHALL be matched to a patient through some context/channel matching technique, and at this point, the observation should be updated. The subject of an Observation may in some cases be a procedure. This supports the regulatory inspection use case where observations are captured during inspections of a procedure that is being performed (independent of any particular patient or whether patient related at all).

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubjectReference(Patient, Group, Device, Location, Organization, Procedure, Practitioner, Medication, Substance, BiologicallyDerivedProduct, NutritionProduct)
        Is Modifierfalse
        Requirements

        Observations have no value if you don't know who or what they're about.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        190. Observation.subject.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        192. Observation.subject.realmCode
        Definition

        When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
        194. Observation.subject.typeId
        Definition

        When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

        Control0..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
        196. Observation.subject.typeId.nullFlavor
        Definition

        If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

        Control0..1
        BindingThe codes SHALL be taken from CDANullFlavor
        (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExceptional Value Detail
        198. Observation.subject.typeId.assigningAuthorityName
        Definition

        A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

        Control0..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelAssigning Authority Name
        200. Observation.subject.typeId.displayable
        Definition

        Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

        Control0..1
        Typeboolean(bl: Boolean)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelDisplayable
        202. Observation.subject.typeId.root
        Definition

        Identifies the type as an HL7 Registered model

        Control1..1
        Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelRoot
        Fixed Value2.16.840.1.113883.1.3
        204. Observation.subject.typeId.extension
        Definition

        A character string as a unique identifier within the scope of the identifier root.

        Control1..1
        Typestring(st: Character String)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        LabelExtension
        206. Observation.subject.templateId
        Definition

        When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        208. Observation.subject.typeCode
        Control0..1
        BindingThe codes SHALL be taken from ParticipationTargetSubject
        (required to http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueSBJ
        210. Observation.subject.contextControlCode
        Control0..1
        BindingThe codes SHALL be taken from CDAContextControl
        (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
        Typecode(cs: Coded Simple Value)
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        XML FormatIn the XML format, this property is represented as an attribute.
        Fixed ValueOP
        212. Observation.subject.awarenessCode
        Control0..1
        BindingFor example codes, see TargetAwareness
        (example to http://terminology.hl7.org/ValueSet/v3-TargetAwareness)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
        214. Observation.subject.relatedSubject
        Comments

        The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

        Control1..1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject
        216. Observation.specimen
        Definition

        The specimen that was used when this observation was made.

        ShortSpecimen used for this observation
        Comments

        Should only be used if not implicit in code found in Observation.code. Observations are not made on specimens themselves; they are made on a subject, but in many cases by the means of a specimen. Note that although specimens are often involved, they are not always tracked and reported explicitly. Also note that observation resources may be used in contexts that track the specimen explicitly (e.g. Diagnostic Report).

        Control0..*1
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/SpecimenReference(Specimen, Group)
        Is Modifierfalse
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        obs-9: If Observation.specimen is a reference to Group, the group can only have specimens ((reference.resolve().exists() and reference.resolve() is Group) implies reference.resolve().member.entity.resolve().all($this is Specimen))
        218. Observation.performer
        Definition

        Who was responsible for asserting the observed value as "true".

        ShortWho is responsible for the observation
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2Reference(Practitioner, PractitionerRole, Organization, CareTeam, Patient, RelatedPerson)
        Is Modifierfalse
        Requirements

        May give a degree of confidence in the observation and also indicates where follow-up questions should be directed.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        220. Observation.author
        Comments

        SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-31869).

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
        222. Observation.informant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
        224. Observation.participant
        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
        226. Observation.entryRelationship
        Comments

        MAY contain zero or more [0..*] entryRelationship (CONF:4515-32969) such that it

        Control0..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
        SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • profile @ act
        • profile @ observation
        • 228. Observation.entryRelationship:supportingObs
          Slice NamesupportingObs
          ShortWhen an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments.
          Comments

          MAY contain zero or more [0..*] entryRelationship (CONF:4515-32958) such that it

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          230. Observation.entryRelationship:supportingObs.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          232. Observation.entryRelationship:supportingObs.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          234. Observation.entryRelationship:supportingObs.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          236. Observation.entryRelationship:supportingObs.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          238. Observation.entryRelationship:supportingObs.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          240. Observation.entryRelationship:supportingObs.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          242. Observation.entryRelationship:supportingObs.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          244. Observation.entryRelationship:supportingObs.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          246. Observation.entryRelationship:supportingObs.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          248. Observation.entryRelationship:supportingObs.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32960).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSPRT
          250. Observation.entryRelationship:supportingObs.inversionInd
          Definition

          The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          252. Observation.entryRelationship:supportingObs.contextConductionInd
          Definition

          The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          254. Observation.entryRelationship:supportingObs.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          256. Observation.entryRelationship:supportingObs.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          258. Observation.entryRelationship:supportingObs.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          260. Observation.entryRelationship:supportingObs.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          262. Observation.entryRelationship:supportingObs.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          264. Observation.entryRelationship:supportingObs.observation
          Comments

          SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32959).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
          266. Observation.entryRelationship:supportingObs.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          268. Observation.entryRelationship:supportingObs.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          270. Observation.entryRelationship:supportingObs.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          272. Observation.entryRelationship:supportingObs.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          274. Observation.entryRelationship:supportingObs.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          276. Observation.entryRelationship:supportingObs.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          278. Observation.entryRelationship:entryReference
          Slice NameentryReference
          ShortWhen an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments.
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          280. Observation.entryRelationship:entryReference.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          282. Observation.entryRelationship:entryReference.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          284. Observation.entryRelationship:entryReference.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          286. Observation.entryRelationship:entryReference.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          288. Observation.entryRelationship:entryReference.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          290. Observation.entryRelationship:entryReference.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          292. Observation.entryRelationship:entryReference.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          294. Observation.entryRelationship:entryReference.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          296. Observation.entryRelationship:entryReference.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          298. Observation.entryRelationship:entryReference.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32971).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueSPRT
          300. Observation.entryRelationship:entryReference.inversionInd
          Definition

          The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          302. Observation.entryRelationship:entryReference.contextConductionInd
          Definition

          The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          304. Observation.entryRelationship:entryReference.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          306. Observation.entryRelationship:entryReference.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          308. Observation.entryRelationship:entryReference.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          310. Observation.entryRelationship:entryReference.act
          Comments

          SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32970).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
          312. Observation.entryRelationship:entryReference.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          314. Observation.entryRelationship:entryReference.observation
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
          316. Observation.entryRelationship:entryReference.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          318. Observation.entryRelationship:entryReference.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          320. Observation.entryRelationship:entryReference.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          322. Observation.entryRelationship:entryReference.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          324. Observation.entryRelationship:entryReference.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          326. Observation.entryRelationship:entryReference.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          328. Observation.entryRelationship:basic-industry
          Slice Namebasic-industry
          ShortentryRelationship
          Comments

          SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
          330. Observation.entryRelationship:basic-industry.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          332. Observation.entryRelationship:basic-industry.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          334. Observation.entryRelationship:basic-industry.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          336. Observation.entryRelationship:basic-industry.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          338. Observation.entryRelationship:basic-industry.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          340. Observation.entryRelationship:basic-industry.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          342. Observation.entryRelationship:basic-industry.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          344. Observation.entryRelationship:basic-industry.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          346. Observation.entryRelationship:basic-industry.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          348. Observation.entryRelationship:basic-industry.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

          Control1..1
          BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
          (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFR
          350. Observation.entryRelationship:basic-industry.inversionInd
          Definition

          The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          352. Observation.entryRelationship:basic-industry.contextConductionInd
          Definition

          The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Default Valuetrue
          354. Observation.entryRelationship:basic-industry.negationInd
          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          356. Observation.entryRelationship:basic-industry.sequenceNumber
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
          358. Observation.entryRelationship:basic-industry.seperatableInd
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
          360. Observation.entryRelationship:basic-industry.act
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
          362. Observation.entryRelationship:basic-industry.encounter
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
          364. Observation.entryRelationship:basic-industry.observation
          Comments

          SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)
          366. Observation.entryRelationship:basic-industry.observationMedia
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
          368. Observation.entryRelationship:basic-industry.organizer
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
          370. Observation.entryRelationship:basic-industry.procedure
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
          372. Observation.entryRelationship:basic-industry.regionOfInterest
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
          374. Observation.entryRelationship:basic-industry.substanceAdministration
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
          376. Observation.entryRelationship:basic-industry.supply
          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
          378. Observation.reference
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
          380. Observation.precondition
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
          382. Observation.sdtcPrecondition2
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
          384. Observation.referenceRange
          Definition

          Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.


          Guidance on how to interpret the value by comparison to a normal or recommended range. Multiple reference ranges are interpreted as an "OR". In other words, to represent two distinct target populations, two referenceRange elements would be used.

          ShortProvides guide for interpretation
          Comments

          Most observations only have one generic reference range. Systems MAY choose to restrict to only supplying the relevant reference range based on knowledge about the patient (e.g., specific to the patient's age, gender, weight and other factors), but this might not be possible or appropriate. Whenever more than one reference range is supplied, the differences between them SHOULD be provided in the reference range and/or age properties.

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRootBackboneElement
          Is Modifierfalse
          Requirements

          Knowing what values are considered "normal" can help evaluate the significance of a particular result. Need to be able to provide multiple reference ranges for different contexts.

          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          obs-3: Must have at least a low or a high or text (low.exists() or high.exists() or text.exists())
          386. Observation.referenceRange.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          388. Observation.referenceRange.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          390. Observation.referenceRange.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          392. Observation.referenceRange.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          394. Observation.referenceRange.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          396. Observation.referenceRange.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          398. Observation.referenceRange.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          400. Observation.referenceRange.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          402. Observation.referenceRange.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          404. Observation.referenceRange.typeCode
          Control0..1
          BindingThe codes SHALL be taken from CDAActRelationshipType
          (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          Fixed ValueREFV
          406. Observation.referenceRange.observationRange
          Control1..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
          408. Observation.sdtcInFulfillmentOf1
          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.

          Guidance on how to interpret the contents of this table can be foundhere

          0. Observation
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstance of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          2. Observation.templateId
          Control2..?
          4. Observation.templateId:basic-occupation-obs
          Slice Namebasic-occupation-obs
          Control1..1
          6. Observation.templateId:basic-occupation-obs.root
          Control1..?
          Pattern Value2.16.840.1.113883.10.20.22.4.503
          8. Observation.templateId:basic-occupation-obs.extension
          Control1..?
          Pattern Value2023-05-01
          10. Observation.classCode
          Comments

          SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

          12. Observation.moodCode
          Comments

          SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

          14. Observation.code
          ShortHistory of Occupation
          Comments

          This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).

          16. Observation.code.code
          Control1..?
          Pattern Value11341-5
          18. Observation.code.codeSystem
          ShortLOINC
          Control1..?
          Pattern Value2.16.840.1.113883.6.1
          20. Observation.statusCode
          Comments

          SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

          22. Observation.statusCode.code
          Comments

          This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

          24. Observation.effectiveTime
          Comments

          SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

          26. Observation.effectiveTime.low
          ShortThe low value reflects the start date of the recorded occupation.
          Comments

          This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

          Control1..?
          28. Observation.effectiveTime.high
          ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
          Comments

          This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

          30. Observation.value
          Control1..?
          32. Observation.value:physical-quantity
          Slice Namephysical-quantity
          Control0..0
          34. Observation.value:coded
          Slice Namecoded
          Comments

          SHALL contain exactly one [1..1] value with @xsi:type="CD", which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

          Control1..?
          BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
          (required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
          36. Observation.subject
          ShortIndicates that this observation is for a related person whose occupation may affect the patient.
          Comments

          MAY contain zero or one [0..1] subject (CONF:4537-33058).

          38. Observation.subject.relatedSubject
          Comments

          The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

          40. Observation.entryRelationship:basic-industry
          Slice Namebasic-industry
          ShortentryRelationship
          Comments

          SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

          Control0..1
          42. Observation.entryRelationship:basic-industry.typeCode
          Comments

          SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

          Fixed ValueREFR
          44. Observation.entryRelationship:basic-industry.observation
          Comments

          SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

          Control1..?
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)

          Guidance on how to interpret the contents of this table can be foundhere

          0. Observation
          Definition

          Defines the basic properties of every data value. This is an abstract type, meaning that no value can be just a data value without belonging to any concrete type. Every concrete type is a specialization of this general abstract DataValue type.

          ShortBase for all types and resources
          Control1..1
          Is Modifierfalse
          Logical ContainerClinicalDocument (CDA Class)
          ValidationInstance of this type are validated by templateId
          XML FormatIn the XML format, this property has the namespace urn:hl7-org:v3.
          Invariantsshould-text-ref-value: SHOULD contain text/reference/@value (text.reference.value.exists())
          should-sdtcCategory: SHOULD contain sdtcCategory (sdtcCategory.exists())
          category-social-history: If category is present, then there shall be a category with code 'social-history'. (sdtcCategory.empty() or sdtcCategory.exists(code = 'social-history' and codeSystem = 'http://terminology.hl7.org/CodeSystem/observation-category'))
          should-value: SHOULD contain value (value.exists())
          4515-8555: If Observation/value is a physical quantity (xsi:type="PQ"): This value SHALL contain exactly one [1..1] @unit, which SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive urn:oid:2.16.840.1.113883.1.11.12839 DYNAMIC. Note: Base CDA requires that all @unit values SHALL be drawn from UCUM. ()
          should-sh-author: SHOULD contain author (author.exists())
          2. Observation.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          4. Observation.realmCode
          Definition

          When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

          Control0..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
          6. Observation.typeId
          Definition

          When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

          Control0..1
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
          8. Observation.typeId.nullFlavor
          Definition

          If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

          Control0..1
          BindingThe codes SHALL be taken from CDANullFlavor
          (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
          Typecode(cs: Coded Simple Value)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExceptional Value Detail
          10. Observation.typeId.assigningAuthorityName
          Definition

          A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

          Control0..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelAssigning Authority Name
          12. Observation.typeId.displayable
          Definition

          Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

          Control0..1
          Typeboolean(bl: Boolean)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelDisplayable
          14. Observation.typeId.root
          Definition

          Identifies the type as an HL7 Registered model

          Control1..1
          Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelRoot
          Fixed Value2.16.840.1.113883.1.3
          16. Observation.typeId.extension
          Definition

          A character string as a unique identifier within the scope of the identifier root.

          Control1..1
          Typestring(st: Character String)
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          XML FormatIn the XML format, this property is represented as an attribute.
          LabelExtension
          18. Observation.templateId
          Definition

          When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

          Control2..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
          SlicingThis element introduces a set of slices on Observation.templateId. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ root
          • value @ extension
          • 20. Observation.templateId:social-history-obs
            Slice Namesocial-history-obs
            Definition

            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            22. Observation.templateId:social-history-obs.nullFlavor
            Definition

            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            24. Observation.templateId:social-history-obs.assigningAuthorityName
            Definition

            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelAssigning Authority Name
            26. Observation.templateId:social-history-obs.displayable
            Definition

            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

            Control0..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelDisplayable
            28. Observation.templateId:social-history-obs.root
            Definition

            A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Pattern Value2.16.840.1.113883.10.20.22.4.38
            30. Observation.templateId:social-history-obs.extension
            Definition

            A character string as a unique identifier within the scope of the identifier root.

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            Pattern Value2022-06-01
            32. Observation.templateId:basic-occupation-obs
            Slice Namebasic-occupation-obs
            Definition

            When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            34. Observation.templateId:basic-occupation-obs.nullFlavor
            Definition

            If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

            Control0..1
            BindingThe codes SHALL be taken from CDANullFlavor
            (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExceptional Value Detail
            36. Observation.templateId:basic-occupation-obs.assigningAuthorityName
            Definition

            A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

            Control0..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelAssigning Authority Name
            38. Observation.templateId:basic-occupation-obs.displayable
            Definition

            Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

            Control0..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelDisplayable
            40. Observation.templateId:basic-occupation-obs.root
            Definition

            A unique identifier that guarantees the global uniqueness of the instance identifier. The root alone may be the entire instance identifier.

