This is the set of resources that conform to both Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation) and Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation).
Name | Flags | Card. | Type | Description & Constraints | ||||||
---|---|---|---|---|---|---|---|---|---|---|
Observation | C | 1..1 | Base for all types and resources should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
realmCode | 0..* | CS | ||||||||
typeId | 0..1 | II | ||||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
assigningAuthorityName | 0..1 | ??, ?? | ||||||||
displayable | 0..1 | ??, ?? | ||||||||
root | 1..1 | ??, ??, ??, ?? | ||||||||
extension | 1..1 | ??, ?? | ||||||||
templateId | 2..* | II | ||||||||
classCode | 1..1 | ??, ?? | Binding: ?? (required) | |||||||
moodCode | 1..1 | ??, ?? | Binding: ?? (required) | |||||||
negationInd | 0..1 | ??, ?? | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. | |||||||
code | 1..1 | CD | Binding: ?? (preferred) | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
code | 1..1 | ??, ?? | ||||||||
codeSystem | 1..1 | ??, ??, ??, ?? | ||||||||
codeSystemName | 0..1 | ??, ?? | ||||||||
codeSystemVersion | 0..1 | ??, ?? | ||||||||
displayName | 0..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
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 | ??, ?? | Binding: ?? (required) | |||||||
compression | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
integrityCheck | 0..1 | ??, ?? | ||||||||
integrityCheckAlgorithm | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
language | 0..1 | ??, ?? | ||||||||
mediaType | 0..1 | ??, ?? | Binding: ?? (example) | |||||||
representation | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
xmlText | 0..1 | ??, ?? | 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: ?? (required) | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
code | 1..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
effectiveTime | 1..1 | IVL_TS | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
value | 0..1 | ??, ?? | ||||||||
operator | 0..1 | ??, ?? | Binding: ?? (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 | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. | |||||||
priorityCode | 0..1 | CE | Binding: ?? (example) | |||||||
repeatNumber | 0..1 | IVL_INT | ||||||||
languageCode | 0..1 | CS | Binding: ?? (required) | |||||||
value | 1..1 | CD | (USCDI) SDOH Problems/Health Concerns Binding: ?? (preferred) | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
code | 0..1 | ??, ?? | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). Binding Description (No ValueSet): (example): See additional binding
| |||||||
codeSystem | 0..1 | ??, ??, ??, ?? | ||||||||
codeSystemName | 0..1 | ??, ?? | ||||||||
codeSystemVersion | 0..1 | ??, ?? | ||||||||
displayName | 0..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
originalText | 0..1 | ED | ||||||||
qualifier | 0..* | CR | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.
In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo -
Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. | |||||||
translation | 0..* | CD | ||||||||
interpretationCode | 0..* | CE | Binding: ?? (required) | |||||||
methodCode | 0..* | CE | Binding: ?? (example) | |||||||
targetSiteCode | 0..1 | CD | Binding: ?? (preferred) | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
code | 0..1 | ??, ?? | ||||||||
codeSystem | 0..1 | ??, ??, ??, ?? | ||||||||
codeSystemName | 0..1 | ??, ?? | ||||||||
codeSystemVersion | 0..1 | ??, ?? | ||||||||
displayName | 0..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
originalText | 0..1 | ED | ||||||||
qualifier | 0..* | CR | If targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality. | |||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
inverted | 0..1 | ??, ?? | ||||||||
name | 1..1 | CV | ||||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
code | 1..1 | ??, ?? | ||||||||
codeSystem | 1..1 | ??, ??, ??, ?? | ||||||||
codeSystemName | 0..1 | ??, ?? | ||||||||
codeSystemVersion | 0..1 | ??, ?? | ||||||||
displayName | 0..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
originalText | 0..1 | ED | ||||||||
value | 1..1 | CD | ||||||||
code | 1..1 | ??, ?? | Binding: ?? (preferred) | |||||||
codeSystem | 0..1 | ??, ??, ??, ?? | ||||||||
codeSystemName | 0..1 | ??, ?? | ||||||||
codeSystemVersion | 0..1 | ??, ?? | ||||||||
displayName | 0..1 | ??, ?? | ||||||||
sdtcValueSet | 0..1 | ??, ?? | ||||||||
sdtcValueSetVersion | 0..1 | ??, ?? | ||||||||
originalText | 0..1 | ED | ||||||||
qualifier | 0..* | CR | ||||||||
translation | 0..* | CD | ||||||||
translation | 0..* | CD | ||||||||
subject | 0..1 | Subject | ||||||||
specimen | 0..* | Specimen | ||||||||
performer | 0..* | Performer2 | ||||||||
author | 0..* | ??, ?? | Base for all types and resources | |||||||
informant | 0..* | Informant | ||||||||
participant | 0..* | Participant2 | ||||||||
entryRelationship | 0..* | EntryRelationship | When the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage. | |||||||
reference | 0..* | Reference | ||||||||
precondition | 0..* | Precondition | ||||||||
sdtcPrecondition2 | 0..* | Precondition2 | ||||||||
referenceRange | 0..* | InfrastructureRoot | ||||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
realmCode | 0..* | CS | ||||||||
typeId | 0..1 | II | ||||||||
nullFlavor | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
assigningAuthorityName | 0..1 | ??, ?? | ||||||||
displayable | 0..1 | ??, ?? | ||||||||
root | 1..1 | ??, ??, ??, ?? | ||||||||
extension | 1..1 | ??, ?? | ||||||||
templateId | 0..* | II | ||||||||
typeCode | 0..1 | ??, ?? | Binding: ?? (required) | |||||||
observationRange | 1..1 | ObservationRange | ||||||||
sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | ||||||||
Documentation for this format |