Consolidated CDA (C-CDA)
3.0.0 - STU3 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: Result Observation

Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/ResultObservation Version: 3.0.0
Draft as of 2024-07-23 Computable Name: ResultObservation
Other Identifiers: urn:ietf:rfc:3986#Uniform Resource Identifier (URI)#urn:hl7ii:2.16.840.1.113883.10.20.22.4.2:2023-05-01

This template represents the results of a laboratory, radiology, or other study performed on a patient.

The result observation includes a statusCode to allow recording the status of an observation. Pending results (e.g., a test has been run but results have not been reported yet) should be represented as active ActStatus.

If code contains a valid non-null LOINC then the xsi:type value SHOULD match the LOINC Scale Part based on the table below:

LOINC Scale Part Value xsi:type
Qn - Quantitative INT, IVL_INT, MO, IVL_MO, REAL, IVL_REAL, PQ, IVL_PQ, RTO, TS, IVL_TS
Ord - Ordinal CD
Nom - Nominal CD
Nar - Narrative ED, ST
OrdQn - Quantitative or Ordinal CD, INT, IVL_INT, MO, IVL_MO, REAL, IVL_REAL, PQ, IVL_PQ, RTO, TS, IVL_TS
Multi - Multi ED
Doc - Document ED

Usage:

Formal Views of Template Content

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

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-obs 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Fixed Value: OBS
... @moodCode 1..1 cs Fixed Value: EVN
... code C 1..1 CD (USCDI) Tests
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs
..... @code 0..1 cs
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1 CS (USCDI) Result Status
.... @nullFlavor 0..0
.... @code 1..1 cs Binding: Result Status . (required)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... Slices for value 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value:physical-quantity 0..1 PQ
..... @unit 1..1 cs (USCDI) Result Unit of Measure
Binding: UnitsOfMeasureCaseSensitive (preferred)
..... translation 0..1 PQR Can be used to represent the original results as output by the lab
.... value:coded C 0..1 CD 4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
..... translation 0..1 CD Can be used to represent the original results as output by the lab
... interpretationCode 0..* CE (USCDI) Result Interpretation
... methodCode 0..1 CE
... targetSiteCode 0..1 CD
... author 0..* AuthorParticipation Base for all types and resources
... referenceRange 0..* InfrastructureRoot (USCDI) Result Reference Range
.... observationRange 1..1 ObservationRange
..... value 1..1 BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS When the value is a quantity, then the unit SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusCode.coderequiredResultStatus .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39
Observation.value:physical-quantity.unitpreferredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive

Constraints

IdGradePath(s)DetailsRequirements
4537-19212warningObservation.codeThis code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
: codeSystem = '2.16.840.1.113883.6.1'
4537-32610warningObservation.value:codedIf Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
: codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1'
shall-code-or-nullflavorerrorObservation.codeSHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
: (code | nullFlavor).count() = 1
should-authorwarningObservationSHOULD contain author
: author.exists()
should-interpretationCodewarningObservationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningObservationSHOULD contain referenceRange
: referenceRange.exists()
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-obs 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
Fixed Value: OBS
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... code C 1..1 CD (USCDI) Tests
Binding: ObservationType (example)
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @code 0..1 cs
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1 CS (USCDI) Result Status
Binding: ActStatus (required)
.... @code 1..1 cs Binding: Result Status . (required)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... Slices for value 1..1 (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
.... value:physical-quantity 0..1 PQ
..... @unit 1..1 cs (USCDI) Result Unit of Measure
Binding: UnitsOfMeasureCaseSensitive (preferred)
..... translation 0..1 PQR Can be used to represent the original results as output by the lab
.... value:coded C 0..1 CD 4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
..... translation 0..1 CD Can be used to represent the original results as output by the lab
... interpretationCode 0..* CE (USCDI) Result Interpretation
Binding: CDAObservationInterpretation (required)
... methodCode 0..1 CE Binding: ObservationMethod (example)
... targetSiteCode 0..1 CD
... author 0..* AuthorParticipation Base for all types and resources
... referenceRange 0..* InfrastructureRoot (USCDI) Result Reference Range
.... observationRange 1..1 ObservationRange
..... value 1..1 When the value is a quantity, then the unit SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive.
...... value BL
...... value ED
...... value ST
...... value CD
...... value CV
...... value CE
...... value CO
...... value SC
...... value II
...... value TEL
...... value AD
...... value EN
...... value INT
...... value REAL
...... value PQ
...... value MO
...... value TS
...... value IVL_PQ
...... value IVL_TS
...... value PIVL_TS
...... value EIVL_TS
...... value SXPR_TS

