Consolidated CDA (C-CDA)
3.0.0 - STU United States of America flag

Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 3.0.0 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: NumberofPressureUlcersObservation - Detailed Descriptions

Draft as of 2024-05-07

Definitions for the NumberofPressureUlcersObservation logical model.

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

0. Observation
Logical ContainerClinicalDocument (CDA Class)
ValidationInstances 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())
2. Observation.templateId
Control1..?
SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
  • value @ root
  • value @ extension
  • 4. Observation.templateId:numberof-pressure-ulcers-obs
    Slice Namenumberof-pressure-ulcers-obs
    Control1..1
    6. Observation.templateId:numberof-pressure-ulcers-obs.root
    Control1..?
    Pattern Value2.16.840.1.113883.10.20.22.4.76
    8. Observation.templateId:numberof-pressure-ulcers-obs.extension
    Control1..?
    Pattern Value2024-05-01
    10. Observation.classCode
    Comments

    SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14705).

    Fixed ValueOBS
    12. Observation.moodCode
    Comments

    SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14706).

    Fixed ValueEVN
    14. Observation.id
    Comments

    SHALL contain at least one [1..*] id (CONF:1198-14709).

    Control1..?
    16. Observation.code
    ShortNumber of pressure ulcers
    Comments

    SHALL contain exactly one [1..1] code (CONF:1198-14767).

    18. Observation.code.code
    Control1..?
    Pattern Value2264892003
    20. Observation.code.codeSystem
    ShortSNOMED CT
    Control1..?
    Pattern Value2.16.840.1.113883.6.96
    22. Observation.code.translation
    Control1..?
    SlicingThis element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators:
    • value @ codeSystem
    • value @ code
    • 24. Observation.code.translation:translation1
      Slice Nametranslation1
      ShortNumber of pressure ulcers
      Comments

      This code SHALL contain exactly one [1..1] translation (CONF:1198-32849) such that it

      Control1..1
      26. Observation.code.translation:translation1.code
      Control1..?
      Pattern Value75277-4
      28. Observation.code.translation:translation1.codeSystem
      ShortLOINC
      Control1..?
      Pattern Value2.16.840.1.113883.6.1
      30. Observation.text
      ShortSHOULD reference the portion of section narrative text corresponding to this entry
      32. Observation.text.reference
      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('#'))
      34. Observation.statusCode
      Comments

      SHALL contain exactly one [1..1] statusCode (CONF:1198-14714).

      Control1..?
      36. Observation.statusCode.code
      Comments

      This statusCode SHALL contain exactly one [1..1] @code="completed" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19108).

      Control1..?
      Fixed Valuecompleted
      38. Observation.effectiveTime
      Comments

      SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14715).

      Control1..?
      40. Observation.value
      Comments

      SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:1198-14771).

      Control1..1
      Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT, http://hl7.org/cda/stds/core/StructureDefinition/EIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/CO, http://hl7.org/cda/stds/core/StructureDefinition/TEL, http://hl7.org/cda/stds/core/StructureDefinition/EN, http://hl7.org/cda/stds/core/StructureDefinition/BL, http://hl7.org/cda/stds/core/StructureDefinition/AD, http://hl7.org/cda/stds/core/StructureDefinition/PIVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/RTO-PQ-PQ, http://hl7.org/cda/stds/core/StructureDefinition/SXPR-TS, http://hl7.org/cda/stds/core/StructureDefinition/ED, http://hl7.org/cda/stds/core/StructureDefinition/TS, http://hl7.org/cda/stds/core/StructureDefinition/II, http://hl7.org/cda/stds/core/StructureDefinition/ST, http://hl7.org/cda/stds/core/StructureDefinition/CD, http://hl7.org/cda/stds/core/StructureDefinition/PQ, http://hl7.org/cda/stds/core/StructureDefinition/IVL-PQ, http://hl7.org/cda/stds/core/StructureDefinition/CE, http://hl7.org/cda/stds/core/StructureDefinition/MO, http://hl7.org/cda/stds/core/StructureDefinition/IVL-TS, http://hl7.org/cda/stds/core/StructureDefinition/ANY, http://hl7.org/cda/stds/core/StructureDefinition/REAL, http://hl7.org/cda/stds/core/StructureDefinition/CV, http://hl7.org/cda/stds/core/StructureDefinition/SC
      42. Observation.author
      Comments

      MAY contain zero or one [0..1] author (CONF:1198-14717).