            Control1..1
            Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelRoot
            Pattern Value2.16.840.1.113883.10.20.22.4.503
            42. Observation.templateId:basic-occupation-obs.extension
            Definition

            A character string as a unique identifier within the scope of the identifier root.

            Control1..1
            Typestring(st: Character String)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            LabelExtension
            Pattern Value2023-05-01
            44. Observation.classCode
            Comments

            SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:4537-33000).

            Control1..1
            BindingThe codes SHALL be taken from CDAActClassObservation
            (required to http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueOBS
            46. Observation.moodCode
            Comments

            SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001) (CONF:4537-33001).

            Control1..1
            BindingThe codes SHALL be taken from XActMoodDocumentObservation (2.0.0)
            (required to http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0)
            Typecode(cs: Coded Simple Value)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            Fixed ValueEVN
            48. Observation.negationInd
            Control0..1
            Typeboolean(bl: Boolean)
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            XML FormatIn the XML format, this property is represented as an attribute.
            50. Observation.id
            Comments

            SHALL contain at least one [1..*] id (CONF:4515-8551).

            Control1..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
            52. Observation.sdtcCategory
            ShortCategory is optional, but if present it SHALL contain a category with code=social-history.
            Control0..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
            SlicingThis element introduces a set of slices on Observation.sdtcCategory. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • value @ code
            • value @ codeSystem
            • 54. Observation.sdtcCategory:social-history
              Slice Namesocial-history
              ShortSocial History
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namecategory.
              56. Observation.sdtcCategory:social-history.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              58. Observation.sdtcCategory:social-history.code
              Definition

              The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

              Control1..1
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode
              Pattern Valuesocial-history
              60. Observation.sdtcCategory:social-history.codeSystem
              Definition

              Specifies the code system that defines the code.

              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System
              Pattern Valuehttp://terminology.hl7.org/CodeSystem/observation-category
              62. Observation.sdtcCategory:social-history.codeSystemName
              Definition

              The common name of the coding system.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Name
              64. Observation.sdtcCategory:social-history.codeSystemVersion
              Definition

              If applicable, a version descriptor defined specifically for the given code system.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Version
              66. Observation.sdtcCategory:social-history.displayName
              Definition

              A name or title for the code, under which the sending system shows the code value to its users.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplay Name
              68. Observation.sdtcCategory:social-history.sdtcValueSet
              Definition

              The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

              Control0..1
              Typestring(oid: ISO Object Identifier)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
              70. Observation.sdtcCategory:social-history.sdtcValueSetVersion
              Definition

              The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
              72. Observation.sdtcCategory:social-history.originalText
              Definition

              The text or phrase used as the basis for the coding.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              LabelOriginal Text
              74. Observation.sdtcCategory:social-history.qualifier
              Definition

              Specifies additional codes that increase the specificity of the the primary code.

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
              LabelQualifier
              76. Observation.sdtcCategory:social-history.translation
              Definition

              A set of other concept descriptors that translate this concept descriptor into other code systems.

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              LabelTranslation
              78. Observation.code
              ShortHistory of Occupation
              Comments

              This code SHALL contain exactly one [1..1] @code="11341-5" History of Occupation (CONF:4537-33002).

              Control1..1
              BindingThe codes SHOULD be taken from Social History Type .
              (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1267.28)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              Invariants4515-32956: If @codeSystem is not LOINC, then this code **SHALL** contain at least one [1..*] translation, which **SHOULD** be selected from CodeSystem LOINC (urn:oid:2.16.840.1.113883.6.1) (CONF:4515-32956). (codeSystem = '2.16.840.1.113883.6.1' or translation.where(codeSystem = '2.16.840.1.113883.6.1').exists())
              80. Observation.code.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              82. Observation.code.code
              Definition

              The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

              Control1..1
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode
              Pattern Value11341-5
              84. Observation.code.codeSystem
              Definition

              Specifies the code system that defines the code.

              ShortLOINC
              Control1..1
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System
              Pattern Value2.16.840.1.113883.6.1
              86. Observation.code.codeSystemName
              Definition

              The common name of the coding system.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Name
              88. Observation.code.codeSystemVersion
              Definition

              If applicable, a version descriptor defined specifically for the given code system.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Version
              90. Observation.code.displayName
              Definition

              A name or title for the code, under which the sending system shows the code value to its users.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplay Name
              92. Observation.code.sdtcValueSet
              Definition

              The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

              Control0..1
              Typestring(oid: ISO Object Identifier)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
              94. Observation.code.sdtcValueSetVersion
              Definition

              The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
              96. Observation.code.originalText
              Definition

              The text or phrase used as the basis for the coding.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              LabelOriginal Text
              98. Observation.code.qualifier
              Definition

              Specifies additional codes that increase the specificity of the the primary code.

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
              LabelQualifier
              100. Observation.code.translation
              Definition

              A set of other concept descriptors that translate this concept descriptor into other code systems.

              Control0..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              LabelTranslation
              102. Observation.derivationExpr
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
              104. Observation.text
              ShortSHOULD reference the portion of section narrative text corresponding to this entry
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              106. Observation.text.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              108. Observation.text.compression
              Definition

              Indicates whether the raw byte data is compressed, and what compression algorithm was used.

              Control0..1
              BindingThe codes SHALL be taken from CDACompressionAlgorithm
              (required to http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCompression
              110. Observation.text.integrityCheck
              Definition

              The integrity check is a short binary value representing a cryptographically strong checksum that is calculated over the binary data. The purpose of this property, when communicated with a reference is for anyone to validate later whether the reference still resolved to the same data that the reference resolved to when the encapsulated data value with reference was created.

