Consolidated CDA (C-CDA), published by Health Level Seven. This guide is not an authorized publication; it is the continuous build for version 4.0.0-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
Official URL: http://hl7.org/cda/us/ccda/StructureDefinition/SensoryStatus | Version: 4.0.0-ballot | |||
Draft as of 2024-12-19 | Computable Name: SensoryStatus | |||
Other Identifiers: OID:2.16.840.1.113883.10.20.22.4.127 |
This template represents a patient's sensory or speech ability. It may contain an assessment scale observations related to the sensory or speech ability.
Usage:
Description of Template, Differentials, Snapshots and how the different presentations work.
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
templateId:sensory-status | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.127 | |
@extension | 0..0 | |||
@classCode | 1..1 | cs | Fixed Value: OBS | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | ||
@code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | 1..1 | IVL_TS | ||
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: COMP | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 |
Id | Grade | Path(s) | Details | Requirements |
should-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.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('#') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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:sensory-status | 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: 2.16.840.1.113883.10.20.22.4.127 | |
@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 | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | 1..1 | IVL_TS | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
center | 0..1 | TS | ||
width | 0..1 | PQ | ||
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
repeatNumber | 0..1 | IVL_INT | ||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
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 | 0..* | AuthorParticipation | Base for all types and resources | |
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
referenceRange | 0..* | InfrastructureRoot | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:sensory-status.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Observation.typeId, Observation.entryRelationship:assessmentScaleObservation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
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-text-ref-value | warning | Observation.entryRelationship:assessmentScaleObservation.observation | SHOULD contain text/reference/@value : text.reference.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('#') |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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:sensory-status | 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: 2.16.840.1.113883.10.20.22.4.127 | |
@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 | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | 1..1 | IVL_TS | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
center | 0..1 | TS | ||
width | 0..1 | PQ | ||
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
repeatNumber | 0..1 | IVL_INT | ||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
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 | 0..* | AuthorParticipation | Base for all types and resources | |
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
referenceRange | 0..* | InfrastructureRoot | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:sensory-status.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Observation.typeId, Observation.entryRelationship:assessmentScaleObservation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
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-text-ref-value | warning | Observation.entryRelationship:assessmentScaleObservation.observation | SHOULD contain text/reference/@value : text.reference.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: 8 elements(1 nested mandatory element)
Fixed: 4 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Observation
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
Slices for templateId | 1..* | II | Slice: Unordered, Open by value:root | |
templateId:sensory-status | 1..1 | II | ||
@root | 1..1 | oid, uuid, ruid | Required Pattern: 2.16.840.1.113883.10.20.22.4.127 | |
@extension | 0..0 | |||
@classCode | 1..1 | cs | Fixed Value: OBS | |
@moodCode | 1..1 | cs | Fixed Value: EVN | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | ||
@code | 1..1 | cs | Fixed Value: completed | |
effectiveTime | 1..1 | IVL_TS | ||
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
author | 0..* | AuthorParticipation | Base for all types and resources | |
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@typeCode | 1..1 | cs | Fixed Value: COMP | |
observation | 1..1 | AssessmentScaleObservation | Base for all types and resources | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 |
Id | Grade | Path(s) | Details | Requirements |
should-author | warning | Observation | SHOULD contain author : author.exists() | |
should-text-ref-value | warning | Observation | SHOULD contain text/reference/@value : text.reference.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
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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:sensory-status | 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: 2.16.840.1.113883.10.20.22.4.127 | |
@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 | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | 1..1 | IVL_TS | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
center | 0..1 | TS | ||
width | 0..1 | PQ | ||
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
repeatNumber | 0..1 | IVL_INT | ||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
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 | 0..* | AuthorParticipation | Base for all types and resources | |
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
referenceRange | 0..* | InfrastructureRoot | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:sensory-status.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Observation.typeId, Observation.entryRelationship:assessmentScaleObservation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
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-text-ref-value | warning | Observation.entryRelationship:assessmentScaleObservation.observation | SHOULD contain text/reference/@value : text.reference.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
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