      Control0..1
      44. Observation.entryRelationship
      Control1..?
      SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
      • value @ typeCode
      • exists @ observation
      • 46. Observation.entryRelationship:stage
        Slice Namestage
        Comments

        SHALL contain exactly one [1..1] entryRelationship (CONF:1198-14718) such that it

        Control1..1
        48. Observation.entryRelationship:stage.typeCode
        Comments

        SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14719).

        Fixed ValueSUBJ
        50. Observation.entryRelationship:stage.observation
        Comments

        SHALL contain exactly one [1..1] observation (CONF:1198-14720).

        Control1..?
        52. Observation.entryRelationship:stage.observation.classCode
        Comments

        This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14721).

        Fixed ValueOBS
        54. Observation.entryRelationship:stage.observation.moodCode
        Comments

        This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14722).

        Fixed ValueEVN
        56. Observation.entryRelationship:stage.observation.code
        ShortPressure Injury Stage NPUAP
        58. Observation.entryRelationship:stage.observation.code.code
        Control1..?
        Pattern Value91150-3
        60. Observation.entryRelationship:stage.observation.code.codeSystem
        ShortLOINC
        Control1..?
        Pattern Value2.16.840.1.113883.6.1
        62. Observation.entryRelationship:stage.observation.value
        Comments

        This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Pressure Ulcer Stage urn:oid:2.16.840.1.113883.11.20.9.35 DYNAMIC (CONF:1198-14725).

        Control1..1
        BindingThe codes SHOULD be taken from Pressure Ulcer Stage .
        (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.35)
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD

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

        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)
        ValidationInstances 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())
        2. 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

        Control1..*
        Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
        SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
        • value @ root
        • value @ extension
        • 4. Observation.templateId:numberof-pressure-ulcers-obs
          Slice Namenumberof-pressure-ulcers-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
          6. Observation.templateId:numberof-pressure-ulcers-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 Value2.16.840.1.113883.10.20.22.4.76
          8. Observation.templateId:numberof-pressure-ulcers-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 Value2024-05-01
          10. Observation.classCode
          Comments

          SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14705).

          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
          12. Observation.moodCode
          Comments

          SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14706).

          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
          14. 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:1198-14709).


          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
          16. Observation.code
          Definition

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

          ShortNumber of pressure ulcersType of observation (code / type)
          Comments

          SHALL contain exactly one [1..1] code (CONF:1198-14767).


          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
          BindingFor example codes, see ObservationTypehttp://hl7.org/fhir/ValueSet/observation-codes
          (example to http://terminology.hl7.org/ValueSet/v3-ObservationType)
          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
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. 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 Value2264892003
          20. Observation.code.codeSystem
          Definition

          Specifies the code system that defines the code.

          ShortSNOMED CT
          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 Value2.16.840.1.113883.6.96
          22. Observation.code.translation
          Definition

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

          Control1..*
          Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
          XML FormatThe type of this property is determined using the xsi:typeattribute.
          LabelTranslation
          SlicingThis element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators:
          • value @ codeSystem
          • value @ code
          • 24. Observation.code.translation:translation1
            Slice Nametranslation1
            Definition

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

            ShortNumber of pressure ulcers
            Comments

            This code SHALL contain exactly one [1..1] translation (CONF:1198-32849) such that it

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            LabelTranslation
            26. Observation.code.translation:translation1.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 Value75277-4
            28. Observation.code.translation:translation1.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
            30. 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()))
            32. 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('#'))
            34. Observation.statusCode
            Comments

            SHALL contain exactly one [1..1] statusCode (CONF:1198-14714).

            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
            36. 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" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19108).

            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
            38. 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
            40. 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
            42. 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
            44. 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
            46. 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
            48. 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
            50. 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
            52. Observation.effectiveTime
            Comments

            SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14715).

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
            54. Observation.value
            Comments

            SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:1198-14771).

            Control1..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
            XML FormatThe type of this property is determined using the xsi:typeattribute.
            56. Observation.author
            Comments

            MAY contain zero or one [0..1] author (CONF:1198-14717).

            Control0..1
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
            58. Observation.entryRelationship
            Control1..*
            Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
            SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
            • value @ typeCode
            • exists @ observation
            • 60. Observation.entryRelationship:stage
              Slice Namestage
              Comments

              SHALL contain exactly one [1..1] entryRelationship (CONF:1198-14718) such that it

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
              62. Observation.entryRelationship:stage.typeCode
              Comments

              SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14719).

              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 ValueSUBJ
              64. Observation.entryRelationship:stage.observation
              Comments

              SHALL contain exactly one [1..1] observation (CONF:1198-14720).

              Control1..1
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
              66. Observation.entryRelationship:stage.observation.classCode
              Comments

              This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14721).

              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
              68. Observation.entryRelationship:stage.observation.moodCode
              Comments

              This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14722).

              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
              70. Observation.entryRelationship:stage.observation.code
              Definition

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

              ShortPressure Injury Stage NPUAPType of observation (code / type)
              Comments

              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
              BindingFor example codes, see ObservationTypehttp://hl7.org/fhir/ValueSet/observation-codes
              (example to http://terminology.hl7.org/ValueSet/v3-ObservationType)
              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
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              72. Observation.entryRelationship:stage.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 Value91150-3
              74. Observation.entryRelationship:stage.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
              76. Observation.entryRelationship:stage.observation.value
              Comments

              This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Pressure Ulcer Stage urn:oid:2.16.840.1.113883.11.20.9.35 DYNAMIC (CONF:1198-14725).

              Control1..1
              BindingThe codes SHOULD be taken from Pressure Ulcer Stage .
              (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.35)
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
              XML FormatThe type of this property is determined using the xsi:typeattribute.

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

              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)
              ValidationInstances 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())
              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
              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

              Control1..*
              Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
              SlicingThis element introduces a set of slices on Observation.templateId. The slices are unordered and Open, and can be differentiated using the following discriminators:
              • value @ root
              • value @ extension
              • 20. Observation.templateId:numberof-pressure-ulcers-obs
                Slice Namenumberof-pressure-ulcers-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:numberof-pressure-ulcers-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:numberof-pressure-ulcers-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:numberof-pressure-ulcers-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:numberof-pressure-ulcers-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 Value2.16.840.1.113883.10.20.22.4.76
                30. Observation.templateId:numberof-pressure-ulcers-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 Value2024-05-01
                32. Observation.classCode
                Comments

                SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14705).

                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
                34. Observation.moodCode
                Comments

                SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14706).

                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
                36. 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.
                38. Observation.id
                Comments

                SHALL contain at least one [1..*] id (CONF:1198-14709).

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                40. Observation.code
                ShortNumber of pressure ulcers
                Comments

                SHALL contain exactly one [1..1] code (CONF:1198-14767).

                Control1..1
                BindingFor example codes, see ObservationType
                (example to http://terminology.hl7.org/ValueSet/v3-ObservationType)
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                XML FormatThe type of this property is determined using the xsi:typeattribute.
                42. 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
                44. 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 Value2264892003
                46. Observation.code.codeSystem
                Definition

                Specifies the code system that defines the code.

                ShortSNOMED CT
                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 Value2.16.840.1.113883.6.96
                48. 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
                50. 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
                52. 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
                54. 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.
                56. 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.
                58. 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
                60. 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
                62. Observation.code.translation
                Definition

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

                Control1..*
                Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                XML FormatThe type of this property is determined using the xsi:typeattribute.
                LabelTranslation
                SlicingThis element introduces a set of slices on Observation.code.translation. The slices are unordered and Open, and can be differentiated using the following discriminators:
                • value @ codeSystem
                • value @ code
                • 64. Observation.code.translation:translation1
                  Slice Nametranslation1
                  Definition

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

                  ShortNumber of pressure ulcers
                  Comments

                  This code SHALL contain exactly one [1..1] translation (CONF:1198-32849) such that it

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  LabelTranslation
                  66. Observation.code.translation:translation1.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
                  68. Observation.code.translation:translation1.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 Value75277-4
                  70. Observation.code.translation:translation1.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
                  72. Observation.code.translation:translation1.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
                  74. Observation.code.translation:translation1.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
                  76. Observation.code.translation:translation1.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
                  78. Observation.code.translation:translation1.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.
                  80. Observation.code.translation:translation1.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.
                  82. Observation.code.translation:translation1.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
                  84. Observation.code.translation:translation1.qualifier
                  Definition

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

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CR
                  LabelQualifier
                  86. Observation.code.translation:translation1.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
                  88. Observation.derivationExpr
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                  90. 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.
                  92. 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
                  94. 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
                  96. 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
                  98. 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
                  100. 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
                  102. 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
                  104. 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.
                  106. 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.
                  108. 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('#'))
                  110. 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
                  112. Observation.statusCode
                  Comments

                  SHALL contain exactly one [1..1] statusCode (CONF:1198-14714).