              Control0..1
              Typebase64Binary(bin: Binary Data)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelIntegrity Check
              112. Observation.text.integrityCheckAlgorithm
              Definition

              Specifies the algorithm used to compute the integrityCheck value. The cryptographically strong checksum algorithm Secure Hash Algorithm-1 (SHA-1) is currently the industry standard. It has superseded the MD5 algorithm only a couple of years ago, when certain flaws in the security of MD5 were discovered. Currently the SHA-1 hash algorithm is the default choice for the integrity check algorithm. Note that SHA-256 is also entering widespread usage.

              Control0..1
              BindingThe codes SHALL be taken from IntegrityCheckAlgorithm (2.0.0)
              (required to http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelIntegrity Check Algorithm
              114. Observation.text.language
              Definition

              For character based information the language property specifies the human language of the text.

              Control0..1
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelLanguage
              116. Observation.text.mediaType
              Definition

              Identifies the type of the encapsulated data and identifies a method to interpret or render the data.

              Control0..1
              BindingFor example codes, see MediaType
              (example to http://terminology.hl7.org/ValueSet/v3-MediaType)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelMedia Type
              118. Observation.text.representation
              Control0..1
              BindingThe codes SHALL be taken from CDABinaryDataEncoding
              (required to http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              120. Observation.text.xmlText
              Definition

              Data that is primarily intended for human interpretation or for further machine processing is outside the scope of HL7. This includes unformatted or formatted written language, multimedia data, or structured information as defined by a different standard (e.g., XML-signatures.)

              ShortAllows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
              Comments

              This element is represented in XML as textual content. The actual name "xmlText" will not appear in a CDA instance.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as unadorned text.
              122. Observation.text.reference
              Definition

              A telecommunication address (TEL), such as a URL for HTTP or FTP, which will resolve to precisely the same binary data that could as well have been provided as inline data.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/TEL
              LabelReference
              Invariantsvalue-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative (value.exists() implies value.startsWith('#'))
              124. Observation.text.thumbnail
              Definition

              An abbreviated rendition of the full data. A thumbnail requires significantly fewer resources than the full data, while still maintaining some distinctive similarity with the full data. A thumbnail is typically used with by-reference encapsulated data. It allows a user to select data more efficiently before actually downloading through the reference.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              LabelThumbnail
              126. Observation.statusCode
              Comments

              SHALL contain exactly one [1..1] statusCode (CONF:4537-32997).

              Control1..1
              BindingThe codes SHALL be taken from ActStatus
              (required to http://terminology.hl7.org/ValueSet/v3-ActStatus)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
              128. Observation.statusCode.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              130. Observation.statusCode.code
              Definition

              The plain code symbol defined by the code system. For example, "784.0" is the code symbol of the ICD-9 code "784.0" for headache.

              Comments

              This statusCode SHALL contain exactly one [1..1] @code="completed" (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14) (CONF:4537-33004).

              Control1..1
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode
              Fixed Valuecompleted
              132. Observation.statusCode.codeSystem
              Definition

              Specifies the code system that defines the code.

              Control0..0
              Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System
              134. Observation.statusCode.codeSystemName
              Definition

              The common name of the coding system.

              Control0..0
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Name
              136. Observation.statusCode.codeSystemVersion
              Definition

              If applicable, a version descriptor defined specifically for the given code system.

              Control0..0
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelCode System Version
              138. Observation.statusCode.displayName
              Definition

              A name or title for the code, under which the sending system shows the code value to its users.

              Control0..0
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelDisplay Name
              140. Observation.statusCode.sdtcValueSet
              Definition

              The valueSet extension adds an attribute for elements with a CD dataType which indicates the particular value set constraining the coded concept.

              Control0..1
              Typestring(oid: ISO Object Identifier)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSet.
              142. Observation.statusCode.sdtcValueSetVersion
              Definition

              The valueSetVersion extension adds an attribute for elements with a CD dataType which indicates the version of the particular value set constraining the coded concept.

              Control0..1
              Typestring(st: Character String)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.In the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual namevalueSetVersion.
              144. Observation.statusCode.originalText
              Definition

              The text or phrase used as the basis for the coding.

              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
              LabelOriginal Text
              146. Observation.statusCode.qualifier
              Definition

              Specifies additional codes that increase the specificity of the the primary code.

              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
              LabelQualifier
              148. Observation.statusCode.translation
              Definition

              A set of other concept descriptors that translate this concept descriptor into other code systems.

              Control0..0
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              LabelTranslation
              150. Observation.effectiveTime
              Comments

              SHALL contain exactly one [1..1] effectiveTime (CONF:4537-33005).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
              152. Observation.effectiveTime.nullFlavor
              Definition

              If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

              Control0..1
              BindingThe codes SHALL be taken from CDANullFlavor
              (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              LabelExceptional Value Detail
              154. Observation.effectiveTime.value
              Definition

              A quantity specifying a point on the axis of natural time. A point in time is most often represented as a calendar expression.

              Control0..1
              TypedateTime(ts: Point in Time)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Date FormatYYYYMMDDHHMMSS.UUUU[+|-ZZzz]
              XML FormatIn the XML format, this property is represented as an attribute.
              156. Observation.effectiveTime.operator
              Definition

              A code specifying whether the set component is included (union) or excluded (set-difference) from the set, or other set operations with the current set component and the set as constructed from the representation stream up to the current point.

