Consolidated CDA (C-CDA)
5.0.0-ballot - STU5 - Ballot 1 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 5.0.0-ballot 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: Outcome Observation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/OutcomeObservation Version: 5.0.0-ballot
Draft as of 2025-12-02 Computable Name: OutcomeObservation
Other Identifiers: OID:2.16.840.1.113883.10.20.22.4.144

This template represents the outcome of care resulting from the interventions used to treat the patient. In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.

Often thought of as an "actual outcome", the Outcome Observation may be related to goals, progression toward goals, and the associated interventions. For example, an observation outcome of a blood oxygen saturation level of 95% is related to the goal of "Maintain Pulse Ox greater than 92", which in turn is related to the health concern of respiratory insufficiency and the problem of pneumonia. The template makes use of the Entry Reference (templateId:2.16.840.1.113883.10.20.22.4.122) to reference the interventions and goals defined elsewhere in the Care Plan CDA instance.

Templates Used

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

Optional EntryRelationships: EntryReference, ProgressTowardGoalObservation

Usages:

You can also check for usages in the FHIR IG Statistics

Changes since version 4.0.0:

  • New Content

    • Formal Views of Template Content

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

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ..... @extension 0..0
    ... @classCode 1..1 cs Fixed Value: OBS
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... code 1..1 CD
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... value C 0..1 CD, PQ, ST, AD, BL, CE, CO, CS, CV, ED, EN, II, INT, INT_POS, MO, ON, PN, REAL, SC, TEL, TN, TS, IVL_INT, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ SHOULD contain value
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @typeCode 1..1 cs Fixed Value: GEVL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @typeCode 1..1 cs Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... observation 1..1 ProgressTowardGoalObservation
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @typeCode 1..1 cs Fixed Value: RSON
    ..... act 1..1 EntryReference
    ... reference 0..* Reference
    .... @typeCode 1..1 cs Fixed Value: REFR
    .... externalDocument 1..1 ExternalDocumentReference

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Binding: ObservationType (example)
    ... derivationExpr 0..1 ST
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail C 0..1 ED Constraints: ED-1
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 0..1 IVL_TS
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value C 0..1 SHOULD contain value
    .... value CD
    .... value PQ
    .... value ST
    .... value AD
    .... value BL
    .... value CE
    .... value CO
    .... value CS
    .... value CV
    .... value ED
    .... value EN
    .... value II
    .... value INT
    .... value INT_POS
    .... value MO
    .... value ON
    .... value PN
    .... value REAL
    .... value SC
    .... value TEL
    .... value TN
    .... value TS
    .... value IVL_INT
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: GEVL
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 ProgressTowardGoalObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EntryReference
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 1..1 cs Binding: x_ActRelationshipExternalReference (required)
    Fixed Value: REFR
    .... seperatableInd 0..1 BL
    .... externalAct 0..1 ExternalAct
    .... externalObservation 0..1 ExternalObservation
    .... externalProcedure 0..1 ExternalProcedure
    .... externalDocument 1..1 ExternalDocumentReference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange 1..1 ObservationRange
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.templateId:outcome-obs.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.classCode Base required CDAActClassObservation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
    Observation.code Base example ObservationType 📦3.0.0 THO v7.0
    Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
    Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
    Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
    Observation.languageCode Base required All Languages 📦5.0.0 FHIR Std.
    Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
    Observation.entryRelationship:goal-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:progressTowardGoalObservation.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:intervention-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📦3.0.0 THO v7.0
    Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📦2.0.2-sd Clinical Document Architecture vnull

    Constraints

    Id Grade Path(s) Description Expression
    ED-1 error Observation.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
    II-1 error Observation.typeId, Observation.entryRelationship:goal-reference.typeId, Observation.entryRelationship:progressTowardGoalObservation.typeId, Observation.entryRelationship:intervention-reference.typeId, Observation.reference.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')
    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Binding: ObservationType (example)
    ... derivationExpr 0..1 ST
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail C 0..1 ED Constraints: ED-1
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 0..1 IVL_TS
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value C 0..1 SHOULD contain value
    .... value CD
    .... value PQ
    .... value ST
    .... value AD
    .... value BL
    .... value CE
    .... value CO
    .... value CS
    .... value CV
    .... value ED
    .... value EN
    .... value II
    .... value INT
    .... value INT_POS
    .... value MO
    .... value ON
    .... value PN
    .... value REAL
    .... value SC
    .... value TEL
    .... value TN
    .... value TS
    .... value IVL_INT
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: GEVL
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 ProgressTowardGoalObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EntryReference
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 1..1 cs Binding: x_ActRelationshipExternalReference (required)
    Fixed Value: REFR
    .... seperatableInd 0..1 BL
    .... externalAct 0..1 ExternalAct
    .... externalObservation 0..1 ExternalObservation
    .... externalProcedure 0..1 ExternalProcedure
    .... externalDocument 1..1 ExternalDocumentReference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange 1..1 ObservationRange
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.templateId:outcome-obs.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.classCode Base required CDAActClassObservation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
    Observation.code Base example ObservationType 📦3.0.0 THO v7.0
    Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
    Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
    Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
    Observation.languageCode Base required All Languages 📦5.0.0 FHIR Std.
    Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
    Observation.entryRelationship:goal-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:progressTowardGoalObservation.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:intervention-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📦3.0.0 THO v7.0
    Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📦2.0.2-sd Clinical Document Architecture vnull