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.classCoderequiredFixed Value: OBS
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.codeexampleObservationType
http://terminology.hl7.org/ValueSet/v3-ObservationType
Observation.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.statusCode.coderequiredResultStatus .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39
Observation.value:physical-quantity.unitpreferredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.methodCodeexampleObservationMethod
http://terminology.hl7.org/ValueSet/v3-ObservationMethod

Constraints

IdGradePath(s)DetailsRequirements
4537-19212warningObservation.codeThis code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
: codeSystem = '2.16.840.1.113883.6.1'
4537-32610warningObservation.value:codedIf Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
: codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1'
shall-code-or-nullflavorerrorObservation.codeSHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
: (code | nullFlavor).count() = 1
should-authorwarningObservationSHOULD contain author
: author.exists()
should-interpretationCodewarningObservationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningObservationSHOULD contain referenceRange
: referenceRange.exists()
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')
NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-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: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
Fixed Value: OBS
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1 bl
... id 1..* II
... code C 1..1 CD (USCDI) Tests
Binding: ObservationType (example)
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... derivationExpr 0..1 ST
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
.... @integrityCheck 0..1 bin
.... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs
.... @mediaType 0..1 cs Binding: MediaType (example)
.... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1 ED
... statusCode 1..1 CS (USCDI) Result Status
Binding: ActStatus (required)
.... @code 1..1 cs Binding: Result Status . (required)
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... Slices for value 1..1 (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
.... value:physical-quantity 0..1 PQ
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @unit 1..1 cs (USCDI) Result Unit of Measure
Binding: UnitsOfMeasureCaseSensitive (preferred)
..... @value 0..1 real
..... translation 0..1 PQR Can be used to represent the original results as output by the lab
.... value:coded C 0..1 CD 4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @code 0..1 cs
..... @codeSystem 0..1 oid, uuid, ruid
..... @codeSystemName 0..1 st
..... @codeSystemVersion 0..1 st
..... @displayName 0..1 st
..... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
..... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
..... originalText 0..1 ED
..... qualifier 0..* CR
..... translation 0..1 CD Can be used to represent the original results as output by the lab
... interpretationCode 0..* CE (USCDI) Result Interpretation
Binding: CDAObservationInterpretation (required)
... methodCode 0..1 CE Binding: ObservationMethod (example)
... targetSiteCode 0..1 CD
... subject 0..1 Subject
... specimen 0..* Specimen
... performer 0..* Performer2
... author 0..* AuthorParticipation Base for all types and resources
... informant 0..* Informant
... participant 0..* Participant2
... entryRelationship 0..* EntryRelationship
... reference 0..* Reference
... precondition 0..* Precondition
... sdtcPrecondition2 0..* Precondition2 XML Namespace: urn:hl7-org:sdtc
XML: precondition2 (urn:hl7-org:sdtc)
... referenceRange 0..* InfrastructureRoot (USCDI) Result Reference Range
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... realmCode 0..* CS
.... typeId 0..1 II
..... @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
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... realmCode 0..* CS
..... typeId 0..1 II
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... @assigningAuthorityName 0..1 st
...... @displayable 0..1 bl
...... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
...... @extension 1..1 st
..... templateId 0..* II
..... @classCode 0..1 cs Binding: CDAActClassObservation (required)
..... @moodCode 0..1 cs Binding: ActMoodPredicate (required)
Fixed Value: EVN.CRT
..... code 0..1 CD Binding: v3 Code System ActCode (example)
..... text 0..1 ED
..... value 1..1 When the value is a quantity, then the unit SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive.
...... value BL
...... value ED
...... value ST
...... value CD
...... value CV
...... value CE
...... value CO
...... value SC
...... value II
...... value TEL
...... value AD
...... value EN
...... value INT
...... value REAL
...... value PQ
...... value MO
...... value TS
...... value IVL_PQ
...... value IVL_TS
...... value PIVL_TS
...... value EIVL_TS
...... value SXPR_TS
..... interpretationCode 0..1 CE Binding: CDAObservationInterpretation (required)
..... sdtcPrecondition1 0..* InfrastructureRoot XML Namespace: urn:hl7-org:sdtc
XML: precondition1 (urn:hl7-org:sdtc)
...... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
...... realmCode 0..* CS
...... typeId 0..1 II
....... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
....... @assigningAuthorityName 0..1 st
....... @displayable 0..1 bl
....... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
....... @extension 1..1 st
...... templateId 0..* II
...... @typeCode 0..1 cs Binding: CDAActRelationshipType (required)
Fixed Value: PRCN
...... conjunctionCode 1..1 CS XML Namespace: urn:hl7-org:sdtc
XML Namespace: urn:hl7-org:sdtc
Binding: RelationshipConjunction (2.0.0) (required)
...... criterion1 1..1 Criterion XML Namespace: urn:hl7-org:sdtc
XML Namespace: urn:hl7-org:sdtc
... sdtcInFulfillmentOf1 0..* InFulfillmentOf1 XML Namespace: urn:hl7-org:sdtc
XML: inFulfillmentOf1 (urn:hl7-org:sdtc)

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.templateId:result-obs.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.classCoderequiredFixed Value: OBS
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.codeexampleObservationType
http://terminology.hl7.org/ValueSet/v3-ObservationType
Observation.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.text.compressionrequiredCDACompressionAlgorithm
http://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm
Observation.text.integrityCheckAlgorithmrequiredIntegrityCheckAlgorithm
http://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0
Observation.text.mediaTypeexampleMediaType
http://terminology.hl7.org/ValueSet/v3-MediaType
Observation.text.representationrequiredBinaryDataEncoding
http://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.statusCode.coderequiredResultStatus .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39
Observation.priorityCodeexampleActPriority
http://terminology.hl7.org/ValueSet/v3-ActPriority
Observation.languageCoderequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages
from the FHIR Standard
Observation.value:physical-quantity.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.value:physical-quantity.unitpreferredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.value:coded.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.methodCodeexampleObservationMethod
http://terminology.hl7.org/ValueSet/v3-ObservationMethod
Observation.referenceRange.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.typeCoderequiredFixed Value: REFV
http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
Observation.referenceRange.observationRange.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.observationRange.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.observationRange.classCoderequiredCDAActClassObservation
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.referenceRange.observationRange.moodCoderequiredFixed Value: EVN.CRT
http://terminology.hl7.org/ValueSet/v3-ActMoodPredicate
Observation.referenceRange.observationRange.codeexampleActCode
http://terminology.hl7.org/ValueSet/v3-ActCode
Observation.referenceRange.observationRange.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.referenceRange.observationRange.sdtcPrecondition1.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.observationRange.sdtcPrecondition1.typeId.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.referenceRange.observationRange.sdtcPrecondition1.typeCoderequiredFixed Value: PRCN
http://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType
Observation.referenceRange.observationRange.sdtcPrecondition1.conjunctionCoderequiredRelationshipConjunction
http://terminology.hl7.org/ValueSet/v3-RelationshipConjunction|2.0.0

Constraints

IdGradePath(s)DetailsRequirements
4537-19212warningObservation.codeThis code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
: codeSystem = '2.16.840.1.113883.6.1'
4537-32610warningObservation.value:codedIf Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
: codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1'
shall-code-or-nullflavorerrorObservation.codeSHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
: (code | nullFlavor).count() = 1
should-authorwarningObservationSHOULD contain author
: author.exists()
should-interpretationCodewarningObservationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningObservationSHOULD contain referenceRange
: referenceRange.exists()
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

This structure is derived from Observation

Summary

Mandatory: 9 elements(2 nested mandatory elements)
Fixed: 2 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element 2 is sliced based on the values of Observation.templateId
  • The element 1 is sliced based on the value of Observation.value

Differential View

This structure is derived from Observation

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-obs 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Fixed Value: OBS
... @moodCode 1..1 cs Fixed Value: EVN
... code C 1..1 CD (USCDI) Tests
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs
..... @code 0..1 cs
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1 CS (USCDI) Result Status
.... @nullFlavor 0..0
.... @code 1..1 cs Binding: Result Status . (required)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... Slices for value 1..1 ANY, BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS, RTO_PQ_PQ (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value:physical-quantity 0..1 PQ
..... @unit 1..1 cs (USCDI) Result Unit of Measure
Binding: UnitsOfMeasureCaseSensitive (preferred)
..... translation 0..1 PQR Can be used to represent the original results as output by the lab
.... value:coded C 0..1 CD 4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
..... translation 0..1 CD Can be used to represent the original results as output by the lab
... interpretationCode 0..* CE (USCDI) Result Interpretation
... methodCode 0..1 CE
... targetSiteCode 0..1 CD
... author 0..* AuthorParticipation Base for all types and resources
... referenceRange 0..* InfrastructureRoot (USCDI) Result Reference Range
.... observationRange 1..1 ObservationRange
..... value 1..1 BL, ED, ST, CD, CV, CE, CO, SC, II, TEL, AD, EN, INT, REAL, PQ, MO, TS, IVL_PQ, IVL_TS, PIVL_TS, EIVL_TS, SXPR_TS When the value is a quantity, then the unit SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive.

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
Observation.statusCode.coderequiredResultStatus .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39
Observation.value:physical-quantity.unitpreferredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive

Constraints

IdGradePath(s)DetailsRequirements
4537-19212warningObservation.codeThis code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
: codeSystem = '2.16.840.1.113883.6.1'
4537-32610warningObservation.value:codedIf Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
: codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1'
shall-code-or-nullflavorerrorObservation.codeSHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
: (code | nullFlavor).count() = 1
should-authorwarningObservationSHOULD contain author
: author.exists()
should-interpretationCodewarningObservationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningObservationSHOULD contain referenceRange
: referenceRange.exists()
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-obs 1..1 II
..... @root 1..1 oid, uuid, ruid Required Pattern: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
Fixed Value: OBS
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... code C 1..1 CD (USCDI) Tests
Binding: ObservationType (example)
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @code 0..1 cs
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
... statusCode 1..1 CS (USCDI) Result Status
Binding: ActStatus (required)
.... @code 1..1 cs Binding: Result Status . (required)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... Slices for value 1..1 (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ
.... value IVL_TS
.... value PIVL_TS
.... value EIVL_TS
.... value SXPR_TS
.... value RTO_PQ_PQ
.... value:physical-quantity 0..1 PQ
..... @unit 1..1 cs (USCDI) Result Unit of Measure
Binding: UnitsOfMeasureCaseSensitive (preferred)
..... translation 0..1 PQR Can be used to represent the original results as output by the lab
.... value:coded C 0..1 CD 4537-32610: If Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
..... translation 0..1 CD Can be used to represent the original results as output by the lab
... interpretationCode 0..* CE (USCDI) Result Interpretation
Binding: CDAObservationInterpretation (required)
... methodCode 0..1 CE Binding: ObservationMethod (example)
... targetSiteCode 0..1 CD
... author 0..* AuthorParticipation Base for all types and resources
... referenceRange 0..* InfrastructureRoot (USCDI) Result Reference Range
.... observationRange 1..1 ObservationRange
..... value 1..1 When the value is a quantity, then the unit SHOULD be selected from ValueSet UnitsOfMeasureCaseSensitive.
...... value BL
...... value ED
...... value ST
...... value CD
...... value CV
...... value CE
...... value CO
...... value SC
...... value II
...... value TEL
...... value AD
...... value EN
...... value INT
...... value REAL
...... value PQ
...... value MO
...... value TS
...... value IVL_PQ
...... value IVL_TS
...... value PIVL_TS
...... value EIVL_TS
...... value SXPR_TS

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.classCoderequiredFixed Value: OBS
http://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation
Observation.moodCoderequiredFixed Value: EVN
http://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0
Observation.codeexampleObservationType
http://terminology.hl7.org/ValueSet/v3-ObservationType
Observation.code.nullFlavorrequiredCDANullFlavor
http://hl7.org/cda/stds/core/ValueSet/CDANullFlavor
Observation.statusCoderequiredActStatus
http://terminology.hl7.org/ValueSet/v3-ActStatus
Observation.statusCode.coderequiredResultStatus .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.39
Observation.value:physical-quantity.unitpreferredUnitsOfMeasureCaseSensitive (a valid code from UCUM)
http://terminology.hl7.org/ValueSet/v3-UnitsOfMeasureCaseSensitive
Observation.interpretationCoderequiredCDAObservationInterpretation
http://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation
Observation.methodCodeexampleObservationMethod
http://terminology.hl7.org/ValueSet/v3-ObservationMethod

Constraints

IdGradePath(s)DetailsRequirements
4537-19212warningObservation.codeThis code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
: codeSystem = '2.16.840.1.113883.6.1'
4537-32610warningObservation.value:codedIf Observation/value is a CD (**xsi:type="CD"**) the value **SHOULD** be SNOMED-CT or LOINC (CONF:4537-32610).
: codeSystem = '2.16.840.1.113883.6.96' or codeSystem = '2.16.840.1.113883.6.1'
shall-code-or-nullflavorerrorObservation.codeSHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
: (code | nullFlavor).count() = 1
should-authorwarningObservationSHOULD contain author
: author.exists()
should-interpretationCodewarningObservationSHOULD contain interpretationCode
: interpretationCode.exists()
should-referenceRangewarningObservationSHOULD contain referenceRange
: referenceRange.exists()
should-text-ref-valuewarningObservationSHOULD contain text/reference/@value
: text.reference.value.exists()
value-starts-octothorpeerrorObservation.text.referenceIf reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
: value.exists() implies value.startsWith('#')

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 1..1 Observation XML Namespace: urn:hl7-org:v3
Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1
Base for all types and resources
Instance of this type are validated by templateId
Logical Container: ClinicalDocument (CDA Class)
should-text-ref-value: SHOULD contain text/reference/@value
should-interpretationCode: SHOULD contain interpretationCode
should-author: SHOULD contain author
should-referenceRange: SHOULD contain referenceRange
... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
... realmCode 0..* CS
... typeId 0..1 II
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @assigningAuthorityName 0..1 st
.... @displayable 0..1 bl
.... @root 1..1 oid, uuid, ruid Fixed Value: 2.16.840.1.113883.1.3
.... @extension 1..1 st
... Slices for templateId 1..* II Slice: Unordered, Open by value:root, value:extension
.... templateId:result-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: 2.16.840.1.113883.10.20.22.4.2
..... @extension 1..1 st Required Pattern: 2023-05-01
... @classCode 1..1 cs Binding: CDAActClassObservation (required)
Fixed Value: OBS
... @moodCode 1..1 cs Binding: XActMoodDocumentObservation (2.0.0) (required)
Fixed Value: EVN
... @negationInd 0..1 bl
... id 1..* II
... code C 1..1 CD (USCDI) Tests
Binding: ObservationType (example)
shall-code-or-nullflavor: SHALL contain either a @code attribute or a @nullFlavor attribute, but not both.
4537-19212: This code **SHOULD** be a code from the LOINC that identifies the result observation. If an appropriate LOINC code does not exist, then the local code for this result **SHALL** be sent (CONF:4537-19212).
.... (Choice of one) 1..1
..... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
..... @code 0..1 cs
.... @codeSystem 0..1 oid, uuid, ruid
.... @codeSystemName 0..1 st
.... @codeSystemVersion 0..1 st
.... @displayName 0..1 st
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
.... originalText 0..1 ED
.... qualifier 0..* CR
.... translation 0..* CD
... derivationExpr 0..1 ST
... text 0..1 ED SHOULD reference the portion of section narrative text corresponding to this entry
.... @nullFlavor 0..1 cs Binding: CDANullFlavor (required)
.... @compression 0..1 cs Binding: CDACompressionAlgorithm (required)
.... @integrityCheck 0..1 bin
.... @integrityCheckAlgorithm 0..1 cs Binding: IntegrityCheckAlgorithm (2.0.0) (required)
.... @language 0..1 cs
.... @mediaType 0..1 cs Binding: MediaType (example)
.... @representation 0..1 cs Binding: CDABinaryDataEncoding (required)
.... xmlText 0..1 st Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string.
.... reference C 0..1 TEL value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative
.... thumbnail 0..1 ED
... statusCode 1..1 CS (USCDI) Result Status
Binding: ActStatus (required)
.... @code 1..1 cs Binding: Result Status . (required)
.... @sdtcValueSet 0..1 oid XML Namespace: urn:hl7-org:sdtc
XML: valueSet (urn:hl7-org:sdtc)
.... @sdtcValueSetVersion 0..1 st XML Namespace: urn:hl7-org:sdtc
XML: valueSetVersion (urn:hl7-org:sdtc)
... effectiveTime 1..1 IVL_TS Represents the clinically relevant time of the measurement (e.g., the time a blood pressure reading is obtained, the time the blood sample was obtained for a chemistry test).
... priorityCode 0..1 CE Binding: ActPriority (example)
... repeatNumber 0..1 IVL_INT
... languageCode 0..1 CS Binding: AllLanguages (required)
... Slices for value 1..1 (USCDI) Values/Results - Value can be any type, but certain types have additional rules.
Slice: Unordered, Open by type:$this
.... value ANY
.... value BL
.... value ED
.... value ST
.... value CD
.... value CV
.... value CE
.... value CO
.... value SC
.... value II
.... value TEL
.... value AD
.... value EN
.... value INT
.... value REAL
.... value PQ
.... value MO
.... value TS
.... value IVL_PQ