                  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
                  114. 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
                  116. 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" Completed (CodeSystem: HL7ActStatus urn:oid:2.16.840.1.113883.5.14 STATIC) (CONF:1198-19108).

                  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
                  118. 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
                  120. 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
                  122. 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
                  124. 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
                  126. 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.
                  128. 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.
                  130. 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
                  132. 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
                  134. 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
                  136. Observation.effectiveTime
                  Comments

                  SHALL contain exactly one [1..1] effectiveTime (CONF:1198-14715).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                  138. 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
                  140. Observation.repeatNumber
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                  142. 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
                  144. Observation.value
                  Comments

                  SHALL contain exactly one [1..1] value with @xsi:type="INT" (CONF:1198-14771).

                  Control1..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                  XML FormatThe type of this property is determined using the xsi:typeattribute.
                  146. 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
                  148. 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
                  150. Observation.targetSiteCode
                  Definition

                  Drawn from concept domain ActSite

                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                  152. Observation.subject
                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                  154. Observation.specimen
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                  156. Observation.performer
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                  158. Observation.author
                  Comments

                  MAY contain zero or one [0..1] author (CONF:1198-14717).

                  Control0..1
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                  160. Observation.informant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                  162. Observation.participant
                  Control0..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                  164. Observation.entryRelationship
                  Control1..*
                  Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                  SlicingThis element introduces a set of slices on Observation.entryRelationship. The slices are unordered and Open, and can be differentiated using the following discriminators:
                  • value @ typeCode
                  • exists @ observation
                  • 166. Observation.entryRelationship:stage
                    Slice Namestage
                    Comments

                    SHALL contain exactly one [1..1] entryRelationship (CONF:1198-14718) such that it

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    168. Observation.entryRelationship:stage.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
                    170. Observation.entryRelationship:stage.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
                    172. Observation.entryRelationship:stage.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
                    174. Observation.entryRelationship:stage.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
                    176. Observation.entryRelationship:stage.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
                    178. Observation.entryRelationship:stage.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
                    180. Observation.entryRelationship:stage.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
                    182. Observation.entryRelationship:stage.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
                    184. Observation.entryRelationship:stage.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
                    186. Observation.entryRelationship:stage.typeCode
                    Comments

                    SHALL contain exactly one [1..1] @typeCode="SUBJ" Has subject (CodeSystem: HL7ActRelationshipType urn:oid:2.16.840.1.113883.5.1002 STATIC) (CONF:1198-14719).

                    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 ValueSUBJ
                    188. Observation.entryRelationship:stage.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.
                    190. Observation.entryRelationship:stage.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
                    192. Observation.entryRelationship:stage.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.
                    194. Observation.entryRelationship:stage.sequenceNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/INT
                    196. Observation.entryRelationship:stage.seperatableInd
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/BL
                    198. Observation.entryRelationship:stage.act
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Act
                    200. Observation.entryRelationship:stage.encounter
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Encounter
                    202. Observation.entryRelationship:stage.observation
                    Comments

                    SHALL contain exactly one [1..1] observation (CONF:1198-14720).

                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Observation
                    204. Observation.entryRelationship:stage.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
                    206. Observation.entryRelationship:stage.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
                    208. Observation.entryRelationship:stage.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
                    210. Observation.entryRelationship:stage.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
                    212. Observation.entryRelationship:stage.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
                    214. Observation.entryRelationship:stage.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
                    216. Observation.entryRelationship:stage.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
                    218. Observation.entryRelationship:stage.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
                    220. Observation.entryRelationship:stage.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

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    222. Observation.entryRelationship:stage.observation.classCode
                    Comments

                    This observation SHALL contain exactly one [1..1] @classCode="OBS" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6 STATIC) (CONF:1198-14721).

                    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
                    224. Observation.entryRelationship:stage.observation.moodCode
                    Comments

                    This observation SHALL contain exactly one [1..1] @moodCode="EVN" (CodeSystem: HL7ActMood urn:oid:2.16.840.1.113883.5.1001 STATIC) (CONF:1198-14722).

                    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
                    226. Observation.entryRelationship:stage.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.
                    228. Observation.entryRelationship:stage.observation.id
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/II
                    230. Observation.entryRelationship:stage.observation.code
                    ShortPressure Injury Stage NPUAP
                    Control1..1
                    BindingFor example codes, see ObservationType
                    (example to http://terminology.hl7.org/ValueSet/v3-ObservationType)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    232. Observation.entryRelationship:stage.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
                    234. Observation.entryRelationship:stage.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 Value91150-3
                    236. Observation.entryRelationship:stage.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
                    238. Observation.entryRelationship:stage.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
                    240. Observation.entryRelationship:stage.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
                    242. Observation.entryRelationship:stage.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
                    244. Observation.entryRelationship:stage.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.
                    246. Observation.entryRelationship:stage.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.
                    248. Observation.entryRelationship:stage.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
                    250. Observation.entryRelationship:stage.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
                    252. Observation.entryRelationship:stage.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
                    254. Observation.entryRelationship:stage.observation.derivationExpr
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ST
                    256. Observation.entryRelationship:stage.observation.text
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ED
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    258. Observation.entryRelationship:stage.observation.statusCode
                    Control0..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
                    260. Observation.entryRelationship:stage.observation.effectiveTime
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-TS
                    262. Observation.entryRelationship:stage.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
                    264. Observation.entryRelationship:stage.observation.repeatNumber
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/IVL-INT
                    266. Observation.entryRelationship:stage.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
                    268. Observation.entryRelationship:stage.observation.value
                    Comments

                    This observation SHALL contain exactly one [1..1] value with @xsi:type="CD", where the code SHOULD be selected from ValueSet Pressure Ulcer Stage urn:oid:2.16.840.1.113883.11.20.9.35 DYNAMIC (CONF:1198-14725).

                    Control1..1
                    BindingThe codes SHOULD be taken from Pressure Ulcer Stage .
                    (preferred to http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.35)
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    XML FormatThe type of this property is determined using the xsi:typeattribute.
                    270. Observation.entryRelationship:stage.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
                    272. Observation.entryRelationship:stage.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
                    274. Observation.entryRelationship:stage.observation.targetSiteCode
                    Definition

                    Drawn from concept domain ActSite

                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/CD
                    276. Observation.entryRelationship:stage.observation.subject
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Subject
                    278. Observation.entryRelationship:stage.observation.specimen
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Specimen
                    280. Observation.entryRelationship:stage.observation.performer
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Performer2
                    282. Observation.entryRelationship:stage.observation.author
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Author
                    284. Observation.entryRelationship:stage.observation.informant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Informant
                    286. Observation.entryRelationship:stage.observation.participant
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Participant2
                    288. Observation.entryRelationship:stage.observation.entryRelationship
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/EntryRelationship
                    290. Observation.entryRelationship:stage.observation.reference
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                    292. Observation.entryRelationship:stage.observation.precondition
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                    294. Observation.entryRelationship:stage.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.
                    296. Observation.entryRelationship:stage.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
                    298. Observation.entryRelationship:stage.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
                    300. Observation.entryRelationship:stage.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
                    302. Observation.entryRelationship:stage.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
                    304. Observation.entryRelationship:stage.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
                    306. Observation.entryRelationship:stage.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
                    308. Observation.entryRelationship:stage.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
                    310. Observation.entryRelationship:stage.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
                    312. Observation.entryRelationship:stage.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
                    314. Observation.entryRelationship:stage.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
                    316. Observation.entryRelationship:stage.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
                    318. Observation.entryRelationship:stage.observation.referenceRange.observationRange
                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                    320. Observation.entryRelationship:stage.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.
                    322. Observation.entryRelationship:stage.observationMedia
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationMedia
                    324. Observation.entryRelationship:stage.organizer
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Organizer
                    326. Observation.entryRelationship:stage.procedure
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Procedure
                    328. Observation.entryRelationship:stage.regionOfInterest
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/RegionOfInterest
                    330. Observation.entryRelationship:stage.substanceAdministration
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/SubstanceAdministration
                    332. Observation.entryRelationship:stage.supply
                    Control0..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Supply
                    334. Observation.reference
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Reference
                    336. Observation.precondition
                    Control0..*
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/Precondition
                    338. 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.
                    340. 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
                    342. 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
                    344. 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
                    346. 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
                    348. 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
                    350. 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
                    352. 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
                    354. 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
                    356. 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
                    358. 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
                    360. 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
                    362. Observation.referenceRange.observationRange
                    Control1..1
                    Typehttp://hl7.org/cda/stds/core/StructureDefinition/ObservationRange
                    364. 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.