    Constraints

    Id Grade Path(s) Description Expression
    ED-1 error Observation.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
    II-1 error Observation.typeId, Observation.entryRelationship:goal-reference.typeId, Observation.entryRelationship:progressTowardGoalObservation.typeId, Observation.entryRelationship:intervention-reference.typeId, Observation.reference.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Observation

    Summary

    Mandatory: 5 elements(5 nested mandatory elements)
    Fixed: 7 elements
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.templateId
    • The element 3 is sliced based on the values of Observation.entryRelationship

    Differential View

    This structure is derived from Observation

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ..... @extension 0..0
    ... @classCode 1..1 cs Fixed Value: OBS
    ... @moodCode 1..1 cs Fixed Value: EVN
    ... code 1..1 CD
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    ... value C 0..1 CD, PQ, ST, AD, BL, CE, CO, CS, CV, ED, EN, II, INT, INT_POS, MO, ON, PN, REAL, SC, TEL, TN, TS, IVL_INT, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ SHOULD contain value
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @typeCode 1..1 cs Fixed Value: GEVL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @typeCode 1..1 cs Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... observation 1..1 ProgressTowardGoalObservation
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @typeCode 1..1 cs Fixed Value: RSON
    ..... act 1..1 EntryReference
    ... reference 0..* Reference
    .... @typeCode 1..1 cs Fixed Value: REFR
    .... externalDocument 1..1 ExternalDocumentReference

    doco Documentation for this format

    Constraints

    Id Grade Path(s) Description Expression
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Key Elements View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Binding: ObservationType (example)
    ... derivationExpr 0..1 ST
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail C 0..1 ED Constraints: ED-1
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 0..1 IVL_TS
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value C 0..1 SHOULD contain value
    .... value CD
    .... value PQ
    .... value ST
    .... value AD
    .... value BL
    .... value CE
    .... value CO
    .... value CS
    .... value CV
    .... value ED
    .... value EN
    .... value II
    .... value INT
    .... value INT_POS
    .... value MO
    .... value ON
    .... value PN
    .... value REAL
    .... value SC
    .... value TEL
    .... value TN
    .... value TS
    .... value IVL_INT
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: GEVL
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 ProgressTowardGoalObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EntryReference
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 1..1 cs Binding: x_ActRelationshipExternalReference (required)
    Fixed Value: REFR
    .... seperatableInd 0..1 BL
    .... externalAct 0..1 ExternalAct
    .... externalObservation 0..1 ExternalObservation
    .... externalProcedure 0..1 ExternalProcedure
    .... externalDocument 1..1 ExternalDocumentReference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange 1..1 ObservationRange
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.templateId:outcome-obs.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.classCode Base required CDAActClassObservation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
    Observation.code Base example ObservationType 📦3.0.0 THO v7.0
    Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
    Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
    Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
    Observation.languageCode Base required All Languages 📦5.0.0 FHIR Std.
    Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
    Observation.entryRelationship:goal-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:progressTowardGoalObservation.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:intervention-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📦3.0.0 THO v7.0
    Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📦2.0.2-sd Clinical Document Architecture vnull

    Constraints

    Id Grade Path(s) Description Expression
    ED-1 error Observation.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
    II-1 error Observation.typeId, Observation.entryRelationship:goal-reference.typeId, Observation.entryRelationship:progressTowardGoalObservation.typeId, Observation.entryRelationship:intervention-reference.typeId, Observation.reference.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    Snapshot View

    NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
    .. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
    Base for all types and resources
    Instance of this type are validated by templateId
    Logical Container: ClinicalDocument (CDA Class)
    Constraints: should-text-ref-value, should-value, should-author
    ... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ... realmCode 0..* CS
    ... typeId C 0..1 II Constraints: II-1
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @assigningAuthorityName 0..1 st
    .... @displayable 0..1 bl
    .... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    .... @extension 1..1 st
    ... Slices for templateId 1..* II Slice: Unordered, Open by value:root
    .... templateId:outcome-obs 1..1 II
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.144
    ... @classCode 1..1 cs Binding: CDAActClassObservation (required)
    Fixed Value: OBS
    ... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
    Fixed Value: EVN
    ... @negationInd 0..1 bl
    ... id 1..* II
    ... sdtcCategory 0..* CD XML Namespace: urn:hl7-org:sdtc
    XML: category (urn:hl7-org:sdtc)
    ... code 1..1 CD Binding: ObservationType (example)
    ... derivationExpr 0..1 ST
    ... text C 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
    .... @integrityCheck 0..1 bin
    .... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
    .... @language 0..1 cs
    .... @mediaType 0..1 cs Binding: MediaType (example)
    .... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
    .... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
    .... reference C 0..1 TEL Constraints: value-starts-octothorpe
    .... thumbnail C 0..1 ED Constraints: ED-1
    ... statusCode 0..1 CS Binding: ActStatus (required)
    ... effectiveTime 0..1 IVL_TS
    ... priorityCode 0..1 CE Binding: ActPriority (example)
    ... repeatNumber 0..1 IVL_INT
    ... languageCode 0..1 CS Binding: AllLanguages (required)
    ... value C 0..1 SHOULD contain value
    .... value CD
    .... value PQ
    .... value ST
    .... value AD
    .... value BL
    .... value CE
    .... value CO
    .... value CS
    .... value CV
    .... value ED
    .... value EN
    .... value II
    .... value INT
    .... value INT_POS
    .... value MO
    .... value ON
    .... value PN
    .... value REAL
    .... value SC
    .... value TEL
    .... value TN
    .... value TS
    .... value IVL_INT
    .... value IVL_PQ
    .... value IVL_TS
    .... value PIVL_TS
    .... value EIVL_TS
    .... value SXPR_TS
    .... value RTO_PQ_PQ
    ... interpretationCode 0..* CE Binding: CDAObservationInterpretation (required)
    ... methodCode 0..* CE Binding: ObservationMethod (example)
    ... targetSiteCode 0..* CD
    ... subject 0..1 Subject
    ... specimen 0..* Specimen
    ... performer 0..* Performer2
    ... author C 0..* AuthorParticipation SHOULD contain author
    ... informant 0..* Informant
    ... participant 0..* Participant2
    ... Slices for entryRelationship 1..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry.
    Slice: Unordered, Open by value:typeCode, profile:act, profile:observation
    .... entryRelationship:goal-reference 0..* EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Goal Observation. Because the Goal Observation is already described in the CDA document instance's Goals section, rather than repeating the full content of the Goal Observation, the Entry Reference template can be used to reference this entry.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: GEVL
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act C 1..1 EntryReference Constraints: entry-ref-goal
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:progressTowardGoalObservation 0..1 EntryRelationship The following entryRelationship represents the relationship between an Outcome Observation and a Progress Toward Goal Observation (Outcome Observation SUPPORTS Progress Toward Goal Observation). In the Care Planning workflow, the judgment about how well the person is progressing towards the goal is based on the observations made about the status of the patient with respect to interventions performed in the pursuit of achieving that goal.
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: SPRT
    ..... @inversionInd 1..1 bl Fixed Value: true
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 0..1 Act
    ..... encounter 0..1 Encounter
    ..... observation 1..1 ProgressTowardGoalObservation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    .... entryRelationship:intervention-reference C 0..* EntryRelationship Where an Outcome Observation needs to reference an Intervention Act already described in the CDA document instance, rather than repeating the full content of the Intervention Act, the Entry Reference template may be used to reference this entry
    Constraints: entry-ref-intervention
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... realmCode 0..* CS
    ..... typeId C 0..1 II Constraints: II-1
    ...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ...... @assigningAuthorityName 0..1 st
    ...... @displayable 0..1 bl
    ...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ...... @extension 1..1 st
    ..... templateId 0..* II
    ..... @typeCode 1..1 cs Binding: x_ActRelationshipEntryRelationship (required)
    Fixed Value: RSON
    ..... @inversionInd 0..1 bl
    ..... @contextConductionInd 0..1 bl
    ..... @negationInd 0..1 bl
    ..... sequenceNumber 0..1 INT
    ..... seperatableInd 0..1 BL
    ..... act 1..1 EntryReference
    ..... encounter 0..1 Encounter
    ..... observation 0..1 Observation
    ..... observationMedia 0..1 ObservationMedia
    ..... organizer 0..1 Organizer
    ..... procedure 0..1 Procedure
    ..... regionOfInterest 0..1 RegionOfInterest
    ..... substanceAdministration 0..1 SubstanceAdministration
    ..... supply 0..1 Supply
    ... reference 0..* Reference
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 1..1 cs Binding: x_ActRelationshipExternalReference (required)
    Fixed Value: REFR
    .... seperatableInd 0..1 BL
    .... externalAct 0..1 ExternalAct
    .... externalObservation 0..1 ExternalObservation
    .... externalProcedure 0..1 ExternalProcedure
    .... externalDocument 1..1 ExternalDocumentReference
    ... precondition 0..* Precondition
    ... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
    XML: precondition2 (urn:hl7-org:sdtc)
    ... referenceRange 0..* InfrastructureRoot
    .... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    .... realmCode 0..* CS
    .... typeId C 0..1 II Constraints: II-1
    ..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
    ..... @assigningAuthorityName 0..1 st
    ..... @displayable 0..1 bl
    ..... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
    ..... @extension 1..1 st
    .... templateId 0..* II
    .... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
    Fixed Value: REFV
    .... observationRange 1..1 ObservationRange
    ... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
    XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

    doco Documentation for this format

    Terminology Bindings

    Path Status Usage ValueSet Version Source
    Observation.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.templateId:outcome-obs.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.classCode Base required CDAActClassObservation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.moodCode Base required x_ActMoodDocumentObservation 📍2.0.0 THO v5.2
    Observation.code Base example ObservationType 📦3.0.0 THO v7.0
    Observation.text.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.compression Base required CDACompressionAlgorithm 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.text.integrityCheckAlgorithm Base required IntegrityCheckAlgorithm 📍2.0.0 THO v5.2
    Observation.text.mediaType Base example MediaType 📦3.0.0 THO v7.0
    Observation.text.representation Base required CDABinaryDataEncoding 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.statusCode Base required ActStatus 📦3.0.0 THO v7.0
    Observation.priorityCode Base example ActPriority 📦3.0.0 THO v7.0
    Observation.languageCode Base required All Languages 📦5.0.0 FHIR Std.
    Observation.interpretationCode Base required CDAObservationInterpretation 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.methodCode Base example ObservationMethod 📦3.0.0 THO v7.0
    Observation.entryRelationship:goal-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:goal-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:progressTowardGoalObservation.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:progressTowardGoalObservation.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.entryRelationship:intervention-reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.entryRelationship:intervention-reference.​typeCode Base required x_ActRelationshipEntryRelationship 📦3.0.0 THO v7.0
    Observation.reference.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.reference.​typeCode Base required x_ActRelationshipExternalReference 📦3.0.0 THO v7.0
    Observation.referenceRange.​nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeId.nullFlavor Base required CDANullFlavor 📦2.0.2-sd Clinical Document Architecture vnull
    Observation.referenceRange.​typeCode Base required CDAActRelationshipType 📦2.0.2-sd Clinical Document Architecture vnull

    Constraints

    Id Grade Path(s) Description Expression
    ED-1 error Observation.text.thumbnail Thumbnails cannot contain their own thumbnails thumbnail.empty()
    II-1 error Observation.typeId, Observation.entryRelationship:goal-reference.typeId, Observation.entryRelationship:progressTowardGoalObservation.typeId, Observation.entryRelationship:intervention-reference.typeId, Observation.reference.typeId, Observation.referenceRange.typeId An II instance must have either a root or an nullFlavor. root.exists() or nullFlavor.exists()
    entry-ref-goal error Observation.entryRelationship:goal-reference.act This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.121' and $this.extension = '2022-06-01') and id.exists($this.root = %context.id.first().root and $this.extension ~ %context.id.first().extension))
    entry-ref-intervention error Observation.entryRelationship:intervention-reference This entryReference template **SHALL** reference an instance of a Goal Observation template. %resource.descendants().ofType(CDA.Observation).where(templateId.exists($this.root = '2.16.840.1.113883.10.20.22.4.131' and $this.extension = '2015-08-01') and id.exists($this.root = %context.act.id.first().root and $this.extension ~ %context.act.id.first().extension))
    should-author warning Observation SHOULD contain author author.exists()
    should-text-ref-value warning Observation SHOULD contain text/reference/@value text.reference.value.exists()
    should-value warning Observation SHOULD contain value value.exists()
    value-starts-octothorpe error Observation.text.reference If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative value.exists() implies value.startsWith('#')

    This structure is derived from Observation

    Summary

    Mandatory: 5 elements(5 nested mandatory elements)
    Fixed: 7 elements
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Slices

    This structure defines the following Slices:

    • The element 1 is sliced based on the value of Observation.templateId
    • The element 3 is sliced based on the values of Observation.entryRelationship

     

    Other representations of profile: CSV, Excel