              Control0..1
              BindingThe codes SHALL be taken from CDASetOperator
              (required to http://hl7.org/cda/stds/core/ValueSet/CDASetOperator)
              Typecode(cs: Coded Simple Value)
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              XML FormatIn the XML format, this property is represented as an attribute.
              Default ValueI
              158. Observation.effectiveTime.low
              Definition

              This is the low limit of the interval.

              ShortThe low value reflects the start date of the recorded occupation.
              Comments

              This effectiveTime SHALL contain exactly one [1..1] low (CONF:4537-33007).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
              LabelLow Boundary
              160. Observation.effectiveTime.center
              Definition

              The arithmetic mean of the interval (low plus high divided by 2). The purpose of distinguishing the center as a semantic property is for conversions of intervals from and to point values.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/TS
              LabelCentral Value
              162. Observation.effectiveTime.width
              Definition

              The difference between high and low boundary. The purpose of distinguishing a width property is to handle all cases of incomplete information symmetrically. In any interval representation only two of the three properties high, low, and width need to be stated and the third can be derived.

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
              LabelWidth
              164. Observation.effectiveTime.high
              Definition

              This is the high limit of the interval.

              ShortThe high value reflects the end date of the recorded occupation. An absent high value means the occupation was current at the time the document was generated.
              Comments

              This effectiveTime MAY contain zero or one [0..1] high (CONF:4537-33008).

              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVXB-TS
              LabelHigh Boundary
              166. Observation.priorityCode
              Control0..1
              BindingFor example codes, see ActPriority
              (example to http://terminology.hl7.org/ValueSet/v3-ActPriority)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
              168. Observation.repeatNumber
              Control0..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
              170. Observation.languageCode
              Control0..1
              BindingThe codes SHALL be taken from AllLanguages
              (required to http://hl7.org/fhir/ValueSet/all-languages)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
              172. Observation.value
              Shorticon Changed:𝗨𝗦𝗖𝗗𝗜: Alcohol Use, Substance Use, SDOH Problems/Health Concerns
              Comments

              SHOULD contain zero or one [0..1] value (CONF:4515-8559).

              Control1..1
              TypeChoice of: http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/SC, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ
              XML FormatThe type of this property is determined using the xsi:typeattribute.
              SlicingThis element introduces a set of slices on Observation.value. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • type @ $this
              • 174. Observation.value:physical-quantity
                Slice Namephysical-quantity
                Control0..0
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/PQ
                XML FormatThe type of this property is determined using the xsi:typeattribute.
                180. Observation.value:coded
                Slice Namecoded
                Comments

                SHALL contain exactly one [1..1] value with @xsi:type="CD", which SHALL be selected from ValueSet Occupation ONETSOC Detail (ODH) urn:oid:2.16.840.1.114222.4.11.7901 DYNAMIC (CONF:4537-33006).

                Control1..1
                BindingThe codes SHALL be taken from Occupation ONETSOC Detail (ODH)
                (required to http://phinvads.cdc.gov/fhir/ValueSet/2.16.840.1.114222.4.11.7901)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                XML FormatThe type of this property is determined using the xsi:typeattribute.
                182. Observation.interpretationCode
                Control0..*
                BindingThe codes SHALL be taken from CDAObservationInterpretation
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                184. Observation.methodCode
                Control0..*
                BindingFor example codes, see ObservationMethod
                (example to http://terminology.hl7.org/ValueSet/v3-ObservationMethod)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                186. Observation.targetSiteCode
                Definition

                Drawn from concept domain ActSite

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                188. Observation.subject
                ShortIndicates that this observation is for a related person whose occupation may affect the patient.
                Comments

                MAY contain zero or one [0..1] subject (CONF:4537-33058).

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                190. Observation.subject.nullFlavor
                Definition

                If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                192. Observation.subject.realmCode
                Definition

                When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                194. Observation.subject.typeId
                Definition

                When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                Control0..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                196. Observation.subject.typeId.nullFlavor
                Definition

                If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                Control0..1
                BindingThe codes SHALL be taken from CDANullFlavor
                (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExceptional Value Detail
                198. Observation.subject.typeId.assigningAuthorityName
                Definition

                A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                Control0..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelAssigning Authority Name
                200. Observation.subject.typeId.displayable
                Definition

                Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                Control0..1
                Typeboolean(bl: Boolean)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelDisplayable
                202. Observation.subject.typeId.root
                Definition

                Identifies the type as an HL7 Registered model

                Control1..1
                Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelRoot
                Fixed Value2.16.840.1.113883.1.3
                204. Observation.subject.typeId.extension
                Definition

                A character string as a unique identifier within the scope of the identifier root.

                Control1..1
                Typestring(st: Character String)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                LabelExtension
                206. Observation.subject.templateId
                Definition

                When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                208. Observation.subject.typeCode
                Control0..1
                BindingThe codes SHALL be taken from ParticipationTargetSubject
                (required to http://terminology.hl7.org/ValueSet/v3-ParticipationTargetSubject)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueSBJ
                210. Observation.subject.contextControlCode
                Control0..1
                BindingThe codes SHALL be taken from CDAContextControl
                (required to http://hl7.org/cda/stds/core/ValueSet/CDAContextControl)
                Typecode(cs: Coded Simple Value)
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                XML FormatIn the XML format, this property is represented as an attribute.
                Fixed ValueOP
                212. Observation.subject.awarenessCode
                Control0..1
                BindingFor example codes, see TargetAwareness
                (example to http://terminology.hl7.org/ValueSet/v3-TargetAwareness)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CE
                214. Observation.subject.relatedSubject
                Comments

                The subject, if present, SHALL contain exactly one [1..1] relatedSubject (CONF:4537-33059).

                Control1..1
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/RelatedSubject
                216. Observation.specimen
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                218. Observation.performer
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                220. Observation.author
                Shorticon Removed:Base for all types and resources
                Comments

                SHOULD contain zero or more [0..*] Author Participation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.119) (CONF:4515-31869).

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author(Author Participation)
                222. Observation.informant
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                224. Observation.participant
                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                226. Observation.entryRelationship
                Comments

                MAY contain zero or more [0..*] entryRelationship (CONF:4515-32969) such that it

                Control0..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                • profile @ act
                • profile @ observation
                • 228. Observation.entryRelationship:supportingObs
                  Slice NamesupportingObs
                  ShortWhen an Assessment Scale Observation is contained in a Social History Observation instance that is a Social Determinant of Health Social History Observation, that Assessment Scale Observation MAY contain Assessment Scale Supporting Observations that contain LOINC question and answer pairs from SDOH screening instruments.
                  Comments

                  MAY contain zero or more [0..*] entryRelationship (CONF:4515-32958) such that it

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  230. Observation.entryRelationship:supportingObs.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  232. Observation.entryRelationship:supportingObs.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  234. Observation.entryRelationship:supportingObs.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  236. Observation.entryRelationship:supportingObs.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  238. Observation.entryRelationship:supportingObs.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  240. Observation.entryRelationship:supportingObs.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  242. Observation.entryRelationship:supportingObs.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  244. Observation.entryRelationship:supportingObs.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  246. Observation.entryRelationship:supportingObs.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  248. Observation.entryRelationship:supportingObs.typeCode
                  Comments

                  SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32960).

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueSPRT
                  250. Observation.entryRelationship:supportingObs.inversionInd
                  Definition

                  The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  252. Observation.entryRelationship:supportingObs.contextConductionInd
                  Definition

                  The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default Valuetrue
                  254. Observation.entryRelationship:supportingObs.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  256. Observation.entryRelationship:supportingObs.sequenceNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  258. Observation.entryRelationship:supportingObs.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  260. Observation.entryRelationship:supportingObs.act
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                  262. Observation.entryRelationship:supportingObs.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  264. Observation.entryRelationship:supportingObs.observation
                  Comments

                  SHALL contain exactly one [1..1] Assessment Scale Observation (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.69) (CONF:4515-32959).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Assessment Scale Observation)
                  266. Observation.entryRelationship:supportingObs.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  268. Observation.entryRelationship:supportingObs.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  270. Observation.entryRelationship:supportingObs.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  272. Observation.entryRelationship:supportingObs.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  274. Observation.entryRelationship:supportingObs.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  276. Observation.entryRelationship:supportingObs.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  278. Observation.entryRelationship:entryReference
                  Slice NameentryReference
                  ShortWhen an Entry Reference is contained in a Social History Template instance that is a Social Determinant of Health Social History, that Entry Reference **MAY** reference an Assessment Scale Observation elsewhere in the document that represent LOINC question and answer pairs from SDOH screening instruments.
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  280. Observation.entryRelationship:entryReference.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  282. Observation.entryRelationship:entryReference.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  284. Observation.entryRelationship:entryReference.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  286. Observation.entryRelationship:entryReference.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  288. Observation.entryRelationship:entryReference.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  290. Observation.entryRelationship:entryReference.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  292. Observation.entryRelationship:entryReference.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  294. Observation.entryRelationship:entryReference.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  296. Observation.entryRelationship:entryReference.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  298. Observation.entryRelationship:entryReference.typeCode
                  Comments

                  SHALL contain exactly one [1..1] @typeCode="SPRT" Has support (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4515-32971).

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueSPRT
                  300. Observation.entryRelationship:entryReference.inversionInd
                  Definition

                  The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  302. Observation.entryRelationship:entryReference.contextConductionInd
                  Definition

                  The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default Valuetrue
                  304. Observation.entryRelationship:entryReference.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  306. Observation.entryRelationship:entryReference.sequenceNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  308. Observation.entryRelationship:entryReference.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  310. Observation.entryRelationship:entryReference.act
                  Comments

                  SHALL contain exactly one [1..1] Entry Reference (identifier: urn:oid:2.16.840.1.113883.10.20.22.4.122) (CONF:4515-32970).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act(Entry Reference)
                  312. Observation.entryRelationship:entryReference.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  314. Observation.entryRelationship:entryReference.observation
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                  316. Observation.entryRelationship:entryReference.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  318. Observation.entryRelationship:entryReference.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  320. Observation.entryRelationship:entryReference.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  322. Observation.entryRelationship:entryReference.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  324. Observation.entryRelationship:entryReference.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  326. Observation.entryRelationship:entryReference.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  328. Observation.entryRelationship:basic-industry
                  Slice Namebasic-industry
                  ShortentryRelationship
                  Comments

                  SHOULD contain zero or one [0..1] entryRelationship (CONF:4537-33060) such that it

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  330. Observation.entryRelationship:basic-industry.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  332. Observation.entryRelationship:basic-industry.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  334. Observation.entryRelationship:basic-industry.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  336. Observation.entryRelationship:basic-industry.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  338. Observation.entryRelationship:basic-industry.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  340. Observation.entryRelationship:basic-industry.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  342. Observation.entryRelationship:basic-industry.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  344. Observation.entryRelationship:basic-industry.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  346. Observation.entryRelationship:basic-industry.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  348. Observation.entryRelationship:basic-industry.typeCode
                  Comments

                  SHALL contain exactly one [1..1] @typeCode="REFR" Refers to (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002) (CONF:4537-33062).

                  Control1..1
                  BindingThe codes SHALL be taken from x_ActRelationshipEntryRelationship
                  (required to http://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFR
                  350. Observation.entryRelationship:basic-industry.inversionInd
                  Definition

                  The entryRelationship.inversionInd can be set to "true" to indicate that the relationship should be interpreted as if the roles of the source and target entries were reversed.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  352. Observation.entryRelationship:basic-industry.contextConductionInd
                  Definition

                  The entryRelationship.contextConductionInd differs from the otherwise common use of this attribute in that in all other cases where this attribute is used, the value is fixed at "true", whereas here the value is defaulted to "true", and can be changed to "false" when referencing an entry in the same document. Setting the context conduction to false when referencing an entry in the same document keeps clear the fact that the referenced object retains its original context.

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Default Valuetrue
                  354. Observation.entryRelationship:basic-industry.negationInd
                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  356. Observation.entryRelationship:basic-industry.sequenceNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  358. Observation.entryRelationship:basic-industry.seperatableInd
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                  360. Observation.entryRelationship:basic-industry.act
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                  362. Observation.entryRelationship:basic-industry.encounter
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                  364. Observation.entryRelationship:basic-industry.observation
                  Comments

                  SHALL contain exactly one [1..1] Basic Industry Observation (identifier: urn:hl7ii:2.16.840.1.113883.10.20.22.4.504:2023-05-01) (CONF:4537-33063).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation(Basic Industry Observation)
                  366. Observation.entryRelationship:basic-industry.observationMedia
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                  368. Observation.entryRelationship:basic-industry.organizer
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                  370. Observation.entryRelationship:basic-industry.procedure
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                  372. Observation.entryRelationship:basic-industry.regionOfInterest
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                  374. Observation.entryRelationship:basic-industry.substanceAdministration
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                  376. Observation.entryRelationship:basic-industry.supply
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                  378. Observation.reference
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                  380. Observation.precondition
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                  382. Observation.sdtcPrecondition2
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition2
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameprecondition2.
                  384. Observation.referenceRange
                  Definition

                  Relates an Observation to the ObservationRange class, where the expected range of values for a particular observation can be specified.

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InfrastructureRoot
                  386. Observation.referenceRange.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  388. Observation.referenceRange.realmCode
                  Definition

                  When valued in an instance, this attribute signals the imposition of realm-specific constraints. The value of this attribute identifies the realm in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CS
                  390. Observation.referenceRange.typeId
                  Definition

                  When valued in an instance, this attribute signals the imposition of constraints defined in an HL7-specified message type. This might be a common type (also known as CMET in the messaging communication environment), or content included within a wrapper. The value of this attribute provides a unique identifier for the type in question.

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  InvariantsII-1: An II instance must have either a root or an nullFlavor. (root.exists() or nullFlavor.exists())
                  392. Observation.referenceRange.typeId.nullFlavor
                  Definition

                  If a value is an exceptional value (NULL-value), this specifies in what way and why proper information is missing.

                  Control0..1
                  BindingThe codes SHALL be taken from CDANullFlavor
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExceptional Value Detail
                  394. Observation.referenceRange.typeId.assigningAuthorityName
                  Definition

                  A human readable name or mnemonic for the assigning authority. The Assigning Authority Name has no computational value. The purpose of a Assigning Authority Name is to assist an unaided human interpreter of an II value to interpret the authority. Note: no automated processing must depend on the assigning authority name to be present in any form.

                  Control0..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelAssigning Authority Name
                  396. Observation.referenceRange.typeId.displayable
                  Definition

                  Specifies if the identifier is intended for human display and data entry (displayable = true) as opposed to pure machine interoperation (displayable = false).

                  Control0..1
                  Typeboolean(bl: Boolean)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelDisplayable
                  398. Observation.referenceRange.typeId.root
                  Definition

                  Identifies the type as an HL7 Registered model

                  Control1..1
                  Typestring(oid: ISO Object Identifier, uuid: DCE Universal Unique Identifier, ruid: HL7 Reserved Identifier Scheme)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelRoot
                  Fixed Value2.16.840.1.113883.1.3
                  400. Observation.referenceRange.typeId.extension
                  Definition

                  A character string as a unique identifier within the scope of the identifier root.

                  Control1..1
                  Typestring(st: Character String)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  LabelExtension
                  402. Observation.referenceRange.templateId
                  Definition

                  When valued in an instance, this attribute signals the imposition of a set of template-defined constraints. The value of this attribute provides a unique identifier for the templates in question

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                  404. Observation.referenceRange.typeCode
                  Control0..1
                  BindingThe codes SHALL be taken from CDAActRelationshipType
                  (required to http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType)
                  Typecode(cs: Coded Simple Value)
                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                  XML FormatIn the XML format, this property is represented as an attribute.
                  Fixed ValueREFV
                  406. Observation.referenceRange.observationRange
                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                  408. Observation.sdtcInFulfillmentOf1
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/InFulfillmentOf1
                  XML FormatIn the XML format, this property has the namespace urn:hl7-org:sdtc.In the XML format, this property has the actual nameinFulfillmentOf1.