Observation | C | 1..1 | Observation | XML Namespace: urn:hl7-org:v3 Elements defined in Ancestors:@nullFlavor, realmCode, typeId, templateId, @classCode, @moodCode, @negationInd, id, sdtcCategory, code, derivationExpr, text, statusCode, effectiveTime, priorityCode, repeatNumber, languageCode, value, interpretationCode, methodCode, targetSiteCode, subject, specimen, performer, author, informant, participant, entryRelationship, reference, precondition, sdtcPrecondition2, referenceRange, sdtcInFulfillmentOf1 Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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:sensory-status | 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: 2.16.840.1.113883.10.20.22.4.127 | |
@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 | 0..* | II | ||
sdtcCategory | 0..* | CD | XML Namespace: urn:hl7-org:sdtc XML: category (urn:hl7-org:sdtc) | |
code | 1..1 | CD | Binding: Sensory Status Problem Type (preferred) | |
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 | Binding: ActStatus (required) | |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@code | 1..1 | cs | Fixed Value: completed | |
@sdtcValueSet | 0..1 | oid | XML Namespace: urn:hl7-org:sdtc XML: valueSet (urn:hl7-org:sdtc) | |
@sdtcValueSetVersion | 0..1 | st | XML Namespace: urn:hl7-org:sdtc XML: valueSetVersion (urn:hl7-org:sdtc) | |
effectiveTime | 1..1 | IVL_TS | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@value | 0..1 | ts | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |
@operator | 0..1 | cs | Binding: CDASetOperator (required) | |
low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |
center | 0..1 | TS | ||
width | 0..1 | PQ | ||
high | 0..1 | IVXB_TS | The effectiveTime/high (a.k.a. "resolution date") asserts when the condition became biologically resolved. | |
priorityCode | 0..1 | CE | Binding: ActPriority (example) | |
repeatNumber | 0..1 | IVL_INT | ||
languageCode | 0..1 | CS | Binding: AllLanguages (required) | |
value | 1..1 | CD | Binding: Mental and Functional Status Response (preferred) | |
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 | 0..* | AuthorParticipation | Base for all types and resources | |
informant | 0..* | Informant | ||
participant | 0..* | Participant2 | ||
Slices for entryRelationship | 0..* | EntryRelationship | Slice: Unordered, Open by profile:observation | |
entryRelationship:assessmentScaleObservation | 0..* | EntryRelationship | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
@assigningAuthorityName | 0..1 | st | ||
@displayable | 0..1 | bl | ||
@root | 1..1 | oid, uuid, ruid | Fixed Value: 2.16.840.1.113883.1.3 | |
@extension | 1..1 | st | ||
templateId | 0..* | II | ||
@typeCode | 1..1 | cs | Binding: x_ActRelationshipEntryRelationship (required) Fixed Value: COMP | |
@inversionInd | 0..1 | bl | ||
@contextConductionInd | 0..1 | bl | ||
@negationInd | 0..1 | bl | ||
sequenceNumber | 0..1 | INT | ||
seperatableInd | 0..1 | BL | ||
act | 0..1 | Act | ||
encounter | 0..1 | Encounter | ||
observation | C | 1..1 | AssessmentScaleObservation | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value |
observationMedia | 0..1 | ObservationMedia | ||
organizer | 0..1 | Organizer | ||
procedure | 0..1 | Procedure | ||
regionOfInterest | 0..1 | RegionOfInterest | ||
substanceAdministration | 0..1 | SubstanceAdministration | ||
supply | 0..1 | Supply | ||
reference | 0..* | Reference | ||
precondition | 0..* | Precondition | ||
sdtcPrecondition2 | 0..* | Precondition2 | XML Namespace: urn:hl7-org:sdtc XML: precondition2 (urn:hl7-org:sdtc) | |
referenceRange | 0..* | InfrastructureRoot | ||
@nullFlavor | 0..1 | cs | Binding: CDANullFlavor (required) | |
realmCode | 0..* | CS | ||
typeId | C | 0..1 | II | II-1: An II instance must have either a root or an nullFlavor. |
@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) | |
Documentation for this format |
Path | Conformance | ValueSet / Code | URI |
Observation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.templateId:sensory-status.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.classCode | required | Fixed Value: OBShttp://hl7.org/cda/stds/core/ValueSet/CDAActClassObservation | |
Observation.moodCode | required | Fixed Value: EVNhttp://terminology.hl7.org/ValueSet/v3-xActMoodDocumentObservation|2.0.0 | |
Observation.code | preferred | SensoryStatusProblemType http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.50 | |
Observation.text.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.text.compression | required | CDACompressionAlgorithmhttp://hl7.org/cda/stds/core/ValueSet/CDACompressionAlgorithm | |
Observation.text.integrityCheckAlgorithm | required | IntegrityCheckAlgorithmhttp://terminology.hl7.org/ValueSet/v3-IntegrityCheckAlgorithm|2.0.0 | |
Observation.text.mediaType | example | MediaTypehttp://terminology.hl7.org/ValueSet/v3-MediaType | |
Observation.text.representation | required | BinaryDataEncodinghttp://hl7.org/cda/stds/core/ValueSet/BinaryDataEncoding | |
Observation.statusCode | required | ActStatushttp://terminology.hl7.org/ValueSet/v3-ActStatus | |
Observation.statusCode.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.effectiveTime.operator | required | CDASetOperatorhttp://hl7.org/cda/stds/core/ValueSet/CDASetOperator | |
Observation.priorityCode | example | ActPriorityhttp://terminology.hl7.org/ValueSet/v3-ActPriority | |
Observation.languageCode | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages from the FHIR Standard | |
Observation.value | preferred | MentalAndFunctionalStatusResponse http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113883.11.20.9.44 | |
Observation.interpretationCode | required | CDAObservationInterpretationhttp://hl7.org/cda/stds/core/ValueSet/CDAObservationInterpretation | |
Observation.methodCode | example | ObservationMethodhttp://terminology.hl7.org/ValueSet/v3-ObservationMethod | |
Observation.entryRelationship:assessmentScaleObservation.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.entryRelationship:assessmentScaleObservation.typeCode | required | Fixed Value: COMPhttp://terminology.hl7.org/ValueSet/v3-xActRelationshipEntryRelationship | |
Observation.referenceRange.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeId.nullFlavor | required | CDANullFlavorhttp://hl7.org/cda/stds/core/ValueSet/CDANullFlavor | |
Observation.referenceRange.typeCode | required | Fixed Value: REFVhttp://hl7.org/cda/stds/core/ValueSet/CDAActRelationshipType |
Id | Grade | Path(s) | Details | Requirements |
II-1 | error | Observation.typeId, Observation.entryRelationship:assessmentScaleObservation.typeId, Observation.referenceRange.typeId | An II instance must have either a root or an nullFlavor. : root.exists() or nullFlavor.exists() | |
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-text-ref-value | warning | Observation.entryRelationship:assessmentScaleObservation.observation | SHOULD contain text/reference/@value : text.reference.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: 8 elements(1 nested mandatory element)
Fixed: 4 elements
Prohibited: 1 element
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices: