Clinical Document Architecture V2.1
2.1.0 - CI Build

Clinical Document Architecture V2.1, published by Health Level 7. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/cda-core-2.0/ and changes regularly. See the Directory of published versions

Logical Model: CDAR2.ObservationMedia

A derivative of the RIM Observation class that represents multimedia that is logically part of the current document. This class is only for multimedia that is logically part of the attested content of the document. Rendering a referenced ObservationMedia requires a software tool that recognizes the particular MIME media type. An XML attribute “ID” of type XML ID, is added to ObservationMedia within the CDA Schema. This attribute serves as the target of a renderMultiMedia reference (see renderMultiMedia). All values of attributes of type XML ID must be unique within the document (per the W3C XML specification). The distinction between ObservationMedia and ExternalObservation is that ObservationMedia entries are part of the attested content of the document whereas ExternalObservations are not. For instance, when a clinician draws a picture as part of a progress note, that picture is represented as a CDA ObservationMedia. If that clinician is also describing a finding seen on a chest-x-ray, the referenced chest-x-ray is represented as a CDA ExternalObservation.

The official URL for this profile is:

http://hl7.org/fhir/cda/StructureDefinition/ObservationMedia

Formal Views of Profile Content

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

This structure is derived from Base

Summary

Mandatory: 0 element (20 nested mandatory elements)
Fixed Value: 10 elements

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. ObservationMedia 1..1
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... ID 0..1string
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1ED
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL_TS
.... modeCode 0..1CEBinding: ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: ParticipationType (required)
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. ObservationMedia 1..1
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... ID 0..1string
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1ED
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL_TS
.... modeCode 0..1CEBinding: ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: ParticipationType (required)
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

This structure is derived from Base

Summary

Mandatory: 0 element (20 nested mandatory elements)
Fixed Value: 10 elements

Differential View

This structure is derived from Base

NameFlagsCard.TypeDescription & Constraintsdoco
.. ObservationMedia 1..1
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... ID 0..1string
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1ED
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL_TS
.... modeCode 0..1CEBinding: ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: ParticipationType (required)
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. ObservationMedia 1..1
... classCode 1..1codeBinding: ActClassObservation (required)
Fixed Value: OBS
... moodCode 1..1codeBinding: ActMood (required)
Fixed Value: EVN
... ID 0..1string
... languageCode 0..1CSBinding: HumanLanguage (required)
... value 1..1ED
... subject 0..1Element
.... typeCode 1..1codeBinding: ParticipationTargetSubject (required)
Fixed Value: SBJ
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... relatedSubject 1..1RelatedSubject
... specimen 0..*Element
.... typeCode 1..1codeBinding: ParticipationTargetDirect (required)
Fixed Value: SPC
.... specimenRole 1..1SpecimenRole
... performer 0..*Element
.... typeCode 1..1codeBinding: ParticipationPhysicalPerformer (required)
Fixed Value: PRF
.... time 0..1IVL_TS
.... modeCode 0..1CEBinding: ParticipationMode (extensible)
.... assignedEntity 1..1AssignedEntity
... author 0..*Author
... informant 0..*Element
.... typeCode 1..1codeBinding: ParticipationInformationGenerator (required)
Fixed Value: INF
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... assignedEntity 0..1AssignedEntity
.... relatedEntity 0..1RelatedEntity
... participant 0..*Element
.... typeCode 1..1codeBinding: ParticipationType (required)
.... contextControlCode 1..1codeBinding: ContextControl (required)
Fixed Value: OP
.... time 0..1IVL_TS
.... awarenessCode 0..1CEBinding: TargetAwareness (extensible)
.... participantRole 1..1ParticipantRole
... entryRelationship 0..*Element
.... typeCode 1..1code
.... inversionInd 0..1boolean
.... contextConductionInd 1..1boolean
.... sequenceNumber 0..1INT
.... negationInd 0..1boolean
.... seperatableInd 0..1BL
.... observation 0..1Observation
.... regionOfInterest 0..1RegionOfInterest
.... observationMedia 0..1ObservationMedia
.... substanceAdministration 0..1SubstanceAdministration
.... supply 0..1Supply
.... procedure 0..1Procedure
.... encounter 0..1Encounter
.... organizer 0..1Organizer
.... act 0..1Act
... reference 0..*Element
.... typeCode 1..1code
.... seperatableInd 0..1BL
.... externalAct 0..1ExternalAct
.... externalObservation 0..1ExternalObservation
.... externalProcedure 0..1ExternalProcedure
.... externalDocument 0..1ExternalDocument
... precondition 0..*Element
.... typeCode 1..1codeBinding: ActRelationshipConditional (required)
Fixed Value: PRCN
.... criterion 1..1Criterion

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
ObservationMedia.classCoderequiredFixed Value: OBS
ObservationMedia.moodCoderequiredFixed Value: EVN
ObservationMedia.languageCoderequiredHumanLanguage
ObservationMedia.subject.typeCoderequiredFixed Value: SBJ
ObservationMedia.subject.contextControlCoderequiredFixed Value: OP
ObservationMedia.subject.awarenessCodeextensibleTargetAwareness
ObservationMedia.specimen.typeCoderequiredFixed Value: SPC
ObservationMedia.performer.typeCoderequiredFixed Value: PRF
ObservationMedia.performer.modeCodeextensibleParticipationMode
ObservationMedia.informant.typeCoderequiredFixed Value: INF
ObservationMedia.informant.contextControlCoderequiredFixed Value: OP
ObservationMedia.participant.typeCoderequiredParticipationType
ObservationMedia.participant.contextControlCoderequiredFixed Value: OP
ObservationMedia.participant.awarenessCodeextensibleTargetAwareness
ObservationMedia.precondition.typeCoderequiredFixed Value: